ORS 678.390: Authority of nurse practitioner and clinical nurse specialist to write prescriptions or dispense drugs; requirements; revocation; rules.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) The Oregon State Board of Nursing may authorize a nurse practitioner or clinical nurse specialist to write prescriptions, including prescriptions for controlled substances listed in schedules II through V. (2) A nurse practitioner or clinical nurse specialist may submit an application to the Oregon State Board of Nursing to dispense prescription drugs. (3) An application for the authority to dispense prescription drugs under this section must include any information required by the Oregon State Board of Nursing by rule. (4) Prescription drugs dispensed by a nurse practitioner or clinical nurse specialist must be personally dispensed by the nurse practitioner or clinical nurse specialist, except that nonjudgmental dispensing functions may be delegated to staff assistants when: (a) The accuracy and completeness of the prescription is verified by the nurse practitioner or clinical nurse specialist; and (b) The prescription drug is labeled with the name of the patient to whom it is being dispensed. (5) The Oregon State Board of Nursing shall adopt rules requiring: (a) Prescription drugs dispensed by nurse practitioners and clinical nurse specialists to be either prepackaged by a manufacturer registered with the State Board of Pharmacy or repackaged by a pharmacist licensed by the State Board of Pharmacy under ORS chapter 689; (b) Labeling requirements for prescription drugs dispensed by nurse practitioners and clinical nurse specialists that are the same as labeling requirements required of pharmacies licensed under ORS chapter 689; (c) Record keeping requirements for prescriptions and prescription drug dispensing by a nurse practitioner and a clinical nurse specialist that are the same as the record keeping requirements required of pharmacies licensed under ORS chapter 689; (d) A dispensing nurse practitioner and a dispensing clinical nurse specialist to have available at the dispensing site a hard copy or electronic version of prescription drug reference works commonly used by professionals authorized to dispense prescription medications; and (e) A dispensing nurse practitioner and a dispensing clinical nurse specialist to allow representatives of the State Board of Pharmacy, upon receipt of a complaint, to inspect a dispensing site after prior notice to the Oregon State Board of Nursing. (6) The Oregon State Board of Nursing has sole disciplinary authority regarding nurse practitioners and clinical nurse specialists who have prescription drug dispensing authority. (7) The authority to write prescriptions or dispense prescription drugs may be denied, suspended or revoked by the Oregon State Board of Nursing upon proof that the authority has been abused. The procedure shall be a contested case under ORS chapter 183. Disciplinary action under this subsection is grounds for discipline of the nurse practitioner or clinical nurse specialist in the same manner as a licensee may be disciplined under ORS 678.111. [1979 c.785 §17; 1981 c.693 §29; 1983 c.486 §58; 1985 c.747 §53; 1987 c.79 §2; 1993 c.742 §5; 2003 c.617 §1; 2005 c.462 §6; 2005 c.471 §13; 2008 c.4 §3; 2009 c.456 §1; 2013 c.402 §1; 2017 c.130 §1; 2019 c.358 §39; 2021 c.189 §6; 2023 c.275 §4] (Nurse Interns)
Administrative rules citing this section
- OAR 851-031-0008: Competency Requirements — implements
- OAR 851-031-0008: Competency Requirements — authority
- OAR 851-031-0042: Initial Licensure – APRN — implements
- OAR 851-031-0042: Initial Licensure – APRN — authority
- OAR 851-031-0043: Prescriptive and Dispensing Authority — implements
- OAR 851-031-0052: Exceptions to Rules — implements
- OAR 851-045-0063: Standards related to the RN who is employed by or contracted with a long-term care facility or in-home care agency. — implements
- OAR 851-045-0064: Standards related to the RN who Provides Nursing Services through their own Business Structure — implements
- OAR 851-045-0070: Conduct Derogatory to the Standards of Nursing Defined — implements
- OAR 851-055-0000: Purpose of Scope and Standards of Practice — implements
- OAR 851-055-0000: Purpose of Scope and Standards of Practice — authority
- OAR 851-055-0010: Scope and Standards of Practice for All Licensed Advanced Practice Registered Nurses — implements
- OAR 851-055-0010: Scope and Standards of Practice for All Licensed Advanced Practice Registered Nurses — authority
- OAR 851-055-0020: Scope of Practice for Licensed Nurse Practitioners (NP) — implements
- OAR 851-055-0020: Scope of Practice for Licensed Nurse Practitioners (NP) — authority
- OAR 851-055-0030: Scope and Standards of Practice for Licensed Certified Registered Nurse Anesthetists — implements
- OAR 851-055-0030: Scope and Standards of Practice for Licensed Certified Registered Nurse Anesthetists — authority
- OAR 851-055-0040: Scope and Standards of Practice for Licensed Clinical Nurse Specialist — implements
- OAR 851-055-0040: Scope and Standards of Practice for Licensed Clinical Nurse Specialist — authority
- OAR 851-055-0050: Expanding Scope of Practice within OSBN Issued APRN License — implements
- OAR 851-055-0050: Expanding Scope of Practice within OSBN Issued APRN License — authority
- OAR 851-055-0070: Standards for Prescriptive Authority — implements
- OAR 851-055-0070: Standards for Prescriptive Authority — authority
- OAR 851-055-0072: Conduct Derogatory to the Standards of Nursing of Prescriptive or Dispensing Authority — implements
- OAR 851-055-0072: Conduct Derogatory to the Standards of Nursing of Prescriptive or Dispensing Authority — authority
- OAR 851-055-0076: Drug Delivery and Dispensing — implements
- OAR 851-055-0076: Drug Delivery and Dispensing — authority
- OAR 851-055-0078: Rules Relating to Controlled Substances — implements
- OAR 851-055-0078: Rules Relating to Controlled Substances — authority
- OAR 851-055-0080: Office-Based Procedure Care Standards — implements
- OAR 851-055-0080: Office-Based Procedure Care Standards — authority
- OAR 851-055-0090: Special Provisions — implements
- OAR 851-055-0090: Special Provisions — authority
- OAR 851-062-0054: Temporary Certification as a CNA for Spouses and Domestic Partners of Active Duty Armed Forces of the United States Stationed in Oregon — implements
- OAR 851-062-0054: Temporary Certification as a CNA for Spouses and Domestic Partners of Active Duty Armed Forces of the United States Stationed in Oregon — authority
- OAR 853-050-0005: Continuing Education Requirements for Residential Care Administrators — implements
- OAR 853-050-0005: Continuing Education Requirements for Residential Care Administrators — authority
This rule cites
- ORS chapter 689 — target_record_not_published
- ORS chapter 183 — target_record_not_published
- ORS 678.111 — resolved
Cited by
- ORS 30.302: Certain retired health care providers to be considered agents of public bodies.
- ORS 30.800: Liability for emergency medical assistance.
- ORS 30.802: Liability for use of automated external defibrillator.
- ORS 30.902: Products provided by health care providers and facilities.
- ORS 31.740: When award of punitive damages against health practitioner prohibited.
- ORS 87.555: Hospitals, physicians, physician associates and nurse practitioners as lien claimants.
- ORS 87.560: Limitations on extent of lien.
- ORS 109.640: Right to reproductive health care, medical treatment or dental treatment without parental consent.
- ORS 127.700: Definitions for ORS 127.700 to 127.737.
- ORS 135.139: Notice of availability of testing for HIV and other communicable diseases to person charged with crime; when court may order test; victim’s rights; disclosure of test results; penalties.
- ORS 146.003: Definitions for ORS 146.003 to 146.189 and 146.710 to 146.992.
- ORS 169.750: Restrictions on operation of juvenile detention facilities.
- ORS 315.616: Additional providers who may qualify for credit.
- ORS 343.146: Determination of eligibility for special education services; evaluation; reevaluation; examinations and assessments.
- ORS 348.303: Scholars for a Healthy Oregon Initiative; qualifications; service requirements; penalties; reporting requirements; rules.
- ORS 408.310: Duty of medical professionals to report symptoms attributable to herbicide exposure; consent of patient; report form; additional information.
- ORS 418.351: Definitions for 418.351 to 418.357.
- ORS 421.467: Transfer of local adults in custody to forest work camp; limitations and conditions.
- ORS 426.005: Definitions for ORS 426.005 to 426.390.
- ORS 430.735: Definitions for ORS 430.735 to 430.765.
- ORS 432.005: Definitions.
- ORS 433.010: Spreading disease prohibited; health certificates to be issued by health professionals; rules.
- ORS 433.017: Test of blood of pregnant woman required; patient consent; rules.
- ORS 433.260: Exclusion of persons exposed to or having restrictable disease from school or children’s facility; certificate for readmission.
- ORS 435.205: Family planning and birth control services by public agencies; fees.
- ORS 443.075: Services and supplies prescribed by physician, naturopathic physician, physician associate or nurse practitioner.
- ORS 475.528: Provision of single-use drug test strips, drug testing tools to certain minors; exceptions.
- ORS 475.744: Providing hypodermic device or pipe to minor prohibited; exception.
- ORS 475.950: Failure to report precursor substances transaction.
- ORS 475.975: Unlawful possession of iodine in its elemental form; recording transfers; unlawful distribution of iodine in its elemental form.
- ORS 475.976: Unlawful possession of iodine matrix; recording transfers; unlawful distribution of iodine matrix.
- ORS 475.978: Methyl sulfonyl methane; transfers; records; rules.
- ORS 656.245: Medical services to be provided; worker choice of provider; restrictions on providers outside managed care organizations; director exclusion of medical treatments; when workers to receive services as prescribed in managed care organization contract; provision of services by nurse practitioners and physician associates; administrative review of disapproved claims; rules.
- ORS 656.797: Certification by nurse practitioner of review of required materials.
- ORS 676.340: Limitations on liability of health practitioners providing health care services without compensation; requirements; exceptions; attorney fees; applicability.
- ORS 676.650: Board of Certified Advanced Estheticians.
- ORS 676.655: Board powers; rules.
- ORS 678.370: Clinical nurse specialists; licenses.
- ORS 678.375: Nurse practitioners; licenses; prohibitions; authority to sign reports of death; authority to prescribe.
- ORS 679.618: Collaborative agreement required to practice dental therapy; required provisions; duties of dentist.
- ORS 679.621: Dental therapist scope of practice; duties of dentist; authority of dental therapist to supervise.
- ORS 680.545: Statement of health care provider before treatment by denturist.
- ORS 688.805: Exceptions to license requirements; practice requirements.
- ORS 742.400: Duty to report claim of professional negligence to licensing board; contents of report; public disclosure and posting of reports.
- ORS 744.364: Life settlement contract requirements.
- ORS 744.367: Limitations on ability to enter life settlement contract; exceptions.
- OAR 333-008-0010: Definitions
- OAR 409-036-0010: Definitions
- OAR 419-300-0005: Definitions
- OAR 581-015-2000: Definitions
- OAR 818-038-0020: Scope of Practice
- OAR 818-038-0030: Collaborative Agreements
- OAR 819-030-0020: COLLABORATIVE AGREEMENT
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors678.html