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     Indian Health Manual

Transmittal Notice 95-06

TN 95-06


This is to transmit a change to the Indian Health Manual, Part 3, Chapter 7, Pharmacy, Section 3-7.3D(2a)(vi) concerning prescribing of controlled substances has been updated.  Several states now give physician assistants the authority to prescribe controlled substances.  In order that Indian Health Service policy be consistent with allowable practice by the States, Schedule II-V Controlled Substances may be prescribed or dispensed by physician assistants, advanced practice nurses, and clinical pharmacy specialists in accordance with prescribed guidelines.

/Michael H. Trujillo, M.D./
Michael H. Trujillo, M.D., M.P.H.
Assistant Surgeon General
Director, Indian Health Service


Indian Health Manual, Part 3, Chapter 7, Pharmacy, Section 3-7.3D(2a), Pages 34, 34A, 34B, and 35.

Pages 33 and 36 TN 93-11 are transmitted to aid in the convenience of filing.




Remove pages 33, 34, 35, and 36.  Add new pages 33, 34, 34A, 34B, 35, and 36.

Log and file this transmittal notice in sequential order.

Distribution:  PSD 557 (Indian Health Service Mailing Key)
Date:  June 26, 1995
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