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Sexually Transmitted Diseases

Legal Status of EPT - North Carolina

potentially allowable EPT is potentially allowable.

I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation (Explanation)

 

II. Specific judicial decisions concerning EPT (or like practices) (Explanation)  
III. Specific administrative opinions by the Attorney General or medical or pharmacy boards concerning EPT (or like practices) (Explanation) minus symbol It is the position of the North Carolina Medical Board that prescribing drugs to an individual the prescriber has not personally examined, or has never met based solely on answers to a set of questions, as is common in Internet or toll-free telephone prescribing, is inappropriate and unprofessional.”
[Link to Medical Board Opinion]

minus symbol “It is up to the Pharmacist to determine the legitimacy of each prescription, which arrives in the Pharmacy. One important consideration is the Board’s Rule on prescription orders, 21 NCAC 46.1801(b). . . . . The Rule specifically provides that a Pharmacist shall not fill or refill a prescription if the order was produced from a prescriber without a prior prescriber-patient relationship or without a physical examination.”
[Link to Board of Pharmacy Opinion]

IV. Legislative bills or prospective regulations concerning EPT (or like practices) (Explanation)  
V. Laws that incorporate via reference guidelines as acceptable practices (including EPT) (Explanation) plus sign Regulations incorporate:
APHA’s CCD Manual (as revised); any guidelines or recommendations published by CDC (as revised) shall supersede those contained in the CCD Manual. 10A N.C. Admin. Code 41A.0201.

plus sign For gonorrhea and Chlamydia, regulations incorporate recommendations contained in the U.S. Public Health Service STD Treatment Guidelines (as revised). 10A N.C. Admin. Code 41A.0204.

VI. Prescription requirements (Explanation) minus symbol Prescription label must bear patient name. N.C. Gen. Stat. § 106-134.1.
VII. Assessment of EPT’s legal status with brief comments (Explanation)

potentially allowable EPT is potentially allowable.

Although the medical board recommends that physicians conduct a physical exam prior to prescribing drugs, the incorporation of CDC STD Treatment Guidelines suggests that EPT may be possible.

 

Status as of August 16, 2006
Legend:  
plus sign supports the use of EPT permissible EPT is permissible
minus symbol negatively affects the use of EPT potentially allowable EPT is potentially allowable
  prohibited EPT is prohibited

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Summary Totals

Exception: EPT is permissible in Baltimore, Maryland.

Page last modified: December 13, 2007
Page last reviewed: December 13, 2007

Content Source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention