Iowa Code
Chapter 147 - GENERAL PROVISIONS, HEALTH-RELATED PROFESSIONS
Section 147.107 - Drug dispensing, supplying, and prescribing — limitations.

147.107 Drug dispensing, supplying, and prescribing — limitations.
1. A person, other than a pharmacist, physician, dentist, podiatric physician, prescribing psychologist, or veterinarian who dispenses as an incident to the practice of the practitioner’s profession, shall not dispense prescription drugs or controlled substances.
2. a. A prescriber who dispenses prescription drugs, including but not limited to controlled substances, for human use, may delegate nonjudgmental dispensing functions to staff assistants only when verification of the accuracy and completeness of the dispensing is determined by the practitioner in the practitioner’s physical presence. However, the physical presence requirement does not apply when a practitioner is utilizing an automated dispensing system. When using an automated dispensing system, the practitioner shall utilize an internal quality control assurance plan that ensures accuracy for dispensing. Verification of automated dispensing accuracy and completeness remains the responsibility of the practitioner and shall be determined in accordance with rules adopted by the board of medicine, the dental board, the board of podiatry, and the board of psychology for their respective licensees.
b. A prescriber who dispenses prescription drugs, other than drug samples, pursuant to this subsection, shall report the fact that they dispense prescription drugs with the practitioner’s respective board at least biennially.
c. A prescriber who dispenses prescription drugs, other than drug samples, pursuant to this subsection, shall provide the patient with a prescription, if requested, that may be dispensed from a pharmacy of the patient’s choice or offer to transmit the prescription orally, electronically, or by facsimile in accordance with section 155A.27 to a pharmacy of the patient’s choice.
d. A pharmacist who dispenses prescription drugs, including but not limited to controlled substances, for human use, may delegate nonjudgmental dispensing functions only when verification of the accuracy and completeness of the dispensing is determined by the pharmacist in the pharmacist’s physical presence. The pharmacist’s verification of the accuracy of the prescription drug dispensed shall not be required when verified by a certified pharmacy technician in a technician product verification program as defined in section 155A.3. The pharmacist’s physical presence shall not be required when the pharmacist is remotely supervising pharmacy personnel operating in a licensed telepharmacy site or when utilizing an automated dispensing system that utilizes an internal quality control assurance plan. When utilizing a technician product verification program, or when remotely supervising pharmacy personnel operating at a licensed telepharmacy site, the pharmacist shall utilize an internal quality control assurance plan, in accordance with rules adopted by the board of pharmacy, that ensures accuracy for dispensing. Automated dispensing verification, technician product verification, and telepharmacy practice accuracy and completeness remains the responsibility of the pharmacist and shall be determined in accordance with rules adopted by the board of pharmacy.
3. A registered nurse may supply, when pharmacist services are not reasonably available or when it is in the best interests of the patient, on the direct order of the supervising physician, a quantity of properly packaged and labeled prescription drugs, controlled substances, or contraceptive devices necessary to complete a course of therapy. However, a remote clinic, staffed by a registered nurse, where pharmacy services are not reasonably available, shall secure the regular advice and consultation of a pharmacist regarding the distribution, storage, and appropriate use of such drugs, substances, and devices.
4. A physician assistant may prescribe, dispense, order, administer, or procure prescription drugs, controlled substances, or medical devices necessary to complete a course of therapy pursuant to section 148C.4.
5. Notwithstanding subsection 1 and any other provision of this section to the contrary, a physician may delegate the function of prescribing drugs, controlled substances, and medical devices for which the supervising physician has sufficient training or experience to a physician assistant licensed pursuant to chapter 148C after the supervising physician determines the physician assistant’s proficiency and competence. Rules relating to the authority of physician assistants to prescribe drugs, controlled substances, and medical devices pursuant to this subsection shall be adopted by the board of physician assistants, after consultation with the board of medicine and the board of pharmacy.
6. Health care providers shall consider the instructions of the physician assistant to be instructions of the supervising physician if the instructions concern duties delegated to the physician assistant by a supervising physician.
7. Notwithstanding subsection 1, a family planning clinic may dispense birth control drugs and devices upon the order of a physician. Subsections 2 and 3 do not apply to a family planning clinic under this subsection.
8. Notwithstanding subsection 1, but subject to the limitations contained in subsections 2 and 3, a registered nurse who is licensed as an advanced registered nurse practitioner may prescribe substances or devices, including controlled substances or devices, if the nurse is engaged in the practice of a nursing specialty regulated under rules adopted by the board of nursing in consultation with the board of medicine and the board of pharmacy.
9. Notwithstanding section 147.86, a person, including a pharmacist, who violates this section is guilty of a simple misdemeanor.
84 Acts, ch 1006, §1; 88 Acts, ch 1232, §1; 91 Acts, ch 238, §1; 91 Acts, ch 239, §1; 92 Acts, ch 1163, §37; 92 Acts, ch 1183, §10; 94 Acts, ch 1134, §1; 95 Acts, ch 108, §5; 2002 Acts, ch 1108, §13; 2003 Acts, ch 93, §3, 14; 2003 Acts, ch 108, §39; 2004 Acts, ch 1036, §8; 2004 Acts, ch 1101, §22; 2006 Acts, ch 1094, §1; 2007 Acts, ch 10, §78; 2007 Acts, ch 218, §202; 2008 Acts, ch 1016, §1; 2008 Acts, ch 1088, §43; 2015 Acts, ch 56, §3; 2016 Acts, ch 1093, §1; 2016 Acts, ch 1112, §3; 2018 Acts, ch 1142, §1; 2020 Acts, ch 1020, §1, 12; 2021 Acts, ch 68, §1
Referred to in §148G.1, 152B.1, 154.1, 155A.2, 155A.4, 155A.47
Subsection 2, paragraph d amended

Structure Iowa Code

Iowa Code

Title IV - PUBLIC HEALTH

Chapter 147 - GENERAL PROVISIONS, HEALTH-RELATED PROFESSIONS

Section 147.1 - Definitions.

Section 147.2 - License required.

Section 147.3 - Qualifications.

Section 147.4 - Grounds for refusing.

Section 147.5 - Certificate of license.

Section 147.6 - Certificate presumptive evidence.

Section 147.7 - Display of license.

Section 147.8 - Record of licenses.

Section 147.9 - Change of address.

Section 147.10 - Renewal.

Section 147.11 - Reactivation and reinstatement.

Section 147.12 - Health profession boards.

Section 147.13 - Designation of boards.

Section 147.14 - Composition of boards — quorum.

Section 147.16 - Board members.

Section 147.18 - Disqualifications.

Section 147.19 - Terms of office.

Section 147.20 - Nomination of board members.

Section 147.21 - Examination information.

Section 147.22 - Officers.

Section 147.24 - Compensation.

Section 147.25 - System of health personnel statistics — fee.

Section 147.26 - Supplies and examination quarters.

Section 147.28 - National organization.

Section 147.28A - Scope of practice review committees — future repeal.

Section 147.29 - Applications.

Section 147.30 - Time and place of examinations.

Section 147.33 - Professional schools.

Section 147.34 - Examinations.

Section 147.35 - Names of eligible candidates.

Section 147.36 - Rules.

Section 147.37 - Identity of candidate concealed.

Section 147.39

Section 147.40

Section 147.41

Section 147.42

Section 147.43 - Preservation of records.

Section 147.44 - Reciprocal agreements.

Section 147.45

Section 147.46

Section 147.47

Section 147.48 - Termination of reciprocal agreements.

Section 147.49 - License of another state.

Section 147.50 - Practical examinations.

Section 147.51

Section 147.52

Section 147.53 - Power to adopt rules.

Section 147.54 - Change of residence.

Section 147.55 - Grounds.

Section 147.56 - Lyme disease treatment — exemption from discipline.

Section 147.58

Section 147.59

Section 147.60

Section 147.61

Section 147.62

Section 147.63

Section 147.64

Section 147.65

Section 147.66

Section 147.67

Section 147.68

Section 147.69

Section 147.70

Section 147.71

Section 147.72 - Professional titles and abbreviations.

Section 147.73 - Titles used by holder of degree.

Section 147.74 - Professional titles or abbreviations — false use prohibited.

Section 147.75 - Itinerants.

Section 147.76 - Rules.

Section 147.78

Section 147.79

Section 147.80 - Establishment of fees — administrative costs.

Section 147.82 - Fee retention.

Section 147.83 - Injunction.

Section 147.84 - Forgeries.

Section 147.85 - Fraud.

Section 147.86 - Penalties.

Section 147.87 - Enforcement.

Section 147.88 - Inspections and investigations.

Section 147.89 - Report of violators.

Section 147.90 - Rules and forms.

Section 147.91 - Publications.

Section 147.92 - Attorney general.

Section 147.93 - Prima facie evidence.

Section 147.94

Section 147.95

Section 147.96

Section 147.98

Section 147.99

Section 147.100

Section 147.102 - Psychologists, chiropractors, and dentists.

Section 147.103 - Investigators for physician assistants.

Section 147.103A - Physicians and surgeons, osteopaths, and osteopathic physicians and surgeons.

Section 147.104 - Records.

Section 147.106 - Anatomic pathology services — billing.

Section 147.107 - Drug dispensing, supplying, and prescribing — limitations.

Section 147.108 - Contact lens prescribing and dispensing.

Section 147.109 - Ophthalmic spectacle lens prescribing and dispensing.

Section 147.111 - Report of treatment of wounds and other injuries.

Section 147.112 - Investigation and report by law enforcement agency.

Section 147.113 - Violations.

Section 147.113A - Report of burn injuries.

Section 147.114 - Prior informed consent relative to pelvic examinations — patient under anesthesia or unconscious — penalties.

Section 147.135 - Peer review committees — nonliability — records and reports privileged and confidential.

Section 147.136 - Scope of recovery.

Section 147.136A - Noneconomic damage awards against health care providers.

Section 147.137 - Consent in writing.

Section 147.138 - Contingent fee of attorney reviewed by court.

Section 147.139 - Expert witness standards.

Section 147.140 - Expert witness — certificate of merit affidavit.

Section 147.151

Section 147.152

Section 147.153

Section 147.154

Section 147.155

Section 147.156

Section 147.161

Section 147.162 - Rules and directives relating to opioids.