Virginia Regulatory Town Hall
Department of Health Professions
Board of Medicine
Regulations Governing the Practice of Physician Assistants [18 VAC 85 ‑ 50]
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6/28/23  2:23 pm
Commenter: Erin MacMillan

Agree with removal

The Code of Virginia 18VAC850-160 specifies that PAs should disclose the name, address, and telephone number of the patient care team physician on the prescription.  We have been experiencing an uptick in pharmacies declining scripts written by PAs that do not include the name and NPI of their collaborating physician.  

Some case examples:

  • Patient discharged from the thoracic service was denied prescription for pain medication as the script written by the PA did not include the name of the collaborating physician. The patient had to return to the hospital to pick up a paper prescription.
  • A patient discharged from the hospitalist service was also denied a pain medication prescription on discharge, this was not appreciated for several days 

I believe this regulation places unnecessary restrictions on PA practice, negatively impacts patient care, and prohibits optimal team practice. It should be repealed. 

CommentID: 217495