Legal Status of EPT in the Commonwealth of the Northern Mariana Islands

permissable symbol EPT is permissible.

This is a table caption for compliance. Ignore it please.
I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation (Explanation) plus symbol “Notwithstanding any other provision of law, a health care provider who is licensed to diagnose and prescribe drugs for a sexually transmitted gonorrhea, chlamydia, or trichomoniasis infection, and who diagnoses a sexually transmitted gonorrhea, chlamydia, or trichomoniasis infection in an adult patient, may provide expedited partner therapy to said patient’s sexual partner or partners, and shall not be subject to civil or professional liability, except for in cases of willful or wanton misconduct, provided that said partner(s) have no known antibiotic allergies, and that the medication/prescription includes clear instructions, and appropriate warnings. Health care providers providing expedited partner therapy shall also provide education to the patient on the treatment strategy, and shall still recommend that the patient’s adult partner(s) see a health care provider in person for STD and HIV testing.” 3 N. Mar. I. Code § 21102

minus symbol “’Patient,’ as used in any context in this Chapter, means a person for whom health care professional services are performed or to whom health care products or services are sold or provided at the site of a health care professional’s practice or through referral to another location or business in which the health care professional has a material interest”  NMIAC § 140-50.3-305*

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)
IV. Laws that incorporate via reference guidelines as acceptable practices (including EPT) (Explanation)
V. Prescription requirements (Explanation) plus symbol “Notwithstanding any other provision of law, a pharmacist may dispense antibiotic medication prescribed as expedited partner therapy treatment for a patient’s adult sexual partner(s), and shall not be subject to civil or professional liability, except for in cases of willful or wanton misconduct, provided that the medication/prescription includes clear instructions, and appropriate warnings.” 3 N. Mar. I. Code § 21102

minus symbol “The Pharmacist shall not dispense a Prescription Drug if the Pharmacist knows or reasonably should know that the Prescription Drug Order was issued solely on the basis of an Internet-based questionnaire, an Internet-based consultation, or a telephonic consultation, all without a valid Patient-Practitioner relationship”  NMIAC § 140-50.3-3571*
minus symbol “’Compounding’ means the preparation of Components into a Drug product (1) as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/patient/Pharmacist relationship in the course of professional practice, or (2) for the purpose of, or as an incident to, research, teaching, or chemical analysis and not for sale or Dispensing.

Compounding includes the preparation of Drugs or Devices in anticipation of receiving Prescription Drug Orders based on routine, regularly observed prescribing patterns.

[…]

(q) “Dispense” or “Dispensing” means the interpretation, evaluation, and implementation of a Prescription Drug Order, including the preparation and Delivery of a Drug or Device to a patient or patient’s agent in a suitable container appropriately labeled for subsequent Administration to, or use by, a patient.”  NMIAC § 140-50.3-3500*

minus symbol “A Prescription Drug Order shall contain the following information at a minimum: (a) full name, date of birth, and street address or P.O. Box of the patient” NMIAC § 140-50.3-3570*

VI. Assessment of EPT’s legal status with brief comments (Explanation) minus symbol EPT is permissible.
Statutory authority expressly authorizes EPT for the treatment of chlamydia, gonorrhea, and trichomoniasis, subject to various conditions as stated in the law
*This legal authority predates the effective date of the state’s law that authorizes EPT.

Status as of October 5, 2018

Legend

plus sign supports the use of EPT

minus symbol negatively affects the use of EPT

permissible EPT is permissible

potentially allowable EPT is potentially allowable

prohibited EPT is prohibited

This is a table caption for compliance. Ignore it please.
permissible EPT is permissible in 45 states: potentially allowable EPT is potentially allowable in 4 states: prohibited EPT is prohibited in 1 states:
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
EPT is permissible in the District of Columbia.
EPT is permissible in the Commonwealth of the Northern Mariana Islands.
Alabama
Kansas
Oklahoma
South Dakota
EPT is potentially allowable in Puerto Rico and Guam.
South Carolina

 

Summary Totals

The information presented here is not legal advice, nor is it a comprehensive analysis of all the legal provisions that could implicate the legality of EPT in a given jurisdiction.  The data and assessment are intended to be used as a tool to assist state and local health departments as they determine locally appropriate ways to control STDs.

For comments, feedback and updates, please contact CDC-INFO: https://www.cdc.gov/cdc-info/.