Legal Status of EPT in the Commonwealth of the Northern Mariana Islands
EPT is prohibited.
|I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation (Explanation)||“’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)|| “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
“’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
“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)||EPT is prohibited.Multiple administrative rules indicate that various pharmacy-related activities, such as dispensing, compounding, and prescribing, are to be made on the basis of a “Patient-Practitioner relationship,” or to a “patient.” The definition of “patient” implies an in-person examination. Additionally, prescriptions must include the full name, date of birth, and address of the patient.|
|Status as of November 28, 2017|
supports the use of EPT
negatively affects the use of EPT
EPT is permissible
EPT is potentially allowable
EPT is prohibited
|EPT is permissible in 44 states:||EPT is potentially allowable in 5 states:||EPT is prohibited in 1 states:|
EPT is permissible in the District of Columbia.
EPT is potentially allowable in Puerto Rico and Guam.
EPT is prohibited in the Commonwealth of the Northern Mariana Islands.
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/.