​During the rapidly evolving COVID-19 crisis, the Division of Consumer Affairs has taken extraordinary measures to ensure New Jersey is prepared to meet the increased demand for healthcare services. Through our Healthcare Emergency Licensure Program (HELP), we have created pathways for thousands of retired, out-of-state, foreign-licensed, and newly graduated healthcare professionals to quickly become licensed in New Jersey and expand our available healthcare workforce to safely provide quality care to patients during the coronavirus outbreak.

We have also guided NJ healthcare licensees on how to safely practice during the pandemic, and taken steps to prevent drug shortages caused by the inappropriate prescribing and hoarding of drugs being used to fight COVID-19. DCA’s COVID-19 healthcare initiatives include:

Health Care Services In Office Practices (Updated)

The Division of Consumer Affairs (“Division”) has issued an administrative order (“AO”) modifying AO 2021-11, which governed the provision of health care services in office settings in light of the COVID-19 pandemic. The AO, DCA-AO-2022-01, now requires health care professionals who provide care in office settings to monitor and adhere to any guidance issued by the Centers for Disease Control and Prevention (“CDC”), the New Jersey Department of Health (“NJDOH”), the Occupational Safety and Health Administration (“OSHA”), and local health departments. This change will help ensure that the provision of health care in office settings is consistent with prevailing health and safety standards, as they evolve over time. Thank you for your continued efforts to protect public health and safety. 

Notice of Limited Reopening of Emergency Graduate Licensure Programs (Updated)

Effective immediately, the Division has determined that all Temporary Emergency Graduate Licensure (TEGL) programs will be continued until further notice. Individuals currently holding TEGLs will remain authorized to practice under the TEGL, subject to the requirements set forth in  AO 2020-05 and 2020-12. The Division will continue to accept applications for TEGLs from recent graduates until further notice. Please visit the TEGL program page here for more information.

NURSES

• Emergency Graduate Nursing Licenses ("EGNL") are available to nurses who graduate from accredited professional nursing and practical nursing programs located in New Jersey.
• Graduation Date must be within six months of the date of application for an EGNL.
• To be eligible for an EGNL, you must either: 1) not yet have taken the National Council Licensure Examination (NCLEX-RN or NCLEX-PN) or 2) have taken and passed NCLEX, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed NCLEX are not eligible.
• Individuals who previously held EGNLs are not eligible.
• Nurses granted an EGNL may only practice under supervision in an acute care facility.
• EGNLs automatically expire if the holder fails the NCLEX.

PHYSICIAN ASSISTANTS

• Emergency Graduate Physician Assistant Licenses ("EGPAL") are available to physician assistants who graduate from accredited physician assistant education programs located in New Jersey (programs must be accredited by the Accreditation Commission on Education for the Physician Assistant Inc. (ARC-PA), or its predecessor or successor).
• Graduation Date must be within six months of the date of application for an EGPAL.
• To be eligible for an EGPAL, you must either: 1) not yet have taken the licensure examination or 2) have passed the licensure examination, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed the licensure examination are not eligible.
• Individuals who previously held EGPALs are not eligible.
• Physician Assistants granted an EGPAL may only practice under supervision in an acute care facility.
• EGPALs automatically expire if the holder fails the licensure examination.
• All EGPALs expire at the close of business on January 11, 2022.  In the event of legislative action to extend AO 2020-05, you will be notified of any extended expiration date for your EGPAL.
  

PHARMACISTS

• Emergency Graduate Pharmacist Licenses ("EGPL") are available to pharmacists who graduate from accredited schools or colleges of pharmacy located in New Jersey.
• Graduation Date must be within six months of the date of application for an EGPL.
• To be eligible for an EGPL, you must either: 1) not yet have taken the licensure examination or 2) have passed the licensure examination, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed the licensure examination are not eligible.
• Individuals who previously held EGPLs are not eligible.
• Pharmacists granted an EGPL may only practice under supervision in an acute care facility.
• EGPLs automatically expire if the holder fails the licensure examination.

RESPIRATORY CARE THERAPISTS

• Emergency Graduate Respiratory Care Therapist Licenses ("EGRCTL"s) are available to respiratory care therapists who graduate from accredited respiratory care therapist education programs located anywhere within the United States (programs must be accredited by the Committee on Accreditation for Respiratory Care (CoARC) or its successor).
• Graduation Date must be within six months of the date of application for an EGRCTL.
• To be eligible for an EGRCTL, you must either: 1) not yet have taken the licensure examination or 2) have passed the licensure examination, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed the licensure examination are not eligible.
• Individuals who previously held EGRCTLs are not eligible.
• Respiratory Care Therapists granted an EGRCTL may only practice under supervision in an acute care facility or field hospital.
• EGRCTLs automatically expire if the holder fails the licensure examination.

SOCIAL WORKERS

• Emergency Graduate Social Workers Licenses ("EGSWL") are available to social workers who graduate with a master's degree or doctorate in social work from an accredited educational program located anywhere within the United States (programs must be accredited by the Council on Social Work Education).
• Graduation Date must be within six months of the date of application for an EGSWL.
• Eligibility limited to individuals who have initiated an application for a standard license.
• To be eligible for an EGSWL, you must either: 1) not yet have taken the licensure examination or 2) have passed the licensure examination, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed the licensure examination are not eligible.
• Individuals who previously held EGSWLs are not eligible.
• Social Workers granted an EGSWL who intend to provide social work services must comply with all statutory and regulatory scope of practice and supervision requirements imposed upon licensed social workers (LSWs).  Supervision of clinical social work services provided by individuals holding an EGSWL must be provided by a New Jersey licensed clinical social worker (LCSW) who is compliant with the requirements of N.J.A.C. 13:44G-8.1.
• EGSWLs automatically expire if the holder fails the licensure examination.

PROFESSIONAL COUNSELORS

• Emergency Graduate Professional Counselors Licenses ("EGPCL") are available to professional counselors who graduate with a master's degree or doctorate in counseling from an accredited educational program located anywhere within the United States (programs must be from a regionally accredited institution of higher education, or an institution accredited by the Council for the Accreditation of Counseling and Related Educational Programs).
• Graduation Date must be within six months of the date of application for an EGPCL.
• Eligibility limited to individuals who have initiated an application for a standard license.
• To be eligible for an EGPCL, you must either: 1) not yet have taken the licensure examination or 2) have passed the licensure examination, but not yet have completed all requirements for a plenary license. 
• Individuals who have failed the licensure examination are not eligible.
• Individuals who previously held EGPCLs are not eligible.
• Professional Counselors granted an EGPCL who intend to provide counseling services must comply with all statutory and regulatory scope of practice and supervision requirements imposed upon licensed associate counselors (LACs).  Supervision must be provided consistent with the requirements of N.J.S.A. 45:8B-34 through -50, and the regulations promulgated thereunder, N.J.A.C. 13:34-10.1 through 19.27.
• EGPCLs automatically expire if the holder fails the licensure examination.

Board of Pharmacy – Immunization Authority Expansion (Updated)

The Acting Director has entered DCA Administrative Orders 2021-18 and 2021-19, respectively modifying DCA AO 2021-01, which authorized pharmacists, pharmacy interns and pharmacy externs to administer COVID-19 vaccines to patients ages 3 and over, and DCA AO 2021-02, which authorized pharmacy technicians to administer COVID-19 vaccines to patients ages three and up and childhood vaccines to patients ages three through seventeen.  These modifications will make both Administrative Orders consistent with recent amendments made by the Secretary of the United States Department of Health and Human Services to a Declaration issued under the Public Readiness and Emergency Preparedness Act (the "PREP Act") and with conduct authorized by the New Jersey Department of Health ("DOH") within Executive Directives issued by DOH.

Modifications to DCA AO 2021-01 relating to Pharmacists, Pharmacy Interns and Pharmacy Externs include:

1. Expands the categories of health care practitioners who pharmacists may supervise for administration of COVID-19 vaccines, and who may supervise pharmacy interns and externs.
   

2. Limits access to the pharmacy's patient profile system to only pharmacy employees, even where other health care providers may administer COVID-19 vaccines.

3. Authorizes pharmacists to order and administer, and pharmacy interns and externs to administer, FDA authorized, approved or licensed COVID-19 therapeutics, subject to certain conditions, including that the therapeutics may only be administered orally or via intramuscular or subcutaneous injection.

4. Requires additional training in therapeutics, as enumerated in the PREP Act, to be eligible to order and administer COVID-19 therapeutics. 

5. Expressly prohibits administration of COVID-19 therapeutics by infusion.

6. Provides requirements for recordkeeping when ordering or administering COVID-19 therapeutics, as well as reporting any adverse events.

To learn more about AO-2021-18 click here.

Modifications to DCA AO 2021-02 relating to Pharmacy Technicians include:

1. Expands the categories of health care practitioners who may supervise pharmacy technicians in the administration of COVID-19 vaccines.

2. Permits pharmacy technicians to administer seasonal influenza vaccines to patients ages 19 and older.  (Prior AO and PREP Act permitted administration of influenza vaccines to children ages 3-18.)

3. Authorizes pharmacy technicians to administer FDA authorized, approved or licensed COVID-19 therapeutics, under the direct supervision of a pharmacist, and subject to certain conditions, including that the therapeutics may only be administered orally or via intramuscular or subcutaneous injection. 

4. Requires additional training in order for pharmacy technicians to be able to administer COVID-19 therapeutics.

5. Expressly prohibits administration of COVID-19 therapeutics by infusion.

6. Provides requirements for recordkeeping when ordering or administering COVID-19 therapeutics, as well as reporting any adverse events.

To learn more about AO-2021-19 click here.

COVID Immunization Administration by Pharmacists, Pharmacy Interns and Externs to Individuals Ages Three and Over

The Division has issued an administrative order which permits licensed pharmacists to order and administer, and registered pharmacy interns and pharmacy externs to administer, FDA approved COVID vaccines to patients three years of age or older. To learn more, click here.

Immunization Administration by Pharmacy Technicians

The Division has issued an administrative order which permits pharmacy technicians to administer childhood vaccines and related emergency medications, limited to diphenhydramine and epinephrine, to children three through seventeen years of age, and FDA approved COVID-19 vaccines to patients ages three and older. To learn more, click here.

Immunization Administration by Pharmacists, Pharmacy Interns and Externs to Children Ages Three and Over

The Division has issued an administrative order which permits licensed pharmacists to order and administer, and registered pharmacy interns, and pharmacy externs to administer, vaccines and related emergency medications, limited to diphenhydramine and epinephrine, to children three through seventeen years of age. To learn more, click here.

Health and Safety Standards for Nursing Programs and Certified Homemaker-Home Health Aide Training Programs (Updated)

On Friday, June 4, 2021, Governor Murphy issued Executive Order 244, terminating the public health emergency declared in Executive Order 103, and signed into law P.L. 2021, c.103, allowing for the modification and continuance of certain administrative orders, until January 11, 2022.

In response to Executive Order 244 and P.L. 2021, c.103, the Division has issued Administrative Order 2021-16, which supersedes and replaces DCA AO 2020-17 and relaxes standards for the reopening and continued operation of nursing programs and certified homemaker-home health aide training programs.

Though the Administrative Order eliminates many requirements, all programs involving clinical instruction must ensure that students comply with all applicable health and safety standards, including the Occupational Exposure to COVID-19 Emergency Temporary Standard issued by the United States Department of Labor, Occupational Health and Safety Administration, when providing services to patients.

The Division has also issued guidance regarding best practices for these programs. To learn more, click here. 

Veterinary Services (Updated)

The Division has issued Administrative Order 2021-15, which rescinds AO-2020-20 and permits licensed veterinarians to provide the full scope of veterinary services without following protocols to reduce the spread of COVID-19. Under the new Order, the protocols to reduce the spread of COVID-19 will change from a requirement imposed by Order to recommendations for best practices. 

To learn more, click here.

COVID Immunization Administration by Health Care Practitioners-in-Training (Updated)

Health Care Services In Office Practices

On May 7, 2021, the Acting Director of the Division of Consumer Affairs issued Administrative Order 2021-11, which, among other things, makes clear to health care practitioners the need to continually assess community spread of COVID-19 while balancing patients' health care needs, and clarifies that patients may be accompanied by companions as needed, including during pregnancy-related care. The Administrative Order also ensures that standards for operation of office-based practices enforced by the Division are consistent with current CDC guidance, New Jersey Department of Health guidance, and Executive Order 192 concerning workplace safety. This Administrative Order supersedes DCA-AO-2020-07, which was previously issued on May 18, 2020.  

For more information click here.

Frequently Asked Questions addressing standards providers must follow when companions accompany patients during health care visits.

Continuing Education Credit Waiver for Volunteer Mental Health Services

Board of Marriage and Family Therapy Examiners

The Division has issued an Administrative Order that permits licensed marriage and family therapists and licensed associate marriage and family therapists to obtain contact hours of continuing education by providing volunteer services.  To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Professional Counselor Examiners Committee

The Division has issued an Administrative Order that permits licensed professional counselors, licensed associate professional counselors and licensed rehabilitation counselors to obtain contact hours of continuing education by providing volunteer services.  To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Alcohol and Drug Counselor Committee

The Division has issued an Administrative Order that permits licensed clinical alcohol and drug counselors and certified alcohol and drug counselors to obtain contact hours of continuing education by providing volunteer services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Board of Creative Arts and Activities Therapies

The Division has issued an Administrative Order that permits licensed art therapists to obtain contact hours of continuing education by providing volunteer services. To learn more, click here.

For a list of participating programs,click here and the Division’s FAQ,click here.

Board of Medical Examiners

The Division has issued an Administrative Order that permits licensed physicians to obtain Category I continuing medical education credits by providing volunteer psychiatric services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Board of Nursing

The Division has issued an Administrative Order that permits certified advanced practice nurses to obtain hours of continuing education by providing volunteer psychiatric services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Board of Psychological Examiners

The Division has issued an Administrative Order that permits licensed psychologists to obtain continuing education credits by providing volunteer services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ,click here.

Certified Psychoanalysts Advisory Committee

The Division has issued an Administrative Order that permits State-certified psychoanalysts to obtain continuing education credits by providing volunteer services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

Board of Social Work Examiners

The Division has issued an Administrative Order that permits licensed clinical social workers to obtain continuing education credits by providing volunteer services. To learn more, click here.

For a list of participating programs, click here and the Division’s FAQ, click here.

COVID Immunization Administration by Certified Medical Assistant

The Division has issued Administrative Order 2021-06, Waiver 2021-02 that permits certified medical assistant to administer a COVID-19 vaccine to patients upon direction from a doctor of medicine (M.D.), a doctor of osteopathic medicine (D.O.), a registered professional nurse (R.P.N.), an advanced practice nurse (A.P.N.), a physician assistant (P.A.), or a pharmacist (R.Ph.).

To learn more, click here.

Boards include:

• Board of Medical Examiners
• Board of Nursing
• Physician Assistant Advisory Committee
• Board of Pharmacy

COVID Immunization Administration by Additional Health Care Practitioners

Mental Health Resources 

During this critical time in the fight against COVID-19 the Division has compiled a list of mental health resources available to the public, as well as some coping guidance specific to Health Care Professionals and First Responders.

To learn more, click here.

Registering with and Reporting to the New Jersey Immunization Information System (NJIIS) :            Board of Medical Examiners, Board of Nursing, Midwifery Liaison Committee, Board of Pharmacy, and Physician Assistant Advisory Committee

The Division has issued an administrative order which generally applies to licensed health care providers who are authorized to administer vaccines, or to delegate the administration of vaccines to other medical professionals, and who are required to report vaccine administrations to the NJIIS.  The Order requires that those licensees register with the NJIIS and make timely reports to the NJIIS whenever reporting is required, to include administrations of vaccinations for COVID-19.  Licensees who fail to register and/or to make required reports may be subject to disciplinary sanctions.

To learn more, click here.

PPE Access Program

The New Jersey Economic Development Authority (NJEDA) recently launched the NJ Small and Micro Business PPE Access Program. The Program was developed in response to concerns emerging from the Governor’s Restart and Recovery Commission, the nine sector-based committees of the Governor’s Restart and Recovery Advisory Council, and input from numerous small businesses indicating the need for readily available, fairly priced personal protective equipment (PPE). 

Program details may be found in the NJEDA press release.

Board of Pharmacy Pilot Program Allowing for the Sterile Compounding of Critical Drugs for Hospitals and Long-Term Care Facilities

The Board of Pharmacy is now offering a Pilot program to permit sterile compounding pharmacies to compound and provide certain drug products that may not be readily available to hospitals and long-term care facilities to treat patients with COVID-19. 

Board approval of a Compounding Pilot Agreement will permit pharmacies to act upon the temporary guidance issued by the FDA on May 21, 2020 related to the batch compounding of preparations without first obtaining patient-specific-prescriptions.

Pharmacies will be able to compound drugs found on the FDA’s “list of drugs used for hospitalized patients with COVID-19,” which is posted at https://www.fda.gov/media/138279/download, if the hospital or long-term care facility provider pharmacy confirms that they cannot obtain the drugs through normal supply channels (i.e. drug wholesalers or FDA registered 503B Outsourcing facilities), and that the drugs are needed to treat patients with COVID-19.

If these conditions are satisfied, the compounding pharmacy may provide compounded drug product without first obtaining a prescription for use by these patients.  For complete details please review the Board’s Compounding Pilot Agreement and the FDA’s temporary guidance found at https://www.fda.gov/media/137125/download.

Compounding pharmacies wishing to be approved for this Compounding Pilot Program should submit a signed Compounding Pilot Agreement and Centralized Prescription Handling Agreement to the Board by emailing those completed documents to rubinaccioa@dca.njoag.gov for review. The subject line should contain the pharmacy name, permit number, and the phrase “Compounding Pilot Program Request."

Telehealth Temporary Waivers FAQs (Updated)

Healthcare providers are encouraged to use telehealth to reduce unnecessary COVID-19 exposure. The Division has issued updated guidance to help practitioners understand available options for providing telehealth during the public health emergency, utilizing technological flexibilities, prescribing controlled dangerous substances, and authorizing medical marijuana. The additional questions/sections to the FAQ are highlighted in the document.

Immunization Authorization by Pharmacy Interns and Externs

The Director of the Division of Consumer Affairs has entered DCA Administrative Order 2020-19, which allows pharmacy interns and pharmacy externs to,

• administer influenza vaccines to patients over age 7 and under age 18 (with prescription requirements for children between ages 7 and 9), and 


• administer all authorized vaccines, including for influenza, to eligible patients who are 18 and older.

 The AO also permits interns and externs to administer related emergency medications, limited to diphenhydramine and epinephrine, to these patients.

The AO is consistent with the statutory authority at N.J.S.A. 45:14-63, as amended by P.L. 2018, c.143. 
PLEASE NOTE:  This  AO DOES NOT  authorize administration of vaccines to children under the age of 7; that is the subject of a separate, pending order, as indicated on the alert on the Board of Pharmacy's website.

In order to administer these vaccines, pharmacy interns and pharmacy externs must:

• Meet the education and training requirements of N.J.A.C. 13:39-4.21(b)1 and 2, which must be verified either by the Board, through the filing of an application for immunization approval by Board-registered pharmacy interns or by the supervising pharmacist (for pharmacy externs);
   
• Act under direct supervision of a licensed pharmacist who is authorized to administer vaccines and related emergency medications pursuant to N.J.A.C. 13:39-4.21, physically present at the pharmacy practice site, and responsible for the accuracy and safety of the pharmacy intern's or pharmacy extern's actions; and
   
  
• Comply with all other requirements of N.J.A.C. 13:39-4.21, including those pertaining to documentation, informed consent, and policies and procedures.

Pharmacist interns seeking immunization approval, please click here to apply online.

Board of Pharmacy – Oral Authorization of Schedule II Medications

The New Jersey Board of Pharmacy (Board) is providing this guidance for the pharmacy community concerning Administrative Order 2020-18 and Waiver 2020-16 (DCA-AO-2020-18, DCA-W-2020-16). 

Oral Authorization of Schedule II medications:  Pursuant to this Administrative Order, a pharmacist may now dispense up to a 30-day supply of Schedule II CDS upon the oral order of a prescriber.  In addition, consistent with waivers issued by the United States Drug Enforcement Administration, follow up paper prescriptions may be submitted within 15 days, and may be submitted via facsimile.  This waiver does NOT apply to "initial" opioid prescriptions for pain; it is only applicable for patients being treated for "chronic" pain.

The pharmacist must use his or her professional judgment when dispensing pursuant to the oral order of a prescriber.  The pharmacist should only dispense the amount adequate to treat the patient during the emergency period, but in no case more than a 30-day supply.  The pharmacist shall reduce the prescription to writing, with all information required to be included for a valid prescription, other than the signature of the prescribing practitioner.  The follow up paper prescription should be included in the patient profile when received.

Authorization of Telemedicine Encounters (CDS Prescribing)

The Division has waived rules to allow healthcare providers who have existing CDS prescribing authority to use telemedicine encounters to meet CDS prescribing requirements.  For more information, click here

DCA-AO-2020-15 and DCA-W-2020-14 

Prescribing Opioids in New Jersey

Click here to find a summary of the rules pertaining to the prescribing of Controlled Dangerous Substances ("CDS") in New Jersey and the requirements relating to when, and in what circumstances, prescribers must access the New Jersey Prescription Monitoring Program. This handy 2-page guide reflects:

• The generally applicable rules.
   
• The waivers of certain in-person examination requirements relating to the prescribing of CDS and the authorization of medical marijuana, allowing the use of telemedicine during the current public health emergency, as set forth in Administrative Order (DCA AO-2020-15). 
  

The requirement to co-prescribe naloxone to chronic patients obtaining 90 MMEs or more of opioids or the concurrent prescription of an opioid and a benzodiazepine, as set forth in Administrative Order (DCA 2020-08). (See FAQs)

Waiver of On-Site Supervision Requirement

The Division has temporarily waived on-site supervision requirements for audiology and speech-language pathology temporary licensees, certain licensed occupational therapy assistants, and licensed physical therapy assistants. To learn more, click here.

Temporary Certification of Alcohol and Drug Counselor - Interns

To meet the increased demand for alcohol and drug counselor services, and to allow alcohol and drug counselor interns to provide services via telehealth and telemedicine, the State of New Jersey is granting temporary certifications to interns who meet certain qualifications. For additional information, click here.

COVID-19 Testing

Antibody Testing

Tests for COVID-19 antibodies have been developed, but data is lacking on what exactly these tests mean. There is still much that is unknown about COVID-19 infection and antibody testing,click here to see what is currently known.

Veterinary Services

The New Jersey Division of Consumer Affairs has issued an Administrative Order which establishes practices and precautions for licensed veterinarians to protect patients, clients, veterinarians, and office staff from the continued risks posed by COVID-19.

For more information click click here.

Healthcare Services in Office Practices

As healthcare professionals are allowed to resume non-urgent care and elective procedures in outpatient settings, the New Jersey Division of Consumer Affairs has issued Administrative Order which establishes practices and precautions for office-based practitioners to protect patients, practitioners, and office staff from the continued risks posed by COVID-19. 

For more information click here

Requirement to Co-prescribe an Opioid Antidote (Naloxone)

The Division of Consumer Affairs issued an Administrative Order on May 21, 2020, requiring prescribing practitioners licensed by the Boards of Medical Examiners, Dentistry, Nursing, and Optometry, to co-prescribe an opioid antidote (naloxone) when continuously prescribing for chronic pain management if the patient has one or more prescriptions totaling 90 morphine milligram equivalents (MME) or more per day, or is concurrently obtaining an opioid and a benzodiazepine. This Administrative Order will remain in effect for the duration of the State of Emergency and the Public Health Emergency declared by Governor Murphy, whichever is longer.

Please be advised that an identical rule was proposed by the State Board of Medical Examiners on April 6, 2020, and is open for public comment until June 5, 2020; the Boards of Dentistry, Nursing, and Optometry has proposed an amendment substantively identical to the co-prescribing rule proposed by the State Board of Medical Examiners, but has not yet published the proposal in the New Jersey Register.

Prescribing Opioids in New Jersey

Click here to find a summary of the rules pertaining to the prescribing of Controlled Dangerous Substances ("CDS") in New Jersey and the requirements relating to when and in what circumstances.

prescribers must access the New Jersey Prescription Monitoring Program.  This handy 2 page guide reflects:

• the general rules; and
   
• the waivers set forth in an Administrative Order (DCA AO-2020-15) of certain in-person examination requirements that can be met through the use of telemedicine during the current public health emergency, relating to the prescribing of CDS and the authorization of medical marijuana. 

The requirement set forth in an Administrative Order (DCA 2020-08) requiring the co-prescribing of naloxone to chronic patients obtaining 90 MMEs or more of opioids or the concurrent prescription of an opioid and a benzodiazepine. (See FAQs)

The Division also has a FAQ document that explains pharmacists' role in implementing this new, emergency rule, and will assist them in determining when and how to issue naloxone to customers. (See FAQs)

Pharmacists Authorization to Provide COVID-19 Testing

The Director of the Division of Consumer affairs has entered an Administrative Order permitting pharmacists in New Jersey to collect specimens to test for COVID-19 or its antibodies using tests approved by the FDA or authorized pursuant to an Emergency Use Authorization.  Please read and familiarize yourself with the requirements of the entire order, as the following is only a summary.

Specimen collection may be performed at or immediately outside of a registered pharmacy, and the pharmacist may send the specimen to an appropriate laboratory for analysis, without the need for a prescription or order from another health care practitioner.   Specimen analysis and testing may only be performed at a pharmacy if the tests are CLIA-waived, and only if the pharmacy has a CLIA certificate of waiver from CMS.  Pharmacists may not perform specimen collection requiring venipuncture.  Informed consent must be obtained prior to testing, and pharmacists must provide patients with accurate information about the test being performed.

Pharmacists may interpret and analyze COVID-19 or COVID-19 antibody test results and provide the results to patients, with appropriate guidance for follow up care.  Pharmacists will be required to collect and maintain patient data relating to any testing performed, including providing information to the New Jersey Department of Health in the form, manner and frequency as the Commissioner of Health may require.  Pharmacists who intend to perform COVID-19 tests must notify the Board of Pharmacy, must maintain records consistent with Board recordkeeping requirements, and must comply with certain safety precautions for testing. Pharmacists must also notify both the FDA and the Board of Pharmacy of any suspected occurrence of false positive or false negative results and significant deviations from the established performance characteristics of the test kit.

Notifications to the Board should be in the form of an email to NJPharmacist@dca.lps.state.nj.us. The subject line of the email should be formatted to contain: COVID19 TESTING - "Pharmacy permit number" - "Pharmacy Name" - "Pharmacy City".  The text of the email should include:

• Name and complete address of the pharmacy location

• Information about the COVID test to be utilized as set forth in the Administrative Order

• Where the testing will take place (inside the pharmacy or immediately outside of the pharmacy)

• Name of the pharmacist in charge

• Confirmation from the pharmacist in charge that (on the day this notification was sent to the Board office) he/she confirmed on the FDA website that the test is authorized for use by the FDA using this link: https://www.fda.gov/media/136702/download
  

Rules, Guidance, and Resources

Guidance for Outpatient Providers Evaluating Patients for COVID-19

This guidance will help healthcare professionals safely care for patients with COVID-19 concerns in outpatient office settings.

Guidance for Healthcare Licensees from the Department of Health

For the latest COVID-19 Information from the NJ Department of Health, click here.

ECHO Video Conferences

DCA is participating in regular interactive, multi-agency video conferences hosted by Rutgers Robert Wood Johnson Medical School and The Nicholson Foundation to provide up-to-date information to healthcare licensees on emerging issues. View each session here.

Foreign-Licensed Physicians

New Jersey’s Board of Medical Examiners is issuing temporary, emergency licenses to qualified foreign-licensed physicians who are authorized to work in the United States, so they can join the fight against COVID-19. Physicians holding plenary, unrestricted licenses in good-standing in other countries are invited to learn more and apply here.

Executive Order #112 | DCA-AO-20-02 | Executive Order #103

Recent Graduate Licensure Program

To meet the increased demand for healthcare professionals during the public health emergency, the State of New Jersey is licensing those who graduated within the last six months from nursing, physician assistant, and pharmacy programs located in New Jersey, and respiratory care programs located in any state. For additional information, click here.

Reactivated Retiree Licensees

New Jersey has made it easier for healthcare practitioners to re-activate their licenses to join the fight against COVID-19. For more information on reactivating retired, expired, or inactive NJ licenses, click here.

Waivers of Certain Rules to Expand Access to Care

The Division’s waivers are designed to expand access to care and to relax in-person regulatory requirements. DCA has issued a broad set of rule waivers including:

Telehealth Temporary Waivers

Healthcare providers are encouraged to use telehealth to reduce unnecessary COVID-19 exposure.  The Division has issued guidance to help practitioners understand available options. For more information, click here.

Executive Order #112  |  Administrative Order #2020-02

Suspension of Certain Restrictions Advanced Practice Nurses and Physician Assistants

Governor Murphy’s Executive Order No. 112 and the Division’s corresponding Administrative Order suspend certain restrictions on the scope of practice for Advanced Practice Nurses (APNs) and Physician Assistants (PAs) during the state of emergency and public health emergency.

Please click here to read Acting Director Paul R. Rodríguez’s letter to APNs, PAs, and physicians.

Temporary Removal of Supervision Requirements for Advanced Practice Nurses and Physician Assistants

Division has temporarily lifted supervisory requirements for APNs and PAs. To learn more, click here.

Executive Order #112  |  Administrative Order #2020-02

In-Person Requirement Waiver for Health Care Service Firms

The Division has temporarily waived the requirement that plan-of-care evaluations by nursing supervisors be completed in patients' homes.

In-Person Continuing Education Waiver

An emergency waiver has temporarily lifted rules for 16 professional boards requiring continuing education to be completed in person. Boards not listed here do not have in-person CE requirements.

1. Acupuncture Examining Board
2. Alcohol and Drug Counselor Committee
3. Art Therapists Advisory Committee
4. Board of Chiropractic Examiners
5. Board of Dentistry
6. Electrologists Advisory Committee
7. Elevator, Escalator, and Moving Walkway Mechanics Licensing Board
8. Fire Alarm, Burglar Alarm and Locksmith Advisory Committee
9. Home Inspection Advisory Committee
10. Board of Marriage and Family Therapy Examiners
11. Board of Massage and Bodywork Therapy
12. Board of Mortuary Science
13. Board of Optometrists
14. Perfusionists Advisory Committee
15. Board of Pharmacy
16. Board of Psychological Examiners

Orders and Waivers of Rules

Click here for a complete list.

Drug Dispensing/Prescribing

The Division of Consumer Affairs’ Administrative Order 2020-03 supersedes Administrative Order 2020-01, confirms restrictions on prescribing and dispensing of certain drugs in short supply like chloroquine and hydroxychloroquine but provides additional exceptions, allowing prescribing to patients in facilities like nursing homes.

File a complaint against a medical professional for hoarding or inappropriately writing prescriptions for Hydroxychloroquine or other drugs in short supply here.

Healthcare professionals with prescribing authority who receive a temporary reciprocity license need not hold a CDS registration to register with the Prescription Monitoring Program.

   DCA-AO-20-03 | Executive Order #103