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US · guidance

CMS SOM App. M, Tag L690

§418.106(b) Standard: Ordering of drugs

activein force · 2026-07-22 – presentas-observed

(1) Drugs may be ordered by any of the following practitioners:

(i) A physician as defined by Section 1861(r)(1) of the Act,

(ii) A nurse practitioner in accordance with state scope of practice

requirements.

(iii) A physician assistant in accordance with the state scope of practice

requirements and hospice policy who is:

(A) The patient’s attending physician; and

(B) Not an employee of or under arrangement with the hospice.

(2) If the drug order is verbal or given by or through electronic transmission—

(i) It must be given only to a licensed nurse, nurse practitioner (where

appropriate), pharmacist, or physician; and

(ii) The individual receiving the order must record and sign it immediately

and have the prescribing person sign it in accordance with State and

Federal regulations.

History

Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
e63408ec3982d7c7187d94e47daa1cedc5a1acd3e9d0ef828779b9c0ca3596e4
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