Registration Support. This process has run smoothly for some optometrists, but those who cannot prescribe controlled substances and do not qualify for a DEA number have encountered problems ranging from patients having difficulty getting a prescription filled to insurance companies refusing to reimburse. However, Mr. Carey said the AOA has responded in several ways to help ODs. (North Dakota granted ODs the ability to prescribe controlled substances in March and is looking into the DEA issue.) "This is one reason we're going back to get narcotics [amplification], so we can get a DEA number. Applicants for licensure must be graduates of an accredited college of optometry and must pass Parts I, II, and III of the National Board of Examiners in Optometry (NBEO) exams. Bill Bagwell, RPh, marketing director at Phoenix-based Source Informatics, said his company uses a prescriber's DEA number if one is available, but also supplements that data with its own information-gathering techniques. Also, because of the historical trend and data collection conventions that are part of some third-party drug plans, the AOA has registered complaints with the DEA about the misuse of the registration system.
Even once optometrists obtain privileges to prescribe controlled substances, their recognition as a mid-level provider by the DEA does not mean they are … Even those who gather the information realize its limitations. "It should provide private parties and third-party drug plans an alternative identifier for implementing utilization control and other data mechanisms for which they've misused the DEA number in the past."
Jim Beckwith, OD, president of the Nevada Optometric Association, said optometrists in his state have also had to deal with the embarrassing situation of patients not being able to get a prescription filled at a pharmacy. "We can't issue a federal DEA number until there is proper state authority given to handle controlled substances. Secondly, a DEA number is “technically” only required when prescribing a controlled narcotic substance and, since some optometrists prescribe narcotics so infrequently in their practice, they wonder if it is worth maintaining their registration. However, changes are to be expected in a profession as dynamic as optometry, Dr. Onofrey continued. To meet these objectives, the Board . The COA followed that up by establishing a unique optometric prescribing number with Blue Cross that went into use at the end of 1996. The AOA does not assign its members an identifying number that some other national groups, such as nurse practitioners, do for the purposes of internally tracking members or to offer insurance and tracking companies a number other than a DEA license. Recent graduates, professionals licensed outside of Virginia, and those wanting to reinstate licenses. However, we've found that it's not as inclusive as we'd like, so we've set up our own prescriber database by purchasing membership listings from professional organizations, such as the AOA and the American Medical Association."
"We sent the letter to the state insurance commissioner, and he sent it to the HMOs and they stopped using the number in that manner." Request Copy of Last Application/Receipt. "We've dealt with this through the pharmacy association," Dr. Beckwith said. As an example:Although the US Justice Department’s Drug Enforcement policy considers all of the above examples an inappropriate use of DEA registration numbers and contrary to their original intent, these practices may occur on a regular and ongoing basis. But the privilege to prescribe has also been accompanied by new problems, and one of the most frustrating has been DEA numbers. He said the COA initially approached Blue Cross, the state's biggest insurer, about setting up a dummy number to allow health plans to pay for prescriptions. They should willingly absorb the related costs in the same manner that they comply with and pay for the varied requirements of maintaining a professional license to practice as a doctoral-level health care provider.Many dedicated optometrists have volunteered extreme amounts of personal and professional time, as well as having made a considerable monetary investment over the past 40 years to elevate the profession of optometry to the level it now enjoys as an important partner in the nation’s health delivery system. It's just a matter of time, because traditionally only physicians prescribed drugs, so all the third-party plans and utilization controls sprung up around medicine as the only model.
"Our legal office reviews the appropriate regulations involving optometrists to compare them to the act we operate under," said Mr. Sheahan. Please provide your email address to receive an email when new articles are posted on They are also asked to complete an addendum with their application that specifies the controlled substances in Schedule II through Schedule V they are permitted by state law to prescribe. "We capture about 70% of the prescriptions written nationwide and we process that information and sell it back to the pharmaceutical industry," Mr. Bagwell said. The DEA number is intended only to identify them as having the authority to write for a controlled substance." Dr. Onofrey said ODs in New Mexico had little trouble obtaining DEA numbers because so many states had gone before them. Mr. Carey agreed, saying, "We're caught in a transition.
California received its TPA privileges in February 1996 and is one of five states on DEA's "pending approval" list, which means that the agency's legal office is currently reviewing the new law. The DEA also sees that optometry is in a particularly difficult spot because of different state TPA laws. All mid-level providers should contact the Office of Diversion at their appropriate regional DEA office to obtain information about registration. This has left some optometrists out of the loop.
The source of all this woe is the lack of a Drug Enforcement Administration, or DEA, number.
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