Statutes, codes, and regulations
North Dakota Administrative Code
Title 50 - North Dakota Board of MedicineArticle 50-06 - Naturopathic Licensure
Chapter 50-06-02 - Authority Of Naturopaths
Section 50-06-02-08 - Formulary

N.D. Admin. Code 50-06-02-08

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Current through Supplement No. 394, October, 2024
Section 50-06-02-08 - Formulary
1. A naturopath may only prescribe drugs pursuant to this formulary after obtaining an endorsement for prescriptive authority under section 50-06-02-06.
2. A naturopath may not recommend altering or discontinuing a drug that is not within the naturopath's scope of practice and prescriptive authority that may be prescribed under this formulary. The naturopath instead shall refer the patient to their primary provider or prescribing provider.
3. The formulary for naturopaths with an endorsement for prescriptive authority consists of noncontrolled legend drugs and testosterone deemed appropriate for the primary health care of patients within the scope of practice and training of each naturopath. Prescribing pursuant to the formulary must be in accordance with the standard of care provided by the naturopath's training, experience, and the degree of expertise.
4. The use of all drugs must be supported by FDA label, compendia, expert opinion, or clinical practice guidelines. Compendia supported use is defined as recommended with evidence favoring efficacy in the American Hospital Formulary Service Drug Information; United States Pharmacopeia-Drug Information, or the DRUGDEX information system.
5. The following formulary references the United States Pharmacopeia (USP) drug classification system.
6. Unless otherwise indicated in the formulary, drugs specified in the formulary that are allowed to be prescribed include all forms of the drug including time release forms and other generic forms.
7. A naturopath who obtains an endorsement for prescriptive authority under section 50-06-02-06 may prescribe the following drugs or classes of drugs, and may only prescribe for use within the corresponding category and indication:

Category/Indication

Drugs or Classes of Drugs that May be Prescribed with Prescriptive Endorsement

Application and Other Limitations

Analgesics

All drugs within the NSAID class may be prescribed.

Anesthetics

All drugs within the local anesthetics class may be prescribed.

Antiaddiction/Substance abuse treatment agents

Naltrexone

Nicotine

Antibacterials

Neomycin

Gentamicin (topical only)

Tobramycin (topical only)

Amoxicillin

Amoxicillin/Clavulanate potassium

Penicillin G

Doxycycline

Clarithromycin

Clindamycin (topical only)

Nitrofurantoin

Metronidazole

Acetic acid

Polymyxin B sulfate

Rifaximin

May not administer any drugs in this category via intravenous administration.

Antiemetics

Ondansetron

Diphenhydramine hydrochloride

Hydroxyzine hydrochloride

Meclizine hydrochloride

Metoclopramide hydrochloride

Scopolamine

Antifungals

Terbinafine (topical only)

Miconazole nitrate (topical only)

Ketoconazole (topical only)

Terconazole (topical only)

Fluconazole

Nystatin

Antigout agents

Probenecid

Allopurinol

Colchicine

Antimigraine agents

Propranolol hydrochloride

Antineoplastics

Anastrozole

Alitretinoin

Tretinoin

Topical only All drugs may only be prescribed for noncancer purposes and uses.

Antiobesity agents

Orlistat

Antiparasitics

Albendazole

Ivermectin

Mebendazole

Topical only

Antispasticity agents

Baclofen

Tizanidine hydrochloride

Antivirals

Acyclovir

Valacyclovir

Oseltamivir

Anxiolytics

Buspirone Hydroxyzine

Blood glucoses regulators

All drugs within the antidiabetic agents and glycemic agents class may be prescribed.

All drugs within the biguanide and DPP 4 inhibitors group may be prescribed.

Blood products and modifiers

Aspirin

Heparin sodium (for nontherapeutic blood thinning only)

Not allowed to do blood transfusions.

Cardiovascular agents

All drugs within the following classes may be prescribed:

* Alpha-adrenergic agonists;

* Alpha-adrenergic blocking agents;

* Angiotensin II receptor antagonists;

* Angiotensin-converting enzyme (ACE) inhibitors;

* Calcium channel blocking agents - Dihydropyridines and nondihydropyridines;

* Loop diuretics;

* Potassium-sparing diuretics;

* Thiazide diuretics;

* Dyslipidemics - Fibric acid derivatives, HMG CoA reductase inhibitors, and PCSK9 inhibitors.

Beta adrenergics medications are limited to 100 mg.

Nondihydropyridines medications are limited to 120 mg.

Central nervous system agents

Clonidine hydrochloride

Contraceptives

Dental and oral agents

All drugs within the oral contraceptives combinations and oral progestins classes may be prescribed.

Citric acid/Lactic acid/Potassium bitartate

Ethinyl estradiol/Etonogestrel

Ethyinyl estradiol/Norelgestromin

Levonorgestrel

Doxycycline hyclate

Minocycline hyclate

Prilocaine hydrochloride

Triamcinolone acetonide

May not prescribe any drug within this category that would require a procedure such as implantable contraceptives.

Dermatological agents

All drugs within this category may be prescribed.

 Topical only except can allow triamcinolone injection.

Electrolytes - Minerals -Metals - Vitamins

All drugs within this category may be prescribed.

Gastrointestinal agents

All drugs within the following classes may be prescribed:

* Anticonstipation agents;

* Antidiarrheal agents;

* Antispasmodics, gastrointestinal;

* Histamine receptor antagonists;

* Protectants;

* Proton pump inhibitors.

Metoclopramide hydrochloride

Rifaximin

Ursodiol

Cholic acid

Betaine

Betaine hydrochloride

Cromolyn sodium

Amoxicillin/Clarithromycin/Omeprazole

Genitourinary agents

All drugs within this category may be prescribed.

Hormonal agents: stimulant, replacement, modifying (adrenal)

Hydrocortisone (dose limit: 30 mg daily)

Prednisone (dose limit: 5 mg daily)

Methylprednisolone acetate (burst dose pack -dose limit of 1 pack per 60 days)

Triamcinolone acetonide

Hormonal agents: stimulant, replacement, modifying (sex hormones, modifies)

Testosterone (no more than 400 mg/month)

All drugs within the androgens and progestins classes may be prescribed.

All drugs within the estrogens class may only be prescribed as topical and vaginal HRT. Exception for oral estrogens prescribed for purposes of contraception.

Estradiol/Levonorgestrel

Estradiol/Norethindrone acetate

Estradiol/Norgestimate

Estradiol/Progesterone

Hormonal agents: stimulant, replacement, modifying (thyroid)

All drugs within this category may be prescribed.

Immunological agents

All drugs within the vaccines class may be prescribed.

All drugs within the other immunological agents - Allergen specific immunotherapy group may be prescribed.

Inflammatory bowel disease agents

Hydrocortisone Prednisone

Metabolic bone disease agents

Alendronate

Ibandronate

Cholecalciferol

Calcitriol

Doxercalciferol

Paricalcitol

Ophthalmic agents Otic agents

All drugs within antiallergy agents class may be prescribed.

All drugs within the anti-infectives class may be prescribed (topical only).

Diclofenac sodium

Ketorolac tromethamine

Nepafenac

Bacitracin zinc/Hydrocortisone acetate/Neomycin sulfate/Polymyxin B sulfate

Bacitracin zinc/Hydrocortisone acetate/Polymyxin B sulfate

Hydrocortisone acetate/Neomycin sulfate/Polymyxin B sulfate

Ciprofloxacin (topical only)

All drugs within this category may be prescribed.

Topical use only

Respiratory tract/ Pulmonary agents

All drugs within the following classes may be prescribed:

* Antihistamines;

* Anti-inflammatories - Inhaled corticosteroids;

* Antileukotrienes;

* Anticholinergic bronchodilators;

* Sympathomimetic bronchodilators;

* Combination bronchodilators;

* Cold-cough; and

* Mast cell stabilizers.

Acetylcysteine

Sexual disorder agents

All drugs within the sexual disorder agents (male) class may be prescribed.

Skeletal muscle relaxants

Cyclobenzaprine hydrochloride

N.D. Admin Code 50-06-02-08

Adopted by Administrative Rules Supplement 2024-392, April 2024, effective 4/1/2024.

General Authority: NDCC 43-58-03.1

Law Implemented: NDCC 43-58-08(3)(c)