Oregon Bulletin

May 1, 2014

Oregon Board of Naturopathic Medicine, Chapter 850

Rule Caption: Adds substances to the formulary rule for Naturopathic physician’s and Pharmacist’s reference

Adm. Order No.: OBNM 1-2014

Filed with Sec. of State: 4-9-2014

Certified to be Effective: 4-9-14

Notice Publication Date: 12-1-2013

Rules Amended: 850-060-0226

Subject: as part of the naturopathic formulary classifications amends to include Mechlorethamine, add a miscellaneous classification to antidiabetic agents and correct subsection (25) to include minerals.

Rules Coordinator: Anne Walsh—(971) 673-0193


Formulary Compendium Classifications

The Formulary Council has approved the following pharmacologic-therapeutic classifications in addition to drugs previously approved by the Formulary Council and listed in 850-060-0225. This listing does not supersede the education and training requirement established in 850-060-0212 for administration of IV agents. The Formulary Council may consider new agents, substances and pharmacologic-therapeutic classifications for addition to this list.

(1) Antihistamine Drugs;

(a) First Generation Antihistamine Drugs;

(A) Ethanolamine Derivatives;

(B) Ethylenediamine Derivatives;

(C) Phenothiazine Derivatives;

(D) Piperazine Derivatives;

(E) Propylamine Derivatives;

(F) Miscellaneous Derivatives;

(b) Second Generation Antihistamines.

(2) Anti-Infective Agents;

(a) Antihelmintics;

(b) Antibacterials;

(A) Aminoglycosides;

(B) Cephalosporins;

(i) First Generation Cephalosporins;

(ii) Second Generation Cephalosporins;

(iii) Third Generation Cephalosporins;

(iv) Fourth Generation Cephalosporins.

(C) Miscellaneous ß-Lactams;

(i) Carbacephems;

(ii) Carbapenems;

(iii) Cephamycins;

(iv) Monobactams.

(D) Chloramphenicol;

(E) Macrolides.

(i) Erythromycins;

(ii) Ketolides;

(iii) Other Macrolides.

(F) Penicillins;

(i) Natural Penicillins;

(ii) Aminopenicillins;

(iii) Penicillinase-resistant Penicillins;

(iv) Extended-spectrum Penicillins.

(G) Quinolones;

(H) Sulfonamides;

(I) Tetracyclines: Glycylcyclines;

(J) Antibacterials, Miscellaneous.

(i) Aminocyclitols;

(ii) Bacitracins;

(iii) Cyclic Lipopeptides;

(iv) Glycopeptides;

(v) Lincomycins;

(vi) Oxazolidinones;

(vii) Polymyxins;

(viii) Rifamycins;

(ix) Streptogramins;

(c) Antifungals;

(A) Allylamines;

(B) Azoles;

(C) Echinocandins;

(D) Polyenes;

(E) Pyrimidines;

(F) Antifungals, Miscellaneous.

(d) Antimycobacterials;

(A) Antituberculosis Agents;

(B) Antimycobacterials, Miscellaneous.

(e) Antivirals;

(A) Adamantanes;

(B) Antiretrovirals;

(i) HIV Fusion Inhibitors;

(ii) HIV Protease Inhibitors;

(iii) Integrase Inhibitors;

(iv) Nonnucleoside Reverse Transcriptase Inhibitors;

(v) Nucleoside and Nucleotide Reverse Transcriptase Inhibitors

(C) Interferons;

(D) Monoclonal Antibodies;

(E) Neuraminidase Inhibitors;

(F) Nucleosides and Nucleotides;

(G) Antivirals, Miscellaneous;

(f) Antiprotozoals;

(A) Amebicides;

(B) Antimalarials;

(C) Antiprotozoals, Miscellaneous.

(3) Antineoplastic Agents (oral and topical only) limited to the following:

(a) 5FU;

(b) Anastrozole;

(c) Letrozole;

(d) Mechlorethamine;

(e) Megestrol;

(f) Mercaptopunne;

(g) Methotrexate;

(h) Tamoxifen;

(i) Tretinoin.

(4) Autonomic Drugs;

(a) Parasympathomimetic (Cholinergic) Agents;

(b) Anticholinergic Agents: Antimuscarinics/ Antispasmodics;

(c) Sympathomimetic (Adrenergic) Agents;

(A) a-Adrenergic Agonists;

(B) ß- Adrenergic Agonists;

(i) Non-selective ß- Adrenergic Agonists;

(ii) Selective ß1- Adrenergic Agonists;

(iii) Selective ß2- Adrenergic Agonists;

(C) a-And ß-Adrenergic Agonists;

(d) Sympatholytic (Adrenergic Blocking) Agents;

(e) Skeletal Muscle Relaxants;

(A) Centrally Acting Skeletal Muscle Relaxants;

(B) Direct-acting Skeletal Muscle Relaxants;

(C) GABA-derivative Skeletal Muscle Relaxants;

(D) Neuromuscular Blocking Agents;

(E) Skeletal Muscle Relaxants, Miscellaneous.

(f) Autonomic Drugs, Miscellaneous.

(5) Blood Derivatives.

(6) Blood Formation, Coagulation, and Thrombosis;

(a) Antianemia Drugs: Iron Preparations;

(b) Antithrombotic Agents;

(A) Anticoagulants;

(i) Coumarin Derivatives;

(ii) Direct Thrombin Inhibitors;

(iii) Heparins;

(iv) Anticoagulants, Miscellaneous.

(B) Platelet-reducing Agents;

(C) Platelet-aggregation Inhibitors;

(D) Thrombolytic Agents;

(c) Hematopoietic Agents;

(d) Hemorrheologic Agents;

(e) Antihemorrhagic Agents;

(A) Antiheparin Agents;

(B) Hemostatics.

(7) Cardiovascular Drugs;

(a) Cardiac Drugs;

(A) Antiarrhythmic Agents;

(i) Class Ia Antiarrhythmics;

(ii) Class Ib Antiarrhythmics;

(iii) Class Ic Antiarrhythmics;

(iv) Class III Antiarrhythmics;

(v) Class IV Antiarrhythmics.

(B) Cardiotonic Agents;

(C) Cardiac Drugs, Miscellaneous.

(b) Antilipemic Agents;

(A) Bile Acid Sequestrants;

(B) Cholesterol Absorption Inhibitors;

(C) Fibric Acid Derivatives;

(D) HMG-CoA Reductase Inhibitors;

(E) Antilipemic Agents, Miscellaneous.

(c) Hypotensive Agents;

(A) Calcium-Channel Blocking Agents;

(B) Central a-Agonists;

(C) Direct Vasodilators;

(D) Peripheral Adrenergic Inhibitors.

(d) Vasodilating Agents;

(A) Nitrates and Nitrites;

(B) Phosphodiesterase Inhibitors;

(C) Vasodilating Agents, Miscellaneous.

(e) Sclerosing Agents;

(f) a-Adrenergic Blocking Agents;

(g) ß-Adrenergic Blocking Agents;

(h) Calcium-Channel Blocking Agents;

(A) Dihydropyridines;

(B) Calcium-Channel Blocking Agents, Miscellaneous;

(i) Renin-Angiotensin-Aldosterone System Inhibitors;

(A) Angiotensin-Converting Enzyme Inhibitors;

(B) Angiotensin II Receptor Antagonists;

(C) Mineralocorticoid (Aldosterone) Receptor Antagonists;

(D) Renin Inhibitors.

(8) Central Nervous System Agents;

(a) Analgesics and Antipyretics;

(A) Nonsteroidal Anti-inflammatory Agents;

(i) Cyclooxygenase-2 (COX-2) Inhibitors;

(ii) Salicylates;

(iii) Other Nonsteroidal Anti-inflammatory Agents;

(B) Opiate Agonists;

(C) Opiate Partial Agonists;

(D) Analgesics and Antipyretics, Miscellaneous.

(b) Opiate Antagonists;

(c) Anticonvulsants, does not include Barbiturates;

(A) Benzodiazepines;

(B) Hydantoins;

(C) Succinimides;

(D) Anticonvulsants, Miscellaneous.

(d) Psychotherapeutic Agents;

(A) Antidepressants;

(i) Monoamine Oxidase Inhibitors;

(ii) Selective Serotonin- and Norepinephrine-reuptake Inhibitors;

(iii) Selective Serotonin- Reuptake Inhibitors;

(iv) Serotonin Modulators;

(v) Tricyclics and Other Norepinephrine-reuptake Inhibitors.

(vi) Antidepressants, Miscellaneous.

(B) Antipsychotics, to include only the following: Atypical antipsychotics.

(e) Anorexigenic Agents and Respiratory and Cerebral Stimulants.

(A) Amphetamines.

(B) Anorexigenic Agents and Respiratory and Cerebral Stimulants, Miscellaneous.

(f) Anxiolytics, Sedatives, and Hypnotics, does not include Barbiturates;

(A) Benzodiazepines;

(B)(i) Anxiolytics, Seditives, and Hypnotics; Miscellaneous;

(ii) Nitrous oxide;

(g) Antimanic Agents;

(h) Antimigraine Agents: Selective Serotonin Agonists;

(i) Antiparkinsonian Agents;

(A) Adamantanes;

(B) Anticholinergic Agents;

(C) Catechol-O-Methyltransferase (COMT) Inhibitors;

(D) Dopamine Precursors;

(E) Dopamine Receptor Agonists;

(i) Ergot-derivative Dopamine Receptor Agonists;

(ii) Non-ergot-derivative Dopamine Receptor Agonists;

(F) Monoamine Oxidase B Inhibitors;

(j) Central Nervous System Agents, Miscellaneous.

(9) Contraceptives (foams, devices).

(10) Diagnostic Agents.

(11) Disinfectants (for Agents used on objects other than skin).

(12) Electrolytic, Caloric, and Water Balance;

(a) Acidifying Agents;

(b) Alkalinizing Agents;

(c) Ammonia Detoxicants;

(d) Replacements Preparations;

(e) Ion-Removing Agents;

(A) Calcium-removing Agents;

(B) Potassium-removing Agents;

(C) Phosphate-removing Agents;

(D) Other Ion-removing Agents;

(f) Caloric Agents;

(g) Diuretics;

(A) Loop Diuretics;

(B) Osmotic Diuretics;

(C) Potassium-sparing Diuretics;

(D) Thiazide Diuretics;

(E) Thiazide-like Diuretics;

(F) Diuretics, Miscellaneous;

(h) Irrigation Solutions;

(i) Uricosuric Agents.

(13) Enzymes.

(14) Respiratory Tract Agents;

(a) Antihistamines;

(b) Antitussives;

(c) Anti-inflammatory Agents;

(A) Leukotriene Modifiers;

(B) Mast-cell Stabilizers;

(d) Expectorants;

(e) Pulmonary Surfactants;

(f) Respiratory Agents, Miscellaneous.

(15) Eye, Ear, Nose, and Throat (EENT) Preparations;

(a) Antiallergic Agents;

(b) Anti-infectives;

(A) Antibacterials;

(B) Antifungals;

(C) Antivirals;

(D) Anti-infectives, Miscellaneous.

(c) Anti-inflammatory Agents;

(A) Corticosteroids;

(B) Nonsteroidal Anti-inflammatory Agents;

(C) Anti-inflammatory Agents, Miscellaneous.

(d) Local Anesthetics;

(e) Mydriatics;

(f) Mouthwashes and Gargles;

(g) Vasoconstrictors;

(h) Antiglaucoma Agents;

(A) a-Adrenergic Agonists;

(B) ß-Adrenergic Agents;

(C) Carbonic Anhydrase Inhibitors;

(D) Miotics;

(E) Prostaglandin Analogs;

(i) EENT Drugs, Miscellaneous.

(16) Gastrointestinal Drugs;

(a) Antacids and Adsorbents;

(b) Antidiarrhea Agents;

(c) Antiflatulents;

(d) Cathartics and Laxatives;

(e) Cholelitholytic Agents;

(f) Emetics;

(g) Antiemetics;

(A) Antihistamines;

(B) 5-HT3 Receptor Antagonists;

(C) Antiemetics, Miscellaneous.

(h) Antiulcer Agents and Acid Suppressants;

(A) Histamine H2-Antogonists;

(B) Prostaglandins;

(C) Protectants;

(D) Proton-pump Inhibitors;

(i) Prokinetic Agents;

(j) Anti-inflammatory Agents;

(k) GI Drugs, Miscellaneous.

(17) Gold Compounds.

(18) Heavy Metal Antagonists.

NOTE: IV administration requires education and training compliance with 850-060-0212. Mauri

(19) Hormones and Synthetic Substitutes;

(a) Adrenals;

(b) Androgens;

(c) Contraceptives;

(d) Estrogens and Antiestrogens;

(A) Estrogens;

(B) Estrogen Agonists-Antiagonists.

(e) Gonadotropins;

(f) Antidiabetic Agents;

(A) a-Glucosidase Inhibitors;

(B) Amylinomimetics;

(C) Biguanides;

(D) Dipeptidyl Peptidase (DDP-4) Inhibitors;

(E) Incretin Mimetics;

(F) Insulins;

(G) Meglitinides;

(H) Sulfonylureas;

(I) Thiazolidinediones;

(J) Miscellaneous.

(g) Antihypoglycemic Agents: Glycogenolytic Agents;

(h) Parathyroid;

(i) Pituitary;

(j) Somatotropin Agonists and Antagonists;

(A) Somatotropin Agonists;

(B) Somatotropin Antagonists;

(k) Progestins;

(l) Thyroid and Antithyroid Agents;

(A) Thyroid Agents;

(B) Antithyroid Agents;

(20) Local Anesthetics.

(21) Oxytocics, except for Mifepristone.

(22) Serums, Toxoids, and Vaccines;

(a) Serums;

(b) Toxoids;

(c) Vaccines.

(23) Skin and Mucous Membrane Agents;

(a) Anti-infectives;

(A) Antibacterials;

(B) Antivirals;

(C) Antifungals;

(i) Allylamines;

(ii) Azoles;

(iii) Benzylamines;

(iv) Hydroxypyridones;

(v) Polyenes;

(vi) Thiocarbamates;

(vii) Antifungals, Miscellaneous.

(D) Scabicides and Pediculicides;

(E) Local Anti-infectives, Miscellaneous.

(b) Anti-inflammatory Agents;

(c) Antipruritics and Local Anesthetics;

(d) Astringents;

(e) Cell Stimulants and Proliferants;

(f) Detergents;

(g) Emollients, Demulcents, and Protectants;

(h) Keratolytic Agents;

(i) Keratoplastic Agents;

(j) Depigmenting and Pigmenting Agents;

(A) Depigmenting Agents;

(B) Pigmenting Agents;

(k) Sunscreen Agents;

(l) Skin and Mucous Membrane Agents, Miscellaneous.

(24) Smooth Muscle Relaxants;

(a) Gastrointestinal Smooth Muscle Relaxants;

(b) Genitourinary Smooth Muscle Relaxants;

(c) Respiratory Smooth Muscle Relaxants.

(25) Vitamins and Minerals.

(26) Miscellaneous Therapeutic Agents;

(a) Alcohol Deterrents limited to the following:

(A) Acamprosate;

(B) Disulfiram;

(C) Naltrexone.

(b) 5-a Reductase Inhibitors;

(c) Antidotes;

(d) Antigout Agents;

(e) Biologic Response Modifiers, limited to Interferons;

(f) Bone Resorption Inhibitors;

(g) Cariostatic Agents;

(h) Complement Inhibitors;

(i) Disease-Modifying Antirheumatic Agents;

(j) Gonadotropin-releasing Hormone Antagonists;

(k) Immunosuppressive Agents;

(l) Other Miscellaneous Therapeutic Agents limited to the following:

(A) Alfuzosin Hydrochloride;

(B) Drotrecogin Alfa (Activated);

(C) Lanreoytide Acetate;

(D) Rilonacept;

(E) Sapropterin Dihydrochloride;

(F) Tamsulosin Hydrochloride.

Stat. Auth.: ORS 685.125

Stats. Implemented: ORS 685.145

Hist.: BNE 1-2002, f. & cert. ef. 2-19-02; BNE 4-2002, f. & cert. ef. 8-8-02; BNE 3-2003, f. & cert. ef. 6-9-03; BNE 5-2003, f. & cert. ef. 12-5-03; BNE 5-2004, f. & cert. ef. 6-10-04; Renumbered from 850-010-0226, BNE 8-2005, f. & cert. ef. 10-27-05; BNE 9-2005, f. & cert. ef 12-12-05; BNE 4-2006, f. & cert. ef. 12-11-06; BNE 3-2007, f. & cert. ef. 6-12-07; BNE 1-2008, f. & cert. ef. 2-19-08; BNE 2-2008, f. & cert. ef. 3-21-08; BNE 6-2008, f. & cert. ef. 6-11-08; BNE 7-2008, f. & cert. ef. 12-8-08; BNE 2-2009, f. & cert. ef. 6-17-09; BNE 7-2009, f. 12-14-09, cert. ef. 1-1-10; OBNM 5-2010, f. & cert. ef. 6-30-10; OBNM 7-2010, f. & cert. ef. 12-13-10; OBNM 2-2011, f. & cert. ef. 4-12-11; OBNM 4-2011, f. & cert. ef. 6-15-11; OBNM 3-2012, f. & cert. ef. 6-15-12; OBNM 1-2014, f. & cert. ef. 4-9-14

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