Formulary.

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 3 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: Drugs or Classes of Drugs that May be Application and Category/Indication Prescribed with Prescriptive Endorsement 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 Naltrexone abuse treatment agents Nicotine Antibacterials Neomycin May not administer any drugs in this category via Gentamicin (topical only) intravenous administration. Tobramycin (topical only) Amoxicillin Amoxicillin/Clavulanate potassium Penicillin G Doxycycline Clarithromycin Clindamycin (topical only) Nitrofurantoin Metronidazole Acetic acid Polymyxin B sulfate Rifaximin Antiemetics Ondansetron 4 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 Topical only All drugs may only be Alitretinoin prescribed for noncancer purposes and uses. Tretinoin Antiobesity agents Orlistat Antiparasitics Albendazole Topical only Ivermectin Mebendazole Antispasticity agents Baclofen Tizanidine hydrochloride Antivirals Acyclovir Valacyclovir Oseltamivir Anxiolytics Buspirone Hydroxyzine Blood glucoses All drugs within the antidiabetic agents and regulators glycemic agents class may be prescribed. All drugs within the biguanide and DPP 4 inhibitors group may be prescribed. Blood products and Aspirin Not allowed to do blood modifiers transfusions. 5 Heparin sodium (for nontherapeutic blood thinning only) Cardiovascular agents All drugs within the following classes may be Beta adrenergics prescribed: medications are limited to 100 mg. • Alpha-adrenergic agonists; Nondihydropyridines • Alpha-adrenergic blocking agents; medications are limited to 120 mg. • 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. Central nervous system Clonidine hydrochloride agents Contraceptives All drugs within the oral contraceptives May not prescribe any combinations and oral progestins classes may drug within this category be prescribed. that would require a procedure such as Citric acid/Lactic acid/Potassium bitartate implantable contraceptives. Ethinyl estradiol/Etonogestrel Ethyinyl estradiol/Norelgestromin Levonorgestrel Dental and oral agents Doxycycline hyclate Minocycline hyclate Prilocaine hydrochloride Triamcinolone acetonide Dermatological agents All drugs within this category may be Topical only except can prescribed. allow triamcinolone injection. Electrolytes - Minerals - All drugs within this category may be Metals - Vitamins prescribed. Gastrointestinal agents All drugs within the following classes may be prescribed: 6 • 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: Hydrocortisone (dose limit: 30 mg daily) stimulant, replacement, Prednisone (dose limit: 5 mg daily) modifying (adrenal) Methylprednisolone acetate (burst dose pack - dose limit of 1 pack per 60 days) Triamcinolone acetonide Hormonal agents: Testosterone Testosterone dosage stimulant, replacement, limits: All drugs within the androgens and progestins modifying (sex Injectable - maximum classes may be prescribed. hormones, modifies) 400mg/28 days dosage Topical - maximum All drugs within the estrogens class may only 100mg/day dosage 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: All drugs within this category may be stimulant, replacement, prescribed. modifying (thyroid) Immunological agents All drugs within the vaccines class may be 7 prescribed. All drugs within the other immunological agents - Allergen specific immunotherapy group may be prescribed. Inflammatory bowel Hydrocortisone disease agents Prednisone Metabolic bone disease Alendronate agents Ibandronate Cholecalciferol Calcitriol Doxercalciferol Paricalcitol Ophthalmic 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) Otic agents All drugs within this category may be Topical use only prescribed. Respiratory tract/ All drugs within the following classes may be Pulmonary agents prescribed: • Antihistamines; • Anti-inflammatories - Inhaled corticosteroids; • Antileukotrienes; • Anticholinergic bronchodilators; • Sympathomimetic bronchodilators; 8 • 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 History: Effective April 1, 2024; amended effective January 1, 2026. General Authority: NDCC 43-58-03.1 Law Implemented: NDCC 43-58-08(3)(c) 9