Tennessee

Tennessee was the 17th state to pass DPC legislation. DPC practices were already in operation in Tennessee, and now the state is a better environment for DPC physicians.  The folks at the Beacon Center of Tennessee prepared a helpful overview of DPC for members of the state legislature that led to the passage of HB 2323 (see this link for legislative history).  The law (found in Tenn. Code Ann. §§ 63-1-501 through 63-1-504) has an excellent definition of DPC and is one of the best examples of state legislation.  Be sure to review the Tennessee Insurance Code (from Justia) when planning your DPC practice.

Physician Dispensing is permitted in Tennessee under the Rules of the Tennessee Board of Medical Examiners see Section 0880-2-.14 Specially Regulated Areas and Aspects of Medical Practice Pages 38-46. “Physicians who elect to dispense medication for remuneration must comply with the following: (a) All Federal Regulations (21 CFR 1304 through 1308) for the dispensing of controlled substances. (b) Requirements for dispensing of non-controlled drugs are as follows:

“1. Drugs are to be dispensed in an appropriate container labeled with at least, the following: (i) Patient’s name. (ii) Date. (iii) Complete directions for usage. (iv) The physician’s name and address (v) A unique number, or the name and strength of the medication. 2. Physicians may dispense only to individuals with whom they have established a physician/patient relationship. It shall be a violation of this rule for a physician to dispense medication at the order of any other physician not registered to practice at the same location. 3. Whenever dispensing takes place, appropriate records shall be maintained. A separate log must be maintained for controlled substances dispensing.”