In ND, the APRN standard and scope includes performing a comprehensive assessment of client and synthesis and analysis of data, as well as prescribing a therapeutic regimen of health care, including diagnosing, prescribing, administering, and dispensing drugs. In addition, prescriptive practice means assessing the need for drugs and writing a prescription to be filled by a licensed pharmacist. Additionally, the NDBON, ND Board of Pharmacy, and ND Board of Medicine revisited a prior consensus of a “legitimate prescription”, which states that a prescription written without a valid patient/practitioner relationship, where there is not an actual physical examination of the patient, is not a valid prescription. The consensus also states that prescribing based on internet mail or telephone questionnaires is not appropriate medical care.