DEA: Mid-Level Practitioners Controlled Substance Authorization by State

[NRSKarenRN, BSN, RN]

Found this info during my internet wanderings today; posting as have seen previous requests regarding controlled substance prescribing requirements in varying states. Karen

DEA: Mid-Level Practitioners Authorization by State

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The table represents the controlled substances authority for Mid-level Practitioner's by discipline within the state of which they practice.

It indicates the categories of Mid-Level Practitioners by State and the licensing authority granted to each category within that particular State through the Drug Enforcement Administration (DEA). If authority is granted, specific schedules are listed along with any special instructions like administer only, dispense only or order only. It may also indicate if the DEA is reviewing a new law to see if it is in fact consistent with the issuance of a DEA registration for controlled substances. If authority is NOT granted for a particular category, a "NO" will be indicated.

Download Mid-Level Practitioners by State (PDF)

[traumaRUs, MSN, APRN]

There are also additional requirements in many states that you MUST search and DOCUMENT that you have done so in your state's controlled substance website.

Beginning January 1, 2018, Public Act 100-0564 requires all prescribers with an Illinois controlled substance license to enroll in the Illinois Prescription Monitoring Program (PMP) https://www.ilpmp.org/ through the Illinois Department of Human Services (IDHS).

Prescribers are additionally required to attempt to check the PMP prior to writing an initial prescription of a Schedule II narcotics, such as opioids. That attempt must be documented in the patient’s medical record.

https://www.isapn.org/news/386726/New-Regulation-for-Illinois-Prescribers-with-Controlled-Substance-License.htm

[NRSKarenRN, BSN, RN]

12 hours ago, traumaRUs said:

There are also additional requirements in many states that you MUST search and DOCUMENT that you have done so in your state's controlled substance website. ...

Prescribers are additionally required to attempt to check the PMP prior to writing an initial prescription of a Schedule II narcotics, such as opioids. That attempt must be documented in the patient’s medical record.

https://www.isapn.org/news/386726/New-Regulation-for-Illinois-Prescribers-with-Controlled-Substance-License.htm

PA has similar regulation: PDMP Prescriber Requirements

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Registration with the PA PDMP program is now required for all prescribers and dispensers licensed in the commonwealth. If you have not already registered, please register now.

Prescribers must now query the PA PDMP each time a patient is prescribed an opioid drug product or benzodiazepine by the prescriber. Prescribers must continue to query the PA PDMP:

For each patient the first time the patient is prescribed a controlled substance by the prescriber for purposes of establishing a baseline and a thorough medical record; or

If a prescriber believes or has reason to believe, using sound clinical judgment, that a patient may be abusing or diverting drugs....

...As of June 11, 2018, the Pennsylvania Prescription Drug Monitoring Program is sharing data with 17 other states and D.C. Interstate sharing of data helps prescribers and pharmacists get a more complete picture of their patients' controlled substance prescription histories, regardless of which state they filled their prescription in. For more information, please see the tutorial for users on how to search for your patients across state lines.