2. The process can be long and confusing. Nurse Practitioners ( NPs ) can prescribe antibiotics, birth control, as well as other non-controlled substances, in all 50 states. ). In Arkansas, nurse practitioners are restricted to prescribing schedule III-V controlled substances and hydrocodone-containing medications from schedule II of the Controlled Substances Act. Nurse practitioners in Texas can prescribe medicine if they have an agreement with a physician. Can Nurse Practitioners Prescribe Medication? The Looming Primary Care Provider Shortage: Midwest, Oklahoma NPs: The Fight for Full Practice Authority, The Looming Primary Care Provider Shortage in the Northwest, Alphabet Soup: LPN, RN, APRN, NP – Making Sense of Nursing Roles & Scope of Practice, How to Write the Perfect Nurse Practitioner School Personal Statement, Collaborative practice under authority of a physician, Prescriptive authority is regulated by the AL Board of Medical Examiners (, Separate application to prescribe schedule 2-5 controlled substances, Must complete a Controlled Substance Prescription Monitoring Program (CSPMP) application, Requires collaborative practice agreement with a supervising physician, Must also submit a quality assurance (QA) plan with collaborative practice agreement, Requires supervision of a physician or surgeon, Prescribing medication or medical devices requires a “furnishing number”, Full privileges after 1,000 hours with “provisional prescriptive authority”, NP must have a mentoring NP or physician while accruing 1,000 hours with provisional prescriptive authority, Full authority with licensure after three years of collaborative practice under physician, NPs must maintain professional liability insurance, Requires a collaborative agreement with a physician unless NP has special permission from the Board, “Advanced practice nurses desiring to practice independently or to prescribe independently must do so pursuant to § 1906(a)(20) of Title 24”, “An advanced practice registered nurse may initiate, monitor, and alter drug therapies”, NPs must have proof of malpractice insurance or an exemption, Requires a “protocol agreement” with a supervising physician, Prescriptive authority for advanced practice registered nurses is regulated by the, For prescriptive authority, NPs must show proof of 30 qualifying contact hours (i.e., continuing education or CE), For prescriptive authority, NP must show proof of 30 qualifying CE hours in pharmacology, Requires a written collaborative agreement with a supervising physician or other healthcare professional, The IL Practice Act’s section on APNs is scheduled to be repealed in January 2018; please check back with the IL BoN for changes, Requires a collaborative practice agreement with a supervising medical professional, Requires separate applications for Controlled Substances Registration (CSR) and the provision of telemedicine, Full authority with advanced registered nurse practitioner (ARNP) licensure, “In Iowa an ARNP may practice independently within their specialty area”, Requires a written protocol from a responsible physician, “The advanced practice registered nurse may not dispense drugs, but may request, receive and sign for professional samples and may distribute professional samples to patients pursuant to a written protocol as authorized by a responsible physician”, Requires a written agreement (CAPA-NS) with a supervising physician or other healthcare provider, CAPA-NS stands for “Collaborative Agreement for the Advanced Practice Registered Nurse’s Prescriptive Authority for Nonscheduled Legend Drugs”, Requires a Collaborative Practice Agreement (CPA) with a physician, For initial prescriptive authority, NPs must have all qualifying contact hours of education, including 45 hours of pharmacology, “When a provision of law or rule requires a signature, certification, stamp, verification, affidavit or endorsement by a physician, that requirement may be fulfilled by a certified nurse practitioner”, Physicians and NPs in MD must register with the Prescription Drug Monitoring Program (PDMP), an attempt to combat opioid abuse in the state, Under the authority of a supervising physician, Certified nurse practitioners (CNPs) must register with the Department of Public Health and DEA for prescriptive authority, Can prescribe nonscheduled drugs, but NPs need physician oversight to prescribe schedule 2-5 drugs, For a detailed look at the state of practice authority in MI, please visit, “APRNs can prescribe, procure, sign for, record, administer, and dispense OTC, legend, and controlled substances, including sample drugs”, Under the supervision of a collaborative or consulting physician, “Each collaborative /consultative relationship shall include and implement a formal quality assurance / quality improvement program which shall be maintained on site and shall be available for inspection by representatives of the board”, Requires a Collaborative Practice Agreement (CPA) with a supervising physician, To get prescriptive authority for controlled substances, MO NPs need not only a CPA, but also proof of 300 hours of guided pharmacological experience and 1,000 practice hours, Full authority with APRN licensure and Prescriptive Authority application, Must have completed three course prerequisites: pharmacology, differential diagnosis / disease management, and a supervised clinical practicum, Full authority following Controlled Substance Registration with the DEA, Prescriptive authority requires at least 30 qualifying contact hours in pharmacology, Full authority with a license from the NV Board of Pharmacy, Similar to other states, NV NPs must register with the DEA to prescribe controlled substances, “An APRN shall have plenary authority to possess, compound, prescribe, administer, and dispense and distribute to clients controlled and noncontrolled drugs within the scope of the APRN’s practice”, Requires a “joint protocol” with a collaborating physician, In addition to physician oversight, APRNs need at least six extra hours of pharmacological education to prescribe medications and devices, Full prescriptive authority with DEA registration and state certification, “Certified nurse practitioners may practice independently and make decisions regarding health care needs of the individual, family or community and carry out health regimens, including the prescription and distribution of dangerous drugs and controlled substances included in Schedules II through V of the Controlled Substances Act”, Newly certified NPs must have a written collaborative agreement and protocol with a physician and pursue DEA registration, NPs with more than 3,600 hours of qualifying experience may opt for a “, Prescriptive authority requires a supervising physician and use of the Controlled Substances Reporting System (CSRS), NPs are regulated by both the NC Board of Nursing and the Medical Board, Full authority with application for prescriptive privileges, Requires 30 hours of qualifying pharmacological education; NPs in ND are also encouraged to participated in the state’s Prescription Drug Monitoring Program, A certificate to prescribe requires a “standard care agreement” with a collaborating physician, Initial Certificate of Authority (COA) allows NPs to prescribe schedule 2 controlled and noncontrolled substances, Requires a written collaborative agreement with a physician licensed by the State Medical Board or Board of Osteopathic Examiners, To qualify for initial (supervised) prescriptive authority, NP must have at least 45 qualifying contact hours or a three-unit course in pharmacology, Full prescriptive authority with APRN licensure, To qualify for OR NP license, candidates must have completed a program within two years or fulfill experience requirements (192 contact hours in previous two years or 960 hours in five years), Requires a collaborative agreement with a physician and DEA registration (for controlled substances), Collaborative agreements with physicians must be reviewed and updated every two years, Full prescriptive authority with Uniform Controlled Substances Act Registration (CSR), Requires an approved written protocol with a collaborating physician, “In addition to those activities considered the practice of registered nursing, an APRN may perform, Requires written protocol with a supervising physician, TN also requires DEA registration, the creation of a “Practitioner Profile,” and registration with the Controlled Substance Monitoring Data (CSMD) site, Requires a separate application, a written “prescriptive delegation” from a supervising physician, DEA registration for controlled substances, and registration with TX Department of Public Safety, TX recently eliminated the requirement of on-site physician supervision, Requires a UT Controlled Substances License, DEA registration, and at least two years (or 2,000) hours of post-licensure experience (to prescribe schedule 2 controlled substances), In the psychiatric NP specialty, candidates for prescriptive authority must complete 3,000 post-licensure hours of clinical practice, Full practice after fulfilling “transition to practice” hours under a collaborative agreement with a physician, DEA registration, and VT Prescription Monitoring System (VPMS) registration, Following at least one year (1,600 practice hours), NPs may qualify for a “, NPs with less than five years of full-time, clinical experince need a “practice agreement” with a collaborating physician, To qualify for prescriptive authority, VA NPs must have at least 1,000 hours of qualifying experience or 30 credit hours of pharmacology education, Full authority with prescriptive privileges application, WA NPs may “prescribe legend drugs and Schedule V controlled substances, as defined in the Uniform Controlled Substances Act”, Authority to prescribe after three documented years of experience under a collaborative agreement and with conditions (e.g., schedule III drugs limited to a 30-day supply), “…those categories of drugs which shall not be prescribed by advanced practice registered nurse including, but not limited to, Schedules I and II of the Uniform Controlled Substances Act, antineoplastics, radiopharmaceuticals and general anesthetics”, Requires “certification as an advanced practice nurse prescriber” with proof of collaborative physician agreement, “Advanced practice nurse prescribers shall work in a collaborative relationship… with a physician, in each other’s presence when necessary, to deliver health care services within the scope of the practitioner’s training, education, and experience”, Full privileges with prescriptive authority application, Prescriptive authority requires at least 30 contact hours of education in pharmacology, © 2020 NursePractitionerSchools.com, a Red Ventures Company.