Mid-Level Practitioners Authorization by State

Mid-Level Practitioners Authorization by State

Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual

practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the

United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice.

Examples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives,

nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense controlled substances by the

state in which they practice.

AMB

AS

CC

DOM

ET

HMD

MP

ND

NH

NP

OD

PA

RPH

Ambulance Service

Animal Shelters

Certified Chiropractor

Doctors of Oriental Medicine

Euthanasia Technicians

Homeopathic Physician

Medical Psychologists

Naturopathic Physician

Nursing Homes

Nurse Practitioners

Optometrists

Physician Assistants

Registered Pharmacists

Table Description

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. The Drugs and drug products that come under the

Controlled Substances Act are divided into five schedules. Some examples in each schedule are outlined below.

Schedule I substances (1)

The substances in this schedule are those that have no accepted medical use in the United States and have a high abuse

potential. Some examples are heroin, marihuana, LSD, MDMA, peyote.

Schedule II/IIN substances (2/2N)

The substances in this schedule have a high abuse potential with severe psychic or physical dependence liability. Schedule II

controlled substances consist of certain narcotic, stimulant and depressant drugs. Examples of Schedule II narcotic controlled

substances are: opium, morphine, codeine, hydromorphone (Dilaudid), methadone, pantopon, meperidine (Demerol), and

hydrocodone (Vicodin?). Examples of Schedule IIN non-narcotic would be Amphetamine, Methamphetamine, Nabilone.

Schedule III/IIIN substances (3/3N)

The substances listed in this schedule have an abuse potential less than those in Schedules I and II, and include compounds

containing limited quantities of certain narcotic drugs (Schedule 3) and non-narcotic drugs (Schedule 3N) such as: codeine

(Tylenol with Codeine), derivatives of babituric acid except those listed in another schedule, nalorphine, benzphetamine,

chlorphentermine, clortemine, phendimetrazine, paregoric and any compound, mixture, preparation or suppository dosage

form containing amobarbital, secobarbital or pentobarbital. Examples of Schedule III narcotics include: products containing not

more than 90 milligrams of codeine per dosage unit (Tylenol with Codeine?), and buprenorphine (Suboxone?). Examples of

Schedule IIIN non-narcotics include: benzphetamine (Didrex?), phendimetrazine, ketamine, and anabolic steroids such as

Depo?-Testosterone.

Schedule IV substances (4)

The substances in this schedule have an abuse potential less than those listed in Schedule III and include such drugs as:

barbital, phenobarbital, chloral hydtrate, clorazepate (Tranxene), alprazolam (Xanax), Quazepam (Dormalin).

Schedule V substances (5)

The substances in this schedule have an abuse potential less than those listed in Schedule IV and consist primarily of

preparations containing limited quantities of certain narcotic and stimulant drugs generally for antitussive, antidiarrheal and

analgesic purposes. Some examples are buprenorphine and propylhexedrine.

2, 2N, 3, 3N, 4, 5

Rx's

CRNA

CNM

Per formulary

Table Key

Schedule categories

Prescriptions

Certified Registered Nurse Anesthetists

Certified Nurse Midwives

Per the directives written out by the state licensing board.

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

STATE

AMB

AS

CC

DOM

ET

HMD

MP

ND

NH

Last Updated: 12/2/2022

NP

OD

PA

RPH

Ambulance Service

Animal Shelters

Certified

Chiropractor

Doctors of Oriental

Medicine

Euthanasia

Technicians

Homeopathic

Physician

Medical

Psychologist

Naturopathic

Physician

Nursing Homes

Nurse Practitioners

Optometrists

Physician

Assistants

Registered

Pharmacists

Alabama

NO

2N & 3N Sodium

Pentobarbital &

Sodium

Pentobarbital

W/Lidocaine

Line 1 Animal

Shelter Line 2 ET's

Name administer /

procure

NO

NO

NO

NO

NO

NO

NO

2,2N,3, 3N, 4, 5

Administer &

Prescribe Only.

Special permit for

2/2N

3, 3N, 4, 5

Administer &

Prescribe

2,2N,3, 3N, 4, 5

Prescribe,

Dispense &

Administer.

Special permit

for 2/2N

NO

Alaska

NO

2N & 3N Sodium

Pentobarbital &

Sodium

Pentobarbital

W/Lidocaine

Line 1 Animal

Shelter Line 2 ET'S

Name administer

/ procure

NO

NO

2N & 3N

Administer Only

NO

NO

NO

NO

2, 2N, 3, 3N, 4, 5

3, 4, 5

2, 2N, 3, 3N, 4, 5

Prescribe,

Prescribe

Prescribe,

Dispense,

Prescribe 2 Only

Administer &

Administer,

for Hydrocodone

Dispense,

procure

Products

Procure

NO

Arizona

NO

2N & 3N Only Law

Enforcement or

City Animal Shelter

administer /

procure

NO

NO

NO

2, 2N, 3, 3N, 4, 5

Prescribe,

Dispense,

Administer

NO

2, 3, 3N, 4, 5

Prescribe,

Dispense,

Administer,

procure

NO

2, 2N, 3, 3N, 4, 5

Prescribe, Order,

Administer,

procure

NO

1 of 11

3, 3N Prescribe, 2, 2N, 3, 3N, 4, 5

Dispense,

Procurement

Administer

limited to

Prescribe 2 Only

samples only

for Hydrocodone

Products

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

STATE

Last Updated: 12/2/2022

AMB

AS

CC

DOM

ET

HMD

MP

ND

NH

Arkansas

NO

2N & 3N

Line 1 Animal

Shelter Line 2 ET'S

Name administer

/ procure

NO

NO

NO

NO

NO

NO

NO

3,3N,4,5 APRNs

3, 3N, 4, 5

2, 2N, 3, 3N, 4, 5

Administer, Order, Prescribe 2 Only

Prescribe,

Prescribe 2 for for Hydrocodone

Dispense,

Hydrocodone

Administer,

Products

Products Only

Procure

with a

Collaborative

Practice

Agreement. May

be extended to C2

and C2N drugs if in

accordance with

Arkansas Act 593

California

NO

NO

NO

NO

2N FOR Sodium

Pentobarbital

ONLY

Line 1 RVT Line 2

Shelter

administer /

procure

NO

NO

3, 3N, 4 & 5

Prescribe Only

NO

2, 2N, 3, 3N, 4, 5

2, 3, & 4

2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5

Prescribe,

Prescribe Only

Prescribe,

Prescribe Only

Dispense,

for Hydrocodone,

Dispense,

Codeine, &

Administer

Administer

NOTE: 2 Requires Tramadol Only (3

Continuing

day Rx only)

Education

NO

NO

NO

NO

NO

NO

NO

Prescribe 2, 2N, 3, Prescribe Only 3,

Prescribe &

3N, 4, 5

3N, 4, 5

Dispense 2, 2N,

May Dispense & Prescribe 2 Only

3, 3N, 4, 5

Administer

for Hydrocodone

Samples

Products

CRNA's/APN's

may procure

NO

NO

NO

NO

NO

NO

NO

Colorado

Connecticut

2 of 11

2, 2N, 3, 3N, 4, 5 2N & 3N Only Law

Line 1 AMB Line Enforcement or

2 DR's Name/ City Animal Shelter

Administer,

administer /

Dispense and

procure

Procure

NO

NO

NP

2, 2N, 3, 3N, 4, 5

Prescribe,

Dispense,

Administer,

procure

OD

PA

2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5

Prescribe,

Prescribe,

Dispense,

Dispense,

Administer

Administer,

procure

RPH

NO

NO

NO

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

STATE

Last Updated: 12/2/2022

AMB

AS

CC

DOM

ET

HMD

MP

ND

NH

Delaware

NO

NO

NO

NO

NO

NO

NO

NO

NO

2, 2N, 3, 3N, 4, 5

3, 4, 5

Prescribe 2, 2N,

Prescribe,

Prescribe

3, 3N, 4, 5 May

Administer &

Prescribe 2 Only

Administer &

Dispense, procure for Hydrocodone

Dispense

Products

Samples

72 hour supply

NO

District of

Columbia

2, 2N, 3, 3N, 4, 5

Administer,

Dispense and

Procure

NO

NO

NO

NO

NO

NO

3N for

Testosterone

Only Prescribe,

Administer &

Dispense,

NO

2, 2N, 3, 3N, 4, 5

Prescribe Only

2, 2N, 3, 3N, 4, 5

Prescribe,

Dispense &

Procure

NO

Florida

NO

2N, 3N, Sodium

Pentobarbital &

Sodium

Pentobarbital

w/Lidocaine

administer /

procure

NO

NO

NO

NO

NO

NO

NO

2, 2N, 3, 3N, 4, 5

Prescribe,

Administer &

Dispense only in

accordance with

state law

3, 4 Administer, 2, 2N, 3, 3N, 4, 5

Prescribe only

Prescribe,

(APAP

Administer &

W/Codeine & Dispense only in

Tramadol)

accordance with

Requires 20 hrs.

state law

CME

NO

Georgia

NO

NO

NO

NO

NO

NO

NO

NO

NO

3, 3N, 4, 5

Prescribe,

Administer &

Dispense

3, 3N, 4

Prescribe 2 Only

for Hydrocodone

Products

3, 3N, 4 & 5

Prescribe Only

NO

Guam (TT)

NO

2N & 3N

administer /

procure

NO

NO

2N & 3N

administer

NO

NO

NO

NO

APRN's can

Prescribe

2, 2N, 3, 3N, 4, 5

NO

NO

2, 2N, 3, 3N, 4, 5

LINE 2 DR'S

NAME

Administer,

Dispense and

Procure

NO

NO

NO

NO

NO

NO

NO

2, 2N, 3, 3N, 4, 5

2.2n,3,3N,4,5

Administer &

Prescribe

NO

4 & 5 Only

Prescribe,

Dispense &

Administer

3, 3N, 4 & 5

Prescribe,

Dispense,

Administer

May Write

Orders for

Inpatients for 2-5

Hawaii

3 of 11

NP

OD

NO

PA

RPH

NO

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

STATE

Last Updated: 12/2/2022

AMB

AS

CC

DOM

ET

HMD

MP

ND

NH

Idaho

2, 2N, 3, 3N, 4, 5

Administer,

Dispense and

Procure

2N, 3, 3N, 4

Administer &

Procure Only

NO

NO

NO

NO

2N, 3N, 4, 5

Prescribe Only

NO

NO

2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5

Prescribe,

Administer,

Prescribe,

Prescribe per

Administer &

Prescribe &

Administer &

Board

Dispense, procure

Dispense

Dispense

authorization

(pursuant to

and per

collaborative

prescriptive

agreement with

practice of

prescriber)

supervising

physician. Can

administer and

dispense per

Delegation of

Service

agreement.

Illinois

NO

2N & 3N Line 1

Animal Shelter

Line 2 ET'S Name

administer /

procure

NO

NO

NO

NO

3N, 4, 5 Prescribe

Only

per 225 ILCS

15/14.3 (d)

NO

NO

2N, 3, 3N, 4, 5

3, 4, 5 Prescribe 2N, 3, 3N, 4, 5

Prescribe,

Prescribe 2 Only

Prescribe,

Dispense &

for Hydrocodone

Dispense &

Administer Only

Products

Administer Only

Prescribe 30 day

Prescribe 30 day

supply for

supply for

schedule 2

schedule 2

NO

2, 2N, 3, 3N, 4, 5 2N & 3N Sodium

Prescribe,

Pentobarbital,

Administer &

Telazol, Ketamine

Procure

administer /

procure

NO

NO

NO

NO

NO

NO

NO

2, 2N, 3, 3N, 4, 5

Prescribe,

Administer &

Dispense, procure

2, 2N, 3, 3N, 4, 5

Prescribe,

Administer &

Dispense,

procure

NO

NO

NO

NO

NO

2N, 3N, 4, 5

Prescribe Only

NO

2, 2N, 3, 3N, 4, 5

2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5

Prescribe,

Prescribe,

NO 2

Administer &

Administer &

Depressants

Dispense, procure

Dispense

Prescribe,

administer,

dispense,

procure

NO

Indiana

Iowa

4 of 11

NO

2, 2N, 3, 3N

administer /

procure

NP

OD

4

Prescribe,

Administer &

Dispense

Tramadol Only

PA

RPH

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