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.
STATE
Alabama
MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State
Last Updated: 12/2/2022
AMB
AS
Ambulance Service Animal Shelters
CC
Certified Chiropractor
DOM
Doctors of Oriental Medicine
ET
Euthanasia Technicians
HMD
Homeopathic Physician
MP
Medical Psychologist
ND
Naturopathic Physician
NH
NP
Nursing Homes Nurse Practitioners
OD
Optometrists
PA
Physician Assistants
RPH
Registered Pharmacists
NO
2N & 3N Sodium
NO
NO
NO
NO
NO
NO
NO
2,2N,3, 3N, 4, 5 3, 3N, 4, 5 2,2N,3, 3N, 4, 5
NO
Pentobarbital &
Administer & Administer &
Prescribe,
Sodium
Prescribe Only.
Prescribe
Dispense &
Pentobarbital
Special permit for
Administer.
W/Lidocaine
2/2N
Special permit
Line 1 Animal
for 2/2N
Shelter Line 2 ET's
Name administer /
procure
Alaska
NO
2N & 3N Sodium
NO
NO
2N & 3N
NO
NO
NO
NO
2, 2N, 3, 3N, 4, 5
3, 4, 5
2, 2N, 3, 3N, 4, 5
NO
Pentobarbital &
Administer Only
Prescribe,
Prescribe
Prescribe,
Sodium
Dispense, Prescribe 2 Only Administer &
Pentobarbital
Administer, for Hydrocodone Dispense,
W/Lidocaine
procure
Products
Procure
Line 1 Animal
Shelter Line 2 ET'S
Name administer
/ procure
Arizona
NO
2N & 3N Only Law
NO
NO
NO
2, 2N, 3, 3N, 4, 5
NO
2, 3, 3N, 4, 5
NO
2, 2N, 3, 3N, 4, 5 3, 3N Prescribe, 2, 2N, 3, 3N, 4, 5
NO
Enforcement or
Prescribe,
Prescribe,
Prescribe, Order, Dispense,
Procurement
City Animal Shelter
Dispense,
Dispense,
Administer,
Administer
limited to
administer /
Administer
Administer,
procure
Prescribe 2 Only samples only
procure
procure
for Hydrocodone
Products
1 of 11
STATE
Arkansas
AMB
NO
AS
2N & 3N
Line 1 Animal Shelter Line 2 ET'S Name administer
/ procure
MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State
Last Updated: 12/2/2022
CC
DOM
ET
HMD
MP
ND
NH
NP
OD
PA
RPH
NO
NO
NO
NO
NO
NO
NO
3,3N,4,5 APRNs 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5
NO
Administer, Order, Prescribe 2 Only Prescribe,
Prescribe 2 for for Hydrocodone Dispense,
Hydrocodone
Products
Administer,
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
Colorado
2, 2N, 3, 3N, 4, 5
2N & 3N Only Law
NO
Line 1 AMB Line Enforcement or
2 DR's Name/ City Animal Shelter
Administer,
administer /
Dispense and
procure
Procure
Connecticut
NO
NO
NO
2 of 11
NO
2N FOR Sodium
NO
Pentobarbital
ONLY
Line 1 RVT Line 2
Shelter
administer /
procure
NO
NO
NO
NO
NO
NO
NO
3, 3N, 4 & 5
NO
2, 2N, 3, 3N, 4, 5
2, 3, & 4 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5
Prescribe Only
Prescribe,
Prescribe Only
Prescribe,
Prescribe Only
Dispense, for Hydrocodone, Dispense,
Administer
Codeine, &
Administer
NOTE: 2 Requires Tramadol Only (3
Continuing
day Rx only)
Education
NO
NO
NO
Prescribe 2, 2N, 3, Prescribe Only 3, Prescribe &
NO
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
2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5
NO
Prescribe,
Prescribe,
Prescribe,
Dispense,
Dispense,
Dispense,
Administer,
Administer
Administer,
procure
procure
STATE
AMB
AS
Delaware
NO
NO
District of Columbia Florida
Georgia
2, 2N, 3, 3N, 4, 5
NO
Administer,
Dispense and
Procure
NO
2N, 3N, Sodium
Pentobarbital &
Sodium
Pentobarbital
w/Lidocaine
administer /
procure
NO
NO
Guam (TT) Hawaii
NO
2N & 3N
administer /
procure
2, 2N, 3, 3N, 4, 5
NO
LINE 2 DR'S
NAME
Administer,
Dispense and
Procure
MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State
Last Updated: 12/2/2022
CC
DOM
ET
HMD
MP
ND
NH
NP
OD
PA
RPH
NO
NO
NO
NO
NO
NO
NO
2, 2N, 3, 3N, 4, 5
3, 4, 5
Prescribe 2, 2N,
NO
Prescribe,
Prescribe 3, 3N, 4, 5 May
Administer & Prescribe 2 Only Administer &
Dispense, procure for Hydrocodone Dispense
Products
Samples
72 hour supply
NO
NO
NO
NO
NO
3N for
NO
2, 2N, 3, 3N, 4, 5
NO
2, 2N, 3, 3N, 4, 5
NO
Testosterone
Prescribe Only
Prescribe,
Only Prescribe,
Dispense &
Administer &
Procure
Dispense,
NO
NO
NO
NO
NO
NO
NO
2, 2N, 3, 3N, 4, 5 3, 4 Administer, 2, 2N, 3, 3N, 4, 5
NO
Prescribe,
Prescribe only
Prescribe,
Administer &
(APAP
Administer &
Dispense only in W/Codeine & Dispense only in
accordance with Tramadol) accordance with
state law
Requires 20 hrs. state law
CME
NO
NO
NO
NO
NO
NO
NO
3, 3N, 4, 5
3, 3N, 4
3, 3N, 4 & 5
NO
Prescribe, Prescribe 2 Only Prescribe Only
Administer & for Hydrocodone
Dispense
Products
NO
NO
2N & 3N
NO
NO
NO
NO
APRN's can
NO
4 & 5 Only
NO
administer
Prescribe
Prescribe,
2, 2N, 3, 3N, 4, 5
Dispense &
Administer
NO
NO
NO
NO
NO
NO
2, 2N, 3, 3N, 4, 5 2.2n,3,3N,4,5
NO
3, 3N, 4 & 5
NO
Administer &
Prescribe,
Prescribe
Dispense,
Administer
May Write
Orders for
Inpatients for 2-5
3 of 11
STATE
Idaho
AMB
2, 2N, 3, 3N, 4, 5 Administer, Dispense and Procure
AS
2N, 3, 3N, 4 Administer & Procure Only
Illinois Indiana Iowa
NO
2N & 3N Line 1
Animal Shelter
Line 2 ET'S Name
administer /
procure
2, 2N, 3, 3N, 4, 5 Prescribe,
Administer & Procure
2N & 3N Sodium Pentobarbital,
Telazol, Ketamine administer / procure
NO
2, 2N, 3, 3N
administer /
procure
MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State
Last Updated: 12/2/2022
CC
DOM
ET
HMD
MP
ND
NO
NO
NO
NO
2N, 3N, 4, 5
NO
Prescribe Only
NH
NO
NP
OD
PA
RPH
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,
Prescribe per Administer,
Administer & Administer &
Board
Prescribe &
Dispense, procure Dispense
authorization
Dispense
and per
(pursuant to
prescriptive collaborative
practice of agreement with
supervising
prescriber)
physician. Can
administer and
dispense per
Delegation of
Service
agreement.
NO
NO
NO
NO
3N, 4, 5 Prescribe
NO
NO
2N, 3, 3N, 4, 5 3, 4, 5 Prescribe 2N, 3, 3N, 4, 5
NO
Only
Prescribe, Prescribe 2 Only Prescribe,
per 225 ILCS
Dispense & for Hydrocodone Dispense &
15/14.3 (d)
Administer Only
Products Administer Only
Prescribe 30 day
Prescribe 30 day
supply for
supply for
schedule 2
schedule 2
NO
NO
NO
NO
NO
NO
NO
2, 2N, 3, 3N, 4, 5 4 Prescribe, 2, 2N, 3, 3N, 4, 5
NO
Prescribe,
Administer &
Prescribe,
Administer &
Dispense
Administer &
Dispense, procure Tramadol Only
Dispense,
procure
NO
NO
NO
NO
2N, 3N, 4, 5
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
NO
Prescribe Only
Prescribe,
Prescribe,
NO 2
Administer & Administer & Depressants
Dispense, procure Dispense
Prescribe,
administer,
dispense,
procure
4 of 11
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