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: 5/5/2022

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: 5/5/2022

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: 5/5/2022

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 2N & 3N Sodium

Prescribe,

Pentobarbital,

Administer & Telazol, Ketamine

Procure

administer /

procure

NO

2, 2N, 3, 3N

administer /

procure

Kansas

4 of 11

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

NO

Administer,

Dispense and

Procure

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

Last Updated: 5/5/2022

CC

DOM

ET

HMD

MP

ND

NO

NO

NO

NO

2N, 3N, 4, 5

NO

Prescribe Only

NH

NP

OD

PA

RPH

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,

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

NO

NO

NO

NO

NO

NO

NO

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

NO

4, 5

5 Prescribe,

Prescribe,

Prescribe,

Administer & Administer &

Administer &

Dispense

Dispense,

Dispense

procure

STATE

Kentucky Louisiana

Maine Maryland Massachusetts

Michigan Minnesota

5 of 11

AMB

NO

NO

AS

2N & 3N

Line 1 Animal Shelter Line 2 ET'S Name administer

/ procure

2, 2N, 3, 3N Administer, Dispense & Procure

Line 1 Animal Shelter Line 2 ET'S

Name

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

CC

DOM

ET

HMD

MP

ND

NH

NP

OD

NO

NO

NO

NO

NO

NO

NO

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

Prescribe Only Prescribe 2 Only

for Hydrocodone

Products

Last Updated: 5/5/2022

PA

RPH

NO

NO

NO

NO

NO

NO

2, 2N, 3, 3N, 4 &

NO

NO

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

NO

5 Prescribe Only

2, 2N Prescribe & Prescribe, Prescribe, Order,

Dispense for

Administer & Administer to

Attention Deficit

the extent

Disorder Only

delegated by the

supervising

physician

NO

2N3N administer /

NO

NO

NO

NO

NO

NO

NO

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

NO

procure

Prescribe,

Prescribe,

Prescribe &

Administer & Administer &

Dispense

Dispense, procure Dispense

NO

2N & 3N Procure &

NO

NO

NO

NO

NO

NO

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

NO

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

NO

Administer Sodium

adminster only

Prescribe,

Prescribe &

Pentobarbital

Administer &

Administer

Dispense, procure

NO

NO

NO

NO

NO

NO

NO

NO

NO

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

3N, 4, 5

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

Administer,

Administer,

Administer, Prescribe only

Prescribe &

Prescribe,

Prescribe &

Institutional

Procure Only

Dispense,

Procure Only pharmacist only,

Procure

No Retail

NO

2N & 3N

NO

NO

NO

NO

NO

NO

NO

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

NO

Administer,

Prescribe Prescribe 2 Only Prescribe

Dispense &

No CDS required for Hydrocodone No CDS required

Procure for

2 requires a letter Products

2 requires a

Sodium

letter

Pentobarbital

NO

NO

NO

NO

NO

NO

NO

NO

NO

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

4 & 5

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

NO

Prescribe,

Prescribe,

Administer &

Administer &

Dispense, procure

Dispense,

procure

STATE

AMB

AS

Mississippi

NO

NO

Missouri

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

NO

Administer,

Dispense and

Procure

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

Last Updated: 5/5/2022

CC

DOM

ET

HMD

MP

NO

NO

NO

NO

NO

NO

NO

NO

NO

NO

ND

NO

NO

NH

NP

OD

PA

NO

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

Prescribe,

4 & 5

Prescribe,

Administer &

Prescribe

Administer &

Dispense, procure

Dispense,

procure

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

Administer,

Prescribe,

Administer,

Dispense &

Administer &

Dispense &

Prescribe

Dispense

Prescribe 2 & 3

2 & 3 for 5 day

for a 5 day supply

supply only 2 Only

only

for Hydrocodone

for Hydrocodone

Products CS RX

Products CS RX

license & BNDD &

license & BNDD

prof license

& prof license

needed

needed

(Collaborative

(Collaborative

Practice

Practice

Arrangement)

Arrangement)

RPH

NO

NO

Montana

Nebraska Nevada

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

NO

Line 1 AMB Line

/ procure

2 Medical

Director

Administer,

Dispense and

Procure

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

NO

NO

Administer,

Dispense and

Procure

NO

2N 3N administer

NO

/ procure

NO

2N, 3N

NO

NO

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

NO

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

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

Administer Only

Prescribe,

Prescribe,

34 day Supply Administer,

Administer & Administer &

Only for

Procure,

Dispense, procure Dispense

2 & 2N

Dispense &

Prescribe

(Pharmacy

Practice

Agreement)

NO

NO

NO

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 Only

Administer,

Administer &

Dispense &

Dispense

Procure

NO

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

NO

NO

NO

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

NO

ONLY

Prescribe,

5 Prescribe &

Prescribe,

Dispense, Administer Only Dispense,

Administer,

Administer,

procure

procure

6 of 11

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State

Last Updated: 5/5/2022

STATE

AMB

AS

New Hampshire

NO

NO

CC

DOM

ET

NO

NO

NO

New Jersey New Mexico

NO

2N Administer,

Dispense &

Procure for

Sodium

Pentobarbital

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

Administer,

5 Only Law

Dispense and Enforcement or

Procure City Animal Shelter

administer /

procure

NO 3N Prescribe

NO

3N for Testosterone

Only

NO

2N & 3N administer /

procure

HMD

NO

NO

MP

NO

ND

2N for ADHD stimulants 3, 3N, 4, 5

Prescribe Only

NO

NO

NO

2-5 Psychotropic

NO

Controlled

Substance,

Prescribe Only

NH

NO

NO NO

NP

2, 2N, 3, 3N, 4, 5 From Formulary

Prescribe, Dispense, Administer, Procure

OD

3, 3N, 4 Prescribe, Dispense

PA

2, 2N, 3, 3N, 4, 5 Prescribe, Dispense, Administer, Procure

RPH

NO

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

NO

Prescribe Prescribe 2 Only Prescribe

for Hydrocodone

Products

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

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

(Testosterone) Prescribe, Prescribe Procure Administer &

Prescribe Procure Administer &

& Dispense

Prescribe

& Dispense

Dispense

ALSO CNM's Schedule 2 Only

Prescribe Only 2, for Hydrocodone

2N, 3, 3N, 4, 5

Products

ALSO CRNA's

Prescribe,

Administer 2, 2N,

3, 3N, 4, 5

New York

NO

2N, 3N Sodium

NO

NO

NO

NO

NO

NO

NO

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

NO

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

NO

Pentobarbital

Also Nurse

RX'S Only

administer /

Midwives

procure

Prescribe,

Administer &

Dispense, procure

North Carolina 2, 2N, 3, 3N, 4, 5

2, 2N, 3, 3N

NO

NO

NO

NO

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

Line 2 DR'S Name administer /

Administer,

Prescribe,

Prescribe,

5 Prescribe, Prescribe Only

Administer,

procure

Dispense and Dispense and Administer &

Dispense,

Dispense and

Procure

Procure 2-3N

Dispense

Administer and

Procure

Limited to 30 Day

Procure 2-3N

Supply

Limited to 30 Day

Supply

7 of 11

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