Mid-Level Practitioners Authorization by State

Transcription

1 Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section (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 T granted for a particular category, a "" 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. Table Key Schedule categories Rx's Prescriptions CRNA Certified Registered Nurse Anesthetists CNM Certified Nurse Midwives Per formulary Per the directives written out by the state licensing board.

2 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 2N & 3N & W/Lidocaine Line 1 Animal Shelter Line 2 ET's Name 2,2N, Only. Special permit for 2/2N 2,2N, &. Special permit for 2/2N Alaska 2N & 3N & W/Lidocaine Line 1 Animal Shelter Line 2 ET'S Name administer / 2N & 3N Only 3, 4, 5 2 Only Arizona 2N & 3N Only Law Enforcement or City Animal Shelter Order, No CRNA 3, 3N 2 Only ment limited to samples only Arkansas 2N & 3N Line 1 Animal Shelter Line 2 ET'S Name administer / 3,3N,4,5 Order, 2 Only Order, 1 of 10

3 California 2N FOR ONLY Line 1 RVT Line 2 Shelter Only TE: 2 Requires Continuing Education 2 & 3 Only for Hydrocodone and Codeine Only Colorado Line 1 AMB Line 2 DR's Name/ and 2N & 3N Only Law Enforcement or City Animal Shelter 2, 2N, 3, 3N, 4, 5 May & Samples Only 3, 3N, 4, 5 2 Only & 2, 2N, Connecticut Delaware 2, 2N, May Samples District of Columbia and 3N for Testosterone Only Only & Florida 2N, 3N, & w/lidocaine 3, 4 only (APAP W/Codeine & Tramadol) Requires 20 hrs. CME 2 of 10

4 Georgia 3, 3N, 4 2 Only Only Guam (TT) 2N & 3N Hawaii LINE 2 DR'S NAME and 2N & 3N administer APRN's can 2.2n,3,3N,4,5 4 & 5 Only & May Write Orders for Inpatients for 2-5 Idaho 2N, 3, 3N, 4 Only Only Under Review Illinois 2N & 3N Line 1 Animal Shelter Line 2 ET'S Name 2N, & Only 30 day supply for schedule 2 3, 4, 5 2 Only 2N, & Only 30 day supply for schedule 2 Indiana 2N & 3N, Telazol, Ketamine 4 Tramadol Only 3 of 10

5 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/16/2015 Iowa 2, 2N, 3, 3N 2 Depressants administer, dispense, Kansas and Kentucky 2N & 3N Line 1 Animal Shelter Line 2 ET'S Name administer / Only Only 2 Only Louisiana 2, 2N, 3, 3N & Line 1 Animal Shelter Line 2 ET'S Name Maine 2N3N 2, 2N, 3, 3N, 4 & 5 Only 2, 2N & for Attention Deficit Disorder Only Only & 2, 2N* * under specific individual guidelines Maryland 2N & 3N & 2,2N,3,3N,4,5 adminster only 2, 2N, & 4 of 10

6 Massachusetts & Only Under Review & Only 2,2N,3,3N,4, 5 only Institutional pharmacist only, No Retail Michigan 2N & 3N & for No CDS required 2 requires a letter Minnesota Mississippi Missouri and APRN's & CS RX license & BNDD & prof license needed 2 Only No CDS required 2 requires a letter 4 & 5 4 & 5 & 3 for a 5 day supply only CS RX license & BNDD & prof license needed Montana and 2N, 3N administer / 2N, 3N Only 2, 3, 3N 34 day Supply Only for 2 & 2N, & (Pharmacy Practice Agreement) 5 of 10

7 Nebraska and CNM's 2, 2N 72 Hour Supply, Only Only Nevada 2N 3N administer / 2N ONLY New Hampshire 3, 3N, 4 Only 2, 2N, 3, 3N, 4, 5 From Formulary 2, 2N, 3, 3N, 4, 5 & Only 3, 3N, 4 New Jersey 2N & for New Mexico and 2, 2N, 3, 3N, 4, 5 Only Law Enforcement or City Animal Shelter 3N 3N for Testosterone Only 2N & 3N 2-5 Psychotropic Controlled Substance, Only ALSO CNM's & CRNAs Under review (Testosterone) & Schedule 2 Only & New York 2N, 3N Also Nurse Midwives RX'S Only 6 of 10

8 North Carolina Line 2 DR'S Name and 2, 2N, 3, 3N and and 2-3N Limited to 30 Day Supply 2, 2N, 3, 3N, 4, 5 Only 30 Day Supply for 2-3N Only North Dakota APRN'S Ohio 2, 2N, 3, 3N, 4, 5 and Oklahoma Line 2 DR'S Name and 2N, 3, 3N & 2N, 3N EXCEPT CRNA'S Only, 2, 3, 4 administer/ prescribe for Hydrocodone 2 Only 2, 2N, 3, 3N, 4 and 5 & Only Oregon 2N 3N administer / 2, 2N, 3, 3N, & 5 Dispens e,administer,proc ure 4 Only Per Formulary 2, Analgesics Per Formulary No Ordering. 2- hydrocodone only Pennsylvania 2, 2N - 30 Day Supply, 90 Day Supply Only Puerto Rico 2N, 3N administer / 3, 4 and 5 Use of Drugs In Practice Is Not To Exceed 6 Weeks Special Addendum 7 of 10

9 Rhode Island CNM & NP 2, 2N,, CNS 2, 2N &4 2 Only South Carolina 2, 3N, 4 Ketamine only for 3N 3N Only Schedule 2 Only South Dakota and NP & CNM 2, 2N, 3, 3N, 4, 5 only, Schedule 2 limited to 30 day supply Tennessee Line 1 AMB Line 2 Medical Director and 2N FOR 2, 2N, 3, 3N, 4,5 2, 2N, 3, 3N, 4, 5 & Texas 2, 2N, 3, 3N, 4,5 and 2N, 3N For & 2, 2N* Prescribing/ Ordering. *Hospital / Hospice Only 2 Only & & 2, 2N* Prescribing/ Ordering. *Hospital / Hospice Only 8 of 10

10 Utah 2N, 3N Only Law Enforcement or City Animal Shelter Line 2 DVM Name 3N Only Per Formulary 4 & 5 3 & Only No More Than 72 Hours Dose 2 Only for Hydrocodone 2, 2N, 3, 3N, 4, 5 & Only Vermont 2,2N/3N 2, 2N*, Testosterone, Codeine, Codeine combination products & Carisoprodol only. *Special Endorsement No Formulary 3, 4, 5 Under review 2 and 2N 2, 2N, 3, 3N, 4 & 5 RX from State Formulary Virgin Islands 4, 5 & Only Virginia 2, 2N, 3, 3N, 4,5 2N, 3N and 3, 3N, 4 Analgesics Only & 2 Only for Hydrocodone (in combination w/acetaminophe n) 9 of 10

11 Washington 2N Testosterone and Codeine Only 2, 2N, Allopathic RX's 2, 2N,, Osteopathic RX 2, 2N, 3, 3N, 4 & 5 2, 2N, 3, 3N, 4 & 5 Only West Virginia 2, 2N, 3, 3N, 4,5 and 2N Only for Line 1 Shelter Line 2 ET's Name only Wisconsin 2N & 3N Wyoming 2N, 3N Only Law Enforcement Line 2 DVM 2, 2N, 2N, 3, 3N - Based Drugs 2, 2N, 3, 3N, 4 & 5 2, 2N, 3, 3N, 4, 5 RX's ONLY CNMI - Commonwealth of the Northern Mariana Islands & Special Request for 2, 2N 10 of 10