NURSE PRACTITIONER PRESCRIPTIVE AUTHORITY
Nurse Practitioners, being highly educated and experienced in the field of nursing, are given prescriptive authority to varying degrees across the United States. The extent of a nurse practitioners prescriptive authority largely varies by the schedule of the drug in question, with some states allowing a larger degree of prescriptive authority to nurse practitioners and some regulating this prescriptive authority more closely.
The following is a state-by-state breakdown of nurse practitioner prescriptive authority according to the American Association of Nurse Practitioners (AANP):
A legend drug is a drug that requires a prescription from a licensed and approved medical practitioner because it is 1) habit forming; 2) Toxic or having the potential for harm; and 3) Limited to use under a practitioner’s supervision specifically for the drugs named application.
States that allow nurse practitioner prescriptive authority for legend drugs ONLY are:
Every other state is recognized by the DEA with the authority to prescribe controlled substances, with some states having specific restrictions.
A full list of drugs and their associated schedules can be found on the DEA’s website. Generally speaking, the lower the schedule, the more potential a drug has to be dangerous, misused, and therefore, requires a higher level of regulation. States in this category only allow nurse practitioner prescriptive authority for drugs falling into the category of schedule II, III, IV or V.
States in this category only allow nurse practitioner prescriptive authority for schedule III, IV, and V controlled substances.