Description
Q1: What are the requirements for an APRN to obtain a controlled substance certificate in your state?
A: In New York State, Advanced Practice Registered Nurses are allowed to prescribe controlled medications. Nurse practitioners, in order to prescribe controlled substances, must have a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare Services, a Federal Drug Enforcement Administration Registration (DEA) number, register with the New York State Department of Health’s Bureau of Narcotic Enforcement, have a Health Commerce System Account (HCSA) from the New York State Department of Health, issue all prescriptions through New York State Official Prescription Forms (ONYSRx), place all prescriptions through a verified electronic prescription app and have a Medicaid identification number (NYS Nursing:Practice Information:Prescription Privileges and Electronic Prescribing, n.d.).
Q2: Discuss your state requirements and scope of practice for APRN’s in your state when prescribing controlled substances.
A2: Nurse practitioners are allowed to prescribe controlled substances without MD or DO oversight. Nurse practitioners must have the above information as well as take a state certified pharmacology course, which qualitates as 3 credit courses and recertify every two years. Nurse practitioners in New York State are allowed to prescribe controlled drugs in classes II-V. For groups two, three, and five, the nurse practitioner can only give a five day supply. Class four, which are the benzo’s, the nurse practitioner can supply them with a 30 day supply (Controlled Substance and Official Prescription Program Update, n.d.).
Q3: Discuss the process of how to obtain a DEA number.
A3: Applying for one’s DEA number is as easy as applying online on the DEA website. The applicant must supply their phone number, physical address, a verified email address, the business activity and drug schedule information and their state license. The applicant will have to pass a background check and pay all the applicable fees CSA Registration Online MGMT Tools. (n.d.). https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s1
Q4: Discuss CEU requirements for your state for APRN certification renewal for controlled substance prescribing.
A4: Every three years, the nurse practitioner must complete three hours of training in pain management, palliative care, and addiction. These courses can be found on New York State Professional website (Mandatory Prescriber Education, 2023).
Q5: What information is required by your state to be on your prescription pad?
A5: Information that is required to be on the nurse practitioner script pad include: a NPI and DEA number, a New York State Official ONYSRx prescription form, a Health Commerce System Account, registration with the bureau of narcotics, have a certified electronic prescription app and have a Medicaid number for Medicaid patients (NYS Nursing:Practice Information:Prescription Privileges and Electronic Prescribing, n.d.).
Q6: Discuss considerations for prescribing when using telemedicine when prescribing controlled substances.
A6: When utilizing telemedicine, it is important to know all the rules around it. When it comes to non-controlled medications, APRNs can prescribe without issue, prescribing solely off the virtual assessment, past medical history and recent labs. With controlled pharmaceuticals, the nurse practitioner has to see the patient at least once in person. In New York, since APRNs can see patients not in New York, prescribing controlled medication can be difficult (HeinOnline, 2021).
Q7: Do you need more than one DEA number, if so, when do you need another number?
A7: Providers need more than one DEA number when they either have more than one clinic in a state that provides controlled medications, or have offices in multiple different. Each state would require its own DEA number (Registration Q&A, n.d.)
Reference
Controlled Substance and official prescription program update. (n.d.). https://www.health.ny.gov/professionals/narcotic/n…
CSA Registration Online MGMT Tools. (n.d.). https://apps.deadiversion.usdoj.gov/webforms2/spri…
HeinOnline. (2021, March 8). About | HeinOnline. https://heinonline.org/HOL/LandingPage?handle=hein.journals/tlj56&div=15&id=&page=
Mandatory prescriber education. (2023). https://www.health.ny.gov/professionals/narcotic/mandatory_prescriber_education/
NYS Nursing:Practice Information:Prescription Privileges and Electronic Prescribing. (n.d.). https://www.op.nysed.gov/professions/nurse-practitioners/professional-practice/prescription-privileges-and-electronic-prescribing
Registration Q&A. (n.d.). https://deadiversion.usdoj.gov/faq/registration_faq.htm
