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 Ambulance Service AS Animal Shelters CC Certified Chiropractor DOM Doctors of Oriental Medicine ET Euthanasia Technicians HMD Homeopathic Physician MP Medical Psychologists ND Naturopathic Physician NH Nursing Homes NP Nurse Practitioners OD Optometrists PA Physician Assistants RPH 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.

Table Key 2, 2N, 3, 3N, 4, 5 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.

MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Ambulance Service Animal Shelters Certified Doctors of Oriental Euthanasia Homeopathic Medical Naturopathic Nursing Homes Nurse Practitioners Optometrists Physician Registered Chiropractor Medicine Technicians Physician Psychologist Physician Assistants Pharmacists

Alabama 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 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Arkansas NO 2N & 3N NO NO NO NO NO NO NO 3,3N,4,5 APRNs 3, 3N, 4, 5 3, 3N, 4 & 5 NO Line 1 Animal Administer, Order, Prescribe 2 Only Administer, Shelter Line 2 ET'S Prescribe 2 for for Hydrocodone Order Name administer Hydrocodone Products Prescribe 2 for / procure Products Only Hydrocodone with a Combination Collaborative Products Only Practice with a signed Agreement. May Protocol on file be extended to C2 and C2N drugs if in accordance with Arkansas Act 593

California NO NO NO NO 2N FOR Sodium 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 Pentobarbital Prescribe Only Prescribe, Prescribe Only Prescribe, Prescribe Only ONLY Dispense, for Hydrocodone, Dispense, Line 1 RVT Line 2 Administer Codeine, & Administer Shelter NOTE: 2 Requires Tramadol Only (3 administer / Continuing day Rx only) procure Education

Colorado 2, 2N, 3, 3N, 4, 5 2N & 3N Only Law NO NO NO NO NO NO NO Prescribe 2, 2N, 3, Prescribe Only 3, Prescribe & NO Line 1 AMB Line Enforcement or 3N, 4, 5 3N, 4, 5 Dispense 2, 2N, 2 DR's Name/ City Animal Shelter May Dispense & Prescribe 2 Only 3, 3N, 4, 5 Administer, administer / Administer for Hydrocodone Dispense and procure Samples Products Procure CRNA's/APN's may procure

Connecticut NO NO NO 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, Dispense, Dispense, Dispense, Administer, Administer Administer, procure procure

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STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Delaware NO NO 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

District of 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO 3N for NO 2, 2N, 3, 3N, 4, 5 NO 2, 2N, 3, 3N, 4, 5 NO Columbia Administer, Testosterone Prescribe Only Prescribe, Dispense and Only Prescribe, Dispense & Procure Administer & Procure Dispense,

Florida NO 2N, 3N, Sodium NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 3, 4 Administer, 2, 2N, 3, 3N, 4, 5 NO Pentobarbital & Prescribe, Prescribe only Prescribe, Sodium Administer & (APAP Administer & Pentobarbital Dispense only in W/Codeine & Dispense only in w/Lidocaine accordance with Tramadol) accordance with administer / state law Requires 20 hrs. state law procure CME

Georgia NO NO 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

Guam (TT) NO 2N & 3N NO NO 2N & 3N NO NO NO NO APRN's can NO 4 & 5 Only NO administer / administer Prescribe Prescribe, procure 2, 2N, 3, 3N, 4, 5 Dispense & Administer Hawaii 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 2.2n,3,3N,4,5 NO 3, 3N, 4 & 5 NO LINE 2 DR'S Administer & Prescribe, NAME Prescribe Dispense, Administer, Administer Dispense and May Write Procure Orders for Inpatients for 2-5

3 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Idaho 2, 2N, 3, 3N, 4, 5 2N, 3, 3N, 4 NO NO NO NO 2N, 3N, 4, 5 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, 5 Administer, Administer & Prescribe Only Prescribe, Prescribe, Prescribe per Administer, Dispense and Procure Only Administer & Administer & Board Prescribe & Procure 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.

Illinois NO 2N & 3N Line 1 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 Animal Shelter Only Prescribe, Prescribe 2 Only Prescribe, Line 2 ET'S Name per 225 ILCS Dispense & for Hydrocodone Dispense & administer / 15/14.3 (d) Administer Only Products Administer Only procure Prescribe 30 day Prescribe 30 day supply for supply for schedule 2 schedule 2

Indiana 2, 2N, 3, 3N, 4, 5 2N & 3N Sodium NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 4 Prescribe, 2, 2N, 3, 3N, 4, 5 NO Prescribe, Pentobarbital, Prescribe, Administer & Prescribe, Administer & Telazol, Ketamine Administer & Dispense Administer & Procure administer / Dispense, procure Tramadol Only Dispense, procure procure

Iowa NO 2, 2N, 3, 3N 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 administer / Prescribe Only Prescribe, Prescribe, NO 2 procure Administer & Administer & Depressants Dispense, procure Dispense Prescribe, administer, dispense, procure

Kansas 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO NO NO 2, 2N, 3, 3N, 2, 2N, 3, 3N, 4, 2, 2N, 3, 3N, 4, 5 NO Administer, 4, 5 5 Prescribe, Prescribe, Dispense and Prescribe, Administer & Administer & Procure Administer & Dispense Dispense, Dispense procure 4 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Kentucky NO 2N & 3N NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 3, 3N, 4, 5 NO NO Line 1 Animal Prescribe Only Prescribe 2 Only Shelter Line 2 ET'S for Hydrocodone Name administer Products / procure

Louisiana NO 2, 2N, 3, 3N 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 Administer, 5 Prescribe Only 2, 2N Prescribe & Prescribe, Prescribe, Order, Dispense & Dispense for Administer & Administer to Procure Attention Deficit the extent Line 1 Animal Disorder Only delegated by the Shelter Line 2 ET'S supervising Name physician

Maine 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

Maryland 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

Massachusetts NO NO NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 NO Under 2, 2N, 3, 3N, 4, 5 2,2N,3,3N,4, 5 Administer, Review Administer, Prescribe only Prescribe & Prescribe & Institutional Procure Only Procure Only pharmacist only, No Retail

Michigan 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 Minnesota 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

5 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Mississippi NO NO NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 2, 2N, 3, 3N, 4, 5 NO Prescribe, 4 & 5 Prescribe, Administer & Prescribe Administer & Dispense, procure Dispense, procure Missouri 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 3, 3N, 4, 5 APRNs 2, 2N, 3, 3N, 4, 5 3, 3N, 4, 5 NO Administer, Administer, Prescribe, Administer, Dispense and Dispense & Administer & Dispense & Procure 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)

Montana 2, 2N, 3, 3N, 4, 5 2N, 3N administer NO 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 Line 1 AMB Line / procure Administer Only Prescribe, Prescribe, 34 day Supply Administer, 2 Medical Administer & Administer & Only for Procure, Director Dispense, procure Dispense 2 & 2N Dispense & Administer, Prescribe Dispense and (Pharmacy Procure Practice Agreement) Nebraska 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO NO NO CNM's 2, 2N 72 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 NO Administer, Hour Supply, Prescribe, Prescribe Only Dispense and 3, 3N, 4, 5 Administer & Procure Prescribe Only Dispense

Nevada NO 2N 3N administer NO 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 / procure 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: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH New Hampshire NO NO NO NO NO NO NO 2N for ADHD NO 2, 2N, 3, 3N, 4, 3, 3N, 4 2, 2N, 3, 3N, 4, 5 NO stimulants 5 From Formulary Prescribe, Prescribe, 3, 3N, 4, 5 Prescribe, Dispense Dispense, Prescribe Only Dispense, Administer, Administer, Procure Procure

New Jersey NO 2N 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 Dispense & Prescribe Prescribe 2 Only Prescribe Procure for for Hydrocodone Sodium Products Pentobarbital New Mexico 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 3N Prescribe 3N for 2N & 3N NO 2-5 Psychotropic NO NO 2, 2N, 3, 3N, 4, 5 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 Administer, 5 Only Law Testosterone administer / Controlled (Testosterone) Prescribe, Prescribe Procure Administer & Dispense and Enforcement or Only procure Substance, Prescribe Procure Administer & & Dispense Prescribe Procure City Animal Shelter Prescribe Only & Dispense Dispense administer / ALSO CNM's Schedule 2 Only procure Prescribe Only 2, for Hydrocodone 2N, 3, 3N, 4, 5 Products

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

North Dakota NO NO NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 3 2, 2N, 3, 3N, 4, 5 NO APRN'S 2-5 Prescribe Prescribe, Administer & Dispense, procure

7 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Ohio 2, 2N, 3, 3N, 4, 2N, 3, 3N NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 2, 3, 4 2, 2N, 3, 3N, 4 , 5 2, 2N, 3, 3N, 4, 5 5Administer, administer / Administer and administer/ Administer and Administer, Dispense and procure Prescribe prescribe for Prescribe Prescribe and Procure Hydrocodone Dispense Products Oklahoma 2, 2N, 3, 3N, 4, 5 NO NO NO 2N, 3N NO NO NO NO 3, 3N, 4, 5 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 NO Line 2 DR'S Name administer / EXCEPT CRNA'S Prescribe 2 Only Prescribe & Administer, procure Administer Only, for Hydrocodone Administer Only Dispense and 2, 2N, 3, 3N, 4, 5 Products Procure

Oregon NO 2N 3N administer NO NO NO NO NO 2, 2N, 3, 3N, & 5 NO 2, 2N, 3, 3N, 4, 5 2, 3, 3N, 4 & 5 2, 2N, 3, 3N, 4, 5 NO / procure Prescribe,Dispens Prescribe, Analgesics Per Prescribe, e,administer,proc Administer & Formulary No Administer & ure Dispense, procure Ordering. 2- Dispense, 4 Only Per hydrocodone procure Formulary only

Pennsylvania NO NO NO NO NO NO NO NO NO 2, 2N - 30 Day 3, 4 and 5 Use of 2, 2N, 3, 3N, 4, 5 NO Supply, Drugs In Practice Special 3, 3N, 4, 5 90 Day Is Not To Exceed Addendum Supply Prescribe 6 Weeks Prescribe, Only Administer & Dispense, procure Puerto Rico NO 2N, 3N NO NO NO NO NO NO NO NO NO NO NO Administer, Procure Rhode Island NO NO NO NO NO NO NO NO NO CNM & NP 2, 2N, 3, 3N, 4 & 5 2, 2N, 3, 3N, 4, 5 NO 3, 3N, 4, 5, Prescribe Prescribe, CNS 2, 2N &4 Prescribe 2 Only Administer & Prescribe, for Hydrocodone Dispense, Administer & Products Procure Dispense, procure

South Carolina 2 , 3N, 4 2N, 3N, 4 NO NO NO NO NO NO NO 2- 5 Day Supply 3, 3N, 4 & 5 2, 2N, 3, 3N, 4, 5 NO Ketamine only Administer, 2N - 30 Day Supply Prescribe, Prescribe, for 3N Procure for 3, 3N, 4 & 5 Administer & Administer & Sodium Prescribe Only Dispense Dispense Pentobarbital Schedule 2 Only for Hydrocodone Products

8 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH South Dakota 2, 2N, 3, 3N, 4, 5 NO NO NO NO NO NO NO NO NP & CNM 2, 2N, 2, 2N, 3, 3N, 4, 5 2, 2N, 3, 3N, 4, 5 NO Administer, 3, 3N, 4, Prescribe only, Prescribe, Dispense and 5Prescribe, Schedule 2 Administer & Procure Administer & limited to 30 day Dispense, Dispense, procure supply procure

Tennessee 2, 2N, 3, 3N, 4, 5 2N FOR Sodium NO 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, 5 Line 1 AMB Line Pentobarbital Prescribe, Prescribe, Prescribe , Administer, 2 Medical administer / Dispense, Administer & Dispense & Prescribe & Director procure Administer, Dispense Procure Dispense Administer, Procure (pursuant to Dispense and collaborative Procure agreement with prescriber)

Texas 2, 2N, 3, 3N, 4,5 2N, 3N For NO NO NO NO NO NO NO 3, 3N, 4, 5 2 Administer 3, 3N, 4, 5 NO Administer, Sodium Prescribe & Only Prescribe & Dispense and Pentobarbital Administer 2, 2N* 3, 3N, 4, 5 Administer 2, Procure administer / Prescribing/ Prescribe & 2N* Prescribing/ procure Ordering. Administer Ordering. *Hospital / *Hospital / Hospice Only Hospice Only

Utah NO 2N, 3N Only Law NO NO NO NO NO 3N Administer & NO 2, 2N, 3, 3N, 4, 5 4 & 5 3 Prescribe 2, 2N, 3, 3N, 4 , 5 NO Enforcement or Prescribe Only Per Formulary & Administer Prescribe & City Animal Shelter Prescribe, Only No More Administer Only Administer & Than 72 Hours Line 2 DVM Name Dispense, procure Dose Prescribe administer / 2 Only for procure Hydrocodone Products

9 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH Vermont NO 2,2N/3N NO NO NO NO NO Prescribe 2, 2N*, NO 2, 2N, 3, 3N, 4, 5 3, 4, 5 2, 2N, 3, 3N, 4, 5 NO administer / 3, 3N, 4, 5 Prescribe, Prescribe RX from State procure Testosterone, Administer & Under review 2 Formulary Codeine, Codeine Dispense, procure and 2N combination products & Carisoprodol only. *Special Endorsement No Formulary

Virgin Islands NO NO NO NO NO NO NO NO NO 4, 5 Prescribe & NO 2, 2N, 3, 3N, 4, 5 NO Dispense Only Prescribe, Administer and Dispense Virginia 2, 2N, 3, 3N, 4,5 2N, 3N NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 3, 3N, 4 2, 2N, 3, 3N, 4, 5 NO Administer, administer / Prescribe, Analgesics Only Prescribe, Dispense and procure Administer & Prescribe & Administer & Procure Dispense, procure Administer 2 Dispense, Only for procure Hydrocodone (in combination w/acetaminophe n) Products

Washington NO 2N Sodium NO NO NO NO NO 3, 3N, 4, 5 NO 2, 2N, 3, 3N, 4 & 5 3, 3N, 4 & 5 Allopathic RX's 2, 2, 2N, 3, 3N, 4 & Pentobarbital Prescribe, Prescribe, Prescribe, 2N, 3, 3N, 4 & 5, 5 Prescribe Only administer / Administer, Administer & Administer & Osteopathic procure Dispense/ Dispense, procure Dispense RX 2, 2N, 3, 3N, 4 procure Prescribe 2 Only & 5 Prescribe, Testosterone and for Hydrocodone Administer & Codeine Only Combination Dispense, Products procure

10 of 11 MID LEVEL PRACTITIONERS - Controlled Substance Authority by Discipline within State Last Updated: 9/24/2021

STATE AMB AS CC DOM ET HMD MP ND NH NP OD PA RPH West Virginia 2, 2N, 3, 3N, 4,5 2N-Sodium NO NO NO NO NO NO NO 3, 3N, 4 & 5 3, 3N, 4, 5 3, 3N, 4 & 5 NO Administer, Pentobarbital only; Prescribe, Prescribe, Prescribe only Dispense and 3N-Telazol only; Administer & Administer & Procure Line 1 Shelter Dispense Dispense May name; Line 2 ET prescribe Name; administer hydrocodone and / procure hydrocodone containing drugs

Wisconsin 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 & NO administer / Prescribe, Prescribe, 5 Prescribe, procure Administer & Administer & Administer & Dispense, procure Dispense Dispense, 2 Only for procure hydrocodone products Wyoming NO 2N, 3N Only Law NO NO 2, 2N, 3, 3N, 4, & NO NO NO NO 2, 2N, 3, 3N, 4, 5 3, 3N, 4 & 5 2, 2N, 3, 3N, 4, NO Enforcement 5 Pentobarbital - Prescribe, Prescribe, 5 RX's ONLY Line 2 DVM Based Drugs Administer & Administer & administer / administer / Dispense, procure Dispense procure procure

CNMI - NO NO NO NO NO NO NO NO NO 2, 2N, 3, 3N, 4, 5 NO 3, 3N, 4, 5 Special NO Commonwealth Prescribe, Request for 2, 2N of the Northern Administer, Mariana Islands Dispense & Procure

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