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PRESCRIBING CONTROLLED SUBSTANCES IN OHIO

Drug Enforcement Agency (DEA) registration is required for anyone who prescribes Constrolled Substances. 

Drug Enforcement Agency (DEA) Registration

  • žAfter the CTP has been issued, APRN may apply online to the DEA at www.deadiversion.usdoj.gov

  • Registration is valid for 3 years

  • žOhio law allows for NP prescription of schedule II-V controlled substances.

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    žThe APN may prescribe a schedule II controlled substance, but shall not exceed the prescriptive authority of the collaborating physician or podiatrist.

      ORC 4723.481 & 3719.06

Schedule II

žSubstances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence.

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žExamples of Schedule II narcotics include: hydromorphone (Dilaudid®), methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®, Percocet®), and fentanyl (Sublimaze®, Duragesic®).  Other Schedule II narcotics include: morphine, opium, and codeine.

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žExamples of Schedule II stimulants include: amphetamine (Dexedrine®, Adderall®), methamphetamine (Desoxyn®), and methylphenidate (Ritalin®).

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žOther Schedule II substances include: amobarbital, glutethimide, and pentobarbital

 

Substitute Senate Bill 83 (SB 83), which became law on June 8, 2012, expanded the scope of schedule II prescribing for Advanced Practice Nurses (APNs) who hold a certificate to prescribe (CTP), or certificate to prescribe externship (CTP-E).  The Board of Nursing adopted rules, effective November 5, 2012, implementing the requirements of SB 83 related to continuing education for CTP holders, and the advanced pharmacology course of instruction for applicants, related to schedule II controlled substances. 

 

Substitute Senate Bill 83 (SB 83), which became law on June 8, 2012, expanded the scope of schedule II prescribing for Advanced Practice Nurses (APNs) who hold a certificate to prescribe (CTP), or certificate to prescribe externship (CTP-E).  The Board of Nursing adopted rules, effective November 5, 2012, implementing the requirements of SB 83 related to continuing education for CTP holders, and the advanced pharmacology course of instruction for applicants, related to schedule II controlled substances. 

 

As of June 8, 2012, a CTP or CTP-E holder who is practicing in a location specified in the bill is no longer subject to the 24-hour supply restrictions in the pre-existing law governing an APN's authority to prescribe schedule II controlled substances. However, CTP and CTP-E holders who are not practicing in one of the specified locations must follow the restrictions:

žprescribing of schedule II controlled substances is limited to a 24- hour emergency supply of medications,

prescribing to terminally ill patients with respect to whom the collaborating physician has previously prescribed the medication.

 

The locations specified in law are as follows:

 

(1) A hospital registered with the Department of Health;

(2) An entity owned or controlled, in whole or in part, by a hospital or by an entity that owns or controls, in whole or in part, one or more hospitals;

(3) A health care facility operated by the Department of Mental Health or the Department of Developmental Disabilities;

(4) A nursing home licensed by the Department of Health or a political subdivision;

(5) A county home or district home that is certified under the Medicare or Medicaid program;

(6) A hospice care program;

(7) A community mental health facility;

 

Locations continued:

 

(8) An ambulatory surgical facility;

(9) A freestanding birthing center;

(10) A federally qualified health center;

(11) A federally qualified health center look-alike;

(12) A health care office or facility operated by a board of health or an authority having the duties of a board of health;

(13) A site where a medical practice is operated, but only if the practice is comprised of one or more physicians who are also owners of the practice, the practice is organized to provide direct patient care, and the APN providing services at the site has a standard care arrangement and collaborates with at least one of the physician owners who practices primarily at that site.

 

CTP or CTP-E holders are prohibited from prescribing a schedule II controlled substance from a convenience care clinic even if the clinic is owned or operated by an entity specified in the list above, with the exception of prescriptions limited to a 24-hour supply as set forth in pre-existing law.

 

 

 

Prescribing Controlled Substances

 

žNo controlled substance shall be personally furnished to any patient.

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žEach written prescription shall be properly executed, dated, and signed by the prescriber on the day when issued and shall bear the full name and address of the person for whom the controlled substance is prescribed and the full name, address, and registry number under the federal drug abuse control laws of the prescriber.

    ORC 3719.06

 

Continuing Education for Schedule IIž

Section 4723.482, ORC, requires that a course of study in Advanced Pharmacology be “planned classroom and clinical instruction”, not independent study. The six-hours in schedule II controlled substances was added by SB 83 to the Advanced Pharmacology course. It must be part of planned classroom instruction rather than independent study.

 

žThe CE course must meet the Board’s requirements for continuing education, as specified in Rule 4723-14-05 (A), OAC. (For details, go to the Board website at www.nursing.ohio.gov and click on Law and Rules.) 

 

žA list of OBN Approvers is located on the Board web site (click on Continuing Education). The Board itself will not provide this CE.

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