
In New Jersey, an NP can prescribe independently only if they qualify under the state’s 2026 independent practice provisions. Otherwise, an APN (NP) must have a physician joint protocol in place to prescribe medications and devices, including both non-controlled and controlled substances12.
If not independently authorized, prescribing requires a joint protocol that is written, signed by both the APN and collaborating physician, maintained at each practice site, updated as practice changes, and reviewed at least annually34. APNs who qualify for independent practice effective March 30, 2026 may practice and prescribe without a joint protocol, subject to specified eligibility criteria2.
Within scope, APNs are authorized to prescribe or order medications and devices and to manage patient care consistent with practice needs and the APN’s role5. APNs who do not meet independent eligibility must continue to comply with joint protocol requirements for all prescribing1.