New York

Can a New York NP prescribe controlled substances without supervision?

Chris Turitzin
Updated
March 6, 2026

A New York NP can prescribe controlled substances without direct supervision in some cases. After 3,600 practice hours, an NP is not required to work under a written collaborative practice agreement or protocols and may practice independently while maintaining collaborative relationships1. To prescribe controlled substances, the NP must obtain a DEA registration and New York State official prescription form authorization from the Department of Health’s Bureau of Narcotics Administration2, and this authority covers Schedules II–V3.

For NPs with fewer than 3,600 hours, prescribing must occur under a written practice agreement and practice protocols with a collaborating physician, and prescriptions must be issued in accordance with those documents4. Regardless of hours, NPs must also complete instruction in New York and federal prescribing laws and recordkeeping as part of prescriptive authority requirements5.

Citations

  1. New York Education Law §6902(3)(b)
  2. New York State Education Department, Prescription Privileges (https://www.op.nysed.gov/professions/nurse-practitioners/practice-issues/prescription-privileges)
  3. American Medical Association, Advocacy Resource Center: State Law Chart: Nurse Practitioner Prescriptive Authority (https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/specialty%20group/arc/ama-chart-np-prescriptive-authority.pdf)
  4. New York Education Law §6902(3)(a)(ii)
  5. 8 NYCRR §64.4(d)
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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