Can an NP prescribe Adderall in North Carolina?

Yes, in North Carolina — nurse practitioners may prescribe Adderall (amphetamine/dextroamphetamine), a Schedule II stimulant, when the prescription is within the NP’s population focus, education, national certification, competence, and scope, and the collaborative practice agreement authorizes it, the NP has DEA authority, and the primary supervising physician has controlled-substance authority equal to or greater than the NP’s DEA registration.¹²⁴

NPs must have active North Carolina NP approval with prescriptive authority; that approval includes authority to prescribe legend drugs and controlled substances in Schedules II–V when consistent with the NP’s education, national certification, and scope.¹ For controlled substances, the collaborative practice agreement must identify the drugs and devices the NP may prescribe; the NP must have a DEA number, and the primary supervising physician must hold controlled-substance authority equal to or greater than the NP’s DEA registration.²³

Controlled-substance prescriptions must include the NP’s DEA number and be documented in the patient record. North Carolina NPs may not prescribe controlled substances for themselves, their supervising physician, immediate family or household members, or anyone with whom they have a physical, sexual, or emotionally intimate relationship. The STOP Act targeted-controlled-substance opioid rules generally do not apply to Schedule II ADHD stimulants such as Adderall.⁵