Can an NP prescribe Codeine in Pennsylvania?

This answer needs verification — Pennsylvania CRNP prescribing authority for codeine cannot be summarized as a publishable yes/no answer until Schedule V authority is reconciled. Codeine’s DEA schedule varies by formulation and dosage, so a given codeine product may be treated differently under Pennsylvania controlled-substance schedules.³

Pennsylvania authority is clear for CRNP prescriptions for Schedule II drugs up to a 30-day supply, and Schedule III or IV drugs up to a 90-day supply, when that authority is identified in the physician collaborative agreement.¹ But the project source matrix flags Pennsylvania Schedule V CRNP authority for final verification, which matters for codeine formulations that may not fall within the clear Schedule II–IV rules.²

Before this FAQ is published, confirm the applicable codeine formulation and Pennsylvania Schedule V CRNP authority; any controlled-substance prescription would also require current Pennsylvania CRNP prescriptive authority approval, prescribing within the CRNP's specialty, and DEA registration. Pennsylvania PDMP duties may also apply because PDMP guidance requires a query each time an opioid drug product is prescribed.⁴