North Carolina

Can an NP prescribe Klonopin in North Carolina?

Chris Turitzin
•
Updated
September 8, 2026

Yes — North Carolina NPs may prescribe Klonopin (clonazepam), a Schedule IV controlled substance,3 when prescribing is within the NP's population focus, education, national certification, and scope and is authorized by the collaborative practice agreement.12

The NP must have active North Carolina NP approval with prescriptive authority1 and DEA authority, and the primary supervising physician must have controlled-substance authority for schedules equal to or greater than the NP's DEA registration.2 For Klonopin, a key state-specific requirement is that Schedule IV prescribing must be addressed in the collaborative practice agreement and remain within the NP's approved scope and competence.12

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 members, household members, or intimate partners. The STOP Act Schedule II/III targeted opioid rules are not a general benzodiazepine limit.

Citations

  1. North Carolina Board of Nursing, Nurse Practitioner Scope of Practice.
  2. 21 NCAC 36 .0809(b)(2).
  3. DEA Controlled Substance Schedules; 21 C.F.R. §1308.14.
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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