Can an NP prescribe Schedule 2 in Ohio?

Q: Can an NP prescribe Schedule 2 in Ohio?

In Ohio, nurse practitioners can prescribe Schedule II controlled substances only under very narrow conditions. Ohio law permits APRNs to prescribe Schedules III–V, and allows Schedule II prescribing only if specific criteria are met. An NP may issue a Schedule II prescription only when the patient has a terminal condition, a physician initially prescribed the medication, and the amount is limited to a single 72-hour supply. An APRN’s prescriptive authority may not exceed that of the collaborating physician. The required standard care arrangement must also address the use of Schedule II controlled substances and include quality assurance provisions for prescribing, with periodic chart review that covers Schedule II prescribing at least annually by the collaborating physician.

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In Ohio, nurse practitioners can prescribe Schedule II controlled substances only under very narrow conditions. Ohio law permits APRNs to prescribe Schedules III–V, and allows Schedule II prescribing only if specific criteria are met¹. An NP may issue a Schedule II prescription only when the patient has a terminal condition, a physician initially prescribed the medication, and the amount is limited to a single 72-hour supply².

An APRN’s prescriptive authority may not exceed that of the collaborating physician³. The required standard care arrangement must also address the use of Schedule II controlled substances and include quality assurance provisions for prescribing, with periodic chart review that covers Schedule II prescribing at least annually by the collaborating physician⁴⁵.

Can an NP prescribe Schedule 2 in Ohio?

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