Can an NP prescribe Schedule 2 in Virginia?

Yes. In Virginia, nurse practitioners can prescribe Schedule II controlled substances when authorized in their practice agreement or through Boards-approved autonomous practice. State law expressly allows APRNs to prescribe controlled substances from Schedules II through IV within the parameters set by their practice agreement or autonomous practice authorization¹.

The practice agreement, jointly developed with the patient care team physician, must describe the APRN’s prescriptive authority and identify which controlled substances the APRN may or may not prescribe; it may also restrict prescriptive authority¹². APRNs may qualify for autonomous practice upon meeting experience and attestation requirements approved by the Boards, and when authorized, may prescribe Schedules II–IV consistent with their training and scope³¹.