Can an NP prescribe Suboxone in Pennsylvania?

Yes — Pennsylvania CRNPs may prescribe Suboxone (buprenorphine/naloxone), a Schedule III medication, when they have current prescriptive authority approval, including the required 45 hours of advanced pharmacology coursework, prescribe within their specialty under a physician prescriptive authority collaborative agreement, and the agreement identifies Schedule III authority.¹²³

For Schedule III or IV controlled substances, Pennsylvania limits CRNP prescriptions to up to a 90-day supply as identified in the collaborative agreement.² Federal law no longer requires a DATA 2000/X-waiver or patient-limit framework for buprenorphine, but the practitioner must have current DEA registration including Schedule III authority and satisfy applicable DEA registration training requirements.⁴ Pennsylvania PDMP query duties also apply when required, including for opioid drug product prescriptions.

This answer concerns office-based buprenorphine prescribing; telehealth prescribing requires a separate federal and state analysis. Pennsylvania CRNP rules reserve methadone treatment orders to physicians.⁵