Can an NP prescribe Testosterone in North Carolina?

Yes — North Carolina NPs may prescribe testosterone when the prescribing is within the NP’s population focus, education, national certification, scope, and competence, the collaborative practice agreement identifies Schedule III authority and applicable hormone-therapy prescribing, the NP has DEA authority, and the supervising physician has at least equivalent controlled-substance authority.¹² Testosterone is a Schedule III anabolic steroid.³

For Schedule III testosterone, the NP must have North Carolina NP approval with controlled-substance prescriptive authority, DEA authority, and a primary supervising physician with controlled-substance schedules equal to or greater than the NP’s DEA registration.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 targeted opioid rules do not apply to non-opioid Schedule III testosterone.