FAQs
Can an NP prescribe Tirzepatide in North Carolina?
North Carolina
Nurse Practitioner Collaboration

Can an NP prescribe Tirzepatide in North Carolina?

Chris Turitzin
•
Updated
September 8, 2026

Yes — North Carolina NPs may prescribe tirzepatide when prescribing is within the NP's population focus, education, national certification, competence, and collaborative practice agreement.12Tirzepatide is not controlled, so controlled-substance DEA registration, CSRS review, and STOP Act opioid limits do not apply.

The NP must have active North Carolina NP approval with prescriptive authority, and the collaborative practice agreement must identify the applicable drug categories the NP may prescribe. The agreement also must describe the supervising physician's continuous availability for supervision, consultation, collaboration, referral, and evaluation.2

Citations

  1. North Carolina Board of Nursing, Nurse Practitioner Scope of Practice
  2. North Carolina Board of Nursing, Collaborative Practice Agreement FAQ; 21 NCAC 36 .0810
Chris Turitzin
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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Disclaimer: The regulatory research, summaries, and tools provided by Single Aim, LLC are for informational and educational purposes only and do not constitute legal advice. While we strive to ensure accuracy, healthcare laws vary by state and may change over time. You should always consult a licensed attorney familiar with healthcare regulations in your specific state before making decisions related to you clinical and operational needs for compliance. Single Aim is not a law firm and does not provide legal representation. Use of our materials does not create an attorney-client relationship.

Need legal guidance? We recommend contacting a licensed healthcare attorney in your state or using professional associations such as the American Health Law Association (AHLA) or your state’s medical or nursing board for referrals.