Can an NP prescribe Tramadol in Pennsylvania?

Yes — Pennsylvania CRNPs may prescribe tramadol, a Schedule IV controlled substance,³ if they have current prescriptive authority approval, prescribe within their specialty, and have a physician prescriptive authority collaborative agreement that identifies Schedule IV authority.¹²

They also need DEA registration for controlled-substance prescribing and at least 45 hours of advanced pharmacology coursework for prescriptive authority approval.

For tramadol, the Schedule IV limit is up to a 90-day supply as identified in the collaborative agreement.² Pennsylvania PDMP duties also apply in specified controlled-substance prescribing situations, including first controlled-substance prescriptions for a patient and each opioid drug product prescription.⁴

CRNPs may not prescribe Schedule I controlled substances and may not delegate prescriptive authority.