Can an NP prescribe Vyvanse in North Carolina?

Yes — North Carolina nurse practitioners may prescribe Vyvanse (lisdexamfetamine), a Schedule II stimulant, when the prescription is within the NP's population focus, education, national certification, competence, and approved scope and is authorized by the collaborative practice agreement.¹²³

For Vyvanse, the NP must have active North Carolina NP approval with prescriptive authority,¹ the collaborative practice agreement must establish Schedule II stimulant authority, and the NP must have DEA authority; the primary supervising physician must have controlled-substance authority equal to or greater than the NP's DEA registration.² STOP Act opioid provisions for targeted controlled substances generally do not apply to ADHD stimulants.⁴ 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.