What schedule drugs can an NP prescribe in Ohio?

In Ohio, a nurse practitioner may prescribe certain schedule drugs: Schedule III–V controlled substances generally, and Schedule II only under narrow conditions. Schedule II prescriptions are permitted only when the patient has a terminal condition, a physician initially prescribed the drug, and the NP’s prescription is limited to a single 72-hour supply¹.

An NP’s prescriptive authority cannot exceed that of the collaborating physician². The required standard care arrangement must outline prescribing parameters and include provisions for any Schedule II use, opioid prescribing to minors, and obtaining/reviewing OARRS reports³.

Additional safeguards apply to opioids. Ohio law imposes special requirements for opioid prescribing and for opioid analgesics to minors⁴. To prescribe any controlled substances, the NP must hold a DEA registration number⁵.