Advanced practice nurses with full authorization to practice and prescriptive authority must comply with the following requirements prior to authorizing or issuing a prescription for controlled substances:
The advanced practice nurse must submit an application for a controlled substances registration to the Texas Department of Public Safety (TX DPS). Applications may be obtained by calling (512) 424-7293 or by submitting a query through the web form at: https://www.txdps.state.tx.us/RegulatoryServices/narcotics/narccsr.htm. You must have a prescriptive authority number that has been issued by the Texas Board of Nursing before you may submit the controlled substance registration form. After the controlled substances permit has been issued, the advanced practice nurse may apply for a DEA registration number. DEA applications may be obtained via the DEA's web site at http://www.deadiversion.usdoj.gov/. You may also call your local DEA office. Phone numbers can be found on http://www.usdoj.gov/dea/agency/domestic.htm.
The BON can provide interested advanced practice nurses with applications and information regarding prescriptive authority only. The applications for TX DPS and DEA registration must be obtained from the appropriate resource as indicated above.
§222.5. Prescriptions for Dangerous Drugs.
Advanced practice nurses with full or provisional authorization to practice and valid prescription authorization numbers are eligible to carry out or sign prescription drugs orders for dangerous drugs in accordance with the standards and requirements set forth in this chapter.
§222.6. Prescriptions for Controlled Substances.
(a) Advanced practice nurses with full authorization to practice and valid prescription authorization numbers are eligible to prescribe certain categories of controlled substances. Graduate advanced practice nurses who hold provisional authorization to practice shall not authorize or issue prescriptions for controlled substances until they have been issued full authorization to practice by the board.
(b) Advanced practice nurses with full authorization to practice and valid prescription authorization numbers who authorize or issue prescriptions for controlled substances shall:
(1) Limit prescriptions for controlled substances to those listed in Schedules III, IV, or V as established by the commissioner of public health under Chapter 481, Health and Safety Code (Texas Controlled Substances Act);
(2) Issue prescriptions for a period not to exceed 30 days;
(3) Not authorize the refill of a prescription for a controlled substance prior to consultation with the delegating physician and notation of the consultation in the patient's chart; and
(4) Not authorize the prescription of a controlled substance for a child less than two years of age prior to consultation with the delegating physician and notation of the consultation in the patient's chart.
(c) All other standards and requirements as set forth in this chapter relating to carrying out or signing prescription drug orders by advanced practice nurses must be met. In addition, advanced practice nurses with full authorization to practice and valid prescription authorization numbers must comply with all federal, state and local laws and regulations relating to the prescribing of controlled substances, including but not limited to, requirements set forth by the Texas Department of Public Safety and the Drug Enforcement Administration.