Kentucky Laws

Requirements for Licensure and Operations of Medications for Opioid Use Disorder Treatment

Question:

What practitioners are authorized to prescribe medications for opioid use disorder?

Answer:
  • Physicians
  • Nurse practitioners
  • Physician assistants
This answer is derived from 4 section of law
Citation:
  • citation 1: see full citation
    Full Text see full law
  • citation 2: see full citation
    (10) (a) Before an advanced practice registered nurse engages in the prescribing of Schedules II through V controlled substances as authorized by KRS 314.011(8), the advanced practice registered nurse shall enter into a written “Collaborative Agreement for the Advanced Practice Registered Nurse’s Prescriptive Authority for Controlled Substances” (CAPA-CS) with a physician licensed in Kentucky that defines the scope of the prescriptive authority for controlled substances.(b) The advanced practice registered nurse shall notify the Kentucky Board of Nursing of the existence of the CAPA-CS and the name of the collaborating physician and shall, upon request, furnish to the board or its staff a copy of the completed CAPA-CS. The Kentucky Board of Nursing shall notify the Kentucky Board of Medical Licensure that a CAPA-CS exists and furnish the collaborating physician’s name.(c) The CAPA-CS shall be in writing and signed by both the advanced practice registered nurse and the collaborating physician. A copy of the completed collaborative agreement shall be available at each site where the advanced practice registered nurse is providing patient care.(d) The CAPA-CS shall describe the arrangement for collaboration and communication between the advanced practice registered nurse and the collaborating physician regarding the prescribing of controlled substances by the advanced practice registered nurse.(e) The advanced practice registered nurse who is prescribing controlled substances and the collaborating physician shall be qualified in the same or a similar specialty.(f) The CAPA-CS is not intended to be a substitute for the exercise of professional judgment by the advanced practice registered nurse or by the collaborating physician.(g) Before engaging in the prescribing of controlled substances, the advanced practice registered nurse shall:1. Have been licensed to practice as an advanced practice registered nurse for one (1) year with the Kentucky Board of Nursing; or2. Be nationally certified as an advanced practice registered nurse and be registered, certified, or licensed in good standing as an advanced practice registered nurse in another state for one (1) year prior to applying for licensure by endorsement in Kentucky.(h) Prior to prescribing controlled substances, the advanced practice registered nurse shall obtain a Controlled Substance Registration Certificate through the U.S. Drug Enforcement Agency.(i) The CAPA-CS shall be reviewed and signed by both the advanced practice registered nurse and the collaborating physician and may be rescinded by either party upon written notice to the other party and the Kentucky Board of Nursing.(j) The CAPA-CS shall state the limits on controlled substances which may be prescribed by the advanced practice registered nurse, as agreed to by the advanced practice registered nurse and the collaborating physician. The limits so imposed may be more stringent than either the schedule limits on controlled substances established in KRS 314.011(8) or the limits imposed in regulations promulgated by the Kentucky Board of Nursing thereunder. see full law
  • citation 3: see full citation
    (5)(a) A physician assistant who has been approved by the board pursuant to paragraph (b) of this subsection, may prescribe and administer Schedules III, IV, and V controlled substances, as described in KRS Chapter 218A, to the extent delegated by the supervising physician and as permitted under paragraphs (c), (d), and (e) of this subsection.(b) Before a physician assistant engages in prescribing or administering controlled substances, the physician assistant shall:1. Have at least one (1) year of experience as a licensed and practicing physician assistant;2. Submit to the board a completed application for prescriptive authority for controlled substances signed by the physician assistant’s supervising physician in accordance with KRS 311.856;3. Receive from the board, or its executive director, a notice that the application for prescriptive authority has been approved; and4. Obtain a Controlled Substance Registration Certificate through the United States Drug Enforcement Administration and register with the electronic system for monitoring controlled substances established in KRS 218A.202 and any other applicable state controlled substance regulatory authority.(c) Prescriptions issued by a physician assistant for Schedule III controlled substances, as described in KRS 218A.060 and 218A.080, shall be limited to a thirty (30) day supply without any refill.(d) Prescriptions issued by a physician assistant for Schedule IV or V controlled substances, as described in KRS 218A.100 and 218A.120, shall be limited to the original prescription and refills not to exceed a six (6) month supply.(e) Notwithstanding paragraph (d) of this subsection, prescriptions issued by a physician assistant for benzodiazepines or Carisoprodol shall be limited to a thirty (30) day supply without any refill. see full law
  • citation 4: see full citation
    (4) A physician assistant may prescribe and administer all nonscheduled legend drugs and medical devices to the extent delegated by the supervising physician. A physician assistant who is delegated prescribing authority may request, receive, sign for, and distribute professional samples of nonscheduled legend drugs to patients. see full law