Physicians and Physician Assistants (PAs) who prescribe or will be prescribing controlled substances in the State of Texas need to be aware of changes to the laws regarding prescribing and ordering these drugs.
Controlled Substance Electronic Prescribing Requirement
Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropriate agency.
Information on the E-prescribing requirements and wavier process is available here.
ACTION ALERT – Register with Prescription Monitoring Program - Mandatory Checks Started March 1, 2020
The Texas Prescription Monitoring Program (PMP) is used to verify a practitioner’s own records and prescribing history as well as inquiring about patients. In addition, the program may be used to generate and disseminate information regarding prescription trends.
Prescribers are required to check a patient’s PMP history before prescribing opioids, benzodiazepines, barbiturates, and carisoprodol with some exceptions. (HB 3284)
Please read the TMB's PMP FAQs for more guidance regarding the mandatory PMP checks required by HB 3284 86(R) and HB 2561 85(R):
Prescription Pad Orders -
EFFECTIVE September 1, 2018:
Official prescription forms will have a new look with extra security features to protect you as a practitioner.
EFFECTIVE June 1, 2019:
ALL official prescription forms ordered prior to September 1, 2018 will no longer be valid.
For further questions, please go to the Texas State Board of Pharmacy website: https://www.pharmacy.texas.gov/files_pdf/5CII_PrescriptionFormFAQ.pdf, https://www.pharmacy.texas.gov/CIIforms.asp, or contact the Texas Prescription Monitoring Program at (512) 305-8050 or email: Texaspmp@pharmacy.texas.gov
Texas Controlled Substances Registration Numbers for Physicians and PAs
Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated on September 1, 2016. DPS has stopped accepting applications for the Texas Controlled Substances Registration under Chapter 481.061 of the Health and Safety Code.
The DPS CSR registration process will not be replaced by another process. Physicians and PAs will continue to be required to hold registration from the U.S. Drug Enforcement Administration in order to prescribe controlled substances and to register prescriptive delegation for Physician Assistants and Advanced Practice Nurses with the Texas Medical Board.
Physician Assistants with Temporary Licenses pending Medical Board approval will still be required to file a Prescriptive Delegation Form with the Registrations Department of the Medical Board. To request a form, please email Registrations@tmb.state.tx.us. The DEA will verify temporary licenses with assigned delegation for registration of a DEA CSR directly with board staff.
Use this link for important information regarding the use and abuse of certain drugs as required by Senate Bill 144 http://www.tsbp.state.tx.us/sb144.htm