Which professionals can prescribe Schedule 2 substances?

The ability to prescribe Schedule 2 substances is typically associated with healthcare professionals who have received specific training and have the authorization to handle controlled substances. In many jurisdictions, only physicians—including medical doctors (MDs) and doctors of osteopathic medicine (DOs)—are granted the license to prescribe Schedule 2 drugs directly and without restriction due to the high potential for abuse and the strict regulations governing these substances.

Physicians hold extensive medical training and education, which equips them with the necessary knowledge to assess patients, diagnose conditions, and determine suitable treatments involving powerful medications. As a result, they can manage the complexities involved in prescribing medications that have a higher risk of dependence or abuse, making them the primary providers authorized to issue prescriptions for Schedule 2 substances.

Although nurse practitioners, physician assistants, and other midlevel practitioners may have certain prescribing capabilities, including for other controlled substances, their ability to prescribe Schedule 2 substances is usually subject to specific state regulations and may require additional oversight or collaboration with a supervising physician.