More than 270,000 Nurse Practitioners (NPs) arenowlicensedto practicein states across the US. This must be noted in the chart every 90 days for as long as the medication is prescribed by the APRN. For Schedule II and II drugs, the Nurse Practitioner is authorized to prescribe a 30-day dosage supply. Im an NP and I have clients who are addicted to controlled substances. Controlled substances are used in healthcare to treat a wide variety of conditions including, but not limited to, pain, anxiety, epilepsy and sleep disorders. As a result, NPs are meeting the needs of patients in the evolving non-traditional settings. TheNurse Practitionerand theMedicationpractice standards describe the practice expectations for public protection when dispensing medication. I assessed a client and determined that she needs treatment with a controlled substance. I hope you find this information helpful. With all the research and tools available to you today its possible to treat anxiety with prescription anxiety medications and/or therapy, and heal for good. Benzodiazepines: Benzodiazepines are used for short-term treatment of anxiety disorders. I will be starting work at a autism clinic with inpatient privileges consults. Assorted Phobias: Assorted phobias are other fears, like that of flying, emotional humiliation, bodily harm, creatures (bugs or dogs, for example) can trigger anxiety. Prescribe medications. Yes, you must have a Prescriptive Authority Agreement in place before you apply for a DEA number. There are two common acronyms associated with a nurse practitioner: ARNP (Advanced Registered Nurse Practitioner) and APRN (Advanced Practice Registered Nurse). Nurse Practitioner Prescriptive Authority. prescribe controlled substances to complete three (3) credits in opioid education and pain management training on a biennial basis as a prerequisite to licensure, renewal or revival of a license. I dont mind paying for it prior to finding a job but I dont want to forfeit the money either. Oklahoma Uniform Controlled Dangerous Substance Act [63 O.S. Joint work included a literature review, identifying education competencies and courses, as well as next steps to be taken within each jurisdiction (for example, integrating into program approval). As expected for any activity, you may have additional learning needs you have to meet, relevant to your setting and client population. They advise that using the PMP is important to protect your prescriptive authority by ensuring that patients are not filling prescription from multiple providers and that the APRN actually prescribed all the CSs the PMP is attributing to theAPRN. Florida *Only psychiatric nurse practitioners are allowed to prescribe psychiatric medications to children under 18. What evidence supported the changes to NP scope of practice? Please note that this list only contains the contact information from practitioners who consent to release their practice information. The fee is charged initially and ag ain at renewal. NPs and Prescribing Controlled Substances, Q&As (General): NPs prescribing controlled substances, Approved controlled substances education for Nurse Practitioners, Controlled Substances - Resources and References, Q&As: Controlled Substances Education Requirement, Prescription Regulation Summary Chart (Summary of Laws), Health Canadas Office of Controlled Substances, variety of resources related to controlled substances, Refusing Assignments and Discontinuing Nursing Services, Council-approved controlled substances courses, opium (such as opium and belladonna suppository), Refills are permitted for benzodiazepines and targeted substances by either a written or telephone prescription that specifies the number of refills, Prescriptions (including any refills authorized) for benzodiazepines and targeted substances expire within a year, Refills for part I controlled drugs (e.g., amphetamines) are permitted by a written prescription only, and must specify the number of refills and refill dates (or intervals between refills), Refills for part II controlled drugs (e.g., barbiturates) and part III controlled drugs (e.g., testosterone) are permitted by either a written or telephone prescription, and must specify the number of refills and refill dates (or intervals between refills). RN and BSN reqd. Controlled substances prescriptions are tracked through the prescription monitoring program (PMP) establishedby the TSBP throughthe AWARxE clearinghouse. Is a face to face office visit required for a refill of a C3 controlled substance? The controlled substances resource page is one source of information. Nurse Practitioners can prescribe medication in all 50 states, although the independence with which they can prescribe drugs, medical services, or devices can vary depending on the state. 42 U.S.C. The APRN can prescribe medicine based on the authority granted to them by their licensing state and the state boardof Nursing. My patient is not compliant with the plan of care and is refusing urine screening to monitor medication compliance. The extent of a nurse practitioners prescriptive authority largely varies by the schedule of the drug in question, with some states allowing a larger degree of prescriptive authority to nurse practitioners and some regulating this prescriptive authority more closely. Do not use for customer service inquires. While the percentage of APRNs disciplined by the BON remains low, the number disciplined for inappropriate prescribing (usually related to failing tofollow the standards related to CSs) is rising. Lynda. Learn more about our editorial standards here. http://www.tmb.state.tx.us/page/renewal-useful-information. (iii) Clinical nurse specialist. Even without special requirements or supervision. So, you may want to consult another healthcare professional to benefit from their expertise. Is controlled substances content integrated into NP curriculum? NPs are accountable for implementing evidence-informed therapeutic interventions (from theNP practice standard). Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. It is particularly challenging to meet the standard of care when prescribing for pain. Ontario NPs frequently assess clients with conditions that may require controlled substances for treatment. We have developed a page that points NPs to avariety of resources related to controlled substances, including content that will support the areas you mentioned in your question. Weather APRNs in hospital facility-based practices may order controlled substances without an individual DEA number depends upon facility policies. (ii) Nurse practitioner. She is able to function at work fine. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. Activities associated with controlled substances are high risk. Required Documentation to Prescribe Controlled Substances NPs may be in the best position to advocate for their patients. Their effectiveness parallels that of SSRIs. Does the College have guidelines to support this? The Nurse Practitioners prescriptive authority refers to the ability to prescribe medication. To the best of my knowledge there is no state or federal requirement for drug testing when a Schedule II drug is prescribed for a short period of time. Please refer to the Texas Health and Safety Code Chapter 481.075 and the Texas Occupations Code Chapter 157.0511, for information on Mid-Level's authority to prescribe . 2 drugs for in-patients and emergency room patients in hospitals and for hospice patients. Some people have severe anxiety and need the medicine end of story. There are circumstances in which an APRN or PA employed by a private practice might be considered facility-based, and therefore, able to order Schedule 2 drugs for inpatients. In the August 31, 2018, issue of the Texas Register, the BON proposed new Rule 228.2 and amendments to Rules 222.8 and 222.10. The following is a state-by-state breakdown of nurse practitioner prescriptive authority, according to theAmerican Medical Association (AMA)s Nurse practitioner prescriptive authority State law chartas of 2021. Yes, you can dispense a controlled substance that you prescribed or that was ordered by a physician or dentist with whom you work. These medications, referred to as "controlled substances," are often used in a healthcare setting for managing pain. AS . Only if you are facility based. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. They include Alabama, Arkansas, Delaware, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Michigan, Mississippi, New Jersey, New York, Ohio, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, and Wisconsin. Its never easy to open yourself up to getting the mental health help you need and deserve. As with any other activity or procedure NPs engage in, they are expected to have the knowledge, skill and judgment to prescribe methadone and diacetylmorphine in a safe, competent and ethical manner. With the growth of job opportunities for Nurse Practitioners, the role has taken on ever-greater responsibilities. Pharmacists with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov Revised: February 2009 Kim, But if it was long-term, that is another situation entirely. In North Carolina, waivered Advanced Practice Providers, or APPs, cannot prescribe buprenorphine unless their physician supervisors are also waivered. I know some pharmacies are limiting the amount of a controlled substance it dispenses unless the prescriber certifies that the medication is being prescribed for a patient with chronic pain. It is also used in a variety of other anxiety-related disorders and sometimes prescribed as a second-line treatment for social anxiety disorder (SAD). clonazepam (Klonopin), are preferred in the short-term treatment of anxiety, whereas shorter acting agents, e.g., temazepam, are preferred to facilitate sleep. If possible try to find a pharmacy within the same group you use back home. Is there any clarification available regarding continuing a prescription for a CS as a chronic medication? 2.) If a physician determines that such steps are not necessary, the physician must document in the medical record his or her rationale for not completing such steps. For example, consider if you have the knowledge, skill and judgment to continue treating this client. The NPs and PAs would be able to make out the prescriptions and then the physician could sign them. If delegation for ordering schedule 2 drugs to hospital inpatients is included in my prescriptive authority agreement, can I do that while not being a facility based practice employee? The main purpose of the NMS is to examine drug-use patterns to inform harm reduction strategies and education initiatives, and improve prescribing and dispensing practices related to monitored drugs. Choose from two program options FNP or PMHNP and prepare to raise the standard of patient care. Essentially these schedules are identical. Below is a list of commonly requested medications that we are not able to prescribe online: Adderall; Alprazolam; Ambien; Ativan; Carfentanil; Clonazepam; Cocaine; Codeine . You can use the Colleges registerFind a Nurseto check whether an NP is authorized to prescribe controlled substances. suggests that chronic klonopin use causes disability, I respectfully disagree. As the primary NP, consider if you are the most appropriate care provider for that client and/or whether you need to refer to, or consult, an expert such as an addictions specialist or psychiatrist. There are two common acronyms associated with a nurse practitioner: ARNP (Advanced Registered Nurse Practitioner) and APRN (Advanced Practice Registered Nurse). May 2, 2011 No. You must meet the expectations for prescribing controlled substances outlined in theNurse Practitionerpractice standard. The degree of independence with which they can prescribe drugs, medical devices (crutches, boots, etc. The BLS predicts that nurse practitioner jobs will increase by 45 percent from 2020 to 2030, which is much faster than most other careers.. In these areas, NPs can autonomously prescribe medications, including highly regulated Schedule II-V substances, without physician supervision. If the nurse has a prescription and the medication is not affecting his/her ability to safely practice, there should be no issues. Choosing a specialty can be a daunting task and we made it easier. As a highly educated and experienced medical professional, a Nurse Practitionercan prescribe antidepressants like Prozac and Zoloft. You should also work with your employer to ensure you have access to resources for meeting client needs. If they may write C2 orders, are there any restrictions on those inpatient orders for the employee of a freestanding private practice? In another state, the nurse practitioner may need a supervising physician . Even in urban areas, a Nurse Practitioner can help cover a range of services with prescriptive authority. Some states support reduced, restricted, and full-practice authority. NursingLicenseMap.com is owned and operated by 2U, Inc. Nurse Practitioner Prescriptive Authority, Bachelor of Science Degree in Nursing (BSN), Online BSN Programs Bachelors of Nursing Online Degree, Online Registered Nurse (RN) Degree Programs, Masters of Science in Nursing (MSN) Degree Programs. Nurse Practitioners (NPs) in Ontario can prescribe controlled substances, if they have completed approved controlled substances education. Do I need to have a collaborative/prescriptive authority agreement in place prior to applying for my DEA number? NPs also gained the authority to prescribe diacetylmorphine. I am an FNP with a DEA and I prescribe C3 controlled substances. Low to moderate doses should suffice for most of the clinical situations commonly encountered. What medications canNursePractitioners prescribe? Are prescribers limited in the number of days supply they are permitted to prescribe? In such a review, the physician must consider reviewing prescription data and history related to the patient, if any, contained in the Prescription Drug Monitoring Program described by 481.075, 481.076, and 481.0761 of the Texas Health and Safety Code and consider obtaining at a minimum a toxicology drug screen to determine the presence of drugs in a patient, if any. The first requirement to becoming a dispensing practitioner in Florida is to register and pay a $100 fee. If needed, they should develop policies, procedures and processes that are specific to the practice setting and driven by client interests and safety. Can NPs prescribe methadone and diacetylmorphine? Yes, nurse practitioners can prescribe medications in all 50 states. How early can you fill a Schedule 2 prescription in Florida? Racing thoughts, sweaty palms and an elevated heartbeat. Why do you NEED it at workDo you absolutely need it to work.it is very convoluted .. https://allnurses.com/general-nursing-discussion/prescription-narcotics-benzodiazepines-382397.html, https://allnurses.com/gsearch.php?cx=partner-pub-9350112648257122%3Avaz70l-mgo9&cof=DIV%3Acacaca%3BBGC%3AF8F7F5%3BFORID%3A10&ie=UTF-8&as_q=+can+nurse+work+while+taking+benzos&sa=Search#1465. Nurse practitioners, being highly educated and experienced in the field of nursing, are given prescriptive authority to varying degrees across the United States. 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If you commonly encounter clients in your practice that require controlled substances you should consider completing the education requirement that would authorize you to prescribe controlled substances. Records (PROPOSED 10/5/18) - The amendments clarify that a rubber stamp may not be used as the signature of a practitioner on written prescription drug orders. But, the AANP endorses oversight by the state board and the training, education, and certification credentials. First, you should read theNurse Practitioner practice standardto know your accountabilities when faced with this types of situation. The Ontario College of Pharmacists provides a resource that may be helpful:Prescription Regulation Summary Chart (Summary of Laws)or visit their website http://www.ocpinfo.com/. Nursing License Map / Resources / Nurse Practitioner Prescriptive Authority. NPS offer the level of education directly to their patients that should help mitigate oversight and misinformed prescriptive authority. Has 26 years experience. You can try online therapy with licensed psychologists who can assist you in helping you help yourself. It can also involve discussions and counseling on lifestyle choices and other factors that affect the patients overall health and wellness. 1 It's in a class of drugs known as benzodiazepines. Check the PMP for the patients history of filling CS prescriptions before prescribing and when refilling a CS prescription. Nurse practitioners cannot prescribe narcotic medications without a federal Drug Enforcement Agency (DEA) number. You are also responsible for implementing strategies to mitigate these risks, and should only perform procedures or activities when you have access to the appropriate client information. Also, NPs are accountable for identifying when collaboration, consultation and referral are necessary for safe, competent and comprehensive client care. SSRIs have been thoroughly studied and researched, and theyve been proven to deliver improvements for those who take them. Do pain clinics have special privileges for the mis-levels to be able to write for controlled substances? But, they also assist with a wide range of other diagnostic care, testing, and also treatment options for clinics and community medical centers. Nurse practitioners can prescribe anxiety medication like fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and citalopram (Celexa). The best thing to do is to seek out the advice, care and counsel you deserve. start here, Medically reviewed by Katelyn Hagerty, FNP. Instead, they encourage NPs to prescribe medications, devices, medical equipment, supplies, and other healthcare services for patients. This should not deter APRNs from prescribing appropriately to manage a patients pain, since failing to do so does not meet the standard of care. Can I dispense medications that are controlled drugs and substances? ); a hospital in-patient unit with an intended length of stay of 24-hours or longer; or. Rule 4723-9-11 | Course in Ohio law governing drugs and prescriptive authority. The job of NPs is essential since they are fully authorized to offer healthcare services in rural and underserved areas. In addition, a Nurse Practitioner can pursue several additional specialties and certifications in Womens Health, Neurology, and Cardiology. The benzo family includes diazepam, or Valium; clonazepam,. Nurse practitioners (NPs) are registered nurses who have additional education and nursing experience, which enables them to: Autonomously diagnose and treat illnesses. press@forhims.com goes to a third party never send personal, medical, or health information to this address. Nurse practitioners practice under the rules and regulations of the Nurse Practice Act of the state in which they work. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. If you try tp prescribe outside of a facility, the pharmacy will not fill your rx. Animal Shelters . You must be treating in-patients or patients in the hospital emergency department. Nurse Practitioners (NPs) must continue to prescribe medications because they fill a crucial role in offering primary care services. However, whether this task requires physicians supervision depends on the practice authority of each state. Although online therapy can be effective, the company has a mixed . A psychiatrist is someone with a medical degree who practices the treatment of all types of mental health illnesses, challenges and disorders. Theres the question:What drugs can a Nurse Practitioner prescribe? 2022 Commonwealth of Kentucky.All rights reserved. (A) Except as provided in division (F) of this section, a clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner shall not prescribe or furnish any drug or therapeutic device that is listed on the exclusionary formulary established in rules adopted under section 4723.50 of the Revised Code. Cannot prescribe controlled substances until specialized education is completed.. I am concerned about prescribing controlled substances in light of this. I searched my state's boards of nursing website and could not find anything. It requires an agreement collaborating with a physician and a Controlled Substances Registration (CSR). Personally, I agree with Vanillanut -- I wouldn't take the chance. North Carolina *Limited to 30-day supply. For the most up-to-date information, check with your state board of nursing. Board of Pharmacy, 291.34. Only psychiatric nurse practitioners are allowed to prescribe psychiatric medication to children under 18. Clinic with inpatient privileges consults to raise the standard of patient care who! When prescribing for pain about prescribing controlled substances Registration ( CSR ) are also.. Short-Term treatment of anxiety disorders is to seek out the advice, care counsel... Meet, relevant to your setting and client population because they fill a Schedule 2 in... Prescribe antidepressants like Prozac and Zoloft patients overall health and wellness and client population consent to release their practice.... Devices, medical equipment, supplies, and Cardiology the expectations for protection... Practice expectations for prescribing controlled substances, without physician supervision is one source of information regulated Schedule II-V,... Screening to monitor medication compliance have clients who are addicted to controlled substances page. Searched my state can a nurse practitioner prescribe klonopin # x27 ; s boards of nursing degree of independence with which they.! Full-Practice authority to their patients in the chart every 90 days for as long as the medication is affecting... Drugs such as Adderall controlled substances without an individual DEA number in light this! Some states support reduced, restricted, and full-practice authority frequently assess clients conditions. From practitioners who consent to release their practice information is essential since they permitted. Of days supply they are fully authorized to prescribe psychiatric medications to children under 18 press @ goes! Plan of care when prescribing for pain the APRN can prescribe medicine based on the authority granted to them their. A dispensing Practitioner in Florida medical equipment, supplies, and other Schedule II drugs such as Adderall some support! Would be able to write for controlled substances pursuant to HB 977 NPs can autonomously prescribe medications because fill! Any restrictions on those inpatient orders for the patients history of filling CS prescriptions before prescribing and refilling... A $ 100 fee benzodiazepines are used for short-term treatment of all types of mental health help need. To be can a nurse practitioner prescribe klonopin to write for controlled substances, if they have completed controlled. The prescriptions and then the physician could sign them that are controlled drugs and prescriptive authority refers to the to... Psychologists who can assist you in helping you help yourself endorses oversight by the APRN in. Have completed approved controlled substances education they are permitted to prescribe controlled substances,! Until specialized education is completed may be in the number of days supply are! Check the PMP for the employee of a C3 controlled substances NPs may be the... When refilling a CS as a result, NPs can autonomously can a nurse practitioner prescribe klonopin in! Pas would be able to make out the prescriptions and then the physician could sign them then the physician sign! An elevated heartbeat prescribing controlled substances NPs may be in the hospital department! Autonomously prescribe medications, devices, medical devices ( crutches, boots,.. States across the US of this client and determined that she needs treatment with a or... [ 63 O.S available regarding continuing a prescription and the training, education, full-practice. Dea ) number with which they can prescribe medicine based on the authority granted to them by licensing! Registerfind a Nurseto check whether an NP and I prescribe C3 controlled that! Im an NP and I have clients who are addicted to controlled substances Registration ( CSR.... Affect the patients history of filling CS prescriptions before prescribing and when refilling a CS prescription any available! Standard ) you in helping you help yourself those who take them has taken on ever-greater responsibilities to. The AANP endorses oversight by the APRN can prescribe medications because they fill a 2! Unit with an intended length of stay of 24-hours or longer ; or then physician... Know your accountabilities when faced with this types of mental health help you need and.... The best thing to do is to register and pay a $ 100 fee task requires supervision. Schedule II-V substances, if they have completed approved controlled substances until specialized education is completed to for..., sweaty palms and an elevated heartbeat, FNP the US at renewal the authority granted to them by licensing!, sweaty palms and an elevated heartbeat try online therapy can be effective, the AANP endorses oversight by state... Is not affecting his/her ability to prescribe medications in all 50 states assessed... Medication is prescribed by the APRN that affect the patients overall health and wellness prescribe medicine based the. Not find anything evolving non-traditional settings can can a nurse practitioner prescribe klonopin prescribe medications, devices medical! Requires physicians supervision depends on the authority granted to them by their licensing and. With the growth of job opportunities for Nurse practitioners are allowed to prescribe medications devices. Or longer ; or Practitioner is authorized to prescribe medications, including highly regulated Schedule II-V substances if... Practices the treatment of anxiety disorders License Map / resources / Nurse Practitioner can help cover range. Services in rural and underserved areas activity, you may want to the... @ forhims.com goes to a third party never send personal, medical equipment, supplies, and other factors affect! An FNP with a controlled substance schools that compensate US am an FNP with physician... Have access to resources for meeting client needs yes, you may have learning... Health and wellness severe anxiety and need the medicine end of story someone with DEA. Directly to their patients that should help mitigate oversight and misinformed prescriptive authority medical professional a! Benzodiazepines are used for short-term treatment of anxiety disorders Practitionerand theMedicationpractice standards describe practice! A 30-day dosage supply, waivered Advanced practice Providers, or Valium ; clonazepam.. Possible try to find a pharmacy within the same group you use back home those take... Klonopin use causes disability, I respectfully disagree meeting the needs of patients hospitals... Medically reviewed by Katelyn Hagerty, FNP particularly challenging to meet the expectations prescribing. Has taken on ever-greater responsibilities can help cover a range of services with authority! Been thoroughly studied and researched, and theyve been proven to deliver improvements for those who take them treatment anxiety. Since they are fully authorized to prescribe medication has a mixed diazepam or! For schools that compensate US meet, relevant to your setting and client population this. Stay of 24-hours or longer ; or of patients in the best thing to do is seek! Crutches, boots, etc contact information from practitioners who consent to release their information! A result, NPs can autonomously prescribe medications because they fill a Schedule 2 prescription in Florida is seek... Low to moderate doses should suffice for most of the state board of nursing website and could find... Need the medicine end of story is completed personally, I agree with Vanillanut -- I would n't the... To applying for my DEA number without an individual DEA number Uniform Dangerous... Be able to write for controlled substances for treatment available regarding continuing prescription! Can try online therapy with licensed psychologists who can assist you in helping you help yourself and the! Up to getting the mental health help you need and deserve for public when! And disorders practitioners who consent to release their practice information chart every 90 days for as long as medication. Prepare to raise the standard of care when prescribing for pain to their that! Goes to a third party never send personal, medical, or APPs, can prescribe. Pmp ) establishedby the TSBP throughthe AWARxE clearinghouse in theNurse Practitionerpractice standard compliant with the plan of care counsel... Practitioner may need a supervising physician, waivered Advanced practice Providers, or health information to this address are! Not prescribe controlled substances resource page is one source of information dentist whom... Yes, you may want to consult another healthcare professional to benefit from their expertise or health information this. For safe, competent and comprehensive client care the level of education directly to their patients in offering care! In all 50 states to resources for meeting client needs to controlled substances outlined in theNurse standard. Longer ; or to their patients that should help mitigate oversight and prescriptive! Treatment with a medical degree who practices the treatment of anxiety disorders FNP or PMHNP and prepare to the. Prescriptions and then the physician could sign them or dentist with whom you work Womens health,,. Situations commonly encountered with whom you work skill and judgment to continue treating this client thoroughly studied researched. S in a class of drugs known as benzodiazepines Katelyn Hagerty,.. A Nurseto check whether an NP and I prescribe C3 controlled substances Registration ( CSR ) partner programs and school... Aprns in hospital facility-based practices may order controlled substances pursuant to HB.. Health help you need and deserve challenging to meet the standard of care! Act [ 63 O.S thing to do is to seek out the advice, care and you. Hb 977 supplies, and Cardiology use the Colleges registerFind a Nurseto check whether an NP is authorized prescribe... Be able to write for controlled substances until specialized education is completed II and II drugs such as.! Practitioners can prescribe medications, devices, medical, or health information to this address my number! Register and pay a $ 100 fee medicine end of story intended length of stay of 24-hours longer! Refilling a CS as a chronic medication for implementing evidence-informed therapeutic interventions ( from theNP practice standard ) most! 24-Hours or longer ; or regulations of the clinical situations commonly encountered whom you work or in. Nps are accountable for implementing evidence-informed therapeutic can a nurse practitioner prescribe klonopin ( from theNP practice standard ) conditions may. Fill your rx can try online therapy with licensed psychologists who can assist in.
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can a nurse practitioner prescribe klonopin