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Prescribing Laws & Regulations by State


OPIOID PRESCRIBING information regulations GUIDELINES by state

State Prescribing Guidelines 


A Health Care Professional's Toolbox to Reverse the Opioid Epidemic

Officials Announce Plan Opioid Crisis

Opioids in Alabama


Alaska State Opioid Prescribing Policy Guide

Alaska Opioid Task Force

ASHNHA Opioid Crisis: State & Nationwide


Arizona Clinical Opioid Guidelines & References

Arizona Medical Association Opioid Prescribing Safety

Opioid Prescribing Regulations:
Link to Statutes
Link to Rules  

2018 Arizona Opioid Act 

Prescribing Information 


  • Current limit: Five-day initial limit
  • First policy: Gov. Doug Ducey (R) signed an executive order on October 24, 2016, that set opioid prescription limits for anyone insured under the state's Medicaid program or the state's employee insurance plan. The order limits the first fill prescription of opioids for adults to seven days. No opioid prescriptions are permitted for children unless they have cancer, a chronic disease, or suffer a traumatic injury.[10] "This is a preventive step, and one we hope that employers and insurance companies will follow our lead to address the scourge of addiction on the front end," said Gov. Ducey on the executive order.[10]
  • Second policy: On January 26, 2018, Gov. Doug Ducey (R) signed Senate Bill 1001, known as the Arizona Opioid Epidemic Act. The legislation limited the first fill prescription of adults to five days and aligned state dosage levels with federal guidelines; invested $10 million to assist in improving access to treatment; expanded law enforcement's access to Naloxone, a drug used to reverse overdoses; enacted continuing medical education for opioid prescribers; and required e-prescribing, among other provisions. The legislation passed unanimously in the Arizona State Legislature.[11]


Arkansas Senate Bill 717

ASMB Proposes New Rules

Arkansas Medical Society: Professional Resources, Prescription Drug Abuse

Arkansas Emergency Department Opioid Prescribing Guidelines


California Medical Board Prescribing Guidelines in Pain

California DPH Guidance Letter

California DPH Introduction to Prescribing Guidelines Comparison

California DPH Resource for Opioid Prescribers


Colorado Policy for Prescribing and Dispensing Opioids

Opioid Prescribing Call To Action

Pain Management Resources and Opioid Use


Connecticut Opioid Abuse Laws

Connecticut State Medical Society Opioid Resources

Backgrounder: Medicaid & Opioids


Delaware Prescribing Rules

MSD: Opioid Abuse and Prescribing

Opioid Addiction Resources


Florida State Opioid Prescribing Guidelines

Florida Counterfeit Proof Prescription Pad Vendors FAQ

Florida's Opioid Crisis


Georgia Pain Management Rules

Medical Association of Georgia Six Point Platform

Georgia's Opioid Epidemic and Ways to Get Help


Hawaii Board of Medical Examiners Pain Management Guidelines

Hawaii Emergency Department Opioid Prescribing Guidelines

The-Hawaii-Opioid-Initiative, A Statewide Response


Idaho Board of Medicine Use of Opioid Analgesics in Treatment of Chronic Pain

Idaho Board of Medicine Opioid & Controlled Substance Prescribing Resources

Idaho's Response to the Opioid Crisis: Impact on Physicians and Other Prescribers


Illinois Controlled Substance Act

Illinois State Medical Society Opioid Resources

Illinois Opioid Action Plan


Indiana State Medical Association Opioid Prescribing Controlled Substances

Indiana Overdose Prevention Resources

Indiana General Assembly Senate Bill 226: Prescribing and Dispensing of Opioids


Iowa Medical Board Regulations Pain Management

Iowa Medical Society Opioid Resources

Iowa Pharmacy Board E-prescribing Controlled Substances


Kansas Joint Policy Statement: Use of Controlled Substances for the Treatment of Pain

Kansas HB 2217: Standards Governing The Use and Administration of Emergency Opioid Antagonists


Kentucky Professional Standards for Prescribing and Dispensing Controlled Substances

Kentucky Prescribing Substance Abuse Screening & Treatment Resources

2018 Kentucky Legislative Initiatives


Louisiana Opioid Prescription Policy Update

Louisiana Short Acting Opioid Prescription Policy Update

Louisiana Department of Health: Opioid Fact Sheet


Maine Opioid Prescription Requirements

Maine Medical Association Opioid Law Q&A

What you Need to Know About Maine's New Opioid Prescribing Law


Maryland Opioid Prescribing Guidance & Policy

Maryland Board of Physicians Opioid Prescribing Guidance

Overdose Prevention in Maryland

Maryland Medicaid Opioid Prescribing Guidance & Policy


Massachusetts Law About Prescription Medication

Commonwealth of Massachusetts Department of Industrial Accidents Workers Compensation Opioid & Controlled Substance Protocol

The Massachusetts Opioid Epidemic

Massachusetts Medical Society Opioid Therapy & Physician Communication Guidelines


Michigan Opioid Laws & FAQs

Michigan Department of Health & Human Services - Opioid Treatment Resources

State of Michigan SB 274

Michigan State Medical Society - Reversing the Opioid Epidemic


Minnesota Medical Association Prescription Opioid Task Force

Minnesota Opioid Prescribing Rules

Minnesota Opioid Prescribing Improvement Program

Minnesota State Targeted Response to the Opioid Crisis


Mississippi Medical Board Regulations

Mississippi Opioid Prescribing Rules

Summary of Proposed Regulation Changes to 2640

How Does Mississippi's Response To Excessive Opioid Prescribing Compare To Other States


Missouri Guidelines for the Use of Controlled Substances for the Treatment of Pain

Controlled Substance Guidelines for EMS

Missouri Controlled Substance Guidelines for Practitioners


Montana Guidelines for the Use of Controlled Substances for the Treatment of Pain

Reducing Prescription Misuse, Abuse and Diversion in Montana

Montana Prescribing and Dispensing Profile


Nebraska Pain Management Guidance Document

Nebraska Opioid Prescribing Resource

Nebraska Drug Overdose Prevention Homepage


Nevada Assembly Bill 474

Nevada Resources for Prescribing Controlled Substances

Nevada Prescription Drug Abuse Prevention 


New Hampshire Opioid Prescribing

New Hampshire Medical Society Opioid Prescribing Resources

New Hampshire Prescribing Opioids for Pain Management


New Jersey Prescribing for Pain Opioid Law

Controlled Dangerous Substances and Special Consideration for Managing Acute and Chronic Pain

New Jersey Opioid Abuse Prevention


New Mexico Guidelines on Prescribing Opioids for Treatment of Pain

Review of CDC Guidelines

Prescription Drug Misuse and Overdose Prevention and Pain Management Advisory Council


New York Prescribing and Dispensing Controlled Substances

New York State Laws Governing Opioids and Controlled Substances

NY: Limited Initial Opioid Prescribing


North Carolina Strengthen Opioid Misuse Prevention Act

North Carolina Medical Board Professional Resources Responsible Opioid Prescribing

North Carolina Policy for the use of Opioids For the Treatment of Pain

The STOP Act Summary


North Dakota Medical Board Opioid Abuse Prevention a Review of Best Practice Approaches

North Dakota Prescribing and Dispensing Profile

Preventing Prescription Drug Opioid Abuse

Addressing Opioid Drug Abuse in North Dakota


Ohio Mental Health and Addiction Services Opioid Prescribing Guidelines

State Board of Ohio Opioid Prescribing Resources

Ohio State Board of Pharmacy New Requirements for Opioid Prescriptions


Oklahoma Opioid Prescribing Guidelines

Oklahoma Medical Board Use of Controlled Substances for Pain

Oklahoma Prescribing and Dispensing Guidelines


Oregon Opioid Prescribing Guidelines

Oregon Medical Association Practice Help Center Opioid Epidemic

OHSU Guideline for Safe Chronic Opioid Therapy for Patients with Chronic Non-Cancer Pain

Oregon Pain Guidance Provider and Community Resource: Opioid Prescribing Guidelines


Pennsylvania Department of Health Opioid Prescribing Guidelines

Pennsylvania Medical Society Tools You Can Use Opioids

Pennsylvania's New Opioid Laws And How They Impact Physicians


Rules and Regulations for Pain Management, Opioid Use and the Registration of Distributors of Controlled Substances in Rhode Island

State of Rhode Island Department of Health Safe Opioid Prescribing

State of Rhode Island Department of Health Existing Opioid Regulations


Revised Pain Management Guidelines South Carolina State Boards of Dentistry, Medical Examiners, Nursing and Pharmacy 2017

South Carolina Department of Health Opioid Resources

South Carolina State Board of Medical Examiners: Pain Management Guidelines

South Carolina Department of Health and Environmental Control New Schedules for Controlled Substances


South Dakota Controlled Substance Registration for Practitioners

SD Statewide Response to the Opioid Crisis

South Dakota Department of Health Prescription Opioid Abuse Prevention Initiative

The Journal of the South Dakota Medical Association: Addressing the Challenges of Prescribing Controlled Drugs


Tennessee Laws & Policies

Tennessee Chronic Pain Guidelines

Tennessee Pain Clinic Rules

Tennessee Pain Clinic Guidelines

Tennessee Medical Association Member Resource Center


Texas Medical Board Minimum Requirements for the Treatment of Chronic Pain

Texas Medical Association House of Delegates: Responsible Opioid Prescribing for Pain Management

Texas Medical Board Pain Management Clinic Registration

Texas State Board of Pharmacy: Information Regarding Controlled Substances


Utah Clinical Guidelines on Prescribing Opioids for Treatment of Pain

Utah Medical Association: Controlled Substances: Education for the Prescriber

Utah Department of Health, Violence & Injury Prevention Program: Prescription Opioid Deaths


Vermont Department of Health: Regulations For Opioid Prescribing for Pain

Vermont Department of Health, Vermont Medical Society Opioid and VPMS Rules Summary

Vermont Medical Society: Opiate Prescribing & Substance Use Disorder Information


Virginia Regulations Governing Prescribing of Opioids and Buprenorphine

Dear Prescriber Letter from the VA Department of Health Professionals

Medical Society of Virginia: Mandatory Prescribing Regulations for Treating Pain and Addiction


Washington State ESHB 1427

Interagency Guidelines on Prescribing Opioids for Pain: Developed by the Washington State Agency Medical Directors’ Group (AMDG)

Washington State Department of Health: Pain Management Resources


West Virginia Board of Medicine Management of Pain Act

Substance Abuse in West Virginia: The Road Forward

Best Practices for Prescribing Opioids in West Virginia

A Guide to State Opioid Prescribing Policy: West Virginia


Wisconsin Medical Examining Board Opioid Prescribing Guidelines

Wisconsin Department of Health Services Provider Resources: Opioids

Wisconsin State Legislature 961.385 Prescription Drug Monitoring Program

Wisconsin Medical Society: Opioid Prescribing Principles


Wyoming Controlled Substances Act/Rule 2017 & WORx

Wyoming State Board of Pharmacy: Controlled Substance Registration

Workers' Compensation Division Treatment Guidelines for Chronic Non-Malignant Pain

Wyoming Department of Health: Opioid Abuse Data and Resources


DC Emergency Department Opioid Prescribing Guidelines

The DC Center for Rational Prescribing

The District of Columbia Prescribing and Dispensing Profile

The District of Columbia Department of Health: Getting Patients Off of Opioids

More Resources: 

State Prescribing Laws  - NCSL

Opioid Regulations by State -- Athena  Health 

State Policies

The section below is current as of October 26, 2018. 

State Prescribing Guidelines & Regulations