HOW TO Obtain 

Complete Prescriptive Authority “RxA”

RX Washington.gov

http://www.rx.wa.gov

Frequently Asked Questions

http://www.rx.wa.gov/faq.shtml

Renewal Information

Licensing Information:
 https://fortress.wa.gov/doh/hpqa1/hps6/Nursing/licensure.htm
Forms
https://fortress.wa.gov/doh/hpqa1/hps6/Nursing/forms.htm

1.   Overview:

There are 2 basic components to obtaining complete prescriptive authority (“RxA”):  
1) DEA Number.
2) Application for ARNP and Prescriptive Authority
The key players in processing your RxA are the Drug Enforcement Administration (DEA) whose local offices is in Seattle and Washington State Department of Health (DOH) staff:
Drug Enforcement Administration (DEA)
Regional office is here in Seattle
Edie Chelius, and her staff:
206-553-5443  1-888-219-1418)
Washington State Department of Health (DOH) staff:
If you do not already have a DEA #, you apply for one; if you already have a DEA # for Schedule V, you write DEA and ask them to add Schedules II-IV.  You apply to DOH for RxA, Schedules II-IV

The Details of How To…

2.     Getting and upgrading your DEA Number :

1st time applications are always sent to DEA’s national headquarters, at this address: DEA, Central Station, PO Box 28083, Washington, DC, 20038-8083
The Local DEA will be the agency to do the final processing for all NPs who have a DEA #; but they are still awaiting the final go-ahead from national, which is expected in October, 2001.
If you already have a DEA # for Schedule V, write to DEA  In your letter, give them your ARNP license number, your DEA number (it will not change), ask them to add schedules II-IV, and sign the letter.  
Drug Enforcement Administration
(attention: registration)
400 2nd Avenue West
Seattle, WA, 98119
If you do not have a DEA #, get one by calling DEA’s local number at 206-553-5443 or 1-888-219-1418, tell them (likely by voice mail) that you are an ARNP seeking complete prescriptive authority, and ask them to send you an application for a DEA number.
Or, go to the recently revised DEA website (www.deadiversion.usdoj.gov) where you can process your application: Or: DEA Form
As a “midlevel practitioner;” go to Drug registration
http://www.deadiversion.usdoj.gov/drugreg/index.html 
Registration applications:
http://www.deadiversion.usdoj.gov/drugreg/reg_apps/index.html
Interactive version
http://www.deadiversion.usdoj.gov/drugreg/reg_apps/224_active.htm
Forms:
http://www.deadiversion.usdoj.gov/drugreg/reg_apps/224form3.pdf
Print it, sign it, and snail mail it to the national DEA address (above, and on the application form)
http://www.deadiversion.usdoj.gov/drugreg/process.htm
It will cost you $210 and will be good for 3 years.
Any 1st-time request for a DEA # is sent to DEA national headquarters in Washington, DC. 

Fill out the “Application for ARNP and Prescriptive Authority”

 Be sure to check the box on the top line of the application “Request for Schedules II-IV.”
Send your completed application with a check for (payable to the Department of Health) to:
Washington Nursing Commission (attention ARNP desk)
P.O. Box 1099
Olympia, WA , 98507-1099

For questions, call 360-236-4708 or email Terry West or Valerie Zandell at the above email addresses or by clicking on the “Contact Staff” button on their website.

Enjoy your complete RxA.
With RxA, you have greater independence and stronger legal standing for prescribing II-IV medications.  As mama said, greater authority means a higher level of responsibility, and in our business, that also means liability.
 Though it goes without saying, please be careful, please be safe.  Our clients deserve no less

Renewal Information

RN Renewal is every year
WA NP Renewal is every two years
Prescribing Agreement Renewal is every two years with NP Renewal
DEA Number Renewal is every three years.
Renewals are automatic, and you will receive forms and reminders in plenty of time to renew.
DEA:
http://www.deadiversion.usdoj.gov/drugreg/faq.htm
Renewal Licenses
Per the DEA, renewal applications are mailed out automatically to the registered location 60 days prior to the expiration date. If the renewal application is lost or missing, contact the DEA Registration Call Center for assistance.
This means that in some years you will be renewing the DEA number and not your NP license.
http://www.deadiversion.usdoj.gov/offices_n_dirs/fielddiv/seattle.htm
http://www.deadiversion.usdoj.gov
Midlevel Authorization By State
http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html
Site Index DEA
http://www.deadiversion.usdoj.gov/site.htm
The DEA website is  http://www.deadiversion.usdoj.gov/  If you are wondering what drugs are in what Schedules and why, you might find of interest a pathway on the DEA website under “drug registration” (“mid-level practitioners authorization by state” > “mid-level practitioners table description”) which takes you to an explanatory summary chart.  But to get your DEA #, use the phone.
http://www.deadiversion.usdoj.gov/offices_n_dirs/fielddiv/seattle.htm
Governor Christine Gregoire signing our bill, HB 1479, on Wednesday, April 13th. This bill removes the Joint Practice Agreement (JPA) for Schedule II-IV drugs for WA ARNPs. 

ndividuals in this photo:
L to R:
1. Assistant to Nick #5
2. Heather Bradford, CNM, ARNP (co-chair of ARNP's United of WA Legislative Committee)
3. Rep. Dawn Morrell (nurse and lead sponsor of the bill in the House)
4. Marty Couret, FNP, ARNP (co-chair of ARNP's United Legislative Committee)
5. Nick Federici, lobbyist for ARNPs United
6. Ann Darlington, CNM, ARNP (ARNPs United Board member)
7. Governor Christine Gregoire (seated)
8. Rep. Eileen Cody (nurse)
9. Susan Caverly, Psych NP, ARNP (in black) (President of ARNPs United)
10. Tammy Warnke (in yellow), lobbyist for ARNPs United
11. CJ (in the  back, partly blocked) board member of WA State Nurses Association)
12. Senator Alex Deccio
13. Donna Poole, Psych NP, ARNP (Leg Chair of WA chapter of AAPPN - Association of Advanced Practice Psychiatric Nurses)
14. Anne Tan Piazza, Gov Affairs with WA State Nurses Association
 
Not pictured - Senator Pat Thibideau, lead sponsor of bill in the Senate