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Updates on Prescribing Controlled Substances

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. 


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:,, or contact the Texas Prescription Monitoring Program at (512) 305-8050 or email:


ACTION ALERT – Register with Prescription Monitoring Program

Texas Prescription Monitoring Program (PMP) registration is strongly encouraged for any physician and physician assistant who is prescribing controlled substances. The PMP can be 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.

Beginning March 1, 2020 – prescribers will be required to check a patient’s PMP history before prescribing opioids, benzodiazepines, barbituates, and carisprodol. Exceptions are provided for cancer patients and those in hospice care. (HB 3284)

Please know, as required by HB 2561, the Medical Board is providing licensee contact information to the Texas State Board of Pharmacy, the agency which administers the PMP, for the purposes of pre-registering prescribers for the program. The Texas State Board of Pharmacy has begun to contact prescribers, by e-mail, with a link to register with PMP.

Click here  for more information about PMP. Registration FAQs are available here

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  The DEA will verify temporary licenses with assigned delegation for registration of a DEA CSR directly with board staff.

Information for Prescribers


Use this link for important information regarding the use and abuse of certain drugs as required by Senate Bill 144


    Effective September 1, 2008, all prescriptions for Schedule II-V controlled substances must contain the information below to be considered valid and, subsequently, filled:

    • quantity of the substance prescribed (written as both a number and as a word)
    • date of issue (cannot be postdated)
    • name, address, and date of birth or age of patient
    • name and strength of the controlled substance prescribed
    • directions for the use of the controlled substance
    • intended use of the substance prescribed unless the practitioner determines the furnishing of this information is not in the best interest of the patient
    • printed or stamped name, address, Federal Drug Enforcement Administrations (DEA) registration number, and telephone number of the practitioner’s usual place of business
    • the signature of the prescribing practitioner, unless the prescription is called into the pharmacy