DEA Number for Illinois and New York physicians

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MedicineMan99

Family Medicine Attending (DO)
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So I am a resident and just got my permanent NY and IL license. Now I need to apply for my own DEA number.

I have a few question:

1) Is a DEA number a federal number that is the same in any state? If not, do I need a different DEA number for IL and NY?

2) Is the application process the same for both IL and NY? For instance, IL sent me a "Controlled Substance" license in addition to my physician license. NY, however, only sent me a physician license.

3) Do all prescription pads I use have to be ordered directly from IL or NY?

Thank you!!!

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So I am a resident and just got my permanent NY and IL license. Now I need to apply for my own DEA number.

I have a few question:

1) Is a DEA number a federal number that is the same in any state? If not, do I need a different DEA number for IL and NY?

The DEA is a federally issued license and covers you in all states.

2) Is the application process the same for both IL and NY? For instance, IL sent me a "Controlled Substance" license in addition to my physician license. NY, however, only sent me a physician license.

Some states require a Controlled Substance license in addition to your medical license and DEA. NJ does as well. Every state will have their own application and requirements.

3) Do all prescription pads I use have to be ordered directly from IL or NY?

Thank you!!!

No. With the advent of EMRs, you'll probably print out most of your scripts directly from the EMR but its a good idea to have some backup paper ones. You order these from vendors (ie. rxpads.com), not the state.
 
My DEA numbers are different in each state I am licensed. I have to use the DEA of the state I am in when I prescribe a narcotic for it to be valid. It is federally issued, however, in IL you have to have (and provide to the DEA) the state controlled substance license # before you get your IL DEA # issued. The DEA knows which states require the "extra" license beforehand.
 
My DEA numbers are different in each state I am licensed. I have to use the DEA of the state I am in when I prescribe a narcotic for it to be valid. It is federally issued, however, in IL you have to have (and provide to the DEA) the state controlled substance license # before you get your IL DEA # issued. The DEA knows which states require the "extra" license beforehand.

Interesting. I have 3 state licenses, one of which requires the CDS, but my DEA # is the same in all 3 states.

State dependent. If I want to prescribe Schedule II drugs, I need to get forms from Texas.
Hence, I don't prescribe any of them.

Thanks to both of you for the schooling.
 
The DEA changed the rules in 2007 to make providers have separate #s for every state. Providers who got their DEA licenses prior to that must have gotten grandfathered in.
 
The DEA changed the rules in 2007 to make providers have separate #s for every state. Providers who got their DEA licenses prior to that must have gotten grandfathered in.

Ah...I see.

Yes, we were required as in-house Chiefs to have our own DEA (not using the hospital) one, so I've had mine since PGY-4 which predated 2007.
 
The DEA changed the rules in 2007 to make providers have separate #s for every state. Providers who got their DEA licenses prior to that must have gotten grandfathered in.

Hmmm. I got mine in June of 2007 and it has remained stable in every state. Guess I just got in before the cutoff.
 
The DEA changed the rules in 2007 to make providers have separate #s for every state. Providers who got their DEA licenses prior to that must have gotten grandfathered in.

Interesting you say this since I got my DEA # in 2008 and I use the same number for each state. With that said, for every different locums site I go to, I go online I get a re-issue of my DEA cert to reflect the new site.

TX requires a seperate DPS license and has seperate script pads (triple script) for schedule II drugs

Nevada requires a separate pharmacy license in addition to the DEA.
 
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Time for google.

I didn't read the rules in excruciating detail, but there are ways to make exceptions (like transferring your DEA to a new state). However, if you actively prescribe in 2 states on a regular basis, I was told you need 2 different #s.

From the DEA website:

Please be aware that practitioners who wish to administer, dispense, or prescribe controlled substances in multiple states have the following options regarding a DEA registration:

1.Practitioners will need to obtain a separate DEA registration in each state where they plan to administer, dispense, or prescribe controlled substances.
2.If the practitioners will be working solely in a hospital/clinic setting, they may use the hospital’s DEA registration instead of registering independently with DEA if the hospital agrees and the situation warrants. 21 C.F.R. § 1301.22(c).
3.Alternately, under 21 C.F.R. § 1301.51, practitioners may transfer their existing DEA registration from one state to another as needed by contacting DEA’s Registration and Program Support Section at 1-800-882-9539 or request the change online at www.DEAdiversion.usdoj.gov. DEA will investigate each modification of registration as if it was a new application. DEA will issue a new DEA certificate with the appropriate changes if DEA approves the modification.
4.DEA has provided a limited exception to this requirement in that practitioners who register at one location in a state, but practice at other locations within the same state, are not required to register with DEA at any other location in that state at which they only prescribe controlled substances. 21 CFR § 1301.12(b)(3).


Perhaps locums jobs may get different treatment due to time constraints?
Also from DEA: 2006 rule change
 
I just applied for my IL DEA number and paid $731. To get my NY DEA number, do I have to RE-register using my NY license and a NY address and pay ANOTHER $731??
 
I just applied for my IL DEA number and paid $731. To get my NY DEA number, do I have to RE-register using my NY license and a NY address and pay ANOTHER $731??
Yes, but I would clarify with both the position in IL and the position in NY what is needed. I wouldn't pay for 2 separate DEAs unless I had to use both now. If you are a resident, find out from your program 1. if you need to get your own DEA (my residency program did not require it, and let us use the institutional DEA; since they wouldn't reimburse us for the cost, no one got their own until after residency or when they moonlighted) and 2. if they will pay for it if it is required.

If one of these licenses is for a future job (i.e. not residency), usually your employer will pay for the costs; ask them before spending $$$. And you can do like cabinbuilder does and transfer the practice location when you move.
 
No. With the advent of EMRs, you'll probably print out most of your scripts directly from the EMR but its a good idea to have some backup paper ones. You order these from vendors (ie. rxpads.com), not the state.

This is not the case in NJ, where you cannot use any prescription blanks not provided by the state (they do make some that you can insert into a printer).
 
I just found this out recently - if you work at multiple facilities in the same locality, you'll need to obtain a separate state CDS and DEA for each of the institutions.

My apologies if this appears redundant. 🙂
 
Yes, but I would clarify with both the position in IL and the position in NY what is needed. I wouldn't pay for 2 separate DEAs unless I had to use both now. If you are a resident, find out from your program 1. if you need to get your own DEA (my residency program did not require it, and let us use the institutional DEA; since they wouldn't reimburse us for the cost, no one got their own until after residency or when they moonlighted) and 2. if they will pay for it if it is required.

If one of these licenses is for a future job (i.e. not residency), usually your employer will pay for the costs; ask them before spending $$$. And you can do like cabinbuilder does and transfer the practice location when you move.

From the DEA website:

Locum Tenens: Three commenters raised the issue of multiple registrations for practitioners who serve as locum tenens practitioners in multiple States. They stated that adding separate DEA registrations for each of the States would be confusing and costly.

DEA Response: The revision of the regulation will not affect DEA's approach on locum tenens practitioners. DEA will be addressing policies regarding locum tenens practitioners in other documents to be published in the Federal Register.





This information is addressed in more detail by DEA in the Final Rule, Clarification of Registration Requirements for Individual Practitioners, which DEA published in the Federal Register on December 1, 2006.

Please be aware that practitioners who wish to administer, dispense, or prescribe controlled substances in multiple states have the following options regarding a DEA registration:

1.Practitioners will need to obtain a separate DEA registration in each state where they plan to administer, dispense, or prescribe controlled substances.
2.If the practitioners will be working solely in a hospital/clinic setting, they may use the hospital's DEA registration instead of registering independently with DEA if the hospital agrees and the situation warrants. 21 C.F.R. § 1301.22(c).
3.Alternately, under 21 C.F.R. § 1301.51, practitioners may transfer their existing DEA registration from one state to another as needed by contacting DEA's Registration and Program Support Section at 1-800-882-9539 or request the change online at www.DEAdiversion.usdoj.gov. DEA will investigate each modification of registration as if it was a new application. DEA will issue a new DEA certificate with the appropriate changes if DEA approves the modification.
4.DEA has provided a limited exception to this requirement in that practitioners who register at one location in a state, but practice at other locations within the same state, are not required to register with DEA at any other location in that state at which they only prescribe controlled substances. 21 CFR § 1301.12(b)(3).


See section 3: this is what I do. Every time I change a site (I practice in 4 states) I go online and do an address change request, there is no fee involved to to this. If I'm cleared then a new DEA license with the same number but different address is mailed to me.
 
Bringing this back from the archives...the federal DEA application asks for your state's controlled substance number. so does this mean you have to apply for a state CS license before you can apply for your DEA number? I always thought you applied for DEA first and then dealth with the state.
 
Bringing this back from the archives...the federal DEA application asks for your state's controlled substance number. so does this mean you have to apply for a state CS license before you can apply for your DEA number? I always thought you applied for DEA first and then dealth with the state.
If you're in a state with a separate CSL, then you need it before applying for DEA. If your state doesn't have one, then DEA is all you need.

If you have a DEA from a state without CSL, but are moving to one that does have it, then when you apply for the CSL you include the DEA as it gets ported.
 
If you're in a state with a separate CSL, then you need it before applying for DEA. If your state doesn't have one, then DEA is all you need.

If you have a DEA from a state without CSL, but are moving to one that does have it, then when you apply for the CSL you include the DEA as it gets ported.
perfect, thanks. so will do state first and then DEA afterwards.
 
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