Services
DEA and state controlled substance registration
Two registrations, two authorities, two clocks, in every state where the clinician prescribes.
What the clinician actually needs
A federal DEA registration is tied to a physical address in a specific state and renews on a three-year cycle. Most states require a separate state controlled substance registration alongside it, issued by the board or the state pharmacy authority, on a state-specific renewal period that does not align with the federal one. A prescriber in six states can be carrying six state registrations and six DEA addresses.
Where groups get caught
- A DEA registration tied to an address the clinician no longer practices from
- A state registration obtained at licensure and never renewed, because nobody owned the date
- Prescriptive authority granted by the nursing board but no state registration filed behind it
- Mid-level clinicians whose state registration is conditional on an active collaborative agreement
The last one is the expensive failure. When the collaborative agreement lapses, the prescriptive authority and the registration can fall with it, and the clinician keeps prescribing because nothing tells them otherwise.
How we handle it
New registrations are transactional, quoted per filing. Renewals, address changes and the dependency between prescriptive authority, collaborative agreements and registrations sit inside every subscription tier. DEA and state fees are pass-through at cost.