All Collections
Licensing Resources
Prescriptive Authority and Autonomous Registration
Prescriptive Authority and Autonomous Registration
What they are and how to request
Tai Roach avatar
Written by Tai Roach
Updated over a week ago

What is Prescriptive Authority?

Prescriptive Authority: Independent prescribing (also called “prescriptive authority”) is the ability of advanced practice registered nurses (APRNs) to prescribe, without limitation, legend (prescription) and controlled drugs, devices, adjunct health/medical services, durable medical goods, and other equipment and supplies. Prescriptive authority refers to a nurse practitioner’s authority to prescribe medications. Some states require a relationship with a physician that outlines the nurse practitioner’s prescribing abilities.

What Autonomous Registration?

Autonomous Registration: Autonomous nursing care is the ability of a nurse to assess and provide nursing actions as appropriate for patient care based on competence, professional expertise and knowledge. The nurse is expected to practice autonomously, consistent with professional standards.

  • The following States have Reduced or Restricted Practice for NPs which limits their ability to practice independently. CA, TX, OK, MO, MI, TN, GA, SC, NC, VA, FL, UT, KS, AR, LA, MS, AL, WI, IL, IN, KY, OH, WV, PA, NY, NJ

  • The following states allow the ability to complete autonomous registration which will allow the NP to practice independently. The form must be completed and submitted to the board after the NP license for the state has been issued. The NP must attest they meet the requirements and the proof of education must be submitted to the board with the registration document. (FL, VA, IL, NY)

How do I request these in Medallion?

First: Go to Your Licensing Page:

Next Request a New License:

Lastly select the Duration Type that you want:

Please reach out to your CSM with any questions.

Did this answer your question?