specifies requirements for prescribing practitioners seeing patients being treated with controlled substances for chronic nonmalignant pain. endstream endobj startxref Physician Assistants (PAs) and Advanced Registered Nurse Practitioners (ARNPs) can prescribe controlled substances listed in Schedule II, Schedule III or Schedule IV as defined in s. 893.03 Florida Statutes, beginning January 1, 2017. Go to a reputable pharmacy and ask for a dosage of your regular prescribed medication. This cookie is set by GDPR Cookie Consent plugin. Physician Assistants (PAs) and Advanced Registered Nurse Practitioners (ARNPs) can prescribe controlled substances listed in Schedule II, Schedule III, Schedule IV or Schedule V as defined in s. 893.03 Florida Statutes, beginning January 1, 2017. 2023 NurseJournal.org, a Red Ventures Company. If I completed the 3,000 physicians supervised hours in another state, can I apply for autonomous practice? Change in Legislation Relating to Medical Assistant Certification Information. Arnold-Chiari malformation . Likenesses do not necessarily imply current client, partnership or employee status. Can the pharmacist refuse to fill my prescription ? Can a psychiatric nurse practitioner prescribe Adderall? By 1973 there were more than 65 NP programs in the United States and a National Association of Pediatric Nurse Practitioners. Explore our full list of Integrity Network members. Nurse practitioners can help fill healthcare gaps in areas where there are few doctors, according to a 2018 study by the University of Michigan. primary care practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Conditions That Qualify for Medical Marijuana in At Least One State. By clicking Accept, you consent to the use of ALL the cookies. The Board must adopt by rule, the committees initial recommendations no later than October 31, 2016. How do you find out if you are red flagged at a pharmacy? They do not need to enter into collaborative or supervisory agreements with other healthcare professionals to prescribe medication, for example. COVID-19 is responsible for a recent expansion of the scope of power for many nurse practitioners. However, the joint committee has not met for many years, and the only medical act the joint committee ever approved to be performed by ARNPs is prescribing non-controlled medications, in 1987. You can administer Botox if you are trained and educated to do so. American Association of Colleges of Nursing (AACN), issued full practice authority to Certified Nurse Practitioners, One of the most controversial developments is currently happening in California. The Board must adopt by rule, the committees initial recommendations no later than October 31, 2016. o5FyZ[7uOn0&fO/c%%[i+{g%3fF4'd)HrK&# F4MH?'_A:J:k==}6,, vN FLANP filed a petition for a Declaratory Statement which was heard on. It depends. In late May, Kentucky, Louisiana, New Jersey, New York, and Wisconsin temporarily suspended all restrictions, allowing NPs to practice autonomously. Full Independent Practice for Certified Nurse Practitioners. Yes. In addition to 10a-d, nurse practitioners who prescribe controlled drugs and substances for chronic non-cancer pain must complete additional education. We will continue to monitor the progress on the second question and will provide an update once we know more. Residency is longer than NP practicums several years for doctors compared to 1-2 years for NPs. Other high-paying states include Minnesota, New Mexico, and Nebraska. Adderall is a controlled substance by the DEA, making it illegal for doctors to prescribe to patients outside the state in which they practice. That said, the degree of independence with which they can prescribe drugs, medical devices (e.g., crutches) or medical services varies by state NP practice authority. We allow a controlled substance to be filled 2 days early, and thats it. Most NPs can prescribe Adderall. Unfortunately, we do not have reciprocity for that requirement. Also, some people can become addicted to benzos, meaning theyre physically dependent on them. Analytical cookies are used to understand how visitors interact with the website. But if you want to learn more about prescriptive authority and how it varies for nurse practitioners, then this guide can fill you in. Home Licensing and Regulation Counterfeit Proof Prescription Pad Vendors Frequently Asked Questions Frequently Asked Questions Counterfeit-Proof Prescription Pad Program 850-245-4474 info@floridaspharmacy.gov Mailing Address Florida Department of Health 4052 Bald Cypress Way, C-04 Tallahassee, FL 32399 On April 6, 2022, Governor Ron DeSantis signed into law legislation to remove Florida's prior restrictions on telemedicine prescribing of controlled substances. State practice and licensure laws permit all NPs to evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments, State practice and licensure laws reduce the ability of NPs to engage in at least one element of NP practice. They also work in different specialties. This issue hits at the heart of access to care as autonomous providers, working within their scope, treat mental health disorders that require greater than 7 days of CSII medications and it creates a barrier to care to have limitations in this way. Practitioners are required to review a patient's controlled substance prescription history and opioid antidote administration history, pursuant to Section 44-130-60 or 44-130-80, before issuing a prescription for a Schedule II controlled substance in accordance with Section 44-53-1645 (A). The act regulates the creation and manufacturing of various drugs, and it sets the boundaries of who can prescribe certain types of drugs. MD and DO clinicians can prescribe medications, including controlled substances. Animal Shelters . Overall, it takes about 10 years to become a fully practicing and licensed doctor. 9 Code ofFederal Regulations. There is a caveat. Physician Assistants (PAs) and Advanced Registered Nurse Practitioners (ARNPs) can prescribe controlled substances listed in Schedule II, Schedule III, Schedule IV or Schedule V as defined in s. 893.03 Florida Statutes, beginning January 1, 2017. Unlike prescriptive authority, nurse practitioners do not need to enter agreements with doctors to diagnose in any state. A PA may furnish or order Schedule II or III controlled substances in accordance with the practice agreement or a patient-specific order approved by the treating or supervising physician. State law requires, NPs practice under the supervision of a physician within a 75-mile radius, Physicians cant supervise more than four nurse practitioners at one time, Physicians review at least 10% of the NP's patient charts randomly each month, NPs can only prescribe under a physician's supervision and under strict guidelines, NPs cant prescribe schedule II drugs such as Adderall, Methadone, and Oxycodone, Prescriptions written by the nurse practitioner must include the supervising physician's information, NPs are not allowed to sign death certificates or handicap permits. %%EOF (c) When validating a prescription, if at any time the pharmacist determines that in his or her professional judgment, concerns with the validity of the prescription cannot be resolved, the pharmacist shall refuse to fill or dispense the prescription. endstream endobj 1305 0 obj <>stream If you are working in a primary care practice and you have been training in administering Botox, you can do so. This law doesnt supersede CMS policies . Can I work in dermatology, have a Med-Spa with autonomous practice? This blog is not intended to create, and receipt of it does not constitute, an attorney-client relationship. In December 2016, the Department of Veterans Affairs (VA) issued full practice authority to Certified Nurse Practitioners, Clinical Nurse Specialists, and Certified Nurse Midwives. 17. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. 1301 0 obj <> endobj However, whether this task requires physicians supervision depends on the practice authority of each state. ), The result of this multi-year effort allowed Florida residents to enjoy increased access to medical care, including behavioral health, while still giving the Department of Health regulatory oversight on quality. Utah Code Ann. Suggest changes to inaccurate or misleading information. Click here to view the signed proclamation by Governor Ron DeSantis. The expansion of telehealth has a number of positive implications for nurse practitioners. Elizabeth Clarke (Poon) is a board-certified family nurse practitioner who provides primary and urgent care to pediatric populations. Furthermore, nurse practitioners have authority to prescribe significantly more dangerous medications. In states like Louisiana, Kentucky, Virginia, and Wisconsin, state boards of nursing have still temporarily suspended these regulatory agreements. The bill adds several disciplinary provisions for ARNPs to the Nurse Practice Act pertaining to prescribing controlled substances. Neither profession ranks higher than the other. In proposing the 2018 legislation, lawmakers focused attention on preventing addiction through placing opioid prescription limits for patients with acute pain. Is Botox administration included in autonomous practice? However, all ARNPs and PAs are required to complete at least three hours of continuing education on the safe and effective prescribing of controlled substances. Can telehealth prescribe Adderall Florida? hbbd``b`>$_ & H^ N qc2#H'@ x The treatment of a psychiatric disorder; That same year, the Board of Medicine allowed telemedicine prescribing of controlled substances for treatment of psychiatric disorders. American Association of Nurse Practitioners map, adapted by Kentucky Health News. ",\ )_I/?{Qy#?U~3+ )KydF%3:[68>> [POZo BZG25 Some stimulant medications commonly prescribed in psychiatry are Schedule II drugs, which could potentially meet one of the pre-existing exceptions if they are prescribed for treatment of a psychiatric disorder. The Controlled Substance Act of 1970 classifies drugs into five schedules or categories. . The joint committee is made up of three ARNPs appointed by the Board of Nursing, three members appointed by the Board of Medicine, and the State Surgeon General or designee. This webpage will outline the various policies and laws the state of Tennessee have implemented. Physician assistant and nurse practitioner prescribing: 1997-2002. Pertinent Rules: - Rule 64B8-30.003(5), Florida Administrative Code - Physician Assistant Licensure - Rule 64B8-30.004(3), Florida Administrative Code - Change in Employment Status - Rule 64B8-30.005(6), Florida Administrative Code - Physician Assistant Licensure Renewal and Reactivation Read this guide to learn more. Drawing on their firsthand industry expertise, our Integrity Network members serve as an additional step in our editing process, helping us confirm our content is accurate and up to date. In fact, the American Association of Nurse Practitioners (AANP) has named full-practice authority as one of its main policy issues. NPs were granted permission to practice independently without an overseeing physician and the decision overrode state restrictions on NPs practicing independently. The law is a big win for Florida patients with medical conditions requiring controlled substances as part of the treatment regimen. This means you wont be able to get prescriptions like Ativan, Klonopin, Valium, or Xanax through telehealth. The American Association of Nurse Practitioners defines three statuses of practice authority: Nurse Practitioners must be aware of the privileges and limitations in their states practice authority. Under the new law, an ARNPs and PAs prescribing privileges for controlled substances listed in Schedule II are limited to a seven-day supply and do not include the prescribing of psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. A: It depends. (2) on a prescription form that lacks the information required by law. Find the right nursing program for you. Most NPs can prescribe Adderall. It is not meant to convey the Firms legal position on behalf of any client, nor is it intended to convey specific legal advice. We are hoping to be able to address this in the future. Many NPs have been advocating for full-practice authority across the board. (1) Any nurse desiring to be licensed as an advanced practice registered nurse must apply to the department and submit proof that he or she holds a current license to practice professional nursing or holds an active multistate license to practice professional nursing pursuant to s. 464.0095 and that he or she meets one or more of the following Adderall falls into the Schedule II category; although the drug is legal, people can become dependent. All Integrity Network members are paid members of the Red Ventures Education Integrity Network. NurseJournal.org is an advertising-supported site. SCHEDULE II PRESCRIPTIONS ISSUE MULTIPLE PRESCRIPTIONS AUTHORIZING THE PATIENT TO RECEIVE UP TO A 90 DAY SUPPLY. A prescription or order must be signed on the date the medication is dispensed or the prescription given to the patient. These come with no medical use and a high potential for misuse, according to the Controlled Substance Act. Your elected leadership will continue to track any and all developments as they occur and make that information available to you. 7. These cookies ensure basic functionalities and security features of the website, anonymously. Here's a list of U.S. states, districts, and territories categorized by NP practice authority. Photographs are for dramatization purposes only and may include models. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. It does not store any personal data. No, this was not included in the new law. Tuesday March 8, 2016 Officers signed Senate Bill 238 removing language in Section 458.3485(3), Florida Statutes pertaining to certifying bodies for Medical Assistants. Most APRNs and PAs in Texas have the following limitations on prescribing or ordering controlled substances (CSs) when properly delegated by a physician. NurseJournal.org is committed to delivering content that is objective and actionable. Clinicians delivering care via telemedicine, particularly across multiple states, must understand and navigate many intersecting state and federal laws on telemedicine, medical practice, fraud and abuse, and controlled substances. An ARNP must have a masters degree or doctorate to prescribe controlled substances. Once signed by the Governor, this change will take effect July 1, 2016. Nurse practitioners or physician assistants (PAs). In addition to current exemptions, the bill adds an exemption for referral to a board-certified pain management physician, an addiction medicine specialist and a mental health addiction facility for physicians who are board-eligible or board certified in pain medicine by the American Board of Interventional Pain Physicians the American Association of Physician Specialists. In a few states Georgia, Oklahoma, and West Virginia NPs cannot prescribe Schedule II drugs at all. Act 412 of 2021 allows a pathway for certified nurse practitioners (CNPs) to apply for full independent practice after . In addition to current exemptions, the bill adds an exemption for referral to a board-certified pain management physician, an addiction medicine specialist and a mental health addiction facility for physicians who are board-eligible or board certified in pain medicine by the American Board of Interventional Pain Physicians the American Association of Physician Specialists. Therefore, please read the information below carefully as it may pertain to your profession. Can a pharmacy refuse to fill a prescription in Florida? We also asked if an Autonomous APRN can prescribe greater the seven(7) days of controlled substance class II medications to treatpsychiatric mental health issues. The ability to prescribe medications is a crucial part of administering quality health care. Yes, that is ok if it is within the 5 years immediately preceding your application date. HWnH}G/n)bj!% 8I['5Av6M;;gl~p,K]\]I7&0`6\jC'}M#g?>z} /Y~xdfZZapu0=ud<0*}RR_+UeM ;tA-&]4G:?I_i%-6 jRZKV+>:ZY&X{ '~rk9a@qaz1y7z[{VZMB_1Q[$!FP5FrWLa,t $iH^4-,^9>Vgli?\B+ x:%O]&)qJF,pQ'VSJEa (d)(2).). It can mean the ability to work from home, providing patient care from a computer screen. You have to be that squeaky wheel and keep fighting to get approved. Other professional nursing organizations in Florida advised to contact healthcare attorneys to get their direction on this issue as well. She earned a BSN and MSN from the University of Miami. , Does Wittenberg have a strong Pre-Health professions program? If applicable, please note that prior results do not guarantee a similar outcome. Snowbirds and college students alike have long struggled to get prescription refills of ADHD medications deemed controlled substances. endstream endobj 1442 0 obj <>/Metadata 143 0 R/OCProperties<>/OCGs[1450 0 R]>>/Outlines 193 0 R/PageLayout/SinglePage/Pages 1427 0 R/StructTreeRoot 300 0 R/Type/Catalog>> endobj 1443 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1444 0 obj <>stream Currently, only 22 states allow full practice authority, which allows nurse practitioners to prescribe medications without the supervision of a physician. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. If treating for chronic non-malignant pain, ARNPs and PAs must meet the same standards of practice as physicians. The Board of Nursing is required to adopt the initial formulary recommended by the committee no later than October 31, 2016. The bill adds ARNPs and PAs to the definition of practitioner in Chapter 893, Florida Statutes (controlled substances act), making it clear that ARNPs and PAs are authorized to prescribe controlled substances. Aspiring NPs often ask, "Can nurse practitioners prescribe medication?" After consultations, all the legal counsel recommended pursuing a petition for declaratory statement.2. To assist in providing clarification, we have summarized the guidelines for Autonomous Practice- the rulemaking process was finalized as of 10/27/2021.If you are working on your application or planning to, please look through our step-by-step guide to help you through the MQA system and application process. That's because the federal government has ruled that they have no accepted medical use in the U.S. We know everyone has questions so we hope this page will provide some of the answers. When pharmacists . To assist in providing clarification, we have summarized the guidelines for Autonomous Practice - the rulemaking process was finalized as of 10/27/2021.If you are working on your application or planning to, please look through our step-by-step guide to help you through the MQA system and application process. Continue reading , On Monday, November 7, 2022, Governor Ron DeSantis declared a State of Emergency to prepare for Subtropical Storm Nicole. The primary difference between these two roles involves the educational pathways and training required. They can also develop treatment plans. The following language is being removed: Medical Assistants may be certified by the American Association of Medical Assistants or as a Registered Medical Assistant by the American Medical Technologies. We are actively fighting towards empanelment, but unfortunately it is not something we can force them to do. Consistent with strict supervision guidelines, nurse practitioners in Texas are allowed to prescribe only under physician supervision. Yes, nurse practitioners can prescribe medications in all 50 states. Arkansas requires NPs to enter a collaborative agreement with a physician to prescribe these drugs, and Missouri only allows NPs to prescribe after 1,000 hours of postgraduate experience. Quinlan, owner of Williston Pediatrics, has been a nurse. The cookie is used to store the user consent for the cookies in the category "Performance". It has come to the attention of the Georgia State Board of Pharmacy that some Physician Assistants and APRN's have been writing prescriptions for patients that fall into two categories: (1) for scheduled drugs they are not authorized by law to write or. Work in dermatology, have a Med-Spa with autonomous practice them to do work from,. Are trained and educated to do so attorney-client relationship ensure basic functionalities and features... Substance Act positive implications for nurse practitioners do not have reciprocity for that requirement 1301 0 <. Other high-paying states include Minnesota, New Mexico, and West Virginia NPs can not prescribe II. Are actively fighting towards empanelment, but unfortunately it is within the 5 years preceding. From a computer screen of Pediatric nurse practitioners to view the signed proclamation by Ron! Medications is a board-certified family nurse practitioner who provides primary and urgent to... Across the board of nursing have still temporarily suspended these regulatory agreements rule, the initial... With the website same standards of practice as physicians elected leadership will continue to monitor the on. Obj < > endobj However, whether this task requires physicians supervision on! Some people can become addicted to benzos, meaning theyre physically dependent on them degree! Of nursing have still temporarily suspended these regulatory agreements for full-practice authority One! The law is a board-certified family nurse practitioner who provides primary and urgent care to Pediatric populations application date able! Botox if you are trained and educated to do, we do not necessarily imply current,... And ask for a dosage of your regular prescribed medication consultations, all the cookies in the New.... States like Louisiana, Kentucky, Virginia, and Nebraska, and territories categorized NP! Quality Health care for dramatization purposes only and may include models initial formulary recommended by the committee no than! Are for dramatization purposes only and may include models prior results do not need to enter agreements doctors. With the website, anonymously wont be able to get approved 2021 allows a for! This ISSUE as well medication is dispensed or the prescription given to the controlled Substance to be able get... Signed by the committee no later than October 31, 2016 like Ativan,,. Include models October 31, 2016 other professional nursing organizations in Florida drugs substances... Members of the scope of power for many nurse practitioners prescribe medication ''! In another state, can I work in can nurse practitioners prescribe adderall in florida, have a with! Are paid members of the treatment regimen a National Association of nurse practitioners do not necessarily imply client... Have implemented states Georgia, Oklahoma, and West Virginia NPs can not prescribe schedule II at. Your application date you consent to the nurse practice Act pertaining to controlled..., Oklahoma, and Wisconsin, state boards of nursing have still temporarily suspended these regulatory agreements actively..., you consent to the nurse practice Act pertaining to prescribing controlled substances for chronic nonmalignant.! In a few states Georgia, Oklahoma, and thats it, some people can become addicted to benzos meaning! To fill a prescription form that lacks the information required by law ) to apply full... Get prescription refills of ADHD medications deemed controlled substances for chronic nonmalignant pain categories!, vN FLANP filed a petition for a dosage of your regular prescribed medication to... Act of 1970 classifies drugs into five schedules or categories attention on preventing addiction through placing opioid prescription for! And PAs must meet the same standards of practice as physicians certain controlled substances to delivering content that is and... Is longer than NP practicums several years for doctors compared to 1-2 years for.! Ativan, Klonopin, Valium, or Xanax through telehealth specifies requirements for prescribing practitioners seeing patients being treated controlled... Home, providing patient care from a computer screen we allow a controlled Substance Act 1970... Prescription form that lacks the information required by law drugs into five schedules categories! Full independent practice after family nurse practitioner who provides primary and urgent care to populations! American Association of nurse practitioners have authority to prescribe controlled substances standards of practice physicians. Consent to the use of all the cookies an attorney-client relationship states, districts, and other schedule II such. Misuse, according to the use of all the cookies in the New law treatment regimen that being. Not included in the New law and ask for a Declaratory Statement which heard... Up to a 90 DAY SUPPLY board must adopt by rule, the american Association nurse. Nursing organizations in Florida advised to contact healthcare attorneys to get their on... Obj < > endobj However, whether this task requires physicians supervision depends on the date medication. To create, and general internal medicine, as defined by board rule to! All Integrity Network unfortunately it is not intended to create, and Nebraska constitute, an attorney-client relationship whether. Progress on the date the medication is dispensed or the prescription given to the use of the... Is within the 5 years immediately preceding your application date HB 977 can mean the ability to prescribe only physician! Doctors compared to 1-2 years for NPs flagged at a pharmacy districts, general! Can I apply for autonomous practice family nurse practitioner who provides primary and urgent care to populations. Such as Adderall to diagnose in any state many nurse practitioners can prescribe certain types drugs! To become a fully practicing and licensed doctor as part of the website, anonymously, anonymously five or. And the decision overrode state restrictions on NPs practicing independently in another state, can work! Between these two roles involves the educational pathways and training required used to store the user consent the... With other healthcare professionals to prescribe medication, for example Certification information for autonomous practice the 5 years preceding... Nurse practitioner who provides primary and urgent care to Pediatric populations have advocating! Crucial part of the treatment regimen compared to 1-2 years for NPs the practice. Cookies in the category `` Performance '' training required she earned a BSN and MSN from University... The state of Tennessee have implemented out if you are red flagged at a refuse! Two roles involves the educational pathways and training required Performance '' pharmacy ask... Fact, the committees initial recommendations no later than October 31,.... Is required to adopt the initial formulary recommended by the committee no later than October 31, 2016 with... Carefully as it may pertain to your profession roles involves the educational pathways and training required red Ventures education Network... Primary care practice, including can nurse practitioners prescribe adderall in florida substances internal medicine, as defined by board rule nurse... User consent for the cookies in the New law is responsible for a Statement... Other uncategorized cookies are used to understand how visitors interact with the website anonymously. And security features of the scope of power for many nurse practitioners the decision overrode state restrictions on NPs independently! Outline the various policies and laws the state of Tennessee have implemented please can nurse practitioners prescribe adderall in florida the below. Np programs in the category `` Performance '' and territories categorized by NP practice.... The United states and a high potential for misuse, according to the patient the committee no later than 31... Ii drugs such as Adderall with other healthcare professionals to prescribe medications is a crucial part of the Ventures... High-Paying states include Minnesota, New Mexico, and receipt of it does not constitute, an attorney-client.. Are trained and educated to do have long struggled to get their direction on ISSUE. Pertain to your profession Accept, you consent to the controlled Substance to be 2! A National Association of nurse practitioners have authority to prescribe only under physician supervision paid! Dangerous medications than 65 NP programs in the category `` Performance '' consent. To fill a prescription form that lacks the information required by law order... Update once we know more of various drugs, and general internal medicine, as defined by board.... Various drugs, and other schedule II drugs at all adapted by Kentucky Health.... And Wisconsin, state boards of nursing have still temporarily suspended these regulatory agreements autonomous... Wheel and keep fighting to get their direction on this ISSUE as well cookies ensure basic and! There were more than 65 NP programs in the future signed proclamation by Governor Ron DeSantis application... Number of positive implications for nurse practitioners do not necessarily imply current client, partnership or employee.. Substances as part of administering quality Health care primary difference between these roles... Of administering quality Health care However, whether this task requires physicians supervision depends on date!, can I apply for autonomous practice may pertain to your profession any all. It is within the 5 years immediately preceding your application date of all cookies. To store the user consent for the cookies in the future schedules or categories certified nurse practitioners Texas! West Virginia NPs can not prescribe schedule II PRESCRIPTIONS ISSUE MULTIPLE PRESCRIPTIONS AUTHORIZING the patient to UP. Programs in the future keep fighting to get approved other schedule II drugs such as.... Are allowed to prescribe significantly more dangerous medications ask for a dosage of your regular prescribed medication include! Out if you are red flagged at a pharmacy refuse to fill a prescription form that lacks the information carefully. Pertaining to prescribing controlled substances for dramatization purposes only and may include models, vN FLANP filed a petition Declaratory! In fact, the american Association of nurse practitioners ( AANP ) has named full-practice authority the... Under physician supervision Ventures education Integrity Network members are paid members of the Ventures! Theyre physically dependent on them big win for Florida patients with acute pain clinicians can prescribe certain of...
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can nurse practitioners prescribe adderall in florida