DEA Registration

Table of Contents

The National Med Licensing Board of Indiana was an early adopter of the Uniform Application for Physician State Licensure (UA), a system designed to make the licensing process more efficient for doctors applying in multiple states. By using the UA, physicians can enter their core information once and submit it to various boards, only needing to address each state’s unique requirements.

Additionally, the Board accepts the Federation Credentials Verification Service (FCVS) for credential verification, though it is not required. FCVS compiles key documents related to a physician’s identity, education, and training into a single profile, which can be updated and shared with multiple licensing boards as needed.

Applicants are required to provide a comprehensive summary of their professional history after graduating from medical school, including employment records and any past medical malpractice cases. To ensure a smooth application process, it’s recommended to gather this information in advance.

In addition to submitting the UA online, all applicants must complete a UA Affidavit and Authorization for Release of Information form and obtain a National Practitioner Data Bank (NPDB) report.

 

 

 

 

What Is a DEA License?

The Drug Enforcement Administration (DEA) oversees the prescribing of controlled substances, requiring all physicians and mid-level practitioners to hold a valid DEA license to administer these medications. The agency establishes regulations for prescribing controlled substances, investigates potential misuse, and provides resources on the latest guidelines and policies.

A DEA (Drug Enforcement Administration) license is a government-issued authorization that allows healthcare providers in the U.S. to legally prescribe, administer, and dispense controlled substances. Issued by the DEA, this license ensures that medical professionals comply with federal regulations when handling controlled medications, including opioids, stimulants, and other drugs regulated under the Controlled Substances Act (CSA).

Under the Controlled Substances Act (CSA), healthcare professionals who prescribe, dispense, or administer controlled substances must obtain a valid DEA number. However, a DEA number may not be required for physicians who only prescribe non-controlled medications. In certain cases, physicians working within a hospital may be permitted to use the facility’s DEA number. Additionally, some states impose their own Controlled Substance Registration requirements, adding another layer of regulatory compliance for medical practitioners.

DEA License: Federal-Level Certification

In contrast, a DEA license is issued by the U.S. Drug Enforcement Administration, granting healthcare providers federal authorization to prescribe controlled substances nationwide. Unlike a CDS license, which is limited to a specific state, a DEA license is recognized across all states, allowing practitioners to prescribe controlled substances beyond state borders.

While a DEA license is required for any provider prescribing controlled substances, some states also mandate a CDS license. This dual requirement ensures compliance with both state and federal regulations, strengthening oversight and the responsible management of controlled medications.

Both certifications play a crucial role in the legal handling of controlled substances. The CDS license provides state-specific authorization, while the DEA license offers broader, nationwide prescribing authority. Understanding the difference between these credentials is essential for healthcare providers to remain compliant with all regulatory requirements.

Additionally, each registered provider is assigned a unique DEA number following a structured, verifiable format. This system helps maintain the integrity of prescription practices and ensures better tracking within the healthcare system.

CDS License: State-Level Authorization

A Controlled Dangerous Substances (CDS) license is a state-issued authorization that allows licensed healthcare providers to manage controlled substances within a specific state. It verifies that the practitioner has met state-specific requirements to legally prescribe, administer, or dispense controlled substances in accordance with their professional practice regulations.

How to Get a DEA Registration?

For first-time applicants, obtaining a DEA license can be a complex and highly regulated process. Without proper guidance, the application can become time-consuming, and errors or missing details may lead to delays or even rejection.

This guide outlines the key steps to securing your DEA registration, from conducting necessary checks to gathering the required documents and submitting an error-free application. However, it does not cover every potential nuance involved in obtaining a DEA license. If you’re unsure about handling the process on your own, seeking professional advice is recommended.

 

 

 

To be eligible for DEA registration, you must possess a valid state medical license or controlled substance permit, along with the appropriate credentials, such as board certifications pertinent to your area of practice.

Registration Process

The DEA registration process consists of several essential steps that must be carefully followed to ensure a successful application. Here’s a breakdown of the process:

  1. Obtain the Correct Application Form
    Start by selecting the application form that corresponds to your professional activities or intentions. Reviewing the various registration categories will help you identify the correct form. For new registrations, you can download DEA Form 224, as well as Forms 225, 363, and 510.

  2. Complete the Application Accurately and Gather Required Documents
    Ensure that all required information is filled out accurately and provide the necessary supporting documents. Double-check for any errors, and ensure each form is signed and dated for validity. You will need to submit a copy of your state medical license, proof of board certification or other credentials, and a driver’s license or passport.

  3. Submit Your Application
    After filling out the form online, follow the prompts to submit it electronically, which is faster and more convenient. Alternatively, you can mail your application to the DEA with a check or credit card information.

  4. Pay the Application Fee
    The DEA registration application includes a fee that varies depending on your profession. For practitioners, the fee is $888.

  5. Verify and Track Your Application
    After submission, keep track of your application status. Retain copies of all documents you’ve submitted. If you applied online, you may receive immediate confirmation or updates through the portal.

  6. Follow Up if Necessary
    If you haven’t received any updates within the expected timeframe (4-8 weeks), contact the DEA’s Registration Section. Prompt follow-up can help resolve any potential issues and ensure your registration remains on track.

  7. Receive Your DEA
    Once your DEA license is issued, it’s your responsibility to keep your information up to date. Typically, the DEA license needs to be renewed every three years. If you move, you must notify the DEA of your change of address.

How Long Does It Take: Expiration Date Considerations

Once you submit your DEA registration application, it usually takes four to six weeks for processing. Renewals typically take slightly less time, around four weeks. Keep in mind that processing times may vary based on your location—states like Illinois and California could take up to eight weeks.

To help expedite approval, ensure that all information is accurate and complete. To check the status of your application, you can call the DEA at 1-800-882-9539 or contact your local DEA Field Office for assistance.

Cost of a DEA Registration

The cost of obtaining a DEA license depends on your role and the type of registration required, ranging from $296 to $3,699.

Practitioners, Hospitals/Clinics, Retail Pharmacies, Online Pharmacies, Central Fill Pharmacies, and Teaching Institutions for Schedules II-V, typically require a fee of $888.

For detailed information on fees and to access the necessary forms, visit the Electronic Code of Federal Regulations.

Compliance and Regulations

As a DEA registrant, it is crucial to comply with all federal regulations and laws concerning controlled substances. This includes following the DEA’s diversion control policies and procedures, designed to prevent the misuse and diversion of controlled substances. Here are the key compliance aspects:

  1. Renewal of Registration
    One of the most important aspects of compliance is being aware of your DEA registration’s expiration date and ensuring it is renewed on time. An expired registration can result in serious penalties, including fines and imprisonment. While the DEA sends renewal notifications, it is the registrant’s responsibility to ensure that their registration remains current.

  2. Proper Handling and Disposal of Pharmaceutical Drugs
    Proper storage and disposal of controlled substances are critical. DEA registrants must ensure that controlled substances are securely stored and disposed of according to federal regulations to prevent unauthorized access and potential misuse.

  3. Reporting Suspicious Activity
    DEA registrants must stay alert to unusual prescribing patterns or any signs of potential diversion. Reporting any suspicious activity to the DEA is vital to maintaining the integrity of the controlled substances supply chain.

  4. Registration Requirements for Multiple Locations
    Be aware of the DEA’s registration requirements for each location where controlled substances are stored or handled. A separate DEA registration may be necessary for each site, and the registrant must ensure they have the proper DEA certificate for each location.

  5. Timely Renewal and Legal Compliance
    Federal law prohibits the handling of controlled substances or List 1 chemicals under an expired registration. Therefore, it is essential to renew your registration on time to avoid legal issues. The DEA’s diversion control division and the Department of Justice offer resources to help registrants comply with these regulations.

  6. Postal Service Compliance
    Registrants must also be familiar with postal regulations regarding the mailing of controlled substances. Following postal policies ensures the safe and legal transport of these substances.

By adhering to these compliance guidelines and staying informed about federal regulations, DEA registrants can ensure they are operating within the law and contribute to the safe and effective management of controlled substances.

DEA Certificate Renewal

Keep in mind that renewing your DEA license online usually takes between four to six weeks, while mail-in applications can take eight to twelve weeks, or even longer. There is a 30-day grace period after your license expires if your renewal is still being processed. During this time, if your license has expired and you haven’t received the renewal yet, you are not permitted to prescribe, dispense, or administer controlled substances.

It’s important to note that the DEA license generally does not require continuing medical education (CME). However, recent updates under the Medication Access and Training Expansion (MATE) Act, part of the Consolidated Appropriations Act of 2023, have introduced new training requirements. Now, healthcare professionals prescribing medications from Schedules II to V must demonstrate their compliance with specific training on their DEA registration form, as outlined by SAMHSA.

Starting in June 2023, all new or renewing DEA registrants must meet one of the following criteria upon application:

  1. Eight hours of training focused on opioid or other substance use disorders.
  2. Board certification in addiction medicine or addiction psychiatry from recognized boards such as the American Board of Medical Specialties, American Board of Addiction Medicine, or the American Osteopathic Association.
  3. Completion of a U.S. medical school curriculum within the last five years, including at least eight hours on opioid or other substance use disorder treatment

DEA Registration for Telehealth Prescribing

Since 2020, rules permitting the telehealth prescription of medications for conditions such as substance abuse disorders and attention deficit disorder have been crucial. However, in 2023, the DEA withdrew two proposed rules on telehealth controlled substance prescribing following 38,000 public comments opposing the changes.

Here’s how these rules may impact you and your medical practice:

The upcoming rule, expected in 2024, will define which medications can be prescribed via telehealth and may restrict prescriptions, favoring in-person visits. This has raised concerns among healthcare advocates about the feasibility of such restrictions without a nationwide prescription drug monitoring program.

HealthLeaders Media reports that the Alliance for Connected Care is preparing to send letters to the White House and congressional leaders, pushing for the extension of a pandemic-era waiver that allows telehealth prescriptions for an additional two years.

Senator Mark Warner of Virginia has publicly criticized the DEA’s proposed telehealth restrictions, advocating for the removal of the in-person visit requirement before telemedicine prescriptions can be issued.

Warner stated, “The DEA’s current proposal is even less practical than its initial rule. This outdated approach severely hinders patients who rely on telemedicine for critical medications and represents another missed opportunity by the DEA to establish a meaningful special registration process, a requirement Congress has mandated for over a decade.”

Understanding the DEA Number Format

A DEA number is a unique identifier assigned to healthcare providers, enabling them to prescribe controlled substances. This number consists of two letters, six numbers, and a check digit, making up a total of nine characters:

  1. First Letter: This letter represents the type of registrant. Each letter corresponds to a specific group, such as hospitals, practitioners, or researchers.

  2. Second Letter: Generally, this is the initial of the registrant’s last name. If the registration is under a business, “9” is used instead.

  3. Numbers: Following the letters are seven digits. The last digit is known as the “checksum,” which validates the number’s authenticity. This is calculated using a method similar to the Luhn algorithm:

    • Add the first, third, and fifth digits together to get a sum (referred to as CALC1,3,5).
    • Add the second, fourth, and sixth digits together, then double this total (this becomes CALC2,4,6).
    • Add CALC1,3,5 and CALC2,4,6 together. The unit digit of this final sum is the check digit.

Types of DEA Registrants (First Letter Codes):

  • A: Deprecated (used by some older entities)
  • B: Hospital/Clinic
  • C: Practitioner
  • D: Teaching Institution
  • E: Manufacturer
  • F: Distributor
  • G: Researcher
  • H: Analytical Lab
  • J: Importer
  • K: Exporter
  • L: Reverse Distributor
  • M: Mid-Level Practitioner
  • P, R, S, T, U: Narcotic Treatment Program (various types)
  • X: Suboxone/Subutex Prescribing Program

Obtain Your DEA Registration Easily with Our Expert Assistance

DEA registration requests are classified into three main categories:

  1. Simple: No special conditions or additional requirements.
  2. Complex: Requires extra documentation or has unique circumstances.
  3. Expedited: Time-sensitive cases, often with an additional fee.

You’d want to avoid the complex category, as collecting and submitting the necessary supporting documents can be time-consuming. Additionally, you generally need a separate DEA registration for each state where you practice, as the registration is not transferable. This means that if you hold medical licenses in multiple states, you will need to complete the application process multiple times.

You can delegate the process

Our team brings years of expertise in navigating federal regulations and state-specific intricacies. This allows us to foresee potential challenges and address them proactively. Our comprehensive review process helps avoid common errors that could delay timelines or result in application denials.

We are here to assist in securing your license efficiently and smoothly, managing the detailed paperwork and complex regulatory requirements on your behalf.

FAQs

You can apply for a DEA registration independently. The process involves completing and submitting several forms. However, if you decide to delegate – our service streamlines the process and reduces the chance of mistakes or extended processing times.

Yes, typically you need a separate DEA registration for each state where you practice. If you hold medical licenses in multiple states, you will need to complete the application process for each one.

No, if you are practicing within the same state, one DEA license will cover all of your practice locations.

No, DEA licenses cannot be transferred between states. If you relocate to a new state, you must apply for a DEA license there, following the state’s specific requirements and regulations.

  • To be eligible for a DEA registration, you must possess a valid state medical license or controlled substance permit, along with the required credentials, such as board certifications relevant to your area of practice.

When applying, you will need to submit a copy of your state medical license, proof of board certification or other pertinent credentials, a driver’s license or passport, and the completed DEA application forms.

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