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Including Narcotic Addiction Treatment in an Office-Based Practice
James R. Cooper, MD
JAMA. 1995;273(20):1619-1620.
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THE REGULATION of narcotic medications used in narcotic addiction treatment is unique in medical therapeutics. Physicians who want to administer or dispense opioid drugs for either narcotic maintenance or detoxification treatment by federal law must first obtain an additional annual registration from the Drug Enforcement Administration (DEA). This registration is separate from the registration familiar to physicians who prescribe other controlled medications. The additional registration is contingent on compliance both with the DEA's security regulations (inventory, record keeping, and physical security) as well as with annual certification from the US Department of Health and Human Services (DHHS). DHHS certification is contingent on approval by individual state drug authorities and compliance with treatment regulations jointly promulgated by the Food and Drug Administration (FDA) and the National Institute on Drug Abuse. Authority for this separate registration emanates from the Narcotic Addict Treatment Act (NATA) of 1974,1 which was enacted to give
. . . [Full Text PDF of this Article]
Author Affiliations
From the Associate Director for Medical Affairs, Division of Clinical and Services Research, National Institute on Drug Abuse, Rockville, Md.
Footnotes
The views and opinions expressed herein are those of the author and do not necessarily reflect those of the National Institute on Drug Abuse.
Reprint requests to the Associate Director for Medical Affairs, Division of Clinical Services and Research, National Institute on Drug Abuse, 5600 Fishers Ln, Rockville, MD 20857 (Dr Cooper).
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