New Law Mandates Controlled Substance E-Prescribing

For Everyone

New Law Mandates Controlled Substance E-Prescribing


Texas Governor Greg Abbott signed a new law requiring providers to electronically prescribe controlled substances beginning Jan. 1, 2021.

Beginning Sept. 1, 2019, the law also requires providers to treat acute (not chronic) pain as follows:

  • May not prescribe an opioid beyond a 10-day supply.
  • May not refill an opioid for acute pain.
  • Exceptions:
    • Cancer care
    • Hospice and end-of-life care
    • Palliative care
    • Opioids prescribed for treating substance addiction.


The federal Drug Enforcement Agency’s e-prescribing requirements call for two-factor authentication, reducing the likelihood of fraudulent prescribing. Controlled substance electronic prescribing:

  • Increases safety and security in the prescribing process.
  • Eliminates handwriting errors.
  • Decreases phone calls.
  • Allows providers to monitor and improve first-fill adherence, as patients are more likely to fill prescriptions that are sent electronically to their pharmacy.

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