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CEO Update CSRS Letters

Message from the NCBON CEO

Do you prescribe Controlled Substances?

The NCBON has received multiple calls/emails from NC Prescribers regarding a letter sent by NC Department of Health and Human Services (NC DHHS) about the use of the Controlled Substance Reporting System (CSRS; also known as PMP Aware). We are aware the email that DHHS provided is “bouncing” back. The correct email is

Greater than 3,000 Nurse Practitioners (NPs) have received letters from NC DHHS informing them of non-compliance with requirements for review and utilization of the CSRS prior to prescribing a targeted controlled substance from July 1 to October 1, 2021. The NCBON has received a list of these non-compliant NPs.

The NCBON is reviewing this data and will contact you if additional information is required. Please ensure a working email that you monitor regularly is listed in the Nurse Gateway | North Carolina Board of Nursing ( for future NCBON updates. If you believe you have been placed on this list in error, contact NC DHHS.

What are the requirements?

  • Prior to prescribing a new (to the patient) targeted controlled substance, the practitioner must query the prescription history of that patient.
  • The CSRS report should be queried and reviewed every three-months that medication is prescribed.
  • A change in medication or dose is treated as a new controlled substance and the process should start again.

NCBON information: Controlled Substances Reporting System (CSRS) | North Carolina Board of Nursing (

Link to specific legislation: GS_90-113.74C.pdf (


Crystal Tillman, DNP, RN, CNP, FRE
Chief Executive Officer

Last Changed 27-Oct-2021

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