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PMHNPs: It Depends Where You Practice For psychiatric nurse practitioners, prescribing weight-loss medications is a state-by-state story with three basic tiers: Tier 1: Full Practice Authority States (~26 states + DC) In states like Washington, Oregon, Colorado, Arizona, New Mexico, Montana, Wyoming, Iowa, Minnesota, Wisconsin, Michigan, Maryland, Delaware, Rhode Island, Connecticut, Vermont, New Hampshire, Maine, Alaska, Hawaii, and DC, experienced NPs can practice and prescribe independently after meeting requirements (typically 2,000-4,000 hours of supervised practice)
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