Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Medicine
Regulations Governing Prescribing of Opioids and Buprenorphine [18 VAC 85 ‑ 21]
Guidance Documents
Chapter Information
Description Regulations set out provisions for prescribing of opioids for acute or chronic pain management and for prescribing of buprenorphine for addiction treatment.
State Authority 54.1-2400 and 54.1-2928.2
Federal Authority None entered
Periodic Review Note New chapter 8/2018
Exempt from APA No, changes to this chapter are subject to the Administrative Process Act.
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation 1. To protect public health and safety by prescribing opioids only to the extent necessary to effectively manage pain.
2. To provide guidance to prescribers in the management of pain and addiction treatment.
Meetings See all meetings (1) relating to this chapter.

Contact Information
Name / Title: William L. Harp, M.D.  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Henrico, VA 23233
Email Address:
Telephone: (804)367-4558    FAX: (804)527-4429    TDD: ()-
Current Actions
Action Title Latest Stage Status

Past Actions
Action Title Latest Stage Status
Waiver for e-prescribing of an opioid Final Stage complete. This regulation became effective on 06/09/2021.
Initial regulations Final Stage complete. This regulation became effective on 08/08/2018.