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DEA-X Waiver Protocol Following Training

By November 15, 2019November 19th, 2019Uncategorized

Under the Drug Addiction Treatment Act of 2000 (DATA 2000), physicians who have completed the mandatory eight-hour training course are now eligible to obtain a DEA-X waiver to administer and/or prescribe buprenorphine medication-assisted therapy to treat opioid use disorder. DEA-X waiver protocol requires physicians to first notify the SAMHSA Center for Substance Abuse Treatment (CSAT) of their
intent via the Online Request for a New Waiver form. To verify waiver eligibility, physicians are to provide their DEA number, state medical license number, and training certificate details. Additional credentials and certifications will be assessed for qualification (i.e. the capacity to refer patients to counseling and/or alternative interventions). Physicians must also consent to the annual limit of thirty patients that may be treated with buprenorphine during the first year. Following application submission, official training certificates must be faxed to 301-576-5237, or emailed to, to support the application under review.

Processing may take up to 45 days following receipt. If approved, SAMHSA will send an email confirming the waiver and including the practitioner’s prescribing identification number. If no response is received after 45 days post-submission, please contact CSAT’s Buprenorphine Information Center at 866- BUP-CSAT (866-287-2728) or send an email to

Special permission is granted to providers seeking to provide treatment immediately while an application is under review. For consideration, physicians must have a valid medical license, Drug Enforcement Administration (DEA) registration, or have completed the mandatory eight-hour training. Applicants
should check “New Notification, with the intent to immediately facilitate treatment of an individual (one) patient” on the notification form before contacting CSAT’s Buprenorphine Information Center at 866- BUP-CSAT (866-287-2728) to confirm receipt and to provide notification of the intent to begin treatment. Provisions limit immediate treatment to strictly one patient per form. If multiple forms are required, each must have a different submission date to be considered.