Montana DEA registration and controlled substance licensing

DEA lists Montana under "One License Requirement" on its page "Medical State Licensure and/or Controlled Substance Licensure". A DEA registration depends on authority to dispense controlled substances under Montana law.

Facts

DEA listing
DEA lists Montana under: One License Requirement
Note
DEA's page titles this column 'One License Requirement'.

DEA: Medical State Licensure and/or Controlled Substance Licensure

Moving to or adding Montana

  • Get the Montana license first.
  • Then apply for or update the DEA registration for Montana. Per the DEA Registration Q&A, a separate DEA registration is needed in each state where you practice and dispense controlled substances.
  • DEA registration page

NPs and PAs

DEA treats NPs and PAs as mid-level practitioners. Authority comes from state law, so check the Montana board.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $385,010; nurse practitioners: $135,290; physician assistants: $140,800. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.

Montana physicians, all other pay · Montana nurse practitioners pay · Montana physician assistants pay · Montana nurse anesthetists pay

Decision checklist for Montana

  • Map the actual Montana dispensing locations before asking about registration.
  • Check the separate-location rule in 21 CFR 1301.12 rather than assuming a registration follows you everywhere.
  • Ask the state board to confirm authority to dispense; federal registration does not replace that review.

The DEA Registration Q&A separately explains registration for practices in different states. The state listing is a flag to verify, not a complete description of an individual clinician’s authority.

Find your state board (FSMB directory)

Neighbors

3 of the 4 bordering states are listed with a second-CS-license flag: Idaho, South Dakota, Wyoming.

The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.

Sources

General information, not legal or insurance advice. Confirm details with the state board, DEA, or the carrier.

Frequently asked questions

How does DEA list Montana?

DEA lists Montana under "One License Requirement" on its page "Medical State Licensure and/or Controlled Substance Licensure". DEA's page titles this column 'One License Requirement'.

Do I need a separate DEA registration for Montana?

According to the DEA Registration Q&A, a practitioner with practices in two states needs a separate DEA registration in each state, because controlled substance privileges and limits are determined by that state.

Can NPs and PAs prescribe controlled substances in Montana?

DEA treats NPs and PAs as mid-level practitioners, and their authority comes from state law. Check the Montana board.

How many neighbors of Montana are listed with a second-CS-license flag?

3 of the 4 bordering states are listed with a second-CS-license flag: Idaho, South Dakota, Wyoming.

Can the Montana wage links establish permission to practice?

No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the Montana board’s requirements separately.