NSW requirements for approval to prescribe or supply Schedule 8 medicines

An approval under the Poisons and Therapeutic Goods Act 1966 (NSW)​ from the NSW Ministry of Health is required by a medical practitioner or nurse​ practitioner to prescribe or supply a Schedule 8 medicine (drug of addiction) in the circumstances listed below.

Note: An 'approval' is a reference to an authority under the Poisons and Therapeutic Goods Act 1966. An approval issued to a prescriber by the NSW Ministry of Health is separate to the authority required from Services Australia for a patient to receive a Commonwealth PBS subsidised medicine. 

To apply for approval, refer to Application forms for approval to prescribe or supply​.  

Schedule 8 medicines that require approval to prescribe or supply

1. Any Schedule 8 medicine for a drug dependent person​

A drug dependent person defined under section 27 of the Poisons and Therapeutic Goods Act 1966 (NSW)​​​​ is a person who has acquired, as a result of repeated administration of:

​an overpowering desire for the​ continued administration of such a drug.

2. Certain Schedule 8 medicines for continuous or ongoing treatment of more than two months

This applies to the following medicines:

  • alprazolam
  • flunitrazepam
  • buprenorphine (except for transdermal preparations)
  • methadone
  • hydromorphone​
  • dextromoramide
  • Any Schedule 8 medicine in a formulation for injection,​ inhalation, spray, or application to mucous membranes.  Note: Schedule 8 cannabis, nabiximols, or tetrahydrocannabinols (when listed in Schedule 8 of the Poisons Standard) are exempt and do not need an approval.

3. Psychostimulant medicines 

  • dexamfetamine
  • lisdexamfetamine
  • methylphenidate

For more information, see Prescribe a psychostimulant medicine.

Note: Nurse practitioners are not authorised under the Poisons and Therapeutic Goods legislation to prescribe or supply psychostimulant medicines.

4. Unregistered Schedule 8 medicines that are extemporaneously compounded

This includes Schedule 8 medicines that are extemporaneously compounded for a particular person for therapeutic application to that person. 

For more information see Restrictions on unregistered Schedule 8 medicines including compounded medicines.

Note: Nurse practitioners are not authorised under the Poisons and Therapeutic Goods legislation to prescribe or supply unregistered Schedule 8 compounded medicines.

5. Psilocybine and MDMA

An approval from the NSW Ministry of Health is required for authorised prescribers to prescribe or supply:

  • ​psilocybine for treatment-resistant depression 
  • MDMA for the treatment of post-traum​atic stress disorder (PTSD)​ 

Authorised prescribers are those with approval under the TGA Authorised Prescriber scheme​. For more information,​ see Prescribe MDMA or psilocybine (psychiatrists)

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Current as at: Friday 27 March 2026
Contact page owner: Pharmaceutical Services