Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Dentistry
Regulations Governing the Practice of Dentistry [18 VAC 60 ‑ 21]
Prescribing opioids for pain management
General Information
Action Summary Emergency regulations for dentists prescribing of medications containing opioids and for continuing education for prescribers of controlled substances are being promulgated as emergency regulations to address the opioid abuse crisis in Virginia. Regulations for the management of acute pain include requirements for the evaluation of the patient, limitations on quantity and dosage, and record-keeping. Management of chronic pain requires either referral to a pain management specialist or adherence to regulations of the Board of Medicine. All dentists who prescribe Schedule II through IV drugs will be required to take two hours of continuing education on pain management during the renewal cycle following the effective date of these regulations.
Chapters Affected Only affects this chapter.
Exempt from APA No, this action is subject to Article 2 of the Administrative Process Act.
RIS Project Yes  [005064]
Associated Mandates Prescribing of opioids
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7864 Emergency/NOIRA Stage complete. Emergency regulation expired on 10/23/2018.
7948 Emergency/NOIRA Stage complete. Emergency regulation was set to expire on 10/23/2018 and was extended until 04/24/2019.
8060 Proposed Stage complete. Comment period ended 09/07/2018.
8494 Final Stage complete. This regulation became effective on 03/06/2019.
Contact Information
Name / Title: Jamie Sacksteder  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Henrico, VA 23233
Email Address:
Phone: (804)367-4581    FAX: (804)698-4266    TDD: ()-

This person is the primary contact for this board.