Frequently Asked Questions

Responses to the Most Frequently Asked Questions:

1. What happens after I complete the training? How do I get my waiver to prescribe buprenorphine?
We send notification of your training completion to SAMHSA within approximately 7 days of when you request continuing education credit from us. You must submit an online Buprenorphine Waiver Notification form to SAMHSA in order to get your waiver. All providers, MDs/DOs/NPs/PAs, start with the same form. Be sure to allow 45 days for CSAT to review your application. If you still have not heard from CSAT/SAMHSA after 45 days, you can check with them at their hotline 1-866-BUP-CSAT (1-866-287-2728) to check on the status of your application.

2. I am not getting credit for pages I view OR I don't see a navigation button in the lower right corner.
If the module is no longer recording the pages you are viewing or no longer showing navigation, it is probably because you were timed out after a delay or internet service interruption. Try re-entering the module from the activity page. It should reset they system and take you back to where you left off.

Using BupPractice and Getting Credit

After you create an account you can use the big blue "Purchase this activity" button on the Activity Description page. This is secure credit card payment handled by Pay Pal. You will see a charge from Clinical Tools, Inc. on your credit card bill.

Please contact us using the Contact link if you want to use a check or discuss group payment!

Physicians: To complete the Buprenorphine Training Activity, you must take all 10 modules on this site, including a pre/post-test and pre/post survey. After you complete all 10 modules and request credit (You can claim up to 9 credit hours of AMA PRA Category 1 Credit (TM) after you complete the activity), you will be eligible to apply for your waiver by filling out the online Buprenorphine Waiver Notification form on SAMHSA's website.

NP/PAs: To complete the required 24 hour Buprenorphine Training Activity, you must take all 10 modules on this site (Buppractice.com - Part 1), 5 modules on SBIRTTraining.com (Part 2), and 10 modules on OpioidRisk.com (Part 3) and you must complete a pre/post-test and pre/post survey for each site. The links to the training activities on these two other websites should be reached by clicking on connecting buttons at the bottom the NP/PA activity page on this website, Buppractice.com. After completing all three parts and requesting continuing education on each part, you can submit the online Buprenorphine Waiver Notification online form on SAMHSA's website.

Be sure that the activity that you are trying to access matches the activity that was purchased. You may select an activity from the Activity List Page.

If you have purchased the wrong activity, please Contact Us to be switched to the correct one.

If you start the activity and are not satisfied for any reason, we will refund your training fee within 60 days of the original payment. Refunds will be in the original form of payment. After 60 days we are unable to offer a refund. If you complete the activity, we will not issue a refund. Email billing@clinicaltools.com with requests or questions.

If you complete the survey, we will provide a $25 donation to support a local organization in NC related to addiction or may be eligible for a $25 refund on the cost of your training. To be eligible you must have paid for the training yourself within the past 50 days. Not applicable to coupon users.

A module will be marked in your transcript as complete when you have satisfied the time and page view requirements, even if you have not viewed all of the pages in the module.

Occasionally, the module completion reporting from the activity home page takes a few minutes to update. If this should happen, please log out, and re-login, then access the activity homepage.

Additionally, you may also keep up with progress via your transcript, accessible from your activity homepage, via the button on the right-hand side of the screen titled, "View My Progress in This Activity".

If you are a member of a group or want to arrange a group discount, please contact us to discuss a reduced rate.

You must complete the activity within 1 year of when you start. We update the activity substantially at least 2x a year and we want the activity experience to be consistent and comprehensive for all users.

You can start and stop and resume as best fits your schedule and learning style. You can spend 20 minutes every day for a month, or complete the entire activity in one day, Online training at BupPractice.com is available 24 hours a day, 7 days a week.

If you take more than 12 months to complete the activity you will need to contact us to receive a coupon code to start the process again from the beginning.

Please send an email to billing@clinicaltools.com and we will be happy to create an invoice for your purchasing department, so you can be reimbursed, etc. Our EIN is 51-0344326.

No, the BupPractice activity is designed to be used online, and includes the pre/post-tests, and interactive features that do not work well in "print". We also revise the website to make sure it is up-to-date throughout the year, and that wouldn't be possible with a print-able version.

Yes, but it is only possible to request continuing education credit for a single experience. If you want to learn more about substance abuse treatment and require additional credits, consider our other activities, OpioidRisk.com and SBIRTTraining.com.

If you have created a BupSite, you may reaccess it by going to the My Bup Site! tab at the top of the page. If you have not create a BupSite prior, you will be given the option to do so.

Please be sure to always access each module through the activity homepage, to ensure being able to progress through the modules correctly (Please do not "bookmark" pages directly). If you get timed out of a module, re-enter it through the module link on your activity page (Physician activity or NP/PA activity). Once you enter a module through the activity homepage, you should get normal navigation again, with a button to the next page on the lower right.

The activity midpoint survey is a presented when you have completed half of the Buprenorphine training program. We are only using the data from this survey to study the impact of our training activity. No data on individual responses will be reported. Your responses help us improve this and other training activities for future users.

Buprenorphine Training

Physician Short version: If you complete this activity you can apply for your waiver to prescribe buprenorphine.

Physician Long version: This website offers an official training activity that satisfies the Substance Abuse and Mental Health Services Administration's (SAMHSA) training requirement for a DATA-2000 waiver. This means that you can take the 10-module activity on BupPractice.com to qualify for your waiver to prescribe buprenorphine. This training activity is provided by the American Society of Addiction Medicine (ASAM). The website is an ASAM online buprenorphine training activity that is presented in collaboration with Clinical Tools, Inc. ASAM also holds live buprenorphine trainings across the United States. Learn more about ASAM at their website.

NP/PA Short version: Your 24 hour training activity involves the 10 modules on Buppractice.com (part 1) and 14 modules on two other websites (parts 2 and 3), which you will be able to reach from the bottom of the activity page on this website, Buppractice.com. Once you complete all modules and have requested continuing education credit for each of the 3 parts, you can apply for your waiver to prescribe buprenorphine online.

NP/PA Long version: This website offers 8-9 hours of an official training activity that satisfies the Substance Abuse and Mental Health Services Administration's (SAMHSA) training requirement for a DATA-2000 waiver. A later law, CARA 2016 allows NPPAs to become waivered if they complete a total of 24 hours. The additional hours of training are available on two other websites, which you will be able to reach from the bottom of the activity page on this website, Buppractice.com. This means that you can take the 10-module activity on BupPractice.com, plus 14 additional modules on two other websites, in order to qualify for your waiver to prescribe buprenorphine. This training activity is provided by the American Society of Addiction Medicine (ASAM). These training activities are an ASAM online buprenorphine training activity for NPs and PAs that is presented in collaboration with Clinical Tools, Inc. ASAM also holds live buprenorphine trainings across the United States. Learn more about ASAM at their website.

Physicians and Physician Assistants: You can receive up to 9 hours of AMA PRA Category 1 Credit (TM) for completing the 10-course training activity on our website.

Nurse Practitioners: You can receive up to 9 hours of District of Columbia Board of Nursing (DCBN) credit for the modules on this website, 24 hours for the entire training.

Physician assistants. You can receive up to 9 hours of Florida Academy of Physician Assistants (FAPA) credit for the modules on this website, 24 hours for the entire training.

A letter of completion for up to 9 hour(s) is available for modules on this website those not getting the above types of credits.

These are the only credit types being offered at this time.

The CARA 2016 law provides that nurse practitioners and physician assistants who can prescribe narcotics are able to prescribe buprenorphine, in addition to the MDs and DOs who have been able to prescribe it since 2000. A 24 hour training is required. The full 24 hour training is available through this online activity.


Other clinicians are welcome to take the Buppractice training activity for educational purposes.

Getting Your Waiver to Prescribe Buprenorphine

You should apply for the waiver if you want to prescribe buprenorphine. After you complete the 10-course training activity (24 courses for NPs/PAs) you will be qualified to apply for the waiver. Visit SAMHSA Buprenorphine Waiver Management to see the other ways that certain providers with advanced qualifications can become qualified to prescribe buprenorphine.

For the waiver form, ASAM (American Society of Addiction Medicine) is the official provider of this online training activity. The activity was developed by Clinical Tools, Inc. On the waiver form, you will see a question listed under the title "8. CERTIFICATION OF QUALIFYING CRITERIA". Please select the checkbox titled "American Society of Addiction Medicine".

The documentation the question is referring to is the DATA 2000 Training Certificate. You do not need a certificate for completing your training because we send the names of all people completing the training within around one week of completion. Most providers should complete the online version of the waiver form, and if you do, it is not necessary that you mail or fax a copy of your certificate. CSAT obtains confirmation of your training from us.

No. CSAT obtains confirmation of your training from us. We submit information to CSAT weekly here at BupPractice.com.

You only need to complete the online Buprenorphine Waiver Notification form on SAMHSA's website. We submit names of people who have completed the certificate training to SAMHSA weekly. Visit SAMHSA Buprenorphine Waiver Management to learn more.

Providers receive their certification letter by US Postal Mail; however there are instances where they receive them via email in addition to US Postal Mail.

After you complete the buprenorphine training activity and required activity post-training assessments, you will be qualified to apply for the waiver. Providers must submit a waiver form to CSAT if they plan on prescribing buprenorphine. Providers should at least wait 45 days to begin prescribing. If caught by the DEA prescribing without being certified, there could be consequences. Further, pharmacies contact CSAT/SAMHSA to verify if a provider is certified; they will not fill the prescription to non-certified providers. Note that providers who have completed buprenorphine training can immediately treat one patient emergently but must wait until getting their prescribing identification number before taking a caseload of patients.

According to the SAMHSA website, "A place to check "Immediate" is included on the form to address a provision in the Drug Addiction Treatment Act to permit treatment while a notification is under review. Checking "Immediate" is only one of three requirements that a provider must meet in order to start a patient on treatment, and treatment is limited to ONE patient per form submitted. (Each form must have a different submission date.)The three requirements are that, first, the provider must "in good faith” meet the criteria for obtaining a waiver (i.e., valid medical license, valid DEA registration, credentialing, or 8 hours of qualifying training). Second, the provider must check "Immediate" on the waiver. Third, the provider must contact the Buprenorphine Information Center at 1-866-BUP-CSAT to verify that the notification form has been received and to notify CSAT of his/her intent to begin treating ONE patient. Since the provider will not have the unique identifying number, pharmacists may question prescriptions received under this provision. Pharmacists may contact the Buprenorphine Information Center if additional information is needed."

You can check with CSAT/SAMHSA at their hotline 1-866-BUP-CSAT (1-866-287-2728) to check on the status. Allow 45 days for CSAT to review your Buprenrophine Waiver Notification form.

NEITHER ASAM nor us (Clinical Tools) is involved in the CSAT or DEA review process.

No, your DEA number and X number do not change when you move from state to state. However, some states have an additional CDS (controlled dangerous substance) number, which may change. If you move be sure to update your practice address with the DEA.

The waiver application that must be submitted for licensing is provided by SAMHSA. For any issues or questions regarding the waiver application, please contact SAMHSA at infobuprenorphine@samhsa.hhs.gov.

Once you complete the "Buprenorphine Training: Waiver Training for NPs & PAs [Part 1: 8 of 24 hours]" or "SBIRT and Motivational Interviewing: Waiver Training for NPs & PAs [Part 2: 5 of 24 hours]" and "Opioids, Pain, and Risk Reduction: Waiver Training for NPs & PAs [Part 3: 11 of 24 hours]", your completion information is recorded in our records. If you have an NP or PA degree, your information is sent to SAMHSA at the beginning of the next work week.

Things to Note:

  • You will need to electronically submit or fax a copy of your completion certificate with your waiver application.
  • You must have an NP or PA degree listed under your account in order for us to send off your information.
  • If you plan on applying for a waiver, you must select the full amount of credit for each section (8 hours for BupPractice, 5 hours for SBIRT, and 11 hours for OpioidRisk).

The online form became available 2/27/17 and is the same one completed by MDs/DOs: the online Buprenorphine Waiver Notification form. Once you have completed all three parts of the waiver training activity, you must fill out the online form on SAMHSA/CSAT's website. In addition to submitting the application, you must also send copies of your certificates to SAMHSA via email at infobuprenorphine@samhsa.hhs.gov or by faxing to 301-576-5237.  For more information, you may visit SAMHSA's site Qualify for Nurse Practitioners (NPs) and Physician Assistants (PAs) Waiver.

About the Website

This site was developed to train both providers who qualify to prescribe buprenorphine and other clinicians who treat opioid-dependent patients with buprenorphine or manage and refer patients with opioid use disorder. Initially, only MDs and DOs could become waivered to prescribe buprenorphine and have training, however, the CARA 2016 law provides that nurse practitioners and physician assistants are able to prescribe it as well. They are required to take 24 hours of training instead of the 8 hours required for physicians.

Buprenorphine Practice was developed by Clinical Tools, Inc., funded by a contract with the National Institute on Drug Abuse (#HHSN271200555303C). Clinical Tools, Inc., is a small, physician-run business dedicated to harnessing the potential of the Internet to create scalable, usable, and broadly available tools for health researchers, clinicians, and consumers.

Clinical Tools, Inc. will not share your personal information with any third parties. However, we will provide ASAM with a list of all qualified learners who have completed the training activity.

Do I have to create an account?

You do not need to create an account to access the information under Resources and How-To Guides. However, to participate in forums, post comments, take courses, or add content to the site, you will need to create an account and login.

All you need is a username, an email address, and a password. Creating an account on the site is free, and it enables you to participate in forums and groups, and to create a BupSite.

Go to your Account page and click on the Edit tab. There you can update your password, email address, and other aspects of your profile.

I forgot my password. What should I do?

To update the information for your Bup site, simply login and select the "Your Bup Site!" link on the black bar at the top of the page. Once you arrive at your bup site, selecting the "Edit" link will allow you to change/update any of the personal information.

Need More Information?

Please browse the Buprenorphine Waiver Management Section on the SAMHSA/CSAT website or refer to our Information About Getting Your Waiver page.

If you don't see your question here, please Contact Us.