Controlled Substance Regulations in Iowa

What are the controlled substances schedules and how do they affect prescription medications in Iowa?

In Iowa, the Controlled Substances Schedules are divided into five categories. They are:

Schedule I – These substances have high potential for abuse and no accepted medical use. Examples include heroin, LSD, and marijuana.

Schedule II – These substances have a high potential for abuse, but have an accepted medical use. Examples include morphine, methadone, and oxycodone.

Schedule III – These substances have a lower potential for abuse and an accepted medical use. Examples include codeine, hydrocodone, and steroids.

Schedule IV – These substances have a lower potential for abuse and an accepted medical use. Examples include benzodiazepines and prescription sleep aids.

Schedule V – These substances have the least potential for abuse and an accepted medical use. Examples include antidiarrheal medications containing very small amounts of codeine.


These schedules affect prescription medications in Iowa by dictating which medications may be prescribed, how they can be prescribed, and any restrictions or requirements for prescribing certain medications. For example, Schedule II substances must be prescribed in writing and cannot be refilled without a new written prescription from the doctor.

How do I dispose of expired or unused prescription medications in a safe and legal manner in Iowa?

The Iowa Department of Public Health suggests that you take your expired or unused prescription medications to your local police department or pharmacy for safe disposal. These locations often have drug take-back programs that allow you to safely and legally dispose of medications. Additionally, some pharmacies offer mail-back programs, which allow you to mail back medications in a special envelope for safe disposal.

Are there restrictions on the prescription of opioid painkillers due to the opioid epidemic in Iowa?

Yes. In March 2017, Iowa enacted a new law that requires healthcare providers to follow new guidelines and restrictions when prescribing opioid painkillers. These restrictions include: (1) limiting opioid prescriptions to seven days for acute pain and 30 days for chronic pain; (2) requiring prescribers to provide patient education on the risks of opioids; (3) requiring prescribers to check the state’s prescription drug monitoring program before prescribing more than a seven-day supply of opioids; and (4) requiring healthcare providers to obtain written consent from patients before prescribing opioids.

What is the process for obtaining a prescription for medical marijuana in Iowa?

The process for obtaining a prescription for medical marijuana in Iowa requires a patient to first apply for a medical cannabis registration card. When applying, a patient must be certified by a physician who is registered with the Iowa Department of Public Health. The patient must also provide proof of identity, proof of Iowa residency, and a current photograph. Once the application is approved, the patient can then purchase their medical marijuana at approved dispensaries.

Are there limitations on the quantity of prescription medications that can be dispensed in Iowa?

Yes, Iowa has limits on the quantity of prescription medications that can be dispensed. A pharmacist is limited to dispensing a maximum of three 30-day supplies of any medication during any 90 day period, unless otherwise specified by the prescriber.

Is there a prescription drug monitoring program (PDMP) to prevent prescription drug abuse in Iowa?

Yes, Iowa operates a PDMP program called I-STOP. The program is intended to reduce prescription drug abuse and diversion of prescription drugs by collecting data on the prescribing and dispensing of controlled substances in the state. The program also helps health care providers and pharmacists protect patients from potential adverse effects of medication misuse.

Can I legally purchase syringes and needles for personal use without a prescription in Iowa?

Yes, you can legally purchase syringes and needles for personal use without a prescription in Iowa. However, you must be at least 18 years old to legally purchase syringes and needles without a prescription, and some pharmacies may require proof of age.

What are the penalties for possessing controlled substances without a valid prescription in Iowa?

The penalties for possessing controlled substances without a valid prescription in Iowa depend on the type of drug, the quantity, and the individual’s criminal history. Generally, a first-time possession of a controlled substance without a valid prescription is a serious misdemeanor, punishable by up to one year in jail and a fine of up to $1,875. Subsequent offenses can be charged as felonies, with more severe penalties including longer jail time and larger fines.

Is there a Good Samaritan law that provides immunity to individuals who seek help for a drug overdose in Iowa?

No, there is no Good Samaritan law in Iowa that provides immunity for individuals who seek help for a drug overdose. However, Iowa does have a Good Samaritan law that protects individuals who seek medical help for another person experiencing an overdose. This law provides some immunity from criminal charges related to the possession of controlled substances and/or paraphernalia when an individual seeks medical assistance for another person who is experiencing an overdose.

Do state laws allow for the sale of over-the-counter (OTC) pseudoephedrine products, and are there quantity restrictions in Iowa?

Yes, state laws in Iowa allow for the sale of OTC pseudoephedrine products. However, there are quantity restrictions. In Iowa, certain OTC pseudoephedrine products are limited to 3.6 grams per person, per day with a 30-day limit of 9.0 grams. Additionally, retailers must record each sale in a log and transfer those records to the Iowa Narcotics & Controlled Substance Database.

Are there restrictions on the sale of certain cough syrups containing dextromethorphan (DXM) to prevent abuse in Iowa?

Yes, there are restrictions on the sale of certain cough syrups containing dextromethorphan (DXM) to prevent abuse in Iowa. According to Iowa Code 252G.15, it is unlawful for any person to sell, offer for sale, or possess with intent to sell any product containing DXM unless the product is sold in blister packs containing no more than three individual doses or in single-dose packages. In addition, DXM can only be sold to persons 18 years of age or older and a valid, government-issued photo identification must be presented at the time of purchase.

What are the regulations for methadone clinics and medication-assisted treatment (MAT) programs in Iowa?

The regulations for methadone clinics and medication-assisted treatment (MAT) programs in Iowa are set out by the Iowa Department of Public Health. The regulations require methadone clinics to be certified by the department and to adhere to certain standards, such as proper storage and disposal of medications, patient records and medical records. The regulations also require the clinics to provide medication-assisted treatment, including counseling and other services related to addiction, along with medication. Methadone clinics must also meet state requirements for staffing and clinical operations.

Can I legally purchase or possess synthetic cannabinoids (spice or K2) in Iowa?

No, synthetic cannabinoids (Spice or K2) are illegal in Iowa. Iowa Code § 124.204 makes it unlawful to possess or sell any synthetic cannabinoids, and violators can face up to two years in prison and/or up to a $6,250 fine.

What are the penalties for selling or trafficking illegal drugs in Iowa?

The penalties for selling or trafficking illegal drugs in Iowa depend on the type of drug, the quantity of the drug, and other factors. Generally, the penalties for selling or trafficking illegal drugs in Iowa range from a felony charge to a fine and/or prison sentence, depending on the severity of the crime. Anyone convicted of selling or trafficking illegal drugs can also face additional penalties such as a driver’s license suspension, court-ordered drug treatment, and community service.

Are there laws that address drug testing in the workplace in Iowa?

Yes. In Iowa, employers are allowed to drug test employees and job applicants. State law requires that employers provide advance notice of their testing policy and that tests must be administered in a fair and impartial manner. Drug tests must also be job-related and conducted in accordance with the rules of the Iowa Department of Public Health.

Can I legally possess drug paraphernalia, such as pipes or bongs, for personal use in Iowa?

No, it is illegal to possess drug paraphernalia in Iowa. Iowa Code 124.414 makes it unlawful for any person to possess, deliver, or manufacture drug paraphernalia with the knowledge that the device is intended to be used for the purpose of unlawfully using a controlled substance. Possession of drug paraphernalia is a serious offense that can result in a Class D felony conviction, which carries a prison sentence of up to five years.

Are there restrictions on the sale of prescription drugs through online pharmacies in Iowa?

Yes, there are restrictions on the sale of prescription drugs through online pharmacies in Iowa. According to the Iowa Board of Pharmacy, a prescription drug may only be dispensed by a licensed pharmacy, and online pharmacies must be licensed with the Board. The Board also requires that certain criteria be met in order for an online pharmacy to be licensed. These criteria include proof of compliance with state and federal laws, security measures to protect customer information, and compliance with the Iowa Pharmacy Practice Act. Additionally, only Iowa-licensed pharmacies may ship prescription drugs into the state.

Do state laws require pharmacies to provide naloxone (Narcan) without a prescription to prevent opioid overdoses in Iowa?

Yes, state law in Iowa requires pharmacies to provide naloxone (Narcan) without a prescription to prevent opioid overdoses. The law was enacted in 2017 and applies to any pharmacy licensed under Iowa law.

What are the regulations for the storage and handling of controlled substances in healthcare facilities in Iowa?

The Iowa Board of Pharmacy regulates the storage and handling of controlled substances in healthcare facilities in Iowa. All pharmacies, practitioners, hospitals, and other healthcare facilities must abide by the Iowa Administrative Code (IAC) 657 Chapter 11. The IAC 657 Chapter 11 requires the following for the storage and handling of controlled substances:

– Controlled substances must be stored in a secure, locked cabinet or vault.
– Storage areas must be monitored to ensure that unauthorized personnel do not access them.
– Access to storage areas must be limited to authorized personnel only.
– Controlled substances must be labeled appropriately and kept in their original containers.
– Controlled substances must be stored according to their requirements for storage temperature and humidity.
– A count of all controlled substances must be taken on a regular basis and documented.
– All controlled substance waste must be tracked and disposed of properly.
– All personnel handling controlled substances must be trained on their proper storage and use.

Is there a process for individuals to report suspected illegal drug activity to law enforcement in Iowa?

Yes, individuals may report suspected illegal drug activity to law enforcement in Iowa. Such reports may be made anonymously to a local police department or county sheriff’s office, or directly to the Iowa Division of Narcotics Enforcement. Anonymous tips may also be submitted online via the Iowa Department of Public Safety’s Narcotics Anonymous Tip Line.