Frequently Asked Questions

Are you part of the Ohio NIATx Buprenorphine Implementation Study? Consult your Activity-Relevant FAQs.

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!

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 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.

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

To complete the Buprenorphine Training Activity, you must take all 9 courses on the site, including a pre/post-test for each. After you complete all 9 courses you will be eligible for the waiver. You can also claim up to 9 credit hours of AMA PRA Category 1 Credit (TM) after you complete the activity.

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 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 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, and

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.

You can progress to the next page throughout the activity by clicking the next page's title in the lower right-hand corner of the screen. If this button is not present, you may use the page titles listed on the left-hand side of the screen. Be sure to always access the activity through the activity home page to ensure that the in-module navigation worked correctly (Please do not "bookmark" any pages directly.)

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.

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.

Buprenorphine Training

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

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-course activity on to qualify for your waiver to prescribe buprenorphine. This training activity is provided by the American Society of Addiction Medicine (ASAM). The website is ASAM's online buprenorphine training activity, which 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.

You can receive up to 9 hours of AMA PRA Category 1 Credit (TM) for completing the 10-course training activity on our website. This is the only credit type being offered at this time.

The CARA 2016 law provides that nurse practitioners and physician assistants are able to prescribe buprenorpine, in addition to the MDs and DOs who have been able to prescribe it since 2000. The training requirements for NPs and PAs are still being defined, but once they are, we will actively seek to provide that training as well. Please visit our sign-up form to learn more and to be informed when this new training becomes available.

You are welcome to complete the training activity for educational purposes, but at this time, it would not count.

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 you will be qualified to apply for the waiver. Visit SAMHSA Buprenorphine Waiver Management to see the other ways that providers 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. 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. You can do so if you wish your waiver form to be processed quickly, but it is not necessary since CSAT obtains confirmation of your training from us. We submit information to CSAT weekly here at If submitting the Waiver Notification Form form by mail or fax, you must also send a copy of your DATA 2000 Training Certificate along with the waiver form. (The DATA 2000 Training Certificate is provided to you in a link on the right side of the activity home page, where all the modules are listed.)

It is not necessary that you mail or fax a copy of your certificate. You can do so if you wish your waiver form to be processed quickly, but it is not necessary since CSAT obtains confirmation of your training from us. We submit information to CSAT weekly here at

You can print the waiver certificate but you do not need to send it. 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 our 10-module buprenorphine training activity and required activity post-training assessment, 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.

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. While currently only MDs and DOs can become waivered to prescribe buprenorphine and have training, the CARA 2016 law provides that nurse practitioners and physician assistants are able to prescribe it as well. Their training requirements are still being defined, but once they are, we will actively seek to provide that training as well. Please visit our NP/PA sign-up form to be informed when this new training becomes available.

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.