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Discover the current status of gabapentin scheduling as a controlled substance across the US and the PDMP requirements for each state. Valuable insights for healthcare providers. Gabapentin is not currently listed as a controlled substance under the Controlled Substances Act of 1970.11 Several state boards of pharmacy, as outlined in Supplemental Table 2 and Figure 1, have independently reclassified gabapentin under state pharmacy rules as a Schedule V drug. Other states have required gabapentin use to be monitored single substance pharmaceutical exposures (i.e., the number of human exposure cases that identified only one substance), gabapentin was identified as a single substance in 6,955 cases in 2022. With respect to medical outcomes associated with gabapentin calls to poison control centers in 2022, gabapentin was associated with 6 deaths, 164 As used in K.S.A. 21-5701 through 21-5717, and amendments thereto: (a) “Controlled substance” means any drug, substance or immediate precursor included in any of the schedules designated in K.S.A. 65-4105, 65-4107, 65-4109, 65-4111 and 65-4113, and amendments thereto. compound, mixture, or preparation containing gabapentin as a drug of concern. K.A.R. 68-21-7 identifies the drugs of concern that are reported to, tracked by, and monitored through the Kansas Prescription Monitoring Program (K-TRACS) that are not controlled substances identified in Schedules II-IV of the Kansas Controlled Substances Act. In the state of Kentucky, prescribers without a DEA license are unable to prescribe gabapentin after it was classified as a Schedule V controlled substance. 38 This licensing requirement is part of the state’s Controlled Substances Act which had the greatest impact on mid-level practitioners who may not have a DEA license. Kentucky All controlled substance prescriptions in schedules II-IV plus five drugs of concern defined in K.A.R. 68-21-7 are required to be reported to K-TRACS. K.S.A. 65-1683 outlines the 16 data elements required to be reported for each prescription. Who is required to report to K-TRACS? Section 68-20-18 - Information concerning prescriptions (a) Any prescription for a controlled substance may be filled by a pharmacist if the prescription has been issued by a prescriber who meets the following requirements: (1) Is legally authorized to prescribe controlled substances in Kansas or is authorized by the laws of another state; and (2) is either registered or exempted from In seven states, gabapentin is classified as a schedule V controlled substance (including AL, KY, MI, ND, TN, VA, and WV). Twelve states have not classified gabapentin as a controlled substance, but require gabapentin dispensing must be reported to their PMP (including CT, DC, IN, KS, MA, MN, NE, NJ, OH, OR, UT, and WY). 65-4107. Substances included in schedule II. (a) The controlled substances listed in this section are included in schedule II and the number set forth opposite each drug or substance is the DEA controlled substances code which has been assigned to it. Schedule-V controlled substance and mandated reporting to PDMP. The State of Kentucky is, and to date, remains, the only state to have reclassified gabapentin as a Schedule-V controlled substance. 21 Effective July 1, 2017, the prescribing of gabapentin is limited to authorized practitioners, defined as practitioners registered with the US DEA. 21 Thus, mid-level practitioners, specifically Gabapentin isn’t a narcotic or federally controlled substance, but it is regulated and recognized as a controlled substance in certain states. Gabapentin is approved by the Food and Drug (d) A controlled substance shall not be distributed or dispensed except by a valid prescription order as defined in K.S.A. 65-1626, and amendments thereto. Electronic prescriptions shall be retained electronically for five years from the date of their creation or receipt. Gabapentin (Neurontin) is not a narcotic or federally controlled substance by the DEA as of November 2022, but it is classified as a Schedule V controlled substance in certain states. The Kansas prescription drug monitoring program helps healthcare providers prioritize patient safety. Login to Account 65-4113. Substances included in schedule V. (a) The controlled substances or drugs, by whatever official name, common or usual name, chemical name or brand name designated, listed in this section are included in schedule V. Gabapentin isn’t a controlled substance according to the federal government. But several states have passed their own laws classifying gabapentin a schedule V (schedule 5) controlled substance. Combining gabapentin and opioids can be extremely dangerous. To begin reporting to K-TRACS, dispensers must either create a PMP Clearinghouse account or add Kansas to their existing Clearinghouse account. Register for a Clearinghouse account; Login to existing Clearinghouse account; How to add Kansas to Clearinghouse account; For assistance, please contact K-TRACS at pmpadmin@ks.gov or 785-296-6547. The prevalence of gabapentin abuse has been estimated to be 1.6% in the general population compared with 15% to 22% in patients with opioid use disorders. 23 Individuals with a history of substance abuse (particularly opioids) or mental illness have been identified as having an increased risk of abusing gabapentin. 23 Evidence of gabapentin abuse was observed in a group of 503 individuals in
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