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. 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). Some states classify it as a Schedule V controlled substance due to concerns about misuse and its involvement in the opioid crisis. Others do not schedule it but require mandatory reporting to state prescription drug monitoring programs (PDMPs) to track prescribing and dispensing. Established in 2006, OARRS collects information on all outpatient prescriptions for controlled substances and two non-controlled substances (gabapentin & naltrexone) dispensed by Ohio-licensed pharmacies and personally furnished by Ohio prescribers. This data is reported every 24 hours and is maintained in a secure database. containing gabapentin to the Ohio Automated Rx Reporting System (OARRS): All pharmacies located outside this state and licensed as a terminal distributor of dangerous drugs that dispense gabapentin to outpatients residing in this state. Eight states have made gabapentin a schedule V controlled substance. And 12 other states require stricter reporting on gabapentin prescriptions. If you have a prescription for gabapentin, it’s best to take the lowest dose possible. (1) The prescriber who issued the prescription would ordinarily be entitled to issue prescriptions under Ohio law and the state where the prescription was issued; (2) The prescription meets all the requirements of this rule, including whether the prescription is for a legitimate medical purpose in accordance with paragraph (A) of this rule. schedule II controlled substances. IMPORTANT INFORMATION ON REFILLS: Prescriptions for schedule III and IV controlled substances may be refilled not more than five times in a six-month period from issuance for schedule V controlled substances and for dangerous drugs that are not controlled substances. %PDF-1.4 %âãÏÓ 43 0 obj > endobj xref 43 90 0000000016 00000 n 0000002450 00000 n 0000002561 00000 n 0000003887 00000 n 0000004026 00000 n 0000004206 00000 n 0000004714 00000 n 0000005176 00000 n 0000005672 00000 n 0000005785 00000 n 0000005810 00000 n 0000006414 00000 n 0000006688 00000 n 0000007218 00000 n 0000007492 00000 n 0000007985 00000 n 0000010362 00000 n 0000010605 00000 n Any pharmacy that is licensed by the Ohio Board of Pharmacy, even if located outside of Ohio, is required to report the dispensing of all Schedule II through Schedule V controlled substance medications, any gabapentin-containing product, and naltrexone when dispensed for treatment of substance abuse disorder to the OARRS database on a daily basis. 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. (b) The dosage prescribed exceeds a daily average of eighty MED or at lower doses if the patient is co-prescribed a benzodiazepine, sedative hypnotic drug, carisprodol, tramadol, or gabapentin; or (c) The patient has a concurrent substance use disorder. Required OARRS Review for Gabapentin Prescriptions - Effective 11/15/22 Effective November 15, 2022, OAC 4729:5-5-08 will be amended to require pharmacists to check a patient’s OARRS report prior to dispensing medications containing gabapentin. This rule is intended to address an increase in the overutilization of gabapentin as reported by Gabapentin, a drug viewed as an alternative to opioids, is being abused across Ohio, experts and state officials warn. The misuse could lead the state to reclassify the drug. Controlled Substance Reference Table . Annual Review Completed for all Drug Entries on 9-15-2022 . Please be advised that the information contained in this table is compiled solely from reference works recognized and approved by the State Board of Pharmacy pursuant to rule 4729:9-2-01. Pursuant to section 3719.41 of the Revised Code, controlled substance schedule V is hereby established, which schedules include the following, subject to amendment pursuant to section 3719.43 or 3719.44 of the Revised Code. In 2017 and 2018, Kentucky, Tennessee, and West Virginia passed laws classifying gabapentin as a Schedule V drug due to abuse potential, risk of overdose, and death. 24–28 In contrast, between 2016 and 2018, Kansas, Massachusetts, Minnesota, Nebraska, New Jersey, North Dakota, Ohio, Virginia, and Wyoming required gabapentin to be included in registration numbers for gabapentin prescriptions issued by veterinarians. As a reminder, gabapentin is not a controlled substance in Ohio and so a veterinarian is not required to have a DEA registration number to prescribe the medication. Additionally, veterinarians do not have NPI numbers. Gabapentin is a prescription medication originally approved to treat seizure and nerve pain disorders. Since its approval, gabapentin has become the drug of choice for many disorders outside of its labeled indication. Gabapentin is generally seen to be a helpful medication with few risks, but it’s still possible for abuse to occur. State Medical Board of Ohio | 30 East Broad Street, 3rd Floor, Columbus, OH 43215 | Call: 614-466-3934
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