Schedule 2 Medications

24.10.2019

Related to Schedule II: Schedule III, Schedule V, Schedule IV Schedule II a category of drugs considered to have a strong potential for abuse or addiction but that have legitimate medical use. Schedule II drugs are also considered highly addictive with a dangerous potential for abuse. What makes them different from Schedule I drugs? Unlike the group above, Schedule II drugs are considered medically acceptable in particular cases, like for treating chronic pain or addiction.

Schedule 2 Medications

SBAR: Advanced Practice Providers and Schedule II Medication Prescriptions Situation: Several retail pharmacies in the Austin metro area are not honoring CII prescriptions written by APRNs or PAs on or after October 6, 2014. A “mid-level” practitioner can only prescribe a CII controlled substance to treat a patient in a hospital or hospice setting in Texas. This has been confirmed with the Board of Pharmacy that this rules out “discharge” prescriptions for CII controlled substances. Background: Hydrocodone Combination Products (HCPs) have been moved from Schedule III controlled substances to the more-restrictive Schedule II, effective on Oct. 6, 2014. The U.S. Drug Enforcement Administration’s rescheduling of HCPs as Schedule II Controlled Substances will increase the restrictions on prescribing and dispensing practices for HCPs. Assessment: Different organizations (DEA, Pharmacy Board, Pharmacies, TMB, etc.) are interpreting the prescriptive authority related to Schedule II drugs differently. The following is the Texas Pharmacy Boards interpretation: In Texas, a mid-level prescriber cannot prescribe a CII controlled substance, but with two exceptions: 1) For administration in a hospital or hospice unit.

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See the link below for Texas’ Occupation Code which is the law in Texas. DEA’s reference is based on the State of Texas Occupations Code Chapter 157.

Schedule 2 Drugs List Printable

2) The Texas BON states advanced practice registered nurses and physician assistants may only prescribe hydrocodone combination products when providing care to hospice patients or practicing in hospital facility based practices as provided for in Chapter 157.0511(b-1) of the Texas Occupations Code and if registered with DEA and DPS to prescribe Schedule II controlled substances. Recommendation: Until the Texas Medical, Pharmacy, and Nursing Boards provide a joint statement that it is acceptable for advanced practice providers to write Schedule II “discharge” prescriptions, Seton’s mid-level prescribers should not send patients home with CII prescriptions, as they may not be able to get them filled. Have a privileged Seton Medical Staff member write these CII discharge prescriptions on their DPS official prescription pad. QUESTIONS Q: Which controlled substance classifications changed? The Texas Board of Nursing, Texas Medical Board and Texas State Board of Pharmacy advise their respective licensees that the United States Drug Enforcement Administration (DEA) published a final rule reclassifying hydrocodone combination products (HCPs) as Schedule II controlled substances. The reclassification became effective on October 6, 2014. HCPs include products such as Lortab®, Vicodin®, and Norco®. The Boards of Nursing, Medicine and Pharmacy also remind their respective licensees that the DEA classified tramadol as a Schedule IV controlled substance.

List Of Schedule 6 Drugs

This change became effective on August 18, 2014. All prescribers and pharmacy personnel must comply with requirements for ordering, prescribing and handling Schedule IV medications as set forth in state and federal law. Q: Who can prescribe Schedule II drugs under physician delegation?

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