Mount Carmel Health Partners Clinical Guidelines Chronic Pain Management | Page 5

Table A : Schedules of Controlled Substances in the United States *
Schedule
Examples
Medical Use ?
Potential for Abuse / Dependence
Prescription
I ● Marijuana ● Heroin No High Not applicable
II Narcotics :
• Codeine • Fentanyl
• Hydrocodone and hydrocodone combinations ( e . g ., with acetaminophen )
• Hydromorphone • Morphine
• Methadone • Oxycodone and oxycodone combinations ( e . g ., with acetaminophen )
Stimulants :
• Amphetamine • Methamphetamine • Methylphenidate Other :
• Cocaine • Pentobarbital , secobarbital
Yes
High
Requires a written prescription by a licensed practitioner . Refilling of individual prescriptions is prohibited .
III Narcotics :
• Buprenorphine
• Combination products with < 90 mg codeine / unit ( e . g ., acetaminophen with codeine )
Non-narcotics : • Dronabinol • Ketamine
IV Narcotics :
• Tramadol and combinations ( e . g ., with acetaminophen )
Others :
• Alprazolam • Diazepam ● Carisoprodol
• Clonazepam • Lorazepam • Midazolam
v
Preparations containing limited quantities of certain narcotic and stimulant drugs used for antitussive , antidiarrheal , and analgesic purposes ( e . g ., cough preparation with < 200 mg codeine / 100 mL [ e . g ., Robitussin AC ])
Yes
Yes
Yes
Less than with Schedule I and II drugs
Less than with Schedule III drugs
Lower than with Schedule IV drugs
A prescription for a drug in Schedules III through V must be issued by a practitioner and may be communicated orally , in writing , or by facsimile to the pharmacist ; may be refilled up to five times
* Drugs and other substances that are considered controlled substances under the Controlled Substances Act are divided into five schedules based upon whether they have a currently accepted medical use in the United States and their relative abuse potential and likelihood of causing dependence when abused .
Ohio Automated Rx Reporting System ( OARRS )
The Ohio Automated Rx Reporting System ( OARRS ) was established in 2006 as a tool to assist health care professionals in providing better treatment for patients with medical needs while quickly identifying drug seeking behaviors . An OARRS Prescription History Report can assist in assuring that a patient is getting the appropriate drug therapy and is taking his or her medication as prescribed . Prescribers are required to request , assess , and document receipt of a patient ’ s OARRS prescription history report . Ohio law has established several requirements for Ohio prescribers related OARRS :
• Before initially prescribing or personally furnishing an opioid analgesic or a benzodiazepine to a patient , the prescriber must request patient information from OARRS that covers at least the previous 12 months .
• The prescriber must also make periodic requests for patient information from OARRS if the course of treatment continues for more than 90 days . The requests must be made at intervals not exceeding ninety days , determined according to the date the initial request was made .
• Under the circumstances described above , the prescriber is required to assess the OARRS information and document in the patient record that a patient prescription history report was received and assessed .
An exception to mandatory checks prior to prescribing an opioid analgesic or benzodiazepine occurs when the drug is prescribed or personally furnished in an amount indicated for a period not to exceed seven days ( all prescribers except optometrists ). A prescriber who is required to review OARRS information must document in the patient ' s medical record that the report was received and the information was assessed .
Ohio Automated Rx Reporting System Ohio State Board of Pharmacy
Live Support Available : 8:00 a . m .— 5:00 p . m ., Monday — Friday 77 South High Street , Room 1702 https :// www . ohiopmp . gov / Columbus , OH 43215 Phone : 614-466-4143
Chronic Non-Cancer Pain Management - 5