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Gabapentin is a controlled substance in states like Michigan and Kentucky, while others have mandated reporting rules. Learn about its risk for abuse here. Gabapentin has not been reclassified as a controlled substance, but it is being added to the Board’s list of drugs reportable to OARRS following increased reports of misuse, abuse, and concomitant abuse of gabapentin nationwide.1 No new requirement to review an OARRS report prior to dispensing gabapentin (a) The patient has a history of prior opioid overdose; (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. The number of states placing gabapentin on the controlled substance list or in their required monitoring program is growing and three more states are debating whether to add gabapentin as a controlled substance or to their mandated reporting programs (DE, NY, and WI). Gabapentin, originally developed to treat epilepsy, has gained popularity as a medication for neuropathic pain and other conditions. However, its increasing use has raised concerns about potential misuse and addiction. As a result, various states have begun to classify gabapentin as a controlled substance. Understanding the legal status of gabapentin across different jurisdictions is crucial Ohio's prescription drug monitoring program, known as the Ohio Automated Rx Reporting System (OARRS), collects information on the distribution of prescription controlled substances and two non-controlled drugs, gabapentin and naltrexone, to Ohio patients. 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. Mandatory Electronic Prescribing of Schedule II Controlled Substances: Safe Harbor Provision Under current law, prescribers are required to issue an electronic prescription when prescribing a Schedule II controlled substance, but are also provided a number of exceptions which allow them to issue a written prescription in specified circumstances. (15) Except for veterinarians licensed under Chapter 4741. of the Revised Code, for all controlled substances and products containing gabapentin: indicate the prescriber's intended days' supply of the prescription. 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. Although gabapentin is not a federally controlled substance, it can still be addictive. Learn more about gabapentin addiction and how it’s treated. *These are drug products which: (1) may be dispensed only upon a prescription issued by a practitioner and, (2) contain controlled substances but have been specifically excepted from the controlled substances schedules. (Title 21, CFR 1308.31.) Accordingly, these drugs are legally classified as dangerous drugs in Ohio. Rx-Prescription Drugs. What is OARRS? To address the misuse and diversion of prescription drugs and promote improved patient care, the Ohio Board of Pharmacy created Ohioʼs Prescription Drug Monitoring Program (PDMP), known as the Ohio Automated Rx Reporting System (OARRS). OARRS collects information on all outpatient prescriptions for controlled substances and gabapentin dispensed by Ohio-licensed pharmacies and At this time gabapentin is not a federally-controlled substance. However, due to a spike in gabapentin-related fatalities, Ohio, Kentucky and West Virginia have moved to list the drug as a controlled substance at the state level. Gabapentin is a prescription medication approved by the FDA for the treatment of neuropathic pain (postherpetic neuralgia) and seizure disorders. Why is gabapentin controlled in some states? Gabapentin is structurally and pharmacologically related to pregabalin (Lyrica, Lyrica CR), which is a Schedule V drug and controlled federally in all states. Gabapentin Abuse in Ohio has led officials to consider reclassifying it as a controlled substance. Learn more about the dangers of Gabapentin abuse. Update on Gabapentin in Ohio As a reminder, gabapentin is not considered a controlled substance in Ohio. The Board was made aware of incorrect communications made by a third-party vendor stating that Ohio had made gabapentin a controlled substance. What is OARRS? To address the growing misuse and diversion of prescription drugs, the State of Ohio Board of Pharmacy created Ohio’s Prescription Drug Monitoring Program (PDMP), known as the Ohio Automated Rx Reporting System (OARRS). Established in 2006, OARRS collects information on all outpatient prescriptions for controlled substances and two non-controlled substances (gabapentin Gabapentin isn’t classified as a controlled substance under federal law in the United States. But it is classified as a controlled substance in some states. Is Gabapentin a Controlled Substance? Explore the regulatory status of Gabapentin, its prescription requirements, and the implications for healthcare providers.
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