WEST virginia Legislature
2018 regular session
House Bill 4254
By Delegates Moore, Summers, Sobonya, Shott, Hanshaw, Westfall, Maynard, Paynter, Harshbarger, Kessinger, and Queen
23, 2018; Referred
to the Committee on Prevention and Treatment of Substance Abuse then the Judiciary.]
A BILL to amend and reenact §60A-3-308 of the Code of West Virginia, 1931, as amended, relating to prescriptions of Schedule II drugs; placing a seven-day supply limitation on the amount of Schedule II drugs which can be lawfully prescribed; and providing exceptions.
Be it enacted by the Legislature of West Virginia:
ARTICLE 3. REGULATION OF MANUFACTURE, DISTRIBUTION AND DISPENSING OF CONTROLLED SUBSTANCES.
(a) Except when dispensed directly by a practitioner, other than a pharmacy, to an ultimate user, no controlled substance in Schedule II may be dispensed without the lawful prescription of a practitioner. In accord with the Centers’ for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain published in 2016, a practitioner is prohibited from issuing a prescription for a Schedule II controlled substance for more than a seven-day supply of a Schedule II controlled substance if the prescription is intended to treat pain as an acute medical condition, with the following exceptions:
(1) The practitioner, in his or her professional judgment, believes that more than a seven-day supply of a Schedule II controlled substance is medically necessary to treat the patient’s pain as an acute medical condition and the practitioner adequately documents the acute medical condition and lack of alternative treatment options which justifies deviation from the seven-day supply limit established in this subsection in the patient's medical records;
(2) The prescription for a Schedule II controlled substance is prescribed to treat chronic pain;
(3) The prescription for a Schedule II controlled substance is prescribed to treat pain associated with a valid cancer diagnosis;
(4) The prescription for a Schedule II controlled substance is prescribed to treat pain while the patient is receiving hospice or end-of-life treatment;
(5) The prescription for a Schedule II controlled substance is prescribed as part of a drug treatment program approved by the Secretary of the Department of Health and Human Resources;
(6) The prescription for a Schedule II controlled substance is prescribed to treat pain following a major surgery or the treatment of significant trauma, as defined by the State Board of Pharmacy in consultation with the Office of Drug Control Policy;
(7) The Schedule II controlled substance is dispensed or administered directly to an ultimate user in an inpatient setting; or
(8) Any additional treatment scenario considered medically necessary by the State Board of Pharmacy in consultation with the Office of Drug Control Policy.
(b) Subsection (a) of this section does not authorize a state licensing board to promulgate rules which expands a practitioner's prescriptive authority beyond that which existed prior to the effective date of this subsection.
(b) (c) In emergency situations, as defined by
rule of the said appropriate department, board or agency, Schedule II
drugs may be dispensed upon oral prescription of a practitioner, reduced
promptly to writing and filed by the pharmacy. Prescription shall be retained
in conformity with the requirements of §60A-3-306 of this code. No prescription
for a Schedule II substance may be refilled. (c) (d) Except when dispensed directly by a
practitioner, other than a pharmacy, to an ultimate user, a controlled
substance included in Schedule III or IV, which is a prescription drug as
determined under appropriate state or federal statute, shall may
not be dispensed without a lawful prescription of a practitioner. The
prescription shall may not be filled or refilled more than six
months after the date thereof or be refilled more than five times unless
renewed by the practitioner. (d) (e) (1) A controlled substance included in
Schedule V shall may not be distributed or dispensed other than
for a medicinal purpose: Provided, That buprenorphine shall may
be dispensed only by prescription pursuant to subsections (a), (b) and
(c) and (d) of this section: Provided, however, That the
controlled substances included in §60A-2-212(e), of this code shall may
be dispensed, sold or distributed only by a physician, in a pharmacy by a
pharmacist or pharmacy technician, or health care professional.
(2) If the substance described in §60A-2-212(e), of this code is dispensed, sold or distributed in a pharmacy:
(A) The substance shall be dispensed, sold or distributed only by a pharmacist or a pharmacy technician; and
(B) Any person purchasing, receiving or otherwise acquiring any such substance shall produce a photographic identification issued by a state or federal governmental entity reflecting his or her date of birth.
NOTE: The purpose of this bill is to place a seven-day supply limitation on the amount of Schedule II drugs which may be lawfully prescribed. It includes exceptions to the prohibition.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.