2016 NASCSA Drug Abuse Trends Survey · 2016 NASCSA Drug Abuse Trends Survey Response ID:7; pKgBNXsvpQ1fWA597 Data 1.In what state do you work? Minnesota 2.(untitled) 2.Do you consider

2016 NASCSA Drug Abuse Trends Survey

Response ID:3; dpEKo9SAZB0F6DkjP Data

1. In what state do you work? Kentucky

2. (untitled)

2. Do you consider the abuse of promethazine in combination with codeine,other opioids or drugs to be a significant issue in your state?

Yes

3. Is your state experiencing any signs/trends of increasing abuse or diversionof promethazine in combination with codeine, other opioids or drugs and howwould you characterize the scope the problem?

Significant increaseComments: We are experiencing trafficking from other cities especially in the I-75 corridor, along withfraudulent prescriptions.

4. Has you state taken any measures to address the abuse or diversion of thisproduct?

Monitoring drugs via the prescription monitoring programOther: Sending alerts to KY pharmacists regarding fraudulent schemes.

3. (untitled)

5. Do you consider the abuse of gabapentin to be a significant issue in yourstate?

Yes

6. Is your state experiencing any signs/trends of increasing abuse or diversionof gabapentin and how would you characterize the scope of the problem?

Significant increaseComments: Gabapentin is showing up in about 40% of KY drug overdoses. Not the cause of death, butpresent.

7. Has your state taken any measures to address the abuse or diversion ofgabapentin?

Considering rescheduling

4. (untitled)

8. Do you consider the abuse of loperamine to be a significant issue in yourstate?

No

9. Is your state experiencing any signs/trends of increasing abuse or diversioninvolving loperamide and how would you characterize the scope of theproblem?

No noticable increaseComments: We anly can track controlled substances, and we are not aware of issues with loperamine

10. Has you state taken any measures to address the abuse or diversion ofloperamide?

No

5.

11. What other drugs/chemicals have shown increasing signs/trends of abuseor diversion in your state?

Synthetic marijuanaBath salts/incenseFentanyl (synthetic)Fentanyl (pharmaceutical)Other drugs: Kratom

12. In your state are pharmacists permitted to "administer" controlledsubstances by injection?

YesComments:

13. In your state are there currently any legislative, regulatory or other initiativesunderway which would, in the future, permit pharmacists to administercontrolled substances by injection?

Comments:


Response ID:4; gpaV46uBYPbFlAg9v Data

1. In what state do you work? Pennsylvania

2. (untitled)


No


Minimal increaseComments:


Monitoring drugs via the prescription monitoring program

3. (untitled)


Yes


Significant increaseComments: With the scheduling of Carisoprodol to a scheduled drug, Gabepentin appears to have takenits place.


No

4. (untitled)


Yes


Significant increaseComments:


No

5.


Bath salts/incenseFentanyl (synthetic)


NoComments:


Comments: I am unaware of any measures regarding this topic.


Response ID:6; yK7GBpCyEGkFVwDmR Data

1. In what state do you work? West Virginia

2. (untitled)


No


No noticeable increaseComments:


No

3. (untitled)


Yes


Significant increaseComments: Marked increase in the involvement with drug overdose deaths



4. (untitled)

8. Do you consider the abuse of loperamine to be a significant issue in your

state?No


No noticable increaseComments:


No

5.


Synthetic marijuana


YesComments:


NoComments:


Response ID:7; pKgBNXsvpQ1fWA597 Data

1. In what state do you work? Minnesota

2. (untitled)


Yes




Monitoring drugs via the prescription monitoring programOther: Cough syrups containing codiene are schedule 3 in MN

3. (untitled)


Yes




Monitoring the drug via the prescription monitoring program

4. (untitled)


Response ID:8; mKJ7vaI5YaQip1Rmy Data

1. In what state do you work? New Mexico

2. (untitled)


Yes




No

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Synthetic marijuanaFentanyl (synthetic)


YesComments:


NoComments:


No




No

5.


Fentanyl (synthetic)


NoComments:


NoComments:


Response ID:9; mKJRVlC5YaQip1Rmy Data

1. In what state do you work? Kansas

2. (untitled)


Yes




No

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Fentanyl (synthetic)Fentanyl (pharmaceutical)


YesComments:


NoComments:


Response ID:10; RpymkJUBmGvFLZ9oW Data

1. In what state do you work? Missouri

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)



Response ID:11; K5JLlyHNDYVtD8Ym7 Data

1. In what state do you work? Maine

2. (untitled)


No


Minimal increaseComments: Over the past 3 quarters there has been an increase in promethazine with codeine prescribedthat appears to be more than just due to the normal increase there would be for winter. The DEA and CMEoffices have no reports of diversion or OD from this.


No

3. (untitled)


No




No

4. (untitled)


No




No

5.



Comments:


Comments:

state?No




No

5.


Synthetic marijuanaBath salts/incense


NoComments:


NoComments:


Response ID:12; yK7GPaIyEGkFVwDmR Data

1. In what state do you work? Iowa

2. (untitled)


Yes


No noticeable increaseComments: We began tracking tramadol after it was classified as a controlled substance and tramadol useranks within the top 5 prescribed controlled substances in Iowa. Although the recent tracking of tramadolhas changed the ranking of top prescribed controlled substances, use of the remaining top controlledsubstances has not changed appreciably.


No

3. (untitled)


No




No

4. (untitled)


No




No

5.


None


YesComments: Pursuant to a specific prescription for a specific patient if the prescriber authorizes or directspharmacist administration.


NoComments:


Response ID:15; zEMzK8HnDvXCY6Kz7 Data

1. In what state do you work? Alabama

2. (untitled)


No


Comments: I am unaware of any issues with promethazine abuse


Other: I am unaware of any measures taken to address promethazine abuse

3. (untitled)


Yes


minimal increaseComments:



4. (untitled)


state?No


Comments: I am unaware of any issues with loperamine abuse


Other: I am unaware of any measures taken to address loperamine abuse

5.


Synthetic marijuanaBath salts/incenseFentanyl (synthetic)Fentanyl (pharmaceutical)Molly (MDMA)Other drugs: ICE


NoComments:


NoComments:


Response ID:18; dpEK1BSAZB0F6DkjP Data

1. In what state do you work? Connecticut

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)



Response ID:19; BDRQ0ptEJk6fwL5gJ Data

1. In what state do you work? Tennessee

2. (untitled)


Yes


Significant increaseComments: Primarily in the West Tennessee area



3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Synthetic marijuanaBath salts/incenseFentanyl (synthetic)


NoComments:


NoComments:

state?No




No

5.




NoComments:


NoComments:


Response ID:21; M5PyBbik4jWiARjbV Data

1. In what state do you work? California

2. (untitled)


Yes





3. (untitled)


No




No

4. (untitled)



Response ID:22; RpaZEmTBmGvFLZ9oW Data

1. In what state do you work? Maine

2. (untitled)





Other: None by the Board of Pharmacy

3. (untitled)



Comments: A study has not been conducted to make this determination. Same applies to Q#1.


Other: A study has not been conducted to make this determination.

4. (untitled)


9. Is your state experiencing any signs/trends of increasing abuse or diversion

involving loperamide and how would you characterize the scope of theproblem?

Comments: A study has not been conducted to make this determination. This applies to Q8 as well.


Other: A study has not been conducted to make this determination.

5.


Other drugs: A study has not been conducted to make this determination.


Comments: 32 MRS §13702, 28. Practice of pharmacy. "Practice of pharmacy" means the interpretationand evaluation of prescription drug orders; the compounding, dispensing and labeling of drugs anddevices, except labeling by a manufacturer, packer or distributor of nonprescription drugs andcommercially packaged legend drugs and devices; the participation in drug selection and drug utilizationreviews; the proper and safe storage of drugs and devices and the maintenance of proper records for thesedrugs and devices; the administration of vaccines licensed by the United States Food and DrugAdministration that are recommended by the United States Centers for Disease Control and PreventionAdvisory Committee on Immunization Practices, or successor organization, for administration to adults; theperformance of collaborative drug therapy management; the responsibility for advising, when necessary orregulated, of therapeutic values, content, hazards and use of drugs and devices; and the offering orperforming of those acts, services, operations or transactions necessary in the conduct, operation,management and control of a pharmacy.


Comments: 32 MRS §13841 1. Engage in collaborative drug therapy management. A pharmacist licensedin this State who meets the qualifications and requirements of section 13842 and rules adopted by theboard may engage in collaborative drug therapy management pursuant to a collaborative practiceagreement with a practitioner. [ 2013, c. 308, §4 (NEW) .] 2. Scope of authority. A pharmacist engaging incollaborative drug therapy management pursuant to subsection 1 is entitled to adequate access to apatient's history, disease status, drug therapy and laboratory and procedure results and may: A. Collect andreview a patient's history; [2013, c. 308, §4 (NEW).] B. Obtain and check vital signs; [2013, c. 308, §4(NEW).] C. Order and evaluate the results of laboratory tests directly related to drug therapy under thesupervision of, or in direct consultation with, a practitioner and in accordance with approved protocolsapplicable to the practice setting and when the evaluation does not include a diagnostic component; and[2013, c. 308, §4 (NEW).] D. Initiate, monitor, modify and discontinue drug therapy for a particular patientpursuant to the collaborative practice agreement with a practitioner who is treating the patient, as long asthe action is reported to the practitioner in a timely manner as determined by rules adopted pursuant tosection 13846.

state?No




No

5.




Comments:


Comments:


Response ID:24; 4EgO0auQL9PSzYXNL Data

1. In what state do you work? Mississippi

2. (untitled)


Yes


Significant increaseComments: Going on for the past 10 years



3. (untitled)


Yes




No

4. (untitled)


state?No




Monitoring via the prescription monitoring program

5.


Synthetic marijuanaFentanyl (synthetic)


Comments: administer or dispense ?


Comments:


Response ID:25; L5nakbsBjgmFYjgod Data

1. In what state do you work? Oregon

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)



Response ID:26; WpElMVF8Zy7iag6QW Data

1. In what state do you work? Idaho

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Bath salts/incense


YesComments:


YesComments:

state?No




No

5.


Bath salts/incense


YesComments:


YesComments:


Response ID:27; Rpa9wmtBmGvFLZ9oW Data

1. In what state do you work? Montana

2. (untitled)


No




No

3. (untitled)


No


minimal increaseComments: Have seen this increase primarily in proximity to our reservations


No

4. (untitled)


state?No




No

5.




YesComments: Under collaborative practice agreement within scope of practice and a clinical licensedpractitioner endorsement of the pharmacist


NoComments:


Response ID:28; jmqJ8Ku4DM8IM4dkE Data

1. In what state do you work? Texas

2. (untitled)



Comments:


No

3. (untitled)



Comments:


No

4. (untitled)


9. Is your state experiencing any signs/trends of increasing abuse or diversioninvolving loperamide and how would you characterize the scope of the

problem?Comments:


No

5.



NoComments:


NoComments:


Response ID:29; qKQzNGuZ5GJfGlwMk Data

1. In what state do you work? Texas

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Other drugs: methamphetamine, PCP, use of methylone to replace MDMA. Meth is huge and the MSM andHIV rates are back to 1998 levels.


Comments: Ask Karen Tannert


Comments: Ask Tannert


Response ID:31; GKEnYVsXgvDTzBLOZ Data

1. In what state do you work? South Carolina

2. (untitled)


Yes




Other: Pharmacy awareness

3. (untitled)


Yes




No

4. (untitled)


state?No




No

5.




NoComments:


NoComments:


Response ID:32; YpjMwqCV7yoIN7L4o Data

1. In what state do you work? Alabama

2. (untitled)


Yes




No

3. (untitled)





No

4. (untitled)





No

5.


Bath salts/incense


NoComments:


NoComments:


Response ID:33; pKgB17SvpQ1fWA597 Data

1. In what state do you work? Nevada

2. (untitled)


Yes




Considering reschedulingMonitoring drugs via the prescription monitoring program

3. (untitled)


No




No

4. (untitled)


Response ID:34; OpZ9yaCn6p4CQWDB5 Data

1. In what state do you work? South Dakota

2. (untitled)


Yes





3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Synthetic marijuanaBath salts/incenseFentanyl (synthetic)Fentanyl (pharmaceutical)Molly (MDMA)Other drugs: Heroin


YesComments:


NoComments: Since this is currently allowed, nothing needs to be changed.


No




No

5.




NoComments:


NoComments:


Response ID:37; Yp80dqtV7yoIN7L4o Data

1. In what state do you work? North Dakota

2. (untitled)


Yes




NoMonitoring drugs via the prescription monitoring program

3. (untitled)


Yes




Considering reschedulingMonitoring the drug via the prescription monitoring program


Response ID:38; npnPPbFalR0fvWQl8 Data

1. In what state do you work? Indiana

2. (untitled)


No




No

3. (untitled)


No


Significant increaseComments: Indiana recorded 76 doses dispensed in January 2016 and so far September 2016 we haverecorded 2,437. We do not have enough data to establish a baseline to determine if there is a problem orhow significant it may be


No

4. (untitled)


No




No

5.


Synthetic marijuanaBath salts/incenseFentanyl (synthetic)Fentanyl (pharmaceutical)


NoComments:


NoComments:

4. (untitled)


No




No

5.


Synthetic marijuanaBath salts/incenseFentanyl (synthetic)


YesComments:


NoComments:


Response ID:39; pKNQlrFvpQ1fWA597 Data

1. In what state do you work? New Hampshire

2. (untitled)


No


No noticeable increaseComments: The only way I would be aware of an increase would be through unsolicited comments duringpharmacy inspections and I have heard none.


No

3. (untitled)


No




No

4. (untitled)


No




No

5.




NoComments:


NoComments:


Response ID:40; npjZnLfalR0fvWQl8 Data

1. In what state do you work? Mississippi

2. (untitled)


No


Minimal increaseComments: Promethazine with codeine is up significantly over the last five years or so but there hasn'tbeen a marked increase this year.


Other: MBN Diversion Unit constantly monitors CS such as this

3. (untitled)


No


minimal increaseComments: There has been more gabapentin diversion via bad scripts in the last couple of years. It's not asignificant issue but it has increased.


Other: MBN monitors the issue

4. (untitled)


No




No

5.

What other drugs/chemicals have shown increasing signs/trends of abuse ordiversion in your state?


In your state are pharmacists permitted to "administer" controlled substancesby injection?

YesComments: Pharmacists can administer any medications by injection with a doctor's order.

In your state are there currently any legislative, regulatory or other initiativesunderway which would, in the future, permit pharmacists to administercontrolled substances by injection?

NoComments: They already have the authority.


Response ID:41; apwJYdhaMovfw4bX8 Data

1. In what state do you work? Oklahoma

2. (untitled)


Yes





3. (untitled)


No




No

4. (untitled)


state?No




No

5.


Fentanyl (pharmaceutical)


NoComments:


NoComments:


Response ID:43; zEMgV1tnDvXCY6Kz7 Data

1. In what state do you work? New Mexico

2. (untitled)


Yes




Other: State inspectors are working these cases

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


None


NoComments:


NoComments:


Response ID:47; wyqlDDfPGWBiXZaqL Data

1. In what state do you work? Guam

2. (untitled)


No




No

3. (untitled)


No




No

4. (untitled)


state?No




No

5.


None


NoComments:


NoComments:


Response ID:48; rKbQ1PHQwdnSKEqV5 Data

1. In what state do you work? Nevada

2. (untitled)


Yes


Significant increaseComments: Weekly the NV PMP receives notification of fraudulent promethazine w/ codeine prescriptions


Considering reschedulingOther: NV PMP has been working with law enforcement to identify those who are writing fraudulentprescriptions for promethazine w/codeine.

3. (untitled)


No




No


Response ID:49; J51RQgfgGNnFmBNYR Data

1. In what state do you work? Michigan

2. (untitled)


Yes




Monitoring drugs via the prescription monitoring programOther: Pursuing enhanced licensing sanctions for over prescribers and over dispensers of this product.

3. (untitled)


No




No

4. (untitled)


No




No

5.




NoComments:


NoComments:

Documents

2016 NASCSA Drug Abuse Trends Survey · 2016 NASCSA Drug Abuse Trends Survey Response ID:7; pKgBNXsvpQ1fWA597 Data 1.In what state do you work? Minnesota 2.(untitled) 2.Do you consider