Whoever wrote this bill is an idiot who clearly has zero knowledge pharmaceutical law.
“Scheduled” drugs primarily relates to a drug’s potential for abuse and dependency specifically. Secondarily, it indicates the medical utility of the drug. Schedule I drugs have a high risk of dependency and abuse but are legally considered to have no medical use- this would include LSD, heroin, marijuana (until several days ago). Schedule II to V are medications (drugs accepted for medical use) II with the highest risk for addiction and dependency. II includes most opioids and stimulants. III includes anabolic steroids, ketamine. IV includes Benzodiazepines like Xanax, Valium. V is a a weird class of mostly low dose opioids used for coughs or diarrhea… and Lyrica.
I must have missed that has Mifepristone has addictive, psychotropic effects in my years of studying for a PharmD, years of residency specializing in neuropsych, years of clinical practice in a psych hospital where easily 50% of patients have struggles substance abuse. LOL.
It already has an FDA REMS (risk evaluation and management strategy) program which is an extra level of oversight for drugs that carry risks. For example, a Accutane because it can cause birth defects- so the pharmacist and dr collaborate to ensure the woman is on birth control, a requirement for prescribing. It also requires routine blood work for liver l function. Clozapine, an antipsychotic, requires routine blood work due to the risk of neutropenia. REMS programs often require the patient picks up the drug so there is an assurance it’s in the correct hands.
This also makes no sense because it would presumably require prescribers to have controlled substance licensure (presumably a state license but what about a DEA license??? ). That’s not something all mid-level prescribers possess, especially if prescribing such meds is outside their scope of practice.
I’m just curious why a schedule IV specifically. There are some rules around storage, refills, how prescriptions can be transmitted, record keeping etc depending on the Schedule. AFAIK possession of schedule II drugs have different consequences than schedule V,
LAST POINT:
IT’S ALREADY ILLEGAL TO POSESS AN RX MEDICATION WITHOUT A PRESCRIPTION regardless of being a controlled substance or not!