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universal precautions for prescribing controlled substances

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From a VA Board of Medicine’s Order of SummarySuspension 8/19/2009• Dr. X prescribed BNZs and narcotics…without anadequate medical indication or diagnosis, developingand adequate treatment plan, per<strong>for</strong>ming urine drugtests… commenced <strong>prescribing</strong> narcotics withoutobtaining prior treatment records to verify……………• Dr. X failed to appropriately respond to signs that thepatient was misusing or abusing his medications(<strong>controlled</strong> <strong>substances</strong>)• Failure to refer <strong>for</strong> substance abuse treatment• Dr. X prescribed Suboxone to treat the patient’snarcotics addiction even though he was not qualified orregistered to dispense narcotic drugs <strong>for</strong> addictiontreatment as required by Federal law and regulation(Controlled Substance Act of 1970, 21 U.S.C.801 et.seq.and Federal Regulations 21 C.F.R. 1306.04 and1306.07).

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