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Wyoming News: Tramadol and Carisoprodol to Become Schedule IV in Wyoming

Originally published in the June 2011 Wyoming State Board of Pharmacy Newsletter

By Jonathan Beattie, PharmD Candidate

On July 1, 2011, tramadol and carisoprodol will become Schedule IV controlled substances in Wyoming. Wyoming is the fifth state to make tramadol a controlled substance and the fifthteenth state to schedule carisoprodol. Surrounding states, Colorado, Idaho, Montana, Nebraska, and South Dakota currently do not have tramadol or carisoprodol listed as scheduled medications. Utah has classified carisoprodol as a Schedule IV controlled substance, while tramadol is not a controlled substance.

In 2010, Wyoming pharmacies filled 49,239 prescriptions of tramadol and 12,883 prescriptions of carisoprodol. Both medications are already reported to the Wyoming State Board of Pharmacy as part of the Prescription Drug Monitoring Program that collects Schedule II through IV controlled substance prescription information from retail pharmacies that dispense to Wyoming residents. Since both medications are already being monitored, it seems like not much will change in the day-to-day practice of prescribing and dispensing both of these medications. However, pharmacies need to be aware that these prescriptions will now need to follow the Wyoming Controlled Substances Act, Rules and Regulations requirements for a controlled substance prescription, which include:

  • Prescriptions must be on security paper.
  • Prescriptions shall be dated as of, and signed on, the day when issued and shall bear the full name, address, telephone number, and Drug Enforcement Administration (DEA) registration number of the issuing practitioner.
  • Prescribers need a valid controlled substance registration to prescribe.
  • Prescriptions cannot be filled or refilled more than six months after the date on which such prescription was issued.
  • Prescriptions cannot be refilled more than five times.
  • A prescription may be transferred only one time, with that transfer being from the pharmacy where the prescription was originally filled. It shall not be further transferred by, or to, any other pharmacy.

Prescriptions are transferred from pharmacy to pharmacy and from state to state all the time. Remember, tramadol and carisoprodol are not scheduled medications in all states. If you are taking a tramadol or carisoprodol transfer with multiple refills from another state, make sure to notify the pharmacy and patient that the prescription cannot be transferred back according to Wyoming law.