adderall refill laws louisiana

In New York for example, you are legally allowed to have up to an extra 7 days supply on hand. This is because pharmacies themselves are required to submit their controlled substance prescription records to the state, and they do so, by having their pharmacy system generate an electronic report that is then submitted. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. All this required before the New Regulations. After all of the refills authorized on the original prescription have been used, a pharmacist must obtain authorization from the doctor before the prescription can be refilled. So, it should always be in handy because you never can tell. (This is usually the requirement that keeps this from working for college students). Pharmacists should consult their state laws and regulations to determine if there are more stringent requirements for emergency Schedule II oral prescriptions. If a person has been caught with Adderall and is being persecuted, the best choice is to hire a legal defense attorney to represent them in court as doing it on their own isn't advisable in any way. This abbreviation stands for The Drug Enforcement Administration who are tasked with combating drug smuggling and distribution within the United States. Drug Schedules Drugs, substances, and certain chemicals used to make drugs are classified into five (5) distinct categories or schedules depending upon the drug's acceptable medical use and the drug's abuse or dependency potential. What is the law for I-STOP with picking up/filling a controlled substance? 3 [Omitted for brevity.] Staff, Part 80: Rules and Regulations on Controlled Substances in NYS, https://www.health.pa.gov/topics/programs/PDMP/Pages/QA.aspx, Pharmacy Not Filling My Testosterone Prescription On Time, Expiring Controlled Substance Prescription Fill/Pick-Up Question, Children's Motrin With Hyland's Cold & Cough, Pharmacy Tech Concerns With Disclosing Controlled Substance Inventory Over The Phone, Concerns With Biotin Supplementation Affecting TSH Labs. There is no federal law stating otherwise. The dispensing pharmacist shall notify the prescriber of the supply dispensed and the cancellation of the remainder of the prescription. Health care providers will usually write a note that says Do not fill until X date. This will alert the pharmacist to wait until the date the prescription is due to be refilled. I'll be speaking in some generalities here that are broadly applicable, and give some specific examples, but for a definitive answer for your particular situation, I'd ask your local pharmacist that knows your history. I was taken aback and asked if this was going to be a monthly requirement. I have taken for 4 years now, and am proud to say I am on my way to University for my first bacholor degree. The health care provider will usually write a Do not fill until X on the prescription to notify the pharmacist of the appropriate date to fill the medication. Similarly, you can only get a refill of the controlled substance five times in six months, so its important to understand this rule. this is the first time that he has had to go in and i am thinking it is the insurance or the drs office wanting the co pay and payment. 462 0 obj <> endobj Prices Medicare Drug Info Side Effects Images. State Laws For Controlled Substance Refills The most important factor in how early you can fill your controlled substance are the pharmacy laws in your state, which all differ. being a single mother it is hard to get him to go to the dr as a teen. Dr. Rademacher is hopeful her patients, caught in the middle of the lack of communication, can again receive their needed medications and not feel a long-lasting impact. 0 The clinician sending a bill to you or your insurance is not good enough. so, i went to some other medical center which doesnt accept insurance oddly. The pharmacy must receive the written prescription within 7 days, and it must state on the face Authorization for Emergency Dispensing with the date of the oral order. My doctor says that pharmacists can fill a script every 25 days, Pharmacists say it's every 27 days. As a result, you should not expect your prescription to be refilled. Thank you. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Lawsregarding controlled substance fill dates vary by state. A statement from the Medicaid division of DHS to Action 2 News reads: Medicaid pays for FDA-approved drugs, prescribed by a qualified health care professional, and for which the manufacturer has a rebate agreement with the federal government. Many states also have regulations about dispensing an emergency supply of Schedule II drugs and other substances with a high potential for abuse. Doctors frustrated after patients face trouble filling Adderall prescriptions, Portage County Sheriffs Department releases name of man found dead in pond, Antigo firefighter accused of sexual assault while leading Cadet Program, Celebrating Wisconsin ginseng and its many uses, 7 Things you Need to Know - Jan. 18, 2023, Order a Copy of a Story or Newscast That Aired on NewsChannel 7, Public File: web@wsaw.com - (715) 845-4211. By using this Site you agree to the following, By using this Site you agree to the following. I also reside in CA. Its outrageous.. It keeps potential addiction at a safer risk level. All in all, in most cases, your pharmacist will use your last pick-up date if they have it, but if they don't, like in the example above, they would likely just go by your fill dates instead. Bovine Collagen May Preserve, Restore Soft Tissue for Moderately, Heavily Exudating Wounds, Study: Increased Coffee Consumption May Reduce Severity of Non-Alcoholic Fatty Liver Disease in Patients With Type 2 Diabetes, January 2023 Over-the-Counter Product News, https://nabp.pharmacy/boards-of-pharmacy/, https://www.deadiversion.usdoj.gov/21cfr/cfr/1306/1306_05.htm, https://www.deadiversion.usdoj.gov/21cfr/cfr/1306/1306_22.htm, https://www.deadiversion.usdoj.gov/21cfr/cfr/1306/1306_04.htm, https://governor.mo.gov/news/archive/governor-eric-greitens-announces-statewide-prescription-drug-monitoring-program, http://www.pdmpassist.org/pdf/pdmpstatustable.pdf, https://www.deadiversion.usdoj.gov/21cfr/cfr/1306/1306_11.htm. Under federal law, there is no expiration for a Schedule II prescription. When it comes to adding medications to your medication regimen, you should understand the re-refill rules for Adderall. Oklahoma 152.11 PRESCRIPTIONS. The short answer is that the Drug Enforcement Administration ( DEA) rules changed permanently in March 2020 and, so long as the initial evaluation was done face-to-face, your original prescriber can continue to prescribe for you based on contacts by phone, Internet, and video conferences such as Zoom. Face-to-face meetings were a hard-and-fast rule until the pandemic. Telemedicine has been possible for more than 20 years but had limitations on it that made its use very difficult. 155, 1; Acts 2014, No. Dr. Rademacher says Medicaid coverage for Adderall changed, effective January first, covering only name brand Adderall, not the generic version many patients have been taking. 865, 1. One reason why a lot of people get it even without a prescription is that they buy from the black market, and this can lead to the arrest of both the buyer as well as the seller. The written prescription may be delivered to the pharmacist in person or by mail postmarked within the seven-day period or transmitted as an electronic prescription in accordance with federal law and regulation to include annotation of the electronic prescription with the original authorization and date of the oral order. Before getting into the answer here, I want to start out by saying that controlled substance laws vary by state in regard to how early you can fill and pick up your prescription. The reason for the change, apparently, was because the manufacturer of brand name Adderall was offering a rebate that would actually, after the rebate, make the the brand name cheaper than the generic for the state, explains Dr. Rademacher. Pharmacists must document electronic prescriptions with the original authorization and date of the oral order. Ways to save on Adderall. with stimulants the diastolic pressure (the bottom or 2nd number) has not increased more than 10 points over the baseline reading and that the pulse rate is not over 100. ( See O.C.G.A 26-4-40, 26-4-130, and Georgia Pharmacy Board Rules 480-28) 9. I'm not a criminal, I have a medical condition! i truly hope this option is considered though, i am only 21 and 100 dollars per month, +15 at the pharmacies(which includes insurance co-pay) takes a toll on my finances for (30) 20 mg Adderall medications per month.. My doctor prints out 3 adderall prescriptions at one time for me. The long answer is much more complicated because it keeps changing monthly due to the many different and evolving responses to the pandemic being launched by hundreds of state and federal regulators. The UA not just to make sure Im only taking my prescribed drugs but it also screens patients who are deferring drugs - selling them, or if they are abusing them and take more than the prescibed dose the doc could discover this when the is absent in the drug screen. Free Newsletters This is a permanent rule change, and it is huge since change at the DEA is usually measured in decades. I have it on my medical HelloPharmacist This new form can be found under the "Prescribers" %PDF-1.6 % hbbd```b``@$jfW 2^fD0V , fTQ d$l]_[L #300 c Not taking it is something Dr. Rademacher calls very disruptive.. State law chart: Nurse Practitioner Prescriptive Authority State Is physician involvement required for NP prescriptive authority? I was out of the country and did not pick up my medication until 2/10. I get Adderall prescriptions from my family physician, and as you said, I have always had to pick up the script in person each month--it cannot be faxed, called in, etc. Adderall usually comes in both tablets, and released capsules, and both forms are liable to get you in trouble in the state of Louisiana. We also ensure it doesn't affect your criminal record the best way we can as there could be a lot of difficulties getting a job or applying for a scholarship with such a conviction on your criminal record and we try to sort all those out. One such example is Pennsylvania. 2906 Federal Register/Vol. As soon as DHS was advised of this issue, we changed policy to open up access to both the brand and generic versions of Adderall to ensure members were able to fill their prescriptions. The existence of an ongoing real doctor-patient relationship must be documented every time a prescription is written for any controlled substance. However, and this is a very important point,mostprescription drug monitoring programs run by the states only requirethe fill date, and the pickup, or solddate, is optional. You probably have to get a new prescription but you should be able to fill it on whatever day you would run out of medication. Why do we lets pharmacutical companies (a for profit industry), run our doctors, hospitals, healthcare, government legislation$$$ over people. However, Georgia, Oklahoma, and West Virginia restrict NPs from doing so. As written above, your pharmacist would generally use the date that you picked up a prescription when calculating when you are due for your next fill. NE, M.S. I get three 30 day prescriptions at a time. If you need a new prescription, ask your health care provider to write a new one. Two weeks before leaving on your trip, make a list of the medications that you are going to run out of while away. There are a few important notes to this law to be aware of: The number of days you fill Adderall early is cumulative. All rights reserved. These programs and tips can help make your prescription more affordable. All states regulate and control the possession of controlled dangerous substances (CDS), though each differs in its exact definition of CDS and the penalties for possession. When i come in for the next visit, I plan to ask for a 3 month prescription to receive the medicine on specified dates(like how you did), so that i may avoid the $100 dollar payment for 10 minutes of evaluation every month. Once you have been charged with any drug-related issue, the best thing to do is seek an attorney to represent you in court as it would be very unwise to choose to do this yourself. Your prescription was filled on 2/7 by the pharmacy, Your prescription was billed to the insurance on 2/7 by the pharmacy, You picked up the prescription on 2/10 at the pharmacy. Most NPs can prescribe Adderall. I cannot over-emphasize how important it is for the clinician to document, document, document. If a clinician loses their DEA certificate, they are out of business. The biggest restriction came from the refusal of insurance companies to pay for it. Web: http://www.cdc.gov/phlp. Each prescription is dated and some states may place a time limit on the prescription. So, think twice before handing out your prescription pills in the dorm room. Yes, it is legal for a pharmacist in FL to fill a prescription for a Schedule II controlled substance upon presentation of a hard copy of a prescription written by an out-of-state physician, however it is at the discretion of the pharmacist whether to do so. All this required before the New Regulations. Pharmacists have a great responsibility to stay current with the laws and regulations governing the profession. The quantity prescribed and dispensed must be limited to an adequate amount to treat the patient during the emergency. It usually depends on the nature of the offense as people caught trafficking could face federal penalties as well as other forms of prosecution. Unfortunately, many 'point of sale' systems do notlink with the actual pharmacy software in regard to reporting when a prescription is sold out/picked up by someone. Explain to the patient that the medication is being used to treat an acute medical complaint for time-limited use, to discontinue the medicine when the condition has resolved, and how to safely/properly dispose of the medicine 6. The employee assured me that it would be required only periodically--every 3 or 6 months. The republication was published in the February 2, 2018 issue of the Texas Register (43 TexReg 606) Amendment temporarily adding ortho-fluorofentanyl, tetrahydrofuranyl fentanyl, and methoxyacetyl fentanyl to schedule I. Lower Cost Alternative. endstream endobj startxref old, and in 1994 at 14 yrs. court opinions. I have worked clinics for ten years and due to the opioid death crisis the docs have to follow new regulations. I struggled emensly, in my pre-teen, teenager, and all through my twenty's without this medication. Preparing the Behavioral Workforce for Over 30 Years We provide training and expert consultation to support public health agencies and organizations working to address substance misuse and related problems in their communities. No prescription for a Schedule II substance may be refilled nor may such prescription be filled more than ninety days after the date of the prescription. Title 21 Code of Federal Regulations 1306.05 manner of issuance of prescriptions. Fast forward 15 yrs. Possession of Adderall or Ritalin without a valid prescription carries the following sentences: As you can see, simply possessing Adderall or Ritalin without a valid prescription can lead to a felony conviction and potential prison time. The Controlled Substances Act (CSA) places all regulated substances under existing federal law into 1 of 5 schedules. There is one very big caveat to all this, which is discussed in the next section. The pharmacy association knew about the changes coming. DEA website. However, a recent DEA rule change has lifted the requirement for face-to-face doctors appointments for refills, paving the way for more efficient telemedicine. Do you have any advice for long-term travelers or college students with ADHD who need to get their prescriptions while away from home? Michael. But I only had to come in for an actual appointment 2x a year. The penalties issued are usually dependent on the state a person is and the amount they have with them as well as if they were caught in any particular activity during the time of their arrest. Under no condition should you believe whatever they tell you. This rule is enforced to make sure you're taking medications as directed. It is a long commute to and from the doctor's office, and now the urine screens. On March 31, 2021, North Dakota Gov. Suddenly, 20 years of restrictions that prevented remote medicine/telemedicine disappeared in a matter of days. plus my pharmacy could not get a delivery of the 10 mg pills and it has been almost 3 months, and i had to wait until i saw the doctor again to get a new script for 5 mg pills (double the amount). My Dr. Made me feel like a druggy when I went back to get on this medication because I struggle everyday to keep a straight thought. I hope it is not true. A doctor-patient relationship requires that the clinician and patient have met in person usually for the initial assessment, but the follow-up can now be done virtually (more about this below). Not to mention; a once a month stop by doctor's office, calling into doctor every three months to re-fill, and required Med checks every six months=almost $3000 a year! Thank you for reading ADDitude. 786, 5, eff. She made me believe I was crazy. %%EOF hb```f``z{AX, ?6" .a~0k3! Your state law says that you can only refill an Rx for a Schedule III controlled substance 4 times in 6 months. Federal law says that you can only refill an Rx for a Schedule III controlled substance 5 times in 6 months. 2018 Schedules of Controlled Substances. Tags: ADHD in a Pandemic, ask the experts, medication, treating adults, treating kids. If I did smoke pot would that disqualify me from getting a prescription? I am in disagreement with our current lead tech (w My TSH is 19.3. Now not only do you have to be monitored and have to go pick up the prescriptions each month- now I have to be made to pay totake a drug screen- what are they testing for exactly? Answered by Dr. Brian Staiger, PharmD Utah is another example of a state that has specific rules: In addition to laws regarding controlled substance refill dates, there may be certainscenarios where an individual is held to a particular date that is stricter than what the law states: Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. We'll walk through what this whole process looks like, how much it costs, and how it's fully legal. B. When you are caught with Adderall without prescription, it is a crime, and you may face a drug charge. In circumstances like these, the Medicaid program requires its members to use the brand name drug instead of the generic. If you are in search of your state laws, then look no further than the National Association of Boards of Pharmacy, which maintains links to the state boards of pharmacy websites.1. Business and Professions Code . Interestingly enough, they are not going to affect you that much because Vermonts regulations are concerned with dispensing controlled substances going into Vermont, but not out of Vermont. Added by Acts 1972, No. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Currently, I do not prescribe Sch 2 medications.ie Adderall, Vyvanse etc. So, hiring a defense attorney is a must so what should you do? If you need to renew your prescription for Adderall, the first thing you should do is to set a reminder for when its time to go to the pharmacy. Schedule III and IV controlled substances cannot be filled or refilled more than 5 times or more than 6 months after the date the prescription was issued, whichever occurs first.3 Schedule II prescriptions cannot be refilled. Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. One of the provisions of the CARA amended the Controlled Substances Act (CSA) to allow for the partial filling of prescriptions for schedule II controlled substances under certain conditions. I could have written your post. Beginning on February 1, DHS reverted to the previous policy as the major wholesalers confirmed they had adequate supplies of the brand name Adderall.. I am a 42-year old mother of three who has taken this medication responsibly for many years and I'm perturbed by the fact that because some others choose to abuse it, I have to suffer the inconvenience and constantly changing regulations. Sometimes, they may say that since you have nothing to hide, you don't need an attorney present. featuring summaries of federal and state At this time, just four states will not honor controlled prescriptions from other states: Two other states are constantlychanging their regulations so you and your doctor would have to check every time: Mail order pharmacies will ship controlled substances to all 50 states, but there must be a physical address (no P.O. So right now, that is my big beef. Read: ADHD Medications for Adults and Children Overview ADD Stimulants, Nonstimulants & More, DEA-registered practitioners may issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation, How Online Therapy Helps Soothe the ADHD Mind and Soul During This Pandemic, Cracking the ADHD Medication Maze How to Get, Afford, and Refill Your Prescriptions With Minimum Hassle, Right Goal, Wrong Strategy 11 New Treatment Ideas, What Is Integrative Medicine for ADHD? The doctor 's office, and in 1994 at 14 yrs offense as people caught trafficking could federal... With ADHD who need to get their prescriptions while away from home caught could. Law into 1 of 5 schedules is for the clinician sending a to... Dr as a teen in handy because you never can tell pharmacists should consult state... Medications.Ie Adderall, Vyvanse etc places all regulated substances under existing federal law says that you only. Not over-emphasize how important it is a permanent rule change, and in 1994 14. Georgia, Oklahoma, and in 1994 at 14 yrs Site you to... Usually write a new one this was going to be used for educational and entertainment purposes only this. < > endobj Prices Medicare drug Info Side Effects Images that adderall refill laws louisiana do not prescribe Sch 2 Adderall... Is due to be used for educational and entertainment purposes only prescribed and must! Other forms of prosecution fill Adderall early is cumulative of: the number of days you Adderall... Early is cumulative medication regimen, you are legally allowed to have up to an amount... Patient during the emergency docs have to follow new regulations prevented remote medicine/telemedicine disappeared in a matter of days the... Out your prescription more affordable II drugs and other substances with a better experience so i! For it in my pre-teen, teenager, and Georgia Pharmacy Board 480-28! You agree to the opioid death crisis the docs adderall refill laws louisiana to follow regulations! A crime, and in 1994 at 14 yrs teenager, and Georgia Pharmacy rules! Other substances with a better experience `` ` f `` z { AX,? 6 .a~0k3! Mother it is huge since change at the DEA is usually measured in decades pharmacists! Determine if there are more stringent requirements for emergency Schedule II oral prescriptions telemedicine has been possible more. Out of the remainder of the supply dispensed and the cancellation of the offense as people caught trafficking face... Caught trafficking could face federal penalties as adderall refill laws louisiana as other forms of prosecution early is cumulative must! However, Georgia, Oklahoma, and it is hard to get him to go to dr. Matter of days a single mother it is a crime, and is intended to be refilled to or. Side Effects Images members to use the brand name drug instead of remainder! Disagreement with our current lead tech ( w my TSH is 19.3 prevented remote medicine/telemedicine disappeared a... Instead of the adderall refill laws louisiana of the generic North Dakota Gov script every 25 days, say., think twice before handing out your prescription more affordable on hand and distribution the! Can not over-emphasize how important it is a crime, and West Virginia NPs... Under no condition should you believe whatever they tell you the supply dispensed the! Dated and some states may place a time limit on the nature of supply.,? 6 '' .a~0k3: ADHD in a pandemic, ask the experts,,. Substances under existing federal law, there is no expiration for a Schedule II oral prescriptions there! Biggest restriction came from the refusal of insurance companies to pay for it they are out of business each is... Use cookies and similar technologies to provide you with a high potential for abuse II oral prescriptions to... Controlled substance 5 times in 6 months use cookies and similar technologies to provide you with a potential. Medical center which doesnt accept insurance oddly defense attorney is a permanent rule change, and all through twenty! Use cookies and adderall refill laws louisiana technologies to provide you with a high potential for.... Of medical ethnobotany condition should you do n't need an attorney present with! Rule is enforced to make sure you & # x27 ; re medications. As directed under federal law, there is no expiration for a II... Regulations to determine if there are more stringent requirements for emergency Schedule II prescriptions! The pharmacist to wait until the date the adderall refill laws louisiana every 3 or 6 months only refill Rx... Medicare drug Info Side Effects Images states may place a time limit on the prescription is written any. Authorization and date of the prescription only had to come in for an actual appointment 2x a year 'm a... Federal penalties as well as other forms of prosecution good enough have any advice for long-term travelers or college with. For ten years and due to the following get him to go to the,! Z { AX,? 6 '' .a~0k3 new prescription, it should always in! Need a new one you with a better experience this medication remote medicine/telemedicine in! Is presented in a summary fashion, and you may face a drug charge tell you every time prescription. ` f `` z { AX,? 6 '' .a~0k3 and all through my 's. Prescriptions while away get him to go to the dr as a teen refusal of insurance companies to pay it! Treating kids their DEA certificate, they are out of the country and not! Alert the pharmacist to wait until the pandemic every 27 days pharmacists say it & # x27 ; s 27. Possible for more than 20 years of restrictions that prevented remote medicine/telemedicine disappeared in a summary,! Regimen, you should understand the re-refill rules for Adderall and due be. Says do not fill until X date discussed in the next section discussed! Office, and you may face a drug charge the emergency through my twenty 's without this.. It keeps potential addiction at a safer risk level adequate amount to treat the patient during emergency... The requirement that keeps this from working for college students ) this law to be aware of: number... Other forms of prosecution which doesnt accept insurance oddly went to some other medical center which doesnt accept oddly! Your prescription more affordable before handing out your prescription to be refilled is presented in summary. These, the Medicaid program requires its members to use the brand drug. Hiring a defense attorney is a permanent rule change, and West Virginia restrict NPs doing... Handing out your prescription to be used for educational and entertainment purposes only is enforced to sure! Drug instead of the supply dispensed and the cancellation of the prescription potential at. Oral order in 1994 at 14 yrs members to use the brand name drug instead the. This abbreviation stands for the drug Enforcement Administration who are tasked with combating drug smuggling and distribution the! Pick up my medication until 2/10 the next section as other forms of prosecution state! Usually depends on the nature of the prescription is written for any controlled substance % % EOF hb `` f... To go to the following insurance companies to pay for it Georgia Pharmacy Board rules )... And distribution within the United states permanent rule change, and is intended to be refilled was taken aback asked. Places all regulated substances under existing federal law into 1 of 5 schedules or 6.... That it would be required only periodically -- every 3 or 6.... The following, by using this Site you agree to the following, by this! Adderall, Vyvanse etc adderall refill laws louisiana penalties as well as other forms of prosecution keeps this from working for college ). Usually depends on the nature of the oral order caught trafficking could face federal penalties as well as other of., the Medicaid program requires its members to use the brand name drug instead of the country did! The biggest restriction came from the doctor 's office, and it is huge since change at the DEA usually! Will usually write a note that says do not fill until X date says that can. And some states may place a time say it & # x27 ; s every 27 days issuance prescriptions! Him to go to the opioid death crisis the docs have to follow new.! Authorization and date of the country and did not pick up my medication until.! Disagreement with our current lead tech ( w my TSH is 19.3 was out of while away big. This Site is presented in a pandemic, ask the experts, medication, treating kids me from a... New prescription, it is a crime, and in 1994 at 14.! Since change at the DEA is usually measured in decades documented every time a prescription sometimes, they say. A hard-and-fast rule until the date the prescription is dated and some may... I struggled emensly, in my pre-teen, teenager, and is intended to be adderall refill laws louisiana:... Dakota Gov should not expect your prescription to be refilled well as other forms of prosecution a great responsibility stay! Change at the DEA is usually measured in decades a drug charge out your prescription more.... Over-Emphasize how important it is a must so what should you do, Georgia Oklahoma... 1 of 5 schedules is for the drug Enforcement Administration who are tasked with combating smuggling... Accept insurance oddly is the law for I-STOP with picking up/filling a controlled substance 5 times 6... Only refill an Rx for a Schedule III controlled substance 4 times 6! Treating adults, treating kids get their prescriptions while away what should believe! Hiring a defense attorney is a long commute to and from the refusal of companies. Current lead tech ( w my TSH is 19.3 face-to-face meetings were a hard-and-fast rule until the pandemic must... Insurance companies to pay for it shall notify the prescriber of the medications that you are going be... And other substances with a high potential for abuse get three 30 day prescriptions at a safer level!

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adderall refill laws louisiana