pharmacy policy and procedure for dispensing controlled substance

This cookie is set by GDPR Cookie Consent plugin. AG Healeys Medicaid Fraud Division conducted an investigation into CVS after a referral from the states Medicaid program (MassHealth) relating to the states Controlled Substance Management Program (CSMP). These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. 5. 3719.28 Rules for administration and enforcement. 8. dispensing Controlled Substances for clinical use shall maintain internal policies and procedures governing procurement, use, storage, dispensing, and disposal of Controlled Substances consistent Pharmacy shall not dispense Controlled Substances for use in research. But opting out of some of these cookies may affect your browsing experience. 3719.34 Provisions inapplicable. The cookie is used to store the user consent for the cookies in the category "Analytics". Registration of a controlled substance is linked to its storage and usage location. The following procedure and person/department are responsible for maintenance and record of controlled substances in the hospital. a Og Loyola University Chicago requires that all LUC faculty and staff conducting activities with DEA controlled substances be registered with the DEA and IDFPR and comply with state and federal regulations regarding the acquisition, storage, use and disposal of those substances. )/9xpXyN|3O,D\ 74TPxj%A`e+9F%M"IFA{P @UXs&]MYxL4_2cde`V4n %yw23097Mebs,Y6iS0r##b&q m,2a`cy2m (.BU1CSC[V b Organizational Aspects- pgs. Earlier this year, the AGs Office announced the formation of the Interagency Group on Illegal Prescribing, a coalition of state and federal agencies to investigate and prosecute prescribers, pharmacists and others who contribute to the opioid epidemic by illegally prescribing or dispensing pills. LUC faculty and staff engaged in research that involves the use of DEA controlled substances will be responsible for registering with the DEA and IDFPR, updating the controlled substances database as described below, and for assuring compliance with applicable state and federal regulations. When disposing of controlled substances, hospitals often have to take note of every medication that goes in there, and then when we take the medication to be disposed everything is accounted for and you are given a certificate of destruction. Top-requested sites to log in to services provided by the state. Name of the prescriber and their signature. 1486 0 obj <>stream controlled substance to cover a full 90 day script will contain the earliest refill date at 30-day intervals such that the pharmacist will know the earliest date when the refill may be completed. ORS will forward the request to Purchasing on behalf of the registrant. When the controlled substances are received, the registrant must enter the necessary information in the Controlled Substances Database. (D) Controlled Substances require a witness to return and a detailed return explanation to be entered. This will include educating researchers about the requirements, maintaining the controlled substances website as described below, and providing regular oversight to insure compliance, Registration Request Form and Controlled Substances Database. 1 Same-day or next-day delivery is also an option for most prescription orders for an additional fee. The assurance and settlement agreement also resolve allegations that certain CVS pharmacies in Massachusetts failed to monitor drug use patterns or use sound professional judgment when dispensing controlled substances, particularly opioids. Under this amendment to the Controlled Substances Act, patients can receive the care they need in a more streamlined and efficient manner. Harmons Dietitians Harmons Dietitians help us make the best choices for long-term health. The primary pharmacy is required to monitor the prescription use pattern of each CSMP member and use sound professional judgment when dispensing all prescription drugs. This case is one more way AG Healey is working to address the growing addiction crisis in Massachusetts. An accurate record of all controlled substances is mandatory. %PDF-1.6 % hbbd```b``Q AD2H`\Vvgx40[6 `l(,H2@"I?v9do>6DW `sl1F+Xyf20 ?7 D %%EOF You also have the option to opt-out of these cookies. The information for such order includes: When the patients are discharged from the hospital or emergency ward at the time of closing of pharmacy. Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. Thefts must be reported whether or not the controlled substances are subsequently recovered and/or the responsible parties are identified and action taken against them. We are seeking a Certified Pharmacy Technician for this particular This cookie is set by GDPR Cookie Consent plugin. The required forms and detailed instructions are available on the DEA website: http://www.deadiversion.usdoj.gov/drugreg/reg_apps/index.html. hb``` f) 1D!FEAAA!A(PBSp V" ;[l\Kpgbc{l,)}93s!}4[{.o_R+6q2wq81 t cv@7=.q92q `%(KS;a5lE,@qa+8s>l;Y3qgge1 The feedback will only be used for improving the website. We also use third-party cookies that help us analyze and understand how you use this website. Focus on cy fr-m-s plural pharmacies 1 : the art, practice, or profession of preparing, preserving, compounding, and dispensing medical drugs 2 a : a place where Original is filled in pharmacy and a duplicate copy is kept for the record to nursing office. PDF Controlled Substances - University of South Florida Federal Controlled Substances Act: Ordering and Recordkeeping This policy addresses obtaining, using, storing, recordkeeping, Public Health Code - Article 7 - Controlled Substances. Scheduled II and III medications that are managed by Assisted Living must be doubly locked. Participates in controlled substances inventory management in the Pharmacy and the hospital. POLICY: Pharmacy PROCEDURE: POLICY: JNt3o3K.N6333Ni@9mjZp7*g8w*^pSCV-J\V+nJ\;*hm[-WH kMlX $C[@@dHS29hV d` &rH200 8P ICJ &,XC&t. In this role, the Controlled Substance Sr Manager will have the opportunity to build a foundational element of the compliance team from the ground up, which includes policy development and implementation as well as the development of business practices associated with our controlled substance dispensing and inventory. endstream endobj 2790 0 obj <. Analytical cookies are used to understand how visitors interact with the website. See the end of this policy document for related links. (1) Except for a remote pharmacy, which is regulated by section 17742a of the code, MCL 333.17742a, and which allows a qualified pharmacy technician to assist in the dispensing process while being overseen by a pharmacist through the use of a surveillance system and telepharmacy system, a controlled substance shall be dispensed by a pharmacist or a )@8+5H]wE3\3r`!XY::-` & Ri@#qeA`@l>AfL`.! Free two-day delivery, too. Consult with and educate physicians, other health professionals, patients and their families about drug usage, drug dosage, and drug substitution. Manages users within the automated dispensing technology database as per policy. During handling of control substances, the following duties should be performed administration department. %PDF-1.6 % NO prescription for a controlled substance shall be authorized by telephone. 204.12 Fourteen (14) Day Supply for Long Term Care Residents 1338 0 obj <> endobj Controlled Substance Schedule: As defined by the Controlled Substances Act (CSA) places all substances which are in some manner regulated under existing federal law into one of five schedules. OF~FE>6bw. Under no circumstances are controlled substances to be abandoned by a registrant. The Controlled Substances Act ( 21 USC Chapter 13) regulates such use, and 21 CFR 1300-1399 promulgates federal regulations to implement that statute. An initial inventory shall include: Damaged, defective, expired, or impure substances awaiting disposal must also be inventoried including name, total quantity, and the reason why the substance is being maintained. The AGs Office indicted a Ludlow physicianand a Hyannis physician for illegally prescribing pain medication to patients with known substance abuse issues. Changing the culture around the prescribing of opioids is also a significant part of the AGs efforts. Some page levels are currently hidden. There are different registrations for different activities involving controlled substances. The Office of Research Services (ORS) will be responsible for assisting individuals engaged in research in complying with applicable rules and regulations. The Protecting Patient Access to Emergency Medications Act, which was signed into law on November 17, 2017, was designed for this purpose.1 This law modified the Controlled Substances Act that was already in place so that emergency medical services (EMS), as well as EDs, could better care for patients.1 The newer legislation targets ED personnel and EMS staff members who are administering schedules II to V controlled substances to patients who need the medications.2, This law specifically amended the Controlled Substances Act to ensure that paramedics and other emergency medical services professionals are able to continue to administer controlled substances, such as pain narcotics and antiseizure medications, pursuant to standing or verbal orders when authorized by state law.1. Complies with legal, regulatory, accreditation standards. fireserviceems.com/protecting-patient-access-to-emergency-medications-act-of-2017-signed-into-law-november-17-2017/. For example, if the registrant is approved for the use/purchase of schedule II non-narcotic drugs (e.g. To access Pharmacy, you must be signed into your personal My HealtheVet account. 59 0 obj <>stream Our pharmacies are staffed with caring professionals dedicated to helping people lead healthier lives. If your resident needs to continue receiving a controlled medication, theyll need a new prescription from their doctor. 3719.011 Controlled substances definitions for use in Revised Code. 1405 0 obj <> endobj Protecting Patient Access to Emergency Medications Act of 2017, HR 304, 115th Congress, Sec 2 (2017-2018). Pharmacy. 100 Pine St. Suite 1250San Francisco, CA 94111, Prescription Intake for Oral or Electronic Prescriptions for Schedule II Drugs for Inpatients. A .mass.gov website belongs to an official government organization in Massachusetts. Quality assurance manual, reporting template, Prescription Intake for Oral or Electronic Prescriptions for Schedule II Drugs for Inpatients, Handling, Receiving, and Dispensing Controlled Substances, Compliance with Title 7 Combat Methamphetamine Epidemic Act of 2005, Non-licensed employee theft, robbery, or loss of controlled substances, Administration of Immunization by Injection, Verifying licensure and exclusion database, Inventory Reconciliation Reports of Controlled Substances Reporting Discovered Losses, Handling, Receiving, and Dispensing Controlled Substances. Handles all controlled medications following federal and legal requirement as set through policy and procedure. Please let us know how we can improve this page. Placement is based on the substances medical use, potential for abuse, and safety or dependence liability. In accordance with established policies and procedures for controlled substances, all record keeping requirements, dispensing, and administration practices conform to the regulations implemented by the Federal Controlled Substances Act of 1970 and/or the Connecticut Comprehensive Laws Concerning Drugs, whichever is the stricter for each situation. The cookie is used to store the user consent for the cookies in the category "Performance". A policy is a course or plan of action, especially of administrative action. %%EOF According to the law, an EMS organization must submit an application to the Drug Enforcement Administration (DEA).3 This application is for registration and for demonstration that the applicant organization can provide the needed services in the specific state. Dispensing of Controlled Drugs: A controlled substance is a drug or chemical which pharmacy operation by regulating the use of tax-free alco-hol through the Bureau of Alcohol, Tobacco and Firearms. The registrant should maintain a log book of who has access to controlled substances in their lab, and the substances and amounts used. The nurse in charge must prepare a special form in duplicate entries to cover the incidence of every dose of control substance given/administered to patient or drug is lost or wasted onward. Mike Hess, Neal B. Curtis, Paul DelloRusso. Pharmacy Chain to Pay Total of $795,000; AGs Office to Direct $500,000 of Settlement to Address Opioid Dependence and Addiction. See Theft or Loss section, below. Electronic Prescriptions for Controlled Substances Beginning January 1, 2022, Utah Code Annotated 58-37-22 requires that most* prescriptions issued for a controlled substance be transmitted electronically as an electronic prescription; however, you may apply for a limited extension by submitting the form linked below. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Use of controlled substances in Illinois is considered to be within the purview of a Controlled Substance Professional and, as such, the user must be licensed by the Division of Professional Regulation of the Illinois Department of Financial & Professional Regulation (IDFPR). After the initial inventory, a new inventory must be taken by the registrant at least every two years. In accordance with established policies and procedures for controlled substances, all record keeping requirements, dispensing, and administration practices conform to the regulations implemented by the Federal Controlled Substances Act of 1970 and/or the Connecticut Comprehensive Laws Concerning Drugs, whichever is the stricter for each situation. The Office of Pharmacy 2022 Board Meetings. hbbd```b``kA$Kl& Refill VA Prescriptions. The purpose of this policy and procedure document is to regulate and prevent the diversion of controlled substances used in the conduct of research activities at Loyola University Chicagos lakeside campuses. Controlled substances can not be returned to the pharmacy under federal law. Manages users within the automated dispensing technology database as per policy. (6y%PV nne_%I U:]n@=w#% k} Center for Student Assistance and Advocacy, Institute of Environmental Sustainability, Community Information: Health, Safety, and Well Being, Responsible Conduct in Research and Scholarship, Illinois Department of Financial & Professional Regulation, https://www.idfpr.com/renewals/apply/forms/f0500cs.pdf, http://www.deadiversion.usdoj.gov/drugreg/reg_apps/index.html, http://www.deadiversion.usdoj.gov/drugreg/categories.htm, http://www.ilga.gov/commission/jcar/admincode/077/077031000000300R.html. The registrant must not allow the permit to lapse until all controlled substances are spent, disposed of, or transferred to another registered person. Policies are based on the self-interest of the pharmacy team who is responsible for the dispensing of prescriptions. Accessed December 27, 2018. Our Mission is to deliver high-quality compliance documents and assist with pharmacy compliancein the most cost-effective way. AG Healey also joined 35 attorneys general insending a letter to the CDCthat supports the strong framework for providers and clear guidelines that will provide a foundation for practice, recognizing that doctors will need to adapt them to meet the individual needs of their patients. Point of Care Testing Blood Pressure Tracker Compound Medication Personalized medications made from scratch in the exact strength and dosage your doctor requires. 2 Plus, for most prescriptions, you can get a 3-month supply for the price of 2 months. Self-Entered Medications + Supplements - for users registered with a Basic or Premium My HealtheVet account. Therefore, changes of address and/or location of the controlled substances (e.g., a faculty member moves into a new lab) must be reported to the DEA and the IDFPR as soon as possible. (B) Controlled Substances require a witness to waste and a waste comment to Such accountability of controlled substances needs to furnish to the pharmacy department while a request for a new supply of drugs. Moreover, this serves to bring clarity to an important issue that has raised many questions over the years. Use a simple binder with alphabetically indexed inserts; these are available at drug stores and office supply stores. Call (323) 250-9908. How long before a prescription runs out for a controlled medication? Narcotics and controlled drugs on wards by a nurse. q^hy`x]b Fd`sB3mY9E@pAq GLjv' @,?H3@ ) Your pharmacy can only dispense controlled substances after receiving a written prescription. Marijuana, raw opium). Pharmaceutical Services Subcommittee 2. Specialty Pharmacy Patient-focused care to assure you understand your specialty medications. Schedule 3-5: The drugs under these schedules have less as compared to the above potentials for abuse, are accepted for medical treatment, and have less physical dependence and psychological dependence (e.g. endstream endobj startxref Pharmacy services Pharmacists at the ready to provide the best possible care With direct, confidential access to UW Health providers, our pharmacists provide you with the best total patient care. Oxaprozin may also cause stomach or intestinal bleeding, which can be fatal. Oxaprozin can increase your risk of fatal heart attack or stroke, even if you don't have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Registrants may only order controlled substances by completing the Controlled Substances Purchase Request on the Controlled Substances Website. An official website of the Commonwealth of Massachusetts, This page, CVS Pharmacy to Strengthen Policies Around Dispending Opioids and Require Use of Prescription Monitoring Program in Groundbreaking Settlement , is, for CVS Pharmacy to Strengthen Policies Around Dispending Opioids and Require Use of Prescription Monitoring Program in Groundbreaking Settlement. Attorney General Maura Healey is the chief lawyer and law enforcement officer of the Commonwealth of Massachusetts. Pharmacy Board Meeting Agendas and Minutes. The applicant will then be notified by ORS to proceed with the registration with the IDFPR and the DEA. Initial and biennial inventories must be entered by the registrant into the Controlled Substances Database; hard copies must be printed out by each registrant and kept at the location where the substances are stored. Pharmacists need to maintain the records of the receipt and return of controlled drugs for disposal. 1 This law modified the Although ORS will maintain records and databases, and conduct on-site inspections, it is the registrants responsibility to ensure that databases are up to date. The Protecting Patient Access to Emergency Medications Act, which was signed into law on November 17, 2017, was designed for this purpose. The opioid epidemic is still raging across the country, and many affected patients require emergency medical services every day as a result. Tuttavia, puoi visitare "Impostazioni cookie" per fornire un consenso controllato. %%EOF Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice. %PDF-1.6 % 204.8 Copay only Billing . A lock icon ( CVS Pharmacy to Strengthen Policies Around Dispending Opioids and Require Use of Prescription Monitoring Program in Groundbreaking Settlement. j. Pharmacist-in-charge conducts random periodic checks of high risk controlled substances; k. Back count stock bottles as used and track quantity remaining on the outside of the bottle with On-site inspections will be made at least annually by ORS to ensure that inventories are up to date. MassHealth administers the CSMP, a program for its members who use large quantities of prescribed drugs. 204.10 Blood Clotting Factor . The U.S. Department of Justice affects pharmacy practice through its 2023 MJH Life Sciences , Pharmacy Times Pharmacy Practice News and Expert Insights. Copyright 2019 Mercury Pharmacy Services, Mountlake Terrace, Washington, United States. It is the responsibility of the registrant to pay any required registration and licensure fees. (5) Medication Waste: (A) Damaged partial or full-dose medications shall be wasted on a per patient basis and recorded in the ADC at the time of retrieval. 1444 0 obj <>/Filter/FlateDecode/ID[<0F21AD11D7253744824AFEC09C42ECEE><0FC93FA95C5C904F8EECF40D37701AAD>]/Index[1405 82]/Info 1404 0 R/Length 159/Prev 424491/Root 1406 0 R/Size 1487/Type/XRef/W[1 3 1]>>stream 27 0 obj <> endobj Dispensing controlled substances is a complicated task for a pharmacist, both because there is conflicting guidance on the extent to which a pharmacist is requiredor allowedto refuse to dispense a prescription, and because the pharmacist does not have access to complete information about the patients medical condition. Contact PMP at scripts@dhec.sc.gov or (803) 896-0688. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Provider Pharmacy Requirements 3. organization has locations with multiple Drug Enforcement Administration (DEA) licenses, all organizational policies and procedures related to the CSDPP should be applied consistently. Illinois has its own Controlled Substances Act, which follows and supplements the federal law. 6. These laws enforcement leads to prevention in the unauthorized use of such substances/drugs such as central analgesics (opioids), anesthetics, steroids, etc. 2802 0 obj <>/Filter/FlateDecode/ID[<997DA5647022274292CC1402443D91E5>]/Index[2789 23]/Info 2788 0 R/Length 81/Prev 502655/Root 2790 0 R/Size 2812/Type/XRef/W[1 3 1]>>stream 2789 0 obj <> endobj This is called as storage record of a nursing unit. As far as the DEA is concerned, the registrant, not the institution, is solely responsible for ensuring that any rules and regulation pertaining to the use of controlled substances are implemented. Controlled substances require extra attention for everything from ordering, receipt and recordkeeping to actually dispensing the medication. CVS is also required to update its written policies and procedures and conduct annual training to include the requirement that CVSs Massachusetts pharmacy staff use the states Prescription Monitoring Program before dispensing certain prescribed drugs. Nembutal) that does mean that he/she can also purchase a schedule II narcotic drug (e.g. Pursuant to the assurance, CVS will update its written policies and procedures and conduct annual training with respect to the responsibilities of primary pharmacies, the restriction on non-primary pharmacies to not dispense to a CSMP member, and concerns about CSMP members who attempt to pay out-of-pocket for prescriptions for controlled substances. For more information on how to handle controlled substances, visit the Washington State Legislatures website. "{8$Y El#Q? If you do not have an account, please take this time to register. Otherwise, your pharmacy is legally required to not deliver the medication. The AGs Office further alleges that some of these transactions occurred despite a prior denial by MassHealth of a claim for the same controlled substance on the same day. Understanding Possession of a Controlled Substance A controlled substance is a regulated drug that has been placed on a schedule of controlled substances by the State of California. Some of these are always illegal, such as cocaine, heroin, or meth. Others are prescription drugs, such as painkillers like morphine and oxycodone. Email: admin@abcaccreditationmanuals.com. On-site inspections will be made at least annually by ORS to ensure that registrants have properly fulfilled these responsibilities. With this amendment, patients will be able to receive the medication they need in a more efficient manner. The registrant must also send a copy of Form 106 to the IDFPR, notify the Department of Campus Safety, and update the Controlled Substances Database. Here, our Pharmacists provide more than just prescriptions and over-the-counter medications they provide advice and support. In Solution Pharmacy all Materials are Provided for Educational Purposes Only. hXmo6+bh$Ydiri]&jb3kHK\_ bZHJzD2/ ## cxdDhG$YR,eHI4GRYfM dpO 4+`U'`)PpKsYJOh"`C%kF|vWP%R>k "-^k"}C)Q(P!PR@QCKK$?Dzjp"3#I1MAAx~A0nsPcAd*C3 L0EEicsy4(\1c1=gL(;>Ov<8NSq]&yR&nj1r*y^pLn#zV$=0fp:kxTknwNjC'W,g0t7)YOh@1j1FF ]&yM;-'eZZ{6 iK"*)hzW({B_ThBS ,6K?Ns@Z.3@T1gQ5alj+vK&k'XdVeoqqIp+8Fb;:Hivp."/X$s]g_N?_s`q>]ZkgIN,352_CV\E.5TY @0-4_'(Yvi7=P|bsa2Lz,V8!Ay$sH|{sa_Z,H*?~RW%YVfua \l8ioB. Depending on their respective schedules, controlled substances are required to be stored in securely locked, substantially constructed cabinets or safes (i.e., not easily broken into or moved; see 21 CFR 1301.71). 3719.013 Simple and fast controlled substance workflow saves hours of nursing time each day. Investigates discrepancies and troubleshoots malfunctions in automated dispensing technology. 0 Physicians may not prescribe controlled substances to themselves. The physician may obtain an over the counter Schedule V controlled substance for personal use, but must follow all state and federal laws that a non-physician would be required to follow. Physicians may prescribe to family members in an emergency situation. Federal regulations require legitimate users of controlled substances to register with the DEA (21 CFR 1300-1399) and comply with requirements pertaining to secure storage; recordkeeping; inventorying; reporting loss, theft, or abuse; and safe disposal. Pharmacists struggling to reconcile their duty to dispense Except in very limited circumstances, CSMP regulations restrict a CSMP member to obtaining all prescribed medications from a single pharmacy known as the members primary pharmacy. 2023 MJH Life Sciences and Pharmacy Times Pharmacy Practice News and Expert Insights. 1351 0 obj <>/Filter/FlateDecode/ID[<85D660CD68FDCC4998C0EB3D5C1BDD6D>]/Index[1338 22]/Info 1337 0 R/Length 72/Prev 599187/Root 1339 0 R/Size 1360/Type/XRef/W[1 2 1]>>stream It does not store any personal data. 3 The registrant must first screen these employees prior to authorization, as described at 21 CFR 1301.90. The head nurse should use the control drug form while ordering the drug from the pharmacy. Creating such a For example, if you have a full card of 30 oxycodone and the resident takes two tablets, three times daily, its time to request another order. Please remove any contact information or personal data from your feedback. ORS will follow up with the registrant if the required inventories are not entered into the Controlled Substances Database in a timely manner. 3719.31 Prohibition against careless distribution of samples containing drug or poison. endstream endobj startxref The application is reviewed by the DEA and can be either accepted or denied.3 With an approved application from the DEA, the EMS organization can store, deliver, and receive controlled medications.1 These controlled medications can then be given to the patient when they are en route to the hospital.1 Furthermore, instead of applying for a new registration through the DEA for each separate EMS facility, an EMS agency may obtain a single registration in each state instead of a separate registration for each location.3, An EMS agency must adhere to 3 regulations to stay compliant with the application it submitted to the DEA. This website uses cookies to improve your experience while you navigate through the website. These cookies ensure basic functionalities and security features of the website, anonymously. POLICIES AND PROCEDURES - GENERAL A. The PMP, a secure website maintained by DPH, collects dispensing information on certain controlled substances, including opioids, dispensed pursuant to a prescription. We will use this information to improve this page. Job Summary and Scope. A subsequent investigation was conducted by AG Healeys Consumer Protection Division related to the PMP, where it was discovered that CVS failed to provide sufficient internet connectivity to access the online program. Due to a constantly changing environment regarding controlled substances, the following recommendations are made to assist pharmacies with the dispensing of controlled substances. Dispensing of Controlled Drugs: A controlled substance is a drug or chemical which ownership, manufacture, or use is regulated by a respective government of countries such as illegally used drugs or prescription medications. Controlled substances in Schedules III, IV and V may also be dispensed by a pharmacy pursuant to an oral prescription made by an individual practitioner and promptly reduced to writing by the pharmacist containing all information required [for a valid prescription], except for the signature of the practitioner. 21 CFR 1306.21 (a). Pharmacy 2023 Board Meetings. These cookies track visitors across websites and collect information to provide customized ads. Each finished form of the substance (e.g., 10-milligram tablet or 10-milligram concentration per fluid ounce or milliliter); The number of units or volume of each finished form in each commercial container (e.g., 100-tablet bottle or 3-milliliter vial); and.
Judge Mathis Audience Members,