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Abuse-deterrent formulations target the known or expected routes of abuse, such as crushing to snort and dissolving to inject.

Complicating matters, however, is the fact that many of the original chemical entities have already lost patent protection, which has led to the entry of significantly less expensive generic (but non-abuse-deterrent) drugs. On one hand, they might prescribe the more affordable, nonabuse-deterrent version of a drug but potentially expose a small fraction of their patients to greater risk of abusing the drug by injecting or snorting it.

From a clinical perspective, newer abuse-deterrent products are not novel chemical entities.

Rather, they are existing opioids that have proven efficacy with patented abuse-deterrent properties added to them.

These regulations are administered by the United States Department of Transportation through the Federal Highway Administration.In 2009, over 20 states proposed legislation that would require drug testing as a condition of eligibility for public assistance programs. None of these proposals became law because most of the legislation was focused on “suspicionless” or “random” drug testing, which is at odds with a 2003 Michigan Court of Appeals case. Howard ruled that subjecting every welfare applicant in Michigan to a drug test without reason to believe that drugs were being used, was unconstitutional.The proposals gained momentum beginning in the 2011 session.Amendments to Title 10 NYCRR Part 80 Rules and Regulations on Controlled Substances have been adopted and became effective as final regulations on March 27, 2013.The amendments authorize a practitioner to issue an electronic prescription for controlled substances in Schedules II through V and allow a pharmacist to accept, annotate, dispense and electronically archive such prescriptions.West Virginia certainly has not been alone in considering whether to overturn its helmet legislation.