APRN ALERT – BUTALBITAL Prescribing
ALL BUTALBITAL CONTAINING PRODUCTS (Fioricet, Bupap, Esgic, etc.) are SCHEDULE III CONTROLLED SUBSTANCES in the Commonwealth of Kentucky and are NOT exempt from the licensing, distribution, and recordkeeping provisions of KRS 218A.150-218A.172, 218A.180, and 218A.200. Prescriptions for butalbital containing products must be reported to KASPER.
Effective September 17, 2014, a prescriber without a DEA license cannot write or issue a prescription for a butalbital containing product (Fioricet, Bupap, Esgic, etc.) . In addition, any remaining refills on a butalbital containing product prescription issued by a prescriber without a valid DEA license may NOT be dispensed.
If a DEA licensed prescriber issued a prescription for a butalbital containing product with refills AND it has not been more than 6 months from the date written, it MAY be refilled. Exception: APRNs who have a valid DEA Number are not permitted to write refills for butalbital containing products as APRNs are not permitted to write refills on Schedule III medications.
For questions regarding the changes made to 902 KAR 55:045 and 902 KAR 55:090, please call the Drug Enforcement and Professional Practices Branch at 502-564-7985.