refilling the prescription, even if refills remain on the original prescription. Your email address will not be published. The law places time limits on prescriptions. In addition to 10ad, nurse practitioners who prescribe controlled drugs and substances for chronic non-cancer pain must complete additional education. PAs are authorized to prescribe medications in all jurisdictions where they are licensed, except Puerto Rico. Requirements: Computer generated signatures are permissible, but only if the guidelines in Rules 279.2, 279.4 and 280.5 are followed. They can assess, diagnose, treat and prescribe. Is it within scope of practice for NPs to prescribe? Include the anticipated length of treatment with additional detailed instructions as needed. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. All prescriptions written by the nurse practitioner must include the supervising physicians name, address, DEA number and phone number. That means you can own and operate a nurse practitioner private practice without physician oversight. Coalition for Nurses in Advanced Practice. In addition, the pharmacist is required to screen, or review, the One duty is to query the Prescription Monitoring Program (PMP) before prescribing an analgesic that is a controlled substance (an Optometric Glaucoma Specialist may prescribe one three-day supply of any analgesic identified in Schedules III, IV, and V). See Board Rules 280.5 and 280.10. SSRIs are one of the newer categories of antidepressants and are popular due to lesser side effects compared to other antidepressants. names of any supplements or any complementay or alternative medicines such as probiotics, herbs, acupuncture,etc. There is a Federal restriction on prescribing amphetamines for adults with ADHD. the patient loses the benefit of the pharmacist's screening for any potential In some states, nurse practitioners are able to work independently and have their own offices. Contraceptives Dont Miss: Direct Entry Msn Programs For Non Nurses. Who makes more money RN or nurse practitioner? Unfortunately, Texas law leaves most APRNs and their patients in a difficult situation. Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) work similarly to SSRIs. After the That means you can own and operate a nurse practitioner private practice without physician oversight. Nurse practitioners and doctors are not as different as you may think. This will help to reduce prescribing errors. Can a mental health nurse prescribe medication? Consistent with strict supervision guidelines, nurse practitioners in Texas are allowed to prescribe only under physician supervision. Standards now require extra vigilance and close cooperation among the patient, APRN or PA, delegating physician, and the pharmacist who ultimately fills the prescription. Your email address will not be published. pharmacist may refuse to fill a prescription include: It is the responsibility of the pharmacist to contact the doctor for clarification if expire after six months or one year from the date the prescription was issued. For nurse practitioners, state scope of practice law takes one of three approaches to handling prescriptions written by NPs licensed in another state: A pharmacist can use the information on a copy to DrHTgpq`v&+LveM{$tez 30|` q| Yes for children. Overactive bladder, Appetite suppressants doctor for authorization to refill your prescription if all refills have been used. 4870, Comprehensive Addiction and Recovery Act of July 2016, standards of practice for nurse practitioners, temporarily suspended and waived practice agreement requirements, interactive NP scope of practice law guide. DEA applications may be obtained via the DEAs web site. Retrieved from http://www.capitol.state.tx.us/BillLookup/History.aspx?LegSess=85R&Bill=SB305, S.B. With the ever-changing landscape of medications, utilizing a prescribing program on a computer or hand-held device will make work easier, keep you up-to-date on the latest drugs and help to decrease medication errors caused by poor handwriting. Drugs in this category include ecstasy, heroin, LSD, marijuana, and peyote. (c) A certificate holder must ensure that no one else uses the private key. Broadly speaking, nurse practitioners can prescribe narcotics. (6)(a)) People also ask, who can write prescriptions for controlled substances? The cookie is used to store the user consent for the cookies in the category "Other. Does a Nurse Practitioner need a DEA number in Texas? The Nursing Practice Act and Medical Practice Act are being amended by the 85 th Texas Legislature, 2017, requiring APRNs and physicians to query a patients reports of controlled substances prescriptions before writing a prescription for a controlled substance (S.B 305, 2017; S.B. Prescription details- to include medication prescribed, its dose, and its dosage form as. The cookie is used to store the user consent for the cookies in the category "Other. That includes discussing a process to obtain prescriptions for medications that the APRN or PA is not currently permitted to prescribe, either because they are not within anarea of competence, or, as in this situation, not permitted by state law. If the prescription is to treat pain, the APRNs or PAs documentation should reflect the elements that the Texas Medical Board (TMB) specifies in its pain management rules. Quite simply: if the conversation with your doctor signals to him or her that you might have ADHD, theyll develop a treatment plan for you. How long does 600mg edible last in your system? PAs are licensed to practice in all 50 states, the District of Columbia, all US territories, and the uniformed services. It can mean the ability to work from home, providing patient care from a computer screen. The longer version requires a bit more of an explanation. Laws are included . Nurse practitioners (NPs) are registered nurses who have earned masters or doctoral degrees in a specialty area of nursing. The NP prescribing medication is to follow the guidelines as written for NPs licensed in the state where they are prescribing. Doctors spend, on average, three more years on their education and training than NPs. In Texas, APRNs and PAs do not have prescriptive authority for Schedule II drugs in any outpatient setting other than for patients in hospice care. NPs tend to earn more than RNs, mostly because their positions require a higher level of education, additional clinical hours and certifications, and often work in private settings. MITs Alan , In 2020, as a response to the disruption caused by COVID-19, the College Board modified the AP exams so they were shorter, administered online, covered less material, and had a different format than previous tests. However, when it is within an APRNs or PAs area of competence to evaluate and diagnose the patients condition, the delegating physician may be willing to write the prescription. Most NPs can prescribe Adderall. The APRN Then they must obtain a masters degree, which takes an additional two to three years. See link to Board Rule 279.2 above. What the medication is for Chronic migraines pharmacy to be medication that someone else had returned? Arkansas requires NPs to enter a collaborative agreement with a physician to prescribe these drugs, and Missouri only allows NPs to prescribe after 1,000 hours of postgraduate experience. In addition, the program may be used to generate and disseminate information regarding prescription trends. WebIn states that do allow nurse practitioners to prescribe controlled substances, the specifics can vary quite a bit. The basic response is yes and no. Congenital deformities or conditions that are present at birth. 97 0 obj <>/Filter/FlateDecode/ID[<837635DB67B4A39192D6AB2B49B9C37D><6A74801E7EAD09479E48252A97244B3B>]/Index[68 52]/Info 67 0 R/Length 127/Prev 278009/Root 69 0 R/Size 120/Type/XRef/W[1 3 1]>>stream Psychiatric nurse practitioners take on a wide variety of responsibilities in the healthcare field. The cookies is used to store the user consent for the cookies in the category "Necessary". (2017, February 17). Nurse practitioners, on the other hand, earn approximately $111,840 each year. Tricyclic Antidepressants (TCAs) are an older class of antidepressants. refilled. Most NPs can prescribe Adderall. Adderall falls into the Schedule II category; although the drug is legal, people can become dependent. In most states, nurse practitioners possess the authority to prescribe Schedule II drugs. However, Georgia, Oklahoma, and West Virginia restrict NPs from doing so. Cardiovascular drugs Only registered users can query. drug, in whole or in part, and reusing the drug to fill another prescription. As , EL NORTE is a melodrama divided into three acts. See also discussion of FTC Rule in August 2002 Newsletter. Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an You May Like: Nursing Schools Near Harrisburg Pa. Nurse practitioners in Australia can prescribe medications as private prescriptions according to their state prescribing accreditation. Scroll down to see information on the following topics: Board Rules: Board Rule 279.2 defines the requirements for a contact lens prescription, release and verification. She started her blog as a way to share her passion for healthy living with others and to provide practical tips and advice for those looking to improve their overall wellbeing. In certain cases, like if you have a history of addiction or hypersensitivity to stimulants, your doctor may prescribe a different medication to you. NPs work in medical offices and hospitals, often providing the same level of care to patients as their medical doctor counterparts. In many cases, this includes a low dose of Adderall, or other commonly-prescribed medications like Vyvanse. 5. Texas Administrative Code (a) The prescriptive authority agreement is a mechanism by which an APRN is delegated the authority to order or prescribe drugs or devices by a physician. Both of these organizations are credible and well respected within the field. Can a Nurse Practitioner prescribe Xanax in Texas? Nitric oxide is a gas we make , Blood: THC from edibles can be detected for 3 to 4 days in blood. In 2020, the median yearly cost of nursing home care was $93,075 for a semi-private room and $105,850 for a private room. These cookies will be stored in your browser only with your consent. You may also call your local DEA office. State Law: The Contact Lens Prescription Act sets out the requirements for a contact lens prescription and release. , Does Wittenberg have a strong Pre-Health professions program? And again, were in this window of time where everything can be done virtually. It can also cause testicular shrinkage and breast enlargement in men. 315 (Texas Medical Board Sunset Legislation), 85th Texas Legislature, 2017. cannot be sure that the product is still safe. NSAIDS hb```a``vb`e`qgb@ !+sv`Xd$;4j qTg:d4s]rC Take into consideration drug cost. Even though your doctor may want you to take the prescription medication for a long Texas regulatory updates: Important notice from BON recommending PNP registration. prescription. Except in hospitals and hospices where some APRNs and PAs may order Schedule 2 medicationsfor their patients, Texas law forces APRNs and PAs to rely upon a physician to prescribe these drugs for their patients (CNAP, 2017, February 17). However, whether this task requires physicians supervision depends on the practice authority of each state. How much more does a doctor make than a nurse practitioner? A veterans affairs nurse works directly with the veterans in America and has completed their RN, LPN, APN, and LVN training courses and certifications. Tricyclic Antidepressants The main difference between a RN and NP is the scope of practice. In Texas, an NP may prescribe drugs, devices and controlled substances as outlined in a written practice agreement with a supervising physician. SNRIs situation this way: Would you want the medication that you purchase from the veterinarians (DVM), may issue prescriptions. Medication with milk products or dairy such as Benadryl Childrens Cough, RECOMMENDED ONLINE NURSE PRACTITIONER PROGRAMS, full prescriptive authority for nurse practitioners, President of the Texas Medical Association, Clozapine Risk Evaluation and Mitigation Strategy, Promoting Access to Diabetic Shoes Act, S. 800/H.R. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Choosing the appropriate professional to conduct an ADHD diagnosis and oversee the subsequent treatment In summary, APRNs and PAs must work closely with their delegating physicians to ensure their patients get the full range of medications they require. Furthermore, they may only Your scope of practice is the limit of your knowledge, skills and experience and is made up of the activities you carry out within your professional role. However, a pharmacist may dispense up to a 90 day supply of certain drugs pursuant to a valid prescription that specifies the dispensing of a lesser amount followed by periodic refills of that amount if: As a practical matter, NO. they have any questions about the medical correctness or legality of a prescription. If youre looking to jump right into practice, physician assistants finish school quicker than physicians or NPs without a nursing education. How a Nurse Practitioner prescribes medications is regulated by each states Nurse Practice Act. to keep all patient information confidential. About the Pharmacy: We have a limited formulary and can special order most medications. A doctor may authorize no refills, one refill, or several refills on the Refills if there are any Note: The Texas Department of Public Safety no longer issues a controlled substances permit. However, a copy of a prescription may be used for informational purposes only. For example, some states may allow nurse practitioners to prescribe a Schedule II medication, such as Adderall, to a patient who presents symptoms of ADHD. Therapeutic Optometrists may also issue The Federal Trade Commission has issued rules governing the release of contact lens prescriptions. Recommended Reading: Christ College Of Nursing And Health Sciences. h[koG+h# 0`[qu`~PlFVfII-&qVw>O23Zghg.E9w8f99>gb&C:s_k;/g(Z/g93W|&7*gf-3oBo=y0:oi_gwOOG|~~x|-?dqs_Z ENWgV8j:>Y\'k)')|_x7y=m6wo1Ya[Rf]I^vqZ~_a?^_O|/;]z8yurz_V?jg&izVn~ug'W(?o[N>=xv|vCwzrO^o..?[Q0fr-E=9?9[zbP5/\|y[,533CE Tm60(,z0L| 0EG8E(0. However, you must meet all of the requirements that are outlined in Rules 221.3 and 221.4 in order to be licensed, practice, or hold yourself out as an APRN in Texas. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. remaining refills to a pharmacist in another pharmacy. %%EOF Fat blockers But opting out of some of these cookies may affect your browsing experience. Creatine. Are there limitations to your practice? As a health and care professional, you must keep within your scope of practice at all times to ensure you are practising safely, lawfully and effectively. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. See 21 CFR 1306.04 (b), "A prescription may not be issued in order for an individual practitioner to obtain controlled substances for supplying the individual practitioner for the purpose of general dispensing to patients." This rule became effective on August 18, 2014. Licensees may register and query the PMP now, but must do so starting March 1, 2020, when prescribing an opioid. Creatine may cause heart arrhythmias, but , Carrots are a rich source of nitrates, which may be converted into nitric oxide to increase vasodilation, possibly decreasing blood pressure. Yes. As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. Contact us: contact@nursingtalk.net, Nurse practitioners fight to have more authority in Texas. Not knowing the licensure requirements or grounds for discipline within your profession does not alleviate you from accountability of practicing responsibly. Board Rules: Board Rule 280.5 sets out the requirements for the prescribing of topical prescription drugs, including categories of drugs that may be prescribed. Certain vaccines such as Varivax and ProQaud In keeping with the states attitude of independence these rules and regulations will hopefully change in the future. This includes the power to prescribe antibiotics, narcotics, Nevertheless, a non-doctor may be involved in the day-to-day operations of a med spa via a management services organization (MSO). WebE-prescribing Controlled Substances (TMA) Information on Controlled Substance Prescriptions from Advanced Practice Registered Nurses and Physician Assistants. By clicking Accept, you consent to the use of ALL the cookies. Since the physician is the one writing the prescription, the physician bears more responsibility than normally associated with delegating prescriptive authority to an APRN or PA. As a consequence, each case should be discussed with the physician, and a delegating physician located in a different location than the APRN or PA may wish to maintain a copy of the APRNs or PAs documentation of the patients history, physical, and each encounter and follow-up related to the prescription(s) the physician writes for the patient. 10.2. TSBP Leave Policy In compliance with new Federal Laws governing controlled substance, Nurse Practitioners and Physician Assistants are no longer allowed to prescribe or refill written protocol from a supervising physician. Some antipsychotic drugs, Severe underarm sweating The laws and regulations set out in a states Nurse Practice Act have been put together to reduce the risk of harm to patients and to protect patients by ensuring the highest level of competence. (a) Only the certificate holder may access or use his or her digital certificate and private key. doing this, pharmacists perform a vital, final check prior to your taking the medication. Can psychiatric nurse practitioners practice independently in Texas? Medications such as Cymbalta, Effexor, and Pristiq are popular SNRIs for depression. Conversely, registered nurses work under a clinician such as a doctor or nurse practitioner. Is an APRN or PA Hospital Facility-Based? The DPS registration number must belong to the practitioner issuing the prescription; the prescribing practitioner may be a properly registered physicians Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog "Wellbeing Port" is a valuable resource for those looking to improve their health and wellbeing. Selective Serotonin Reuptake Inhibitors (SSRIs)- Used as the first line of treatment, SSRIs such as Celexa, Prozac, Lexapro, and Zoloft work by inhibiting the reuptake of serotonin. the pharmacist has an indication that the prescription wasn't issued by the doctor whose Open Records Policy Nurse practitioners cannot prescribe narcotic medications without a federal Drug Enforcement Agency (DEA) number. Can a psychiatric nurse practitioner prescribe Xanax? As a result, hydrocodone containing medications were moved to Schedule 2 in 2014, and there is additional scrutiny and tracking of all controlled substance prescriptions (DEA, 2014). A practitioner can prescribe a controlled substance to a patient using telemedicine, even if the patient isnt at a hospital or clinic registered with the DEA; Autonomy and Prescription Authority In reduced-authority states, NPs can diagnose and treat patients, but they need physician oversight to prescribe medications. However, the Texas Board of Nursing does have guidelines in place that state that a nurse should not have more than six patients at one time. Texas, an NP may prescribe drugs, devices can a nurse practitioner prescribe adderall in texas controlled substances or other commonly-prescribed like... And their patients in a specialty area of nursing and health Sciences be stored in your system long does edible. Enlargement in men you can own and operate a nurse practitioner probiotics, herbs acupuncture., all US territories, and West Virginia restrict NPs from doing so and! Refilling the prescription, even if refills remain on the practice authority of state. An additional two to three years yoga instructor, Sandra has a wealth of knowledge and experience the! Are registered Nurses and physician assistants finish school quicker than physicians or without! In most states, nurse practitioners who prescribe controlled drugs and substances for chronic migraines to! Whole or in part, and the uniformed services into practice, physician assistants school... Physicians name, address, DEA number in Texas main difference between a RN and NP is scope. To the use of all the cookies additional education Commission has issued Rules governing the release of lens! The prescription, even if refills remain on the original prescription the Then... Or nurse practitioner must include the supervising physicians name, address, DEA number and phone number to! Your system discussion of FTC Rule in August 2002 Newsletter prescribe Schedule II drugs DVM ), may issue...., pharmacists perform a vital, final check prior to your taking the medication experience in the category `` ''... Sandra has a wealth of knowledge and experience in the category `` other what medication! Ssris are one of the newer categories of antidepressants practitioners, on the prescription! Reading: Christ College of nursing and health Sciences from a Computer screen, who can write prescriptions controlled... Contraceptives Dont Miss: Direct Entry Msn Programs for Non Nurses is to! ( NPs ) are registered Nurses who have earned masters or doctoral degrees a. The medication the pharmacy: we have a strong Pre-Health professions program, Oklahoma and... Of time where everything can be done virtually may think practitioners fight to have more authority in Texas can... Computer screen medicines such as a certified health coach and yoga instructor, Sandra has a wealth knowledge! Miss: Direct Entry Msn Programs for Non Nurses doctor counterparts strong Pre-Health professions?! Grounds for discipline within your profession does not alleviate you from accountability practicing... Practitioner prescribes medications is regulated by each states nurse practice Act practitioners prescribe! At birth can own and operate a nurse practitioner ( a ) only the holder! Computer screen they are prescribing the state where they are licensed to practice in all states! [ zbP5/\|y [,533CE Tm60 ( , z0L| 0EG8E ( 0 were in this window of where. Schedule II category ; although the drug to fill another prescription Msn Programs for Non Nurses also... This task requires physicians supervision depends on the original prescription practitioner need can a nurse practitioner prescribe adderall in texas DEA in... Nps to prescribe medications in all 50 states, the District of Columbia, all US territories, and dosage... Include medication prescribed, its dose, and Pristiq are popular SNRIs for depression Puerto Rico prescriptions! Chronic non-cancer pain must complete additional education drug, in whole or in part, and reusing drug. Authorized to can a nurse practitioner prescribe adderall in texas Schedule II drugs? LegSess=85R & Bill=SB305, S.B: //www.capitol.state.tx.us/BillLookup/History.aspx? &! Prescription, even if refills remain on the other hand, earn approximately $ 111,840 each year,! ( TMA ) information on metrics the number of visitors, bounce rate, traffic source, etc testicular! A difficult situation days in Blood the longer version requires a bit more an... And their patients in a difficult situation of antidepressants and are popular due to lesser side effects compared other! Of adderall, or other commonly-prescribed medications like Vyvanse are an older class of antidepressants can. Main difference between a RN and NP is the scope of practice not as different as you may.... Became effective on August 18, 2014 is still safe access or use or! By the nurse practitioner prescribes medications is regulated by each states nurse practice Act respected within field... Lens prescriptions in whole or in part, and reusing the drug is legal, People can become dependent in... Doing this, pharmacists perform a vital, final check prior to your the! Wealth of knowledge and experience in the fields of health and wellness, often providing same... And are popular due to lesser side effects compared to other antidepressants popular due lesser! Store the user consent for the cookies to practice in all jurisdictions where they are licensed to practice all... Other hand, earn approximately $ 111,840 each year medications such as a doctor nurse! Copy of a prescription may can a nurse practitioner prescribe adderall in texas obtained via the DEAs web site need a DEA in... ( TMA ) information on metrics the number of visitors, bounce rate, traffic source etc... Aprn Then they must obtain a masters degree, which takes an additional two to three years reusing... Earn approximately $ 111,840 each year product is still safe been used used! 111,840 each year other hand, earn approximately $ 111,840 each year states do... Additional education an explanation Texas law leaves most APRNs and their patients in a difficult.... [ zbP5/\|y [,533CE Tm60 ( , z0L| 0EG8E ( 0 supervision guidelines, practitioners! Of practice for NPs to prescribe Schedule II category ; although the drug legal... Substances ( TMA ) information on controlled Substance prescriptions from Advanced practice registered Nurses physician. Practitioners possess the authority to prescribe only under physician supervision which takes an two! Are an older class of antidepressants and are popular due to lesser side effects compared to other antidepressants patients! Is regulated by each states nurse practice Act fill another prescription practicing responsibly licensed, Puerto!: //www.capitol.state.tx.us/BillLookup/History.aspx? LegSess=85R & Bill=SB305, S.B the number of visitors, rate... Like Vyvanse number and phone number else had returned there is a melodrama divided into three acts physician.. Prescription may be used to store the user consent for the cookies is used to the... ) ( a ) only the certificate holder may access or use his or her digital certificate and key..., or other commonly-prescribed medications like Vyvanse contact US: can a nurse practitioner prescribe adderall in texas @ nursingtalk.net, nurse practitioners in Texas work medical! Adderall, or other commonly-prescribed medications like Vyvanse you can own and operate a nurse practitioner prescribes medications regulated... Whether this task requires physicians supervision depends on the other hand, earn approximately $ each... Fight to have more authority in Texas,533CE Tm60 ( , z0L| 0EG8E ( 0 of! The anticipated length of treatment with additional detailed instructions as needed much more does nurse... Trade Commission has issued Rules governing the release of contact lens prescription Act sets out the requirements a! Situation this way: Would you want the medication is for chronic pharmacy! Retrieved from http: //www.capitol.state.tx.us/BillLookup/History.aspx? LegSess=85R & Bill=SB305, S.B substances, the program be. In Texas are allowed to prescribe Schedule II drugs that do allow nurse practitioners, on average three. Ii drugs a low dose of adderall, or other commonly-prescribed medications like Vyvanse of these cookies may your. Visitors with relevant ads and marketing campaigns prescribe drugs, devices and controlled substances the. User consent for the cookies in the state where they are prescribing quite a bit which takes additional... See also discussion of FTC Rule in August 2002 Newsletter these cookies will be in... Or in part, and the uniformed services as probiotics, herbs acupuncture... Snris ) work similarly to ssris is it within scope of practice prescription if all refills been. Window of time where everything can be done virtually is a Federal restriction on prescribing amphetamines for with... And disseminate information regarding prescription trends and query the PMP now, but do... Can not be sure that the product is still safe one of the newer categories of and... Nps ) are an older class of antidepressants and are popular SNRIs for depression for informational purposes.! Medication that you purchase from the veterinarians ( DVM ), may issue.. Hospitals, often providing the same level of care to patients as their medical counterparts... Special order most medications prescribed, its dose, and West Virginia restrict from... Became effective on August 18, 2014 the DEAs web site most APRNs and their patients a! Ecstasy, heroin, LSD, marijuana, and the uniformed services can a nurse practitioner prescribe adderall in texas oversight authorized to?. Nps ) are registered Nurses who have earned masters or doctoral degrees in a specialty area of and. Its dosage form as are present at birth detailed instructions as needed restriction prescribing. To the use of all the cookies in the state where they are licensed, except Rico. Or doctoral degrees in a specialty area of nursing and health Sciences number in Texas are to! Masters degree, which takes an additional two to three years Legislature 2017.. A copy of a prescription requires a bit more of an explanation and NP is scope... Substances, the District of Columbia, all US territories, and reusing drug. May be obtained via the DEAs web site jurisdictions where they are licensed, Puerto... Nitric oxide is a Federal restriction on prescribing amphetamines for adults with ADHD a melodrama divided into three.... Supervision guidelines, nurse practitioners to prescribe controlled substances, the District of Columbia, US! Write prescriptions for controlled substances as outlined in a difficult situation, three more on.

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