November 2019 Newsletter for Ohio's CTR Physicians

The CTR newsletter is distributed to physicians with an active CTR and provides important updates for the Ohio Medical Marijuana Control Program. 

The State Medical Board of Ohio has approved 10 new certificate to recommend medical marijuana (CTR) applications since the October board meeting. As of November 13, 2019, the total number of active certified physicians is 585.

Petitions for Qualifying Conditions
The State Medical Board of Ohio estbleished Nov. 1, 2019 - Dec. 31, 2019 as the second submission period for petitions to add a qualifying medical condition to the Medical Marijuana Control Program. Petitions can be filed electronically through the state's website: https://medicalmarijuana.ohio.gov/condition. Petitions need to include (per Ohio Administrative Code 4731-32-05):

  • The name and contact information
  • Specific disease or condition requested to be added
  • Information from experts who specialize in the study of the disease or condition
  • Relevant medical or scientific evidence
  • Consideration of whether conventional medical therapies are insufficient to treat or alleviate the disease or condition
  • Evidence supporting the use of medical marijuana to treat or alleviate the disease or condition and other types of medical or scientific documentation
  • Letters of support provided by physicians

Operational Dispensaries

Ohio now has 45 operational dispensaries where a patient with a recommendation may purchase their medical marijuana product. 

License Number

Please be aware, now that you have been granted a certificate to recommend, your official license number includes the suffix  CTR. Example: 35.12345CTR. 

Vaping Update for Vitamin E Acetate

The Centers for Disease Control and Prevention (CDC) recently identified vitamin E acetate in the lung fluids of 29 individuals with confirmed vaping-related lung injuries. As a proactive measure, the Ohio Medical Marijuana Control Program has banned the use of vitamin E acetate in all medical marijuana vaporizing products. No current licensed processor manufactures medical marijuana vaporization products using this ingredient.

 

Remember, as a health care provider you are required to report suspected cases of severe pulmonary disease of unclear etiology with a history of vaping in the past 90 days. These cases are to be reported to the patient’s local health department by the end of the next business day. 

Patients who are vaping medical marijuana as part of the Ohio Medical Marijuana Control Program are being instructed to contact their recommending physician about how to best manage the condition being treated with medical marijuana.

Medical Marijuana Advisory Committee Update

The next Advisory Committee meeting will be held on Thursday, December 12 at 10 a.m. in the Rhodes Tower Lobby Hearing Room. Click here to see the meeting notice.

Renewing Recommendations

Patient & Caregivers

Registrations in the Patient & Caregiver Registry are valid until the expiration date found on the Registry card. Patients and caregivers will renew their registrations in the same fashion they activated their original registrations: by submitting payment information in the Registry. Once a physician issues a recommendation to a patient within 90 days of the patient’s registration expiring, the patient will see a button labeled “Renew Registration” on their Registry profile. By clicking that button, they can renew their registration by submitting payment information once again. Please refer to this guidance document for any questions on registrant renewals.

Physicians

For physicians, the process of renewing a recommendation adds an extra step beyond the typical issuance of a recommendation. When renewing a patient’s recommendation, physicians will be asked to complete a recommendation renewal survey with information provided by the patient. Please refer to this guidance document on recommendation renewal for more information.

 

As a reminder, the Board of Pharmacy can answer questions regarding the process of issuing or renewing recommendations, but for questions related to standard of care requirements, please contact the Medical Board.

Physician Resource Page

The primary resource for CTR physicians looking for information on how to navigate the Registry is the physician page on the MMCP website. This page features videos and guidance documents, as well as links to the rules governing CTR physicians. Relevant updates will continue to be posted to the page going forward.

Available Products Update

To help inform physicians choosing to include instructions for use, the types of products currently available through the Medical Marijuana Control Program are listed below. This list of products is expected to grow as the program continues to mature.

Search Map Feature

If you applied for a CTR for any purpose other than making patient recommendations (e.g. research, specialized CME, etc.) please let us know and we will not feature your contact information on the map.

If you received your CTR this month, or have not yet provided all of the addresses you wish to list on the medical marijuana physician locator, please complete the survey below. Your name and practice address will not appear on the search map until your survey is submitted. 

Standard of Care

All physicians with an active CTR are expected to follow the full list of requirements in Rule 4731-32-03 Standard of care in the Ohio Administrative Code. 

Resources

  • For questions about your CTR, email MedicalMarijuana@med.ohio.gov.
  • For questions about technical difficulties accessing the Registry, call the Appriss Help Desk at 1-833-276-0100.
  • Additional resources can be found on the medical marijuana website. Click here to view.

OMMCP Helpline
1-833-4OH-MMCP (1-833-464-6627)

The Ohio Medical Marijuana Control Program Toll-Free Helpline responds to inquiries from patients, caregivers, and health professionals regarding adverse reactions to medical marijuana, and provides information about available services and additional assistance as needed.

Check with your personal attorney for additional rule interpretation and how to apply the statute and rules to your specific practice situation.


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