October 2021 Newsletter for
Ohio's CTR Physicians

This newsletter is distributed to physicians with an active Certificate to Recommend Medical Marijuana (CTR) and provides important updates for the Ohio Medical Marijuana Control Program (OMMCP). 

The State Medical Board of Ohio has approved 2 new certificate to recommend medical marijuana (CTR) applications since the September board meeting. As of October 13, 2021, the total number of active certified physicians is 637.

Submitting Petitions for New Qualifying Conditions  

The next submission period is scheduled for Nov. 1 – Dec. 31, 2021. Anyone may submit a petition requesting a condition be added to the OMMCP. If a condition has been previously rejected by the board, the new petition must contain new scientific information that supports the request. No submissions will be accepted before November 1. Details on the process can be found here

Telemedicine Update

Ohio Administrative Code 4731-32-03 and Ohio Revised Code 4731.30 require an in-person visit to make an initial recommendation and an in-person examination at least once a year.

 

In response to the COVID-19 pandemic, the Medical Board suspended enforcement of regulations that required in-person visits, until the expiration of Executive Order 2020-01D. This allowed the use of telemedicine in situations that previously required in-person visits, including for physicians with a CTR to use telemedicine for initial visits and renewals.

 

In June, the board voted to resume enforcement of the regulation on September 17, 2021, three months after the lifting of the state declaration of emergency. However, on August 11 the board voted to extend the suspension of regulation for in-person visits until December 31, 2021, to ensure accessibility and safety for patients during this time. 

 

The Medical Board approved telemedicine FAQs that provide guidance on telemedicine in Ohio and the Medical Board’s resumption of enforcement. Click here to view the FAQs.

Program Update (As of August 30, 2021)

  • 344,301 Recommendations
  • 209,133 Registered patients
    • 14,290 Patients with Veteran Status
    • 15,817 Patients with Indigent Status
    • 888 Patients with a Terminal Diagnosis
  • 127,282 Patients with both an active registration and an active recommendation
  • 190,639 Unique patients who purchased medical marijuana (as reported to OARRS by licensed dispensaries)
  • 24,835 Registered Caregivers
Ohio Medical Marijuana Control Program Mandatory Product Recall - 10/13/21

 

Topic: Mandatory Product Recall

 

Issue: The Ohio Medical Marijuana Control Program (MMCP) is issuing a mandatory product recall on manufactured products sold to dispensaries by processor, Certified Cultivators, LLC. This recall is being initiated by the MMCP because the manufactured products did not receive the full battery of required testing prior to being sold at dispensaries. The recalled products were not tested for heavy metals, pesticides, residual solvents, and mycotoxins. The MMCP is investigating this matter and will issue an executive summary at the conclusion of the investigation.

 

Affected Product:

Product Name: Certified Live Resin Southside Legend
Purchase Dates: Beginning September 1, 2021 - Present
Processor Name: Certified Cultivators, LLC
Product ID: M00000224907: Oil Vap 7 - 0 - 50 Certified Live Resin Southside Legend

 

Purchased from the following dispensaries:

About Wellness - Lebanon

Bloom Medicinals - Akron

Bloom Medicinals - Columbus

Bloom Medicinals - Painesville

Bloom Medicinals - Seven Mile

Columbia Care - Dayton

Columbia Care - Logan

Columbia Care - Marietta

Columbia Care - Monroe

Strawberry Fields - Columbus

Sunnyside - Cincinnati

Sunnyside - Marion

Terrasana - Columbus

Terrasana - Garfield Heights

Verdant Creations - Columbus

Verilife - Cincinnati

Verilife - Hillsboro

Verilife - Wapakoneta

Zen Leaf - Cincinnati

Zen Leaf - Dayton

 

No reports of adverse reactions for this product have been reported to the MMCP at this time.

 

Patients who have purchased the recalled product should stop using it. All unused product should be returned to the dispensary where purchased. Returned products will not count toward a patient’s 90-day possession limit. For more information on returns, please contact the dispensary where the product was purchased.

 

Anyone who thinks that they may be experiencing serious or life-threatening issues should seek immediate medical attention. Patients are reminded that any adverse reactions should be reported to the MMCP toll-free helpline

(1-833-464-6627).

Operational Dispensaries

Ohio has 57 operational dispensaries where a patient with a recommendation may purchase their medical marijuana product. 

Click the map to view the dispensary locations or to download a complete list of Ohio-licensed dispensaries.

 

State of Ohio Board of Pharmacy Updates

Email Address Reminder

When registering patients and caregivers, please be sure to enter their email addresses correctly. Any error in the email address can cause significant delay in the registration process, as the activation link will not be sent to the correct inbox. If you correct an email address, you must notify the Registry support team at MMCPRegistry@pharmacy.ohio.gov so the activation link can be re-sent to the correct inbox.

 

Special Status Reminder

When registering a patient with indigent or veteran status, please make sure the patient submits acceptable proof documents to the Board of Pharmacy for approval. Documentation may be emailed to MMCPRegistry@pharmacy.ohio.gov or mailed to:

 

State of Ohio Board of Pharmacy

MMCP Patient Registry

77 S. High Street, 17th Floor

Columbus, OH 43215

 

Patient Renewal

Patients seeking to renew their medical marijuana registration will not receive another “activation” email upon receipt of their new recommendation. Once a new recommendation is submitted by the physician, the patient can log into the Patient & Caregiver Registry to remit their annual registration fee to renew their card. Patients who need assistance logging into their Registry account due to a lost password should go to www.ohiomedicalmarijuanaregistry.com and select “Reset Password” at the sign-in page.

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. 

 

Duty to Report

As a licensee of the State Medical Board of Ohio, you have a statutory and ethical duty to report misconduct. You are obligated to report violations of law, rule and code of ethics standards to the Medical Board. Examples of misconduct include, but are not limited to, sexual misconduct, impairment, practice below the minimal standards of care, and improper prescribing of controlled substances. If you suspect or have observed inappropriate behavior by a health care professional or colleague, you should contact your local law enforcement immediately and file a complaint with the State Medical Board. Knowing a colleague is violating regulations and not reporting to the Medical Board not only puts patients at risk but also puts your license to practice in jeopardy. 

 

If the board discovers you failed to report a colleague’s misconduct, you may be disciplined by the board, up to and including permanent license revocation, and you may be ordered to pay fines up to $20,000.

 

Effective May 31, 2021, MDs, DOs and DPMs are required to complete one hour of Continuing Medical Education (CME) prior to renewal on the topic of a licensee’s duty to report misconduct. The enforcement of this requirement will commence with renewal applications submitted on or after July 1, 2021. The board has created a one-hour course designed to educate physicians (MDs, DOs, DPMs) on the duty to report to the State Medical Board of Ohio. 

 

To file a complaint you can visit med.ohio.gov or call the board’s confidential complaint hotline at 1-833-333-SMBO (7626). Remember, provisions in the Ohio Revised Code make all complaints received by the board confidential.

COVID-19 Response
The resources listed below are available to you as guidance during this COVID-19 pandemic. 

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. 

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. 

Standard of Care

All physicians with an active CTR must 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. The helpline staff does not have access to the Patient & Caregiver Registry so any registry related questions should be directed to MMCPRegistry@pharmacy.ohio.gov

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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