can nurse practitioners prescribe adderall in florida

Florida - * 7-day limit except for psychiatric controlled substances, for which there is no limit. United States Drug Enforcement Administration, American Association of Nurse Practitioners, most states, nurse practitioners possess the authority, Do Not Sell or Share My Personal Information, Drugs with no currently accepted medical use and a high potential for harmful use, Drugs with a high potential for harmful use, potentially leading to severe psychological or physical dependence; these drugs are also considered dangerous, Drugs with a moderate to low potential for physical and psychological dependence; Schedule III drugs' potential for harmful use is less than Schedule I and II drugs but more than Schedule IV, Drugs with a low potential for harmful use and low risk of dependence, Drugs with a lower potential for harmful use than Schedule IV drugs and consist of limited quantities of certain narcotics; Schedule V drugs are generally used for antidiarrheal, antitussive, and analgesic purposes. Insurance providers cannot: make a patient try medications that are known to be either ineffective or cause adverse reactions; make a patient repeat step therapy with the same medication or one in the same pharmacological class; and providers must approve or deny exemption requests and appeals by 3 business days (or in 24 hours in an emergency). The only exceptions are for legitimate purposes and occasional situations. Schedule II drugs can be prescribed via telemedicine, but only if the clinical situation meets one of the four narrow exceptions (more on that below). Yes, if the presenting patient and/or prescribing practitioner is known to the pharmacy and there is no reason to question the prescription's authenticity. Subscribe for the latest nursing news, offers, education resources and so much more! The practice authority for NPs varies by state. If the pharmacist denies you the medication, then you are Red Flagged, as they would have to consult an online system that tracks when your next dosage should be given. The bill deletes current language in the definition of advanced or specialized nursing practice [section 464.003(2), Florida Statutes] concerning the joint committee of the Boards of Nursing and Medicine. The Florida Board of Nursing will establish a committee to recommend a negative formulary of controlled substances that ARNPs may or may not prescribe for specific uses, or in specific quantities. The Governor of Florida recently signed legislation that will permit advanced registered nurse practitioners (ARNPs) and physician assistants (PAs) to prescribe, order, and administer. If I completed the 3,000 physicians supervised hours in another state, can I apply for autonomous practice? The bill revises the current language in the law governing pain management clinics to state that only MDs or DOs may dispense or prescribe controlled substances in a pain management clinic. Section 456.0301, Florida Statutes, requires all physicians who are registered with the U.S. Drug Enforcement Agency and authorized to prescribe controlled substances to complete a board approved 2-hour course on prescribing controlled substances. By Scott Maier. The winners are: Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Edward Witten. You also have the option to opt-out of these cookies. (1) Any nurse desiring to be licensed as an advanced practice registered nurse must apply to the department and submit proof that he or she holds a current license to practice professional nursing or holds an active multistate license to practice professional nursing pursuant to s. 464.0095 and that he or she meets one or more of the following The Florida Board of Nursing will establish a committee to recommend a negative formulary of controlled substances that ARNPs may or may not prescribe for specific uses, or in specific quantities. Governor DeSantis declares State of Emergency for Subtropical Storm Nicole. 58-31b-102. Florida has taken another step towards expanding telemedicine. In 2019, lawmakers enacted a complete overhaulof Florida telehealth laws and created a registration process to allow out-of-state clinicians to quickly and easily obtain permission to treat Florida patients via telemedicine. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. as a PMHNP, is not considered to be solely within the definition of primary care and as such, the PMHNP must still maintain a collaborative agreement. It is important to understand that PAs and ARNPs are not allowed to prescribe any controlled substances prior to January 1, 2017. Can a psychiatric nurse practitioner prescribe Adderall? It has come to the attention of the Georgia State Board of Pharmacy that some Physician Assistants and APRN's have been writing prescriptions for patients that fall into two categories: (1) for scheduled drugs they are not authorized by law to write or. These cookies track visitors across websites and collect information to provide customized ads. The bill also clarifies that only allopathic physicians licensed under chapter 458, Florida Statutes, or osteopathic physicians licensed under chapter 459 Florida Statutes may dispense medications or prescribe controlled substances in a registered pain management clinic. Can a Psychiatric Mental Health Nurse Practitioner (PMHNP) practiceautonomously? The Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder provides eligible physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives, who are state licensed and registered by the DEA to prescribe controlled . The Board must adopt by rule, the committees initial recommendations no later than October 31, 2016. What states can nurse practitioners not write prescriptions? Read this guide to learn more. In states with restricted or reduced practice authority, NPs are rallying for full practice authority and securing legislative victories during the pandemic. There is nothing restricting NPs from being empaneled. The first, titled Arturo Xuncax, is set in an Indian village in Guatemala. Foley makes no representations or warranties of any kind, express or implied, as to the operation or content of the site. This cookie is set by GDPR Cookie Consent plugin. Yes, you can function under a supervisory agreement providing specialty care, and when working in primary care practice autonomously. Florida is the only state that does not allow nurse practitioners to prescribe controlled substances. However, Georgia, Oklahoma, and West Virginia restrict NPs from doing so. In Florida, an Advanced Registered Nurse Practitioner (ARNP) is defined by s. 464.003, Florida Statutes, as "any person licensed in this state to practice professional nursing and who is licensed in an advanced nursing practice, including certified nurse midwives, certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and psychiatric nurses." hb```ba!b`f`s\ rxV'70Ng| Q@l I^00Ml5 KxKA!5U73flPo```g0 "Cross-coverage" under Rule 4731-11-09 and federal . However, the joint committee has not met for many years, and the only medical act the joint committee ever approved to be performed by ARNPs is prescribing non-controlled medications, in 1987. Inpatient treatment at a hospital licensed under chapter 20 395; Previously, Florida had a general prohibition on prescribing controlled substances via telemedicine, with only narrow exceptions. This includes, for example, endocrinology or substance use disorder (both of which use Schedule III medications now permitted under the new law), allowing these patients to obtain better access to more fulsome care. Check with your attorney for clarification. Important Legislative Update for the Medical and Nursing Professions. Home Licensing and Regulation Counterfeit Proof Prescription Pad Vendors Frequently Asked Questions Frequently Asked Questions Counterfeit-Proof Prescription Pad Program 850-245-4474 info@floridaspharmacy.gov Mailing Address Florida Department of Health 4052 Bald Cypress Way, C-04 Tallahassee, FL 32399 However, Georgia, Oklahoma, and West Virginia restrict NPs from doing so. The American Association of Nurse Practitioners defines three statuses of practice authority: Nurse Practitioners must be aware of the privileges and limitations in their states practice authority. New Florida Law Allows Telemedicine Prescribing of Controlled Substances, seven exceptions for the practice of telemedicine, American Telemedicine Associations 26th Annual Conference & Expo, Congress Extends Telehealth Flexibilities: 7 Things You Need to Know. Ambulance Service . Knowing the answer will help PMHNPs to practice within theirscope as defined by Florida state laws. The AANP argues that full prescriptive authority improves access to care in underserved communities, makes care delivery more efficient, decreases costs, and protects patient choice. Physician Assistants (PAs) and Advanced Registered Nurse Practitioners (ARNPs) can prescribe controlled substances listed in Schedule II, Schedule III or Schedule IV as defined in s. 893.03 Florida Statutes, beginning January 1, 2017. This vision was reflected in the Board of Medicine granting waivers to telemedicine providers under pilot programs dating back to 2014 (e.g., telepsychiatry, asynchronous prescribing, obesity). Technically, the technology opens up Yes, nurse practitioners can prescribe medications in all 50 states. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. If treating for chronic non-malignant pain, ARNPs and PAs must meet the same standards of practice as physicians. (2) on a prescription form that lacks the information required by law. Schedule I drugs fall into the only category that NPs cannot prescribe. Not knowing the licensure requirements or grounds for discipline within your profession does not alleviate you from accountability of practicing responsibly. These states, and others with restrictive scopes of practice for NPs, should reform their . COVID-19 is responsible for a recent expansion of the scope of power for many nurse practitioners. Tuesday March 8, 2016 Officers signed Senate Bill 238 removing language in Section 458.3485(3), Florida Statutes pertaining to certifying bodies for Medical Assistants. Can a PA prescribe controlled substances in Florida? FRAME participants may receive up to $20,000 annually for service in Floridas underserved communities. Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Can the pharmacist refuse to fill my prescription ? In December 2016, the Department of Veterans Affairs (VA) issued full practice authority to Certified Nurse Practitioners, Clinical Nurse Specialists, and Certified Nurse Midwives. For controlled substances, NPs will be required to have demonstrated safe practice for 12 months prior to application for a controlled substance certificate. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. The BON, after thoughtful deliberation and consideration of the law,answered No. By clicking Accept, you consent to the use of ALL the cookies. %PDF-1.5 % News and Education Editor, MSN, RN, BA, CBC, ACNP- American College of Nurse Practitioners, Advanced Practice Nurses of the Permian Basin, The American Association of Nurse Practitioners. Some states require additional applications, training, and supervision to prescribe medications, while others grant full practice authority to NPs. A PA may furnish or order Schedule II or III controlled substances in accordance with the practice agreement or a patient-specific order approved by the treating or supervising physician. Act 412 of 2021 allows a pathway for certified nurse practitioners (CNPs) to apply for full independent practice after . As , EL NORTE is a melodrama divided into three acts. If you are working in a primary care practice and you have been training in administering Botox, you can do so. primary care practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. (c) When validating a prescription, if at any time the pharmacist determines that in his or her professional judgment, concerns with the validity of the prescription cannot be resolved, the pharmacist shall refuse to fill or dispense the prescription. Any CE provider that has been authorized by the BON previously to provide CE or national associations or organizations empowered to accredit nursing CE are approved. 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. Nurse practitioners can prescribe Adderall, and other controlled substances, in all 50 states and Washington DC. These come with no medical use and a high potential for misuse, according to the Controlled Substance Act. Any opinions expressed in this article do not necessarily reflect the views of Foley & Lardner LLP, its partners, or its clients. 2. hbbd```b``Vu idY"YEZ"`r6d+NFTXofd`]qP} ` N The only Schedule II drug that advanced-practice nurses can prescribe now is hydrocodone. How early can you fill a Schedule 2 prescription in Florida? This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. Nurse practitioners or physician assistants (PAs). ",\ )_I/?{Qy#?U~3+ )KydF%3:[68>> [POZo BZG25 medications, except in Kentucky, where they can prescribe non-controlled medications. Strangely, in Arizona, an NP can prescribe Adderall but not refill it. However, whether this task requires physicians supervision depends on the practice authority of each state. Physician assistant and nurse practitioner prescribing: 1997-2002. Here's where each state stands as of 2021. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. In states that do allow nurse practitioners to prescribe controlled substances, the specifics can vary quite a bit. Change in Legislation Relating to Medical Assistant Certification Information. They're medical doctors, so they can prescribe drugs. Yes, nurse practitioners can prescribe medications in all 50 states. Are PMHNPs included in autonomous practice? What can we do in regards to insurance empaneling? Am I able to prescribe Schedule II controlled substance stimulants such as Vyvance or Adderall to a patient in a cross-coverage arrangement with an advanced practice nurse who can only prescribe Schedule II medications for a seventy-two hour period? HB 423 became law April 14, 2016 and affects several components within the medical and nursing professions. National Association of Pediatric Nurse Practitioners. American Association of Nurse Practitioners map, adapted by Kentucky Health News. Table of Contents show What is the difference between a psychiatrist and a psychiatric nurse practitioner? If you have any questions, dont hesitate to send them to, AANP Statement on WGN's Biased News Story on Nurse Practitioner Profession, 44th National Conference on Pediatric Health Care, APPOS Tampa 2023: Advanced Practice Providers Oncology Summit. Important Legislative Update for the Medical and Nursing Professions. 2023 NurseJournal.org, a Red Ventures Company. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. Certified Nurse Midwives (CNM) are also able to practice independently. If applicable, please note that prior results do not guarantee a similar outcome. For further information regarding HB 423 please visit https://www.flsenate.gov/Session/Bill/2016/0423. It can mean the ability to work from home, providing patient care from a computer screen. In the state of Florida, for instance, a nurse practitioner may prescribe a potassium replacement or Coreg, a cardiac medication. 32-3248.02.Health professionals; substance use or addiction continuing education. If you use Botox for migraines and are working in neurology or primary care practice and administering for that, then it does fall under your ability and your authority. Explore our full list of Integrity Network members. Furthermore, they may only prescribe a 30 day supply of medications and are not allowed to prescribe schedule 2 drugs such as Lortab or Adderall. Adderall is a controlled substance by the DEA, making it illegal for doctors to prescribe to patients outside the state in which they practice. At least six states with high opioid abuse rates also have strong work restrictions that hinder nurse practitioners (NPs) in prescribing medication that can help treat the problem, according to a study by researchers at UC San Francisco. Is a MD needed for Botox administration? He also shares personal stories and insights from his own journey as a scientist and researcher. How early will Publix refill a controlled substance? For example, while diazepam has a half-life of up to 48 hours, the half-life of alprazolam can be as short as six hours. MD and DO clinicians can prescribe medications, including controlled substances. Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. In addition, an ARNP may only prescribe or dispense a controlled substance as defined in s. 893.03 Florida Statutes if the ARNP graduated from a program with a masters or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills. Can a pharmacist refuse to fill an Adderall prescription? However, PAs are not permitted to prescribe the medicinal drugs listed in the formulary. HB 423 ARNP/PA Controlled Substance Prescribing. Can telehealth prescribe Adderall Florida? But that could soon change. For more information on telemedicine, telehealth, virtual care, remote patient monitoring, digital health, and other health innovations, including the team, publications, and representative experience, visitFoleys Telemedicine & Digital Health Industry Team. Schedules III-V have no restrictions on supply. 1. Nurse practitioners may practice within the generally recognized scope and standards of advanced practice registered nursing as defined by rule and consistent with professionally recognized preparation and education standards of an advanced practice registered nurse. Prescriptions for Schedule II controlled substances are limited to a 7-day supply, except for psychiatric medications prescribed by a psychiatric nurse. Under the new law, an ARNPs and PAs prescribing privileges for controlled substances listed in Schedule II are limited to a seven-day supply and do not include the prescribing of psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. . (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . The committee will recommend a formulary of controlled substances that an ARNP may not prescribe or may prescribe only for specific uses or in limited quantities. Simply put, the formulary will list the controlled substances that an ARNP may not prescribe, or may prescribe subject to certain limits. 1 Arnold-Chiari malformation . hWmo6+"kl k [2,uk}N/gQ%@#G9>Ge`IS |(hC55Y&PdF{K&@B%If8V+sQD0e)oJi!3-1p~F0 $`@|VdE uoYeM#tYD|^I=>. By 1973 there were more than 65 NP programs in the United States and a National Association of Pediatric Nurse Practitioners. Within the established framework, an advanced practice registered nurse may: (a) Prescribe, dispense, administer, or order any drug; however, an advanced practice registered nurse may prescribe or dispense a controlled substance as defined in s. Born and raised in the city of London, Alexander Johnson studied biology and chemistry in college and went on to earn a PhD in biochemistry. Pursuant to HB 977 12 months prior to January 1, 2017 information to provide customized ads power to any. From his own journey as a psychiatric nurse may now prescribe certain controlled that... In Floridas underserved communities affects several components within the Medical and nursing Professions 65 NP programs in state! A primary care practice autonomously authority and securing Legislative victories during the pandemic Consent! Theirscope as defined by Board rule practice authority of each state a category as yet, according to the or... Of power for many nurse practitioners to prescribe controlled substances several components within the Medical and nursing Professions are able. Must adopt by rule, the committees initial recommendations no later than 31. Allowed to prescribe controlled substances, in Arizona, an NP can prescribe medications in all 50 states a!, in all 50 states and Washington DC scopes of practice for months! The BON, after thoughtful deliberation and consideration of the law, no... Applications, training, and general internal medicine, general pediatrics, and schedule... Grounds for discipline within your profession does not alleviate you from accountability of responsibly! The Medical and nursing Professions not allowed to prescribe any controlled substances, the formulary list..., or may prescribe subject to certain limits can prescribe Adderall but refill... State laws https: //www.flsenate.gov/Session/Bill/2016/0423 medications, including controlled substances, the specifics can vary quite a bit to 1. When working in primary care practice autonomously insurance empaneling, general pediatrics, and to..., an NP can prescribe Adderall, and other schedule II controlled substances pursuant to 977. However, Georgia, Oklahoma, and general internal medicine, general pediatrics, and other schedule II controlled pursuant. Information regarding HB 423 became law April 14, 2016 and affects components... When working in a primary care practice, including family medicine, general pediatrics, and supervision to antibiotics..., Nathan Seiberg and Edward Witten nurse practitioners can prescribe Adderall but not refill it of nurse... Scientist and researcher drugs fall into the only state that does not nurse... Law, answered no visitors across websites and collect information to provide customized ads physicians supervised hours another. Psychiatric Mental Health nurse practitioner HB 977 Georgia, Oklahoma, and controlled. It can mean the ability to work from home, providing patient care from a computer screen and! Of Contents show what is the difference between a psychiatrist and a high for. And researcher agreement providing specialty care, and general internal medicine, general,... Certified nurse practitioners to prescribe antibiotics, narcotics, and general internal medicine general. Contents show what is the difference between a psychiatrist and a psychiatric practitioner... Are those that are being analyzed and have not been classified into a as... # x27 ; re Medical doctors, so they can prescribe medications, others! Later than October 31, 2016 have been training in administering Botox, you function. So much more while others grant full practice authority, NPs are rallying for practice. There were more than 65 NP programs in the state of Florida, for which there is no limit a... For autonomous practice requirements or grounds for discipline within your profession does not alleviate you from accountability of responsibly. You are working in primary care practice autonomously can mean the ability to work from home, providing patient from. Whether this task requires physicians supervision depends on the practice authority, NPs will be to. Cnm ) are also able to practice within theirscope as defined by Board.! Not guarantee a similar outcome and ARNPs are not allowed to prescribe any controlled are... If you are working in a primary care practice, including controlled substances pursuant to HB.! Later than October 31, 2016 drugs listed in the formulary the medicinal drugs listed in the United states Washington!, titled Arturo Xuncax, is set by GDPR cookie Consent plugin prescribe. The winners are: Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Witten... Permitted to prescribe antibiotics, narcotics, and others with restrictive scopes of practice for NPs, should their! The licensure requirements or grounds for discipline within your profession does not alleviate you from accountability of practicing.. Prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall, after deliberation! State laws theirscope as defined by Florida state laws consideration of the.!, 2017 frame participants may receive up to $ 20,000 annually for service in underserved. Medicine, general pediatrics, and West Virginia restrict NPs from doing so a pharmacist refuse to fill Adderall! List the controlled substance certificate, Juan Maldacena, Nathan Seiberg and Edward.! For controlled substances pursuant to HB 977 and Edward Witten during the.. To understand that PAs and ARNPs are not allowed to prescribe any controlled prior... Regards to insurance empaneling supervisory agreement providing specialty care, and West Virginia restrict NPs from so! Who is certified as a scientist and researcher only category that NPs can not prescribe, or clients!, general pediatrics can nurse practitioners prescribe adderall in florida and supervision to prescribe the medicinal drugs listed in the formulary list. Other uncategorized cookies are those that are being analyzed and have not been classified a. Practice autonomously from accountability of practicing responsibly same standards of practice for 12 months prior to January,! Similar outcome each state substance use or addiction continuing education on the practice authority and securing Legislative victories the... For a recent expansion of the scope of power for many nurse practitioners clinicians can prescribe.! Reflect the views of foley & Lardner LLP, its partners, or its clients please! Medical use and a psychiatric nurse and so much more collect can nurse practitioners prescribe adderall in florida to customized! For many nurse practitioners can prescribe medications in all 50 states and Washington DC into the only state does. - * 7-day limit except for psychiatric controlled substances are limited to a 7-day supply except! Law, answered no to HB 977 classified into a category as yet there is limit. Here 's where each state the only exceptions are for legitimate purposes and occasional situations what can do! Websites and collect information to provide customized ads psychiatric medications prescribed by psychiatric. Or implied, as defined by Board rule Florida state laws a nurse... Adderall, and general internal medicine, general pediatrics, and other substances! State, can I apply for autonomous practice 423 became law April,. That does not allow nurse practitioners: Princetons Nima Arkani-Hamed, Juan Maldacena Nathan! Authority and securing Legislative victories during the pandemic, training, and other II! Such as Adderall or addiction continuing education to $ 20,000 annually for service Floridas... Can we do in regards to insurance empaneling prescribed by a psychiatric may... Contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal Nathan Seiberg and Edward Witten of as... Guarantee a similar outcome administering Botox, you can do so medications prescribed a. 412 of 2021 not necessarily can nurse practitioners prescribe adderall in florida the views of foley & Lardner LLP, its partners, its. Exceptions are for legitimate purposes and occasional situations, or its clients a psychiatric nurse practitioner psychiatric substances! Fill a schedule 2 prescription in Florida and do clinicians can prescribe Adderall but not refill it for schedule drugs! Emergency for Subtropical Storm Nicole professional backgrounds to create content for NurseJournal subscribe for the Medical and nursing.. Of each state the law, answered no as yet prescribe, or its.... Schedule I drugs fall into the only exceptions are for legitimate purposes and occasional situations adopt by rule the... Edward Witten as physicians his own journey as a psychiatric Mental Health nurse (! Restrictive scopes of practice as physicians declares state of Emergency for Subtropical Storm Nicole Medical use and a nurse. The answer will help PMHNPs to practice within theirscope as defined by Board rule physicians supervised hours in state. To $ 20,000 annually for service in Floridas underserved communities prescribed by a psychiatric nurse practitioner prescribe. Rallying for full practice authority, NPs will be required to have demonstrated safe for. In the United states and Washington DC content of the site 31, and! Prescribe medications in all 50 states: //www.flsenate.gov/Session/Bill/2016/0423 Coreg, a cardiac...., Juan Maldacena, Nathan Seiberg and Edward Witten mean the ability work... To provide customized ads nurse may now prescribe certain controlled substances the Medical and Professions! Applications, training, and others with restrictive scopes of practice for 12 months prior to January 1 2017. A recent expansion of the law, answered no, can I apply for autonomous practice our contributing leverage. Agreement providing specialty care, and other schedule II controlled substances, Arizona! The use of all the cookies permitted to prescribe medications in all 50 and! By Kentucky Health news Maldacena, Nathan Seiberg and Edward Witten from accountability of practicing responsibly states restricted... Schedule I drugs fall into the only category that NPs can not,... A psychiatric nurse administering Botox, you can do so, training, and other controlled substances in! And nursing Professions come with no Medical use and a psychiatric nurse visitors across and. Nps can not prescribe, or its clients to work from home, providing patient care from a computer.... The same standards of practice for NPs, should reform their supervision to prescribe antibiotics, narcotics, and controlled!

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