Unnecessary Drugs and Antipsychotic Medications

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Executive Summary

Regulations about unnecessary drugs and antipsychotic drugs have been moved from the quality of care section to the pharmacy services section.

Some provisions have been moved but not otherwise changed: these include protection from unnecessary
medications, requirements for gradual dose reductions, and the use of behavioral interventions in order to discontinue drugs, “unless clinically contraindicated.”

In addition, the pharmacy services regulation includes a new discussion of a broader category of psychotropic drugs, along with new controls over “as needed” (PRN) psychotropic drugs.

The revised regulations also expand requirements for drug regimen reviews.

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