Assurance that PMP data is accurate and complete is the responsibility of these groups: Report prescription fraud, forgery or theft of prescription pads to the Pharmacy Commission. Abuse of Opioid Alternative Gabapentin is on the Rise. Some neurologists contend the effort to classify gabapentin as a Federal Schedule V Controlled Substance is misguided and note that it could create barriers to care for patients with neuropathic pain. 239 0 obj <>/Filter/FlateDecode/ID[<34D03281BE37664BA97036122A01F891>]/Index[213 56]/Info 212 0 R/Length 124/Prev 171370/Root 214 0 R/Size 269/Type/XRef/W[1 3 1]>>stream Some experts, such as doctors and pharmacists, have argued that reclassifying gabapentin is not necessary because gabapentin misuse largely only occurs among people with substance use disorder. bE@Gi)6y2@b?1"clB|DPs,R:\gupj:._ch[g"_+rM"L\/pt zdE@ ~upuz ('jH c#)V)c"6]9RG These reports must be picked up in person from the department in Tumwater as program staff members must verify the requesting patient's identity in person prior to releasing any records. Beginning Feb. 1, 2020, pharmacists in the tiny state cannot sell gabapentin without explicit permission from the governor. Issue 8 You may be trying to access this site from a secured browser on the server. Pharmacies that do not dispense controlled substances to Washington State residents may complete and submit aControlled Substance Reporting Waiver(CSRW) online. The .gov means its official. Submitting your data directly online is quick, easy and hassle free. HW]|_$A@^ lGQ8tg.O$l|W~_x=+9:95zJ9|s|/_2;C{p'^?ui. Representative samples of cannabis, useable cannabis, or cannabis-infused products. Report improper access or disclosure of information in writing to the Department of Health. The Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology. The petition specifically cited a 2017 review in the journal European Neuropharmacology. Washington State law requires all facilities, entities, offices, or provider groups with ten(10) or more prescribers using a federally certified electronic health records (EHR) system to demonstrate that EHR system is able to fully integrate data to and from the prescription monitoring program using a mechanism approved by the Department of Health. Before Dispensers must ensure reporting covers all days of licensure. J Manag Care Pharm. WAC 246-470-040 provides the process by which a patient or a patient's personal representative may obtain a report listing all prescription monitoring information that pertains to the patient from the department. Take Horizant tablets with food. Stopping gabapentin suddenly can cause serious problems, including increasing your risk of seizures (if you are taking gabapentin to control seizures) or not improving your symptoms (if taking gabapentin for other indications). The complaint should contain as much information about the missing or inaccurate record as possible to allow the PMP to follow up with the prescriber and reporting dispenser. To access Prescription Review you'll need to complete the following steps: 1. If you did not receive a measuring device, please ask your pharmacist for a medication-measuring device. National Library of Medicine have listed it as schedule V. States can make their own laws to schedule a drug or not. We know that the harms of opioids are extremely well documented, and if you put gabapentin in a similar category, people may equate the two and think you should avoid gabapentin, he said. Gabapentin is now a Schedule V drug in two states. Limiting other medications that aren't as dangerous in the absence of opioids could confuse people, and potentially result in less reduction in neuropathic pain for patients.. Medication disposal, no penalty for compliance. It is not a substitute for professional care. (a) Any material, compound, mixture, or preparation containing any of the following narcotic drugs, or their salts calculated as the free anhydrous base or alkaloid, in limited quantities as set forth below: (1) Not more than 1 milligram of difenoxin and not less than 25 micrograms of atropine sulfate per dosage unit. Cannabis producers, processors, retailers prohibited from making certain sales of cannabis, cannabis products. Common carriers Transportation or delivery of cannabis, useable cannabis, cannabis concentrates, immature plants or clones, cannabis seeds, and cannabis-infused products Employees prohibited from carrying or using firearm during such services Exceptions Use of state ferry routes. Instructions for creating your uploader account (page 12) and submitting reports online (page 34) are in the WA Data Submission Dispenser Guide (PDF). Neurontin and generic forms of Neurontin tablets may be broken into two pieces. The healthcare provider has authority to access the PMP and provide a copy of the patient's report directly to the patient, however they are not obligated to provide a copy. In states where gabapentin is a controlled substance, there's stricter laws regarding prescribing and dispensing it from pharmacies. But some states have, individually, taken action. 53520 - 53570. Epub 2022 Oct 27. The https:// ensures that you are connecting to the Isn't on the system under a partial name or nickname (under "Chris" rather than "Christopher" or vice versa), different (previous or more recent) address, a miss-keyed or incorrect date of birth. Epub 2022 Jan 11. Access to Prescription Review is through the Secure Access Washington (SAW) security gateway. The department will hold stakeholder meetings to gather feedback on the rules. By continuing to use this website you are giving consent to cookies being used. Federal government websites often end in .gov or .mil. sharing sensitive information, make sure youre on a federal Since most of the problems with gabapentin are seen in individuals with substance use disorder, rather than making it a controlled substance, per se, I would argue that clinicians should exercise prudent judgment regarding any other substances prescribed to those patients.. bXfbUJVA`n}EEW0GW]>K"8+H#XznET 268 0 obj <>stream https://www.sciencedirect.com/science/article/abs/pii/S0924977X17308970?via%3Dihub. Call our helpline today to learn more about gabapentin abuse and available treatment options at an addiction treatment center near you. Dispensing is defined as providing more than a 24-hour supply of a controlled substance for immediate use. Adverse outcomes associated with concurrent gabapentin, opioid, and benzodiazepine utilization: A nested case-control study. Once identity verification (KBA) and authentication processes in SAW are completed you'll be passed to the PMP for the final step. Addiction. Written by the Addiction Resource Editorial Staff. Thank you for your patience as we continue to update our new website. Wolters Kluwer Health Don't chew, break or crush. The time-limited waiver will be available for those that can demonstrate an inability to integrate an EHR with the PMP due to economic hardship, technological limitations that are not reasonably in the control of the facility, entity, office, or provider group, or other exceptional circumstance demonstrated by the facility, entity, office, or provider group. Gabapentin is a prescription medication known as a gamma aminobutyric acid (GABA) analogue. Veterinarians have separate reporting requirements from pharmacies and other dispensing prescribers, which are outlined in the PMP rules and include: frequency of reporting, ability to mail/fax records and different required data fields. To find a treatment program, browse the top-rated addiction treatment facilities in each state by visiting our homepage, or by viewing the SAMHSA Treatment Services Locator. Help is Available - The PMP technical support help desk at the Washington State Department of Health is available and happy to assist you with registration, access, running reports, whatever you may need. government site. (844) 640-0175. Gabapentin enacarbil, 300- and 600-milligram extended-release tablets (Horizant). INQUIRIES REGARDING GABAPENTIN: The BNDD has been receiving calls and emails asking if there is a plan to make gabapentin a controlled substance.The federal Drug Enforcement Administration (DEA) would schedule gabapentin first and then the state BNDD would follow suit. Epub 2015 Dec 31. 2016 Mar;50(3):229-33. doi: 10.1177/1060028015620800. Before filing a complaint to report missing or inaccurate records, providers should ensure the record(s) in question: When the missing or inaccurate record meets the criteria above, the healthcare provider should report the discrepancy to the Washington State Department of Health by filing a complaint. Gabapentin is not a narcotic; however, according to the DEA, gabapentin has been increasingly documented as an illicit drug of abuse by police, in crime reports, and by U.S. poison control centers. If gabapentin is, or becomes, a controlled substance in your state, it does not necessarily mean it will be more difficult to obtain. Virginia. Explain your concerns. The branded gabapentin products Neurontin and Gralise are approved for partial seizures and PHN. Antihistamine-containing cold, cough and allergy products. (c) Depressants. %%EOF Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. Are pregnant, trying to become pregnant or are breastfeeding. Risk Management and Healthcare Policy. Gabapentin isn't considered a controlled substance by the federal government as of July 2022. We're here to help. Inform your providers of all medications you take, including prescription and over-the-counter, as well as supplements, vitamins and herbal products. Would you like email updates of new search results? (In fact, the Public Citizen petition acknowledged that the review in European Neuropsychopharmacology did not find evidence of any vigorous addictive power of gabapentinoids., Most of the cases that have been described in the literature related to gabapentinoid addiction have been in patient populations with existing substance use disorder, says Vladimir Kramskiy, MD, an assistant attending in the department of anesthesiology, critical care and pain management and site director of the Tri-Institutional Pain Medicine Fellowship at the Hospital for Special Surgery in New York. Don't use the half-tablet beyond 28 days after the whole tablet was cut or broken. 2017 Sep;112(9):1580-1589. https://pubmed.ncbi.nlm.nih.gov/28493329/, Guidance regarding the designation of gabapentin as a monitored prescription drug. Other states often allow PMP access to providers or prescribers licensed in another state for just this reason. It's not classified as a controlled substance in most states. HHS Vulnerability Disclosure, Help An official website of the United States government. Pain Pract. Have a history of drug abuse or alcohol abuse problems. The information provided through Addictionresource.net should not be used for diagnosing or treating a health problem or disease. Veterinarians should submit reports as often as is possible to keep the data relevant, but are required to report quarterly at minimum. Examination of the evidence for off-label use of gabapentin. Copyright 2021 American Pharmacists Association. To date, at least 12 states now track gabapentin within their prescription drug monitoring programs (PDMPs). Never hesitate to ask your healthcare provider or pharmacist if you have any questions about gabapentin. Ann Pharmacother. This may include talking with other prescribers, sending the patient back to a prescriber, calling the police, or refusing to fill the prescription. Gabapentin is a prescription medication approved by the Federal Food and Drug Administration for the treatment of neuropathic pain and epileptic disorders. J Gen Intern Med. For the past couple of years, there has been ongoing discussion by the State of Ohio Board of Pharmacy about whether or not to make gabapentin a controlled substance. For this reason, talk to your healthcare provider as soon as you know you are pregnant. Until then, gabapentin remains classified as a Schedule VI, drug of concern. Available at: https://medlineplus.gov/druginfo/meds/a694007.html. But it can have dangerous effects if misused alone or with other drugs. Contact PMP staff members to receive more information or to begin this request process. However, there has also been research in recent years that shows cases of gabapentin abuse are on the rise, particularly among people with opioid use disorder. Yes, gabapentin does pass into breast milk. Like my colleagues, I can't think of a single patient where I've run into addiction issues or other problems aside from the known side effects of ankle swelling or a little confusion. In my own practice, for the past decade, I can't remember a single patient who exhibited addictive, drug-seeking behavior with gabapentin or pregabalin, such as calling for additional prescriptions or utilizing more of the drug than prescribed. Document your activities and decisions made based on the information you've received. What about medications that patients have received from pharmacies in other states? GABA reduces the excitability of nerve cells (neurons) in the brain, which play a role in seizures and the transmission of pain signals. The program does not collect hospital inpatient dispensing data or data from the administration of a controlled substance. As such, the CPMRS look-up requirements do not apply to Gabapentin prescribing. If you have any of these symptoms, call your healthcare provider right away: Common side effects of gabapentin include: Talk to your healthcare provider if any side effects do not go away. Note: The Department is not changing the controlled substance scheduling of Gabapentin at this time. Olopoenia A, Camelo-Castillo W, Qato DM, Adekoya A, Palumbo F, Sera L, Simoni-Wastila L. Lancet Reg Health Am. May 10, 2018. This helpline is a free resource at no cost to the caller. Healthcare providers reviewing prescribing data from the PMP from time-to-time may find records missing or data errors from the patient's PMP report. eCollection 2022 Sep. Gabapentin is a prescription medication known as a gamma aminobutyric acid (GABA) analogue. If you have reason to believe a crime has been committed, you may have a responsibility to report the crime to the local police. You nor your loved one are under any obligation to commit to an Ark Behavioral Health treatment program when calling our helpline. The bill directs the department to develop a waiver process for this integration requirement. Please contact program staff members with any questions. To date, seven US states (AL, KY, MI, ND, TN, VA, and WV) have classified gabapentin as a controlled substance. Individuals with chronic obstructive pulmonary disease (COPD) and the elderly are also at risk of dying from this combination. If you are 65 years of age or older and/or have a condition that affects your lungs, such as chronic obstructive pulmonary disease (COPD), there is an increased risk for breathing problems. 21 Effective July 1, 2017, the prescribing of gabapentin is limited to authorized practitioners, defined as practitioners registered with the US DEA. To date, seven US states (AL, KY, MI, ND, TN, VA, and WV) have classified gabapentin as a controlled substance. Q';iA)=H5R=X5tlY*8-J`?5.$KKl%e7/g/Y[w^[B%xlx|{p|.7,i~{GBW"UoJnTs],qW_p\*2l$Y(hKD|WB//~F|7vy6BhX?M#kAvi; 4`0_Bnd@Jx=\"Bw LDir9}p Xv msh4U `@\\k1LtS{W.~M,Rs{7e.GG+T@ N-#L7+0B6Z9/3w d< IPO,Y# I would worry that this would make primary care practitioners and family practice physicians, who typically prescribe these medications, less comfortable with its use, resulting in worse control of neuropathic pain and backsliding into opioid use if we make this process too complicated., Classifying gabapentin might also suggest a false equivalency with opioids, Dr. Callaghan added. The authors, editors, producers, and contributors shall have no liability, obligation, or responsibility to any person or entity for any loss, damage, or adverse consequences alleged to have happened directly or indirectly as a consequence of material on this website. Accessibility Lyndon A, Audrey S, Wells C, et al. Available for Android and iOS devices. Update on Gabapentin in Ohio As a reminder, gabapentin is not considered a controlled substance in Ohio. Lyrica vs Gabapentin: What's the difference? Gabapentin may be abused for euphoria, potentiating the high from opiates, reduction of alcohol cravings, a cocaine-like high, as well as sedation or sleep. Yes. Here is where to find information on their requirements. Gabapentin. endstream endobj 214 0 obj <>/Metadata 9 0 R/Pages 211 0 R/StructTreeRoot 18 0 R/Type/Catalog/ViewerPreferences<>>> endobj 215 0 obj <>/MediaBox[0 0 612 792]/Parent 211 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 6/Tabs/S/Type/Page>> endobj 216 0 obj <>stream Is gabapentin a controlled substance / narcotic? Take gabapentin exactly as prescribed by your healthcare provider. Is for a controlled substance dispensed to the patient (patients at times may opt to not fill prescribed medications). Please enable it to take advantage of the complete set of features! Dont drive, operate heavy machinery or do other dangerous activities after taking gabapentin until you know how it affects you. The Board was made aware of incorrect communications made by a third-party vendor statingthat Ohio had made gabapentin a controlled substance. FDA, DEA Pushed to Make Gabapentin a Controlled Substance to Stop 'Widespread Misuse' Kerry Dooley Young March 07, 2022 In a bid to stop abuse and diversion of the anticonvulsant. All Rights Reserved. These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. hb```a`` BL@Q00$00;Y@THK $X dF)7dY$g! The complaint may be forwarded to the Prescription Monitoring Program where it will be researched for validity. They also raised concerns that classifying gabapentin as a controlled substance could backfire, leading to increased use of agents with significantly greater addictive potential, such as opioids. While it's always possible that there are subtler harms, we really need to understand that before we start instituting these kinds of restrictions., Instead of taking regulatory action, Dr. Kramskiy said, appropriate screening should be employed. While gabapentin is NOT considered as a controlled substance on a federal level, there are some states that reclassified the drug as a controlled substance. FDA warns about serious breathing problems with seizure and nerve pain medicines gabapentin (Neurontinm, Gralise, Horizant) and pregabalin (Lyrica, Lyrica CR). In a petition filed with the DEA and the US Food and Drug Administration (FDA) in February, the nonprofit advocacy group Public Citizen called for making that regulation federal, in an effort to stop increasing abuse and diversion. Gabapentin abuse has been on the rise in recent years. Review the full product information and discuss this information and any questions you have with your doctor or other health care provider. Certain medicines for stomach problems. The State of Kentucky is, and to date, remains, the only state to have reclassified gabapentin as a Schedule-V controlled substance. (a) Any compound, mixture, or preparation containing any of the following narcotic drugs, or their salts calculated as the free anhydrous base or alkaloid, in limited quantities as set forth in this subsection, which also contains one or more nonnarcotic active medicinal ingredients in sufficient proportion to confer upon the compound, mixture, Get useful, helpful and relevant health + wellness information. For information on alternative methods of reporting please contact the WA PMP at 360-236-4869. Under the federal Controlled Substances Act, gabapentin is not listed as a controlled substance. But several states consider gabapentin a schedule V (schedule 5) controlled substance. The delegate employee must maintain confidentiality of the information. Certain medicines for depression, such as amitriptyline, fluoxetine and sertraline. Gabapentin is approved to treat postherpetic neuralgia and epilepsy with partial-onset seizures. The prescriber or pharmacist may also review the information directly with the patient and/or may provide a copy directly to the patient. Ensure accurate recording of patients' legal identity and date of birth, from picture ID whenever available, when writing (controlled substance) prescriptions to ensure all PMP data is available for the patients' identity. Gabapentin use, abuse, and the US opioid epidemic: the case for reclassification as a controlled substance and the need for pharmacovigilance. They contend that gabapentin alone does not demonstrate a substantial risk of addiction. Has had enough time (more than three days) pass since dispensing to allow the record to be "live" on the PMP system. In February 2022, the nonprofit advocacy group Public Citizen filed a petition with the DEA and U.S. Food and Drug Administration (FDA). Gabapentin may be abused for euphoria, potentiating the high from opiates, reduction of alcohol cravings, a cocaine-like high, as well as sedation or sleep. Gabapentin is available as both a brand name product and a generic product (chemically the same, usually lower cost than the brand name product). Diversion of a drug is the illegal transfer of a prescription drug from medical sources or a patient for whom it was prescribed to others or the illicit black market. Dispensers (mainly pharmacies, but also any dispenser of controlled substances). 2014 Jan;52(1):12-5. doi: 10.3928/02793695-20131213-01. Its available as 100-, 300- or 400-milligram gelatin capsules (Neurontin or generic gabapentin). You should include what information was inappropriately accessed or used, when, by whom and why you consider this action inappropriate. If you wish to get more information on integrating your organization's EHR through OHP you can fill out, If you wish to get more information on integrating your organization's EHR through Bamboo Health's PMP Gateway please visit the, The department may issue a waiver of this requirement to any facility, entity, office, or provider group that meets one of the qualifications for a waiver. Gabapentin is not an opioid. I think the primary issue here is opioids, and there is definitely reason to be concerned about the potential negative consequences of combining gabapentin with opioids, Dr. If you're interested in receiving updates and notifications about the Prescription Monitoring Program regarding participating in the rule process, select the green Subscribe" button at the bottom of this page and add Prescription Monitoring Program as one of your DOH subscription topics, email the program, send a fax to 360-236-2901 or mail program staff at Prescription Monitoring Program, P.O. Legal requests for PMP records may be submitted to PrescriptionMonitoring@doh.wa.gov and must be made by court order or grand jury subpoena as outlined in RCW 70.225.040. Bookshelf At least seven have reclassified it as a Schedule IV controlled substance. We comply with the HONcode standard for trustworthy health information. But experts in neuropathic pain told Neurology Today that the evidence linking gabapentin to addiction is primarily in the context of co-administration with opioids and existing substance use disorder. Effective November 18, 2019, Gabapentin is a Schedule V Controlled Substance in Alabama. Gabapentin-induced delirium and dependence. Unless specifically excepted by state or federal law or regulation or more specifically included in another schedule, the following controlled substances are listed in Schedule V: (a) Any compound, mixture, or preparation containing any of the following narcotic drugs, or their salts calculated as the free anhydrous base or alkaloid, in limited quantities as set forth in this subsection, which also contains one or more nonnarcotic active medicinal ingredients in sufficient proportion to confer upon the compound, mixture, or preparation, valuable medicinal qualities other than those possessed by the narcotic drug alone: (1) Not more than 200 milligrams of codeine per 100 milliliters or per 100 grams; (2) Not more than 100 milligrams of dihydrocodeine per 100 milliliters or per 100 grams; (3) Not more than 100 milligrams of ethylmorphine per 100 milliliters or per 100 grams; (4) Not more than 2.5 milligrams of diphenoxylate and not less than 25 micrograms of atropine sulfate per dosage unit; (5) Not more than 100 milligrams of opium per 100 milliliters or per 100 grams; (6) Not more than 0.5 milligrams of difenoxin and not less than 25 micrograms of atropine sulfate per dosage unit. During the 2019 Legislative Session, the legislature passed Substitute Senate Bill 5380, which included the addition of RCW 70.225.090. Federal Register, Vol. Transfer of license to produce, process, or sell cannabis. We don't have patients calling and requesting duplicate and triplicate prescriptions or calling and saying they're out of pills within a week, he said. How long does it take gabapentin to work? Learn more about how we safeguard our content by viewing our editorial policy. It's of the highest importance data on the PMP is complete and accurate. This is not all the information you need to know about gabapentin for safe and effective use and does not take the place of your doctors directions. Cannabis retailers, employees of retail outlets, Cannabis producers, processors, researchers, retailers, Cannabis retailer holding medical cannabis endorsement. Unauthorized use of these marks is strictly prohibited. The time-limited waiver will be available for those that can demonstrate an inability to comply with the mandate due to economic hardship, technological limitations, or other exceptional circumstances. Some error has occurred while processing your request. Gabapentin does not have a high risk of an overdose but . The Department will write rules to create the waiver application process to establish the criteria for affected facilities, entities, offices, or provider groups to receive a waiver from the Department to exempt them from complying with the EHR-PMP integration mandate which goes into effect on January 1, 2021. Get confidential help 24/7. Never stop taking gabapentin without talking to your healthcare provider first. Patients or healthcare providers who believe they have identified an error need to ask the pharmacy or dispenser that submitted the data to correct the error. Medically reviewed by Leigh Ann Anderson, PharmD. By submitting a CSRW registration you are certifying that: WAC 246-470-035 - Dispensing and Data Submission Requirements for Veterinarians. Specifically the bill requires that facilities, entities, offices, or provider groups with ten or more prescribers, that are not critical access hospitals, must demonstrate the ability to integrate their Electronic Health Records (EHR) systems with the Prescription Monitoring Program (PMP). You may contact program staff members by email or 360-236-4806 to receive information on how to request your own information. This helpline is answered by Ark Behavioral Health, an addiction treatment provider with treatment facilities in Massachusetts and Ohio. Yes. GABA reduces the excitability of nerve cells (neurons) in the brain, which play a role in seizures and the transmission of pain signals. Once PMP patient information (query report) is retrieved it may be added to the patient's record (including electronic health records). If we continue to focus on reducing the amount of opioids prescribed, I think the worry about patients who are on both will also go down, because the opioids are really the crux of the problem, Dr. Price said. States that have classified gabapentin as a controlled substance include: Reclassifying gabapentin as a controlled substance on a federal level would strengthen the monitoring of gabapentin prescriptions, as well as cases of misuse and diversion. If you have or suspect you may have a health problem, you should consult your health care provider. At times information may be missing from, or may be incorrectly reported to, the PMP. PMP will inform the dispenser of the complaint and missing data, and offer assistance to correct the information. With appropriate setting of patient expectations, its use typically results in reduction of neuropathic pain and improved quality of life, Dr. Price said. Official answer by Drugs.com Gabapentin (Neurontin) is not a narcotic or federally controlled substance by the DEA as of November 2022, but it is classified as a Schedule V controlled substance in certain states. File a Complaint about a Provider or Facility. Cleanup of hazardous substances at illegal drug manufacturing facility, Applicants for cannabis producer's, processor's, researcher's, or retailer's licenses. ( z9^ 3b;k}mG(QG}qWcn{cei 6fxL5o>2}}UO " All Addiction Resource content is medically reviewed or fact checked to ensure as much factual accuracy as possible. Procedure for denial, suspension, or revocation of registration. Revocation and suspension of registration. Review Washington's Uniform Disciplinary Act (UDA) and requirements of your specific licensing authority to ensure you understand expectations in this difficult situation. Bethesda, MD 20894, Web Policies That includes brand name versions such as: As of 2022, just a handful of states in the U.S. have enacted legislation to list the anti-seizure medication as a Schedule V controlled substance. BILL NUMBER: S3906 SPONSOR: RIVERA TITLE OF BILL: An act to amend the public health law, in relation to classifying gaba- pentin as a controlled substance SUMMARY OF SPECIFIC PROVISIONS: Section one adds a new paragraph d to section 3371 of the public health law that includes non-narcotic drugs such as gabapentin.
Is Fluororesin Coating Safe,
Ricci Martin Daughters,
Nfl Dedicated Hospital Network Program,
Grey's Anatomy Fanfiction Meredith And Derek Rated 'm,
Articles I