Review of patient controlled substance history available on the PMP is an effective evidence-based intervention for ensuring safe prescribing and patient safety. Copyright 2021 American Pharmacists Association. These states include*: *Note: These lists may not be complete due to changing legislation by states. Lyndon A, Audrey S, Wells C, et al. Gabapentin Information for Healthcare Professionals. Here is where to find information on their requirements. your express consent. Get email alerts based on your topic preferences like news releases, job openings, emergency updates and more! To date, at least 12 states now track gabapentin within their prescription drug monitoring programs (PDMPs). 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. 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. Eye problems: unusual eye movements, double vision. Engrossed Substitute House Bill (ESHB) 1427 (2017) required the creation and adoption of new prescribing rules. On April 24, 2020, the Secretary of Health exercised his authority under RCW 70.225.090(2)(b) to grant a nine month waiver from complying with the requirements of RCW 70.225.090(2)(a) to all facilities, entities, offices, and provider groups that are subject to the requirements due to the burdens placed on our state's health care entities under the exceptional circumstances of the COVID-19 outbreak in Washington State. 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 or pregabalin (Lyrica, Lyrica CR) can increase the euphoria (high) felt when combined with opioids, including fentanyl, codeine, oxycodone, hydrocodone, and heroin. Gabapentin is approved to treat postherpetic neuralgia and epilepsy with partial-onset seizures. Contact PMP staff members to receive more information or to begin this request process. The branded gabapentin products Neurontin and Gralise are approved for partial seizures and PHN. 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. File a Complaint about a Provider or Facility. "Gabapentin has been dangerously unscheduled as a controlled substance for too long despite increasing evidence of abuse and misuse and despite its strong similarity to pregabalin, which has been a schedule V drug for more than 15 years," said Michael Abrams, senior health researcher with Public Citizen's Health Research Group and lead author of Get help right away if you develop breathing problems. A good day/time to call and connect directly with you (account owner). Don't chew, break or crush. Document your activities and decisions made based on the information you've received. The statute also authorized the Washington State Department of Health to establish rules for dispenser reporting. Individuals experienced double vision, slurred speech, drowsiness, diarrhea and sluggishness. 21 Thus, mid-level practitioners, specifically . (Non-pharmacy dispensers fall under the disciplinary authority of their licensing board or commission). Gabapentin is a non-opioid pain medication for treating neuropathy and seizures caused by epilepsy. Veterinarians should submit reports as often as is possible to keep the data relevant, but are required to report quarterly at minimum. Is Gabapentin Addictive? Access to Prescription Review is through the Secure Access Washington (SAW) security gateway. (1>C^C)!cc`: eg`]Ls!j H The department will hold stakeholder meetings to gather feedback on the rules. Online reporting is available for your convenience. }i.Q~}\-?o8ATk"M,cv|N.5 I2c,DRT 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. The large majority of gabapentin prescribing is off label. GENERAL DISCLAIMER: Addictionresource.net is designed for educational purposes only and is not engaged in rendering medical advice. 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. Accessed Dec. 5, 2022 athttps://dsps.wi.gov/Documents/BoardCouncils/CSB/GabapentinGuidanceDocument.pdf. (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, 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. [Accessed November 17, 2020]. Its available as 100-, 300- or 400-milligram gelatin capsules (Neurontin or generic gabapentin). Every pharmacy registered with the Commissioner, that dispenses a controlled substance pursuant to a prescription in Schedules II through V, and Gabapentin (105 CMR 700.012 (7)), and any pharmacy in another state, commonwealth, district or territory that delivers such a controlled substance to a person in Massachusetts. HW]|_$A@^ lGQ8tg.O$l|W~_x=+9:95zJ9|s|/_2;C{p'^?ui. Gabapentin has evaded the controlled substances list largely due to research that indicates it has little to no potential for abuse or diversion. The large majority of gabapentin prescribing is off label. People authorized to prescribe or dispense controlled substances to provide medical or pharmaceutical care for their patients; An individual who requests their own prescription monitoring information; Health professional licensing, certification or regulatory agency or entity; Local, state and federal law enforcement or prosecutorial officials engaged in an investigation involving a designated person; Medical examiners and coroners for cause of death determination; Authorized practitioners of the Department of Social and Health Services or Health Care Authority regarding Medicaid program recipients; The director or director's designee within the Department of Labor and Industries for workers' compensation claimants; The director or the director's designee within the Department of Corrections for offenders committed to the Department of Corrections; Other entities under grand jury subpoena or court order; and, Department personnel for purposes of administration and enforcement of this rule or. ^X0mg"BSj*f2,vzuXyHZx!|1l"iB%-uWu,1|?&Ic! 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. Gabapentin capsules. 79, No. There are plenty of questionnaires and tools available to aid in prescribing appropriately, rather than creating blanket artificial barriers that will just cause patients to shift to something else.. Rates of diversion have also increased with gabapentin. Have or had mood problems, depression, suicidal thoughts or behavior. Adding to the logistical burden of care for prescribing gabapentin, one of the more commonly prescribed substances for neuromuscular specialists, might be justifiable in the context of a larger problem specific to that drug, but the data thus far doesn't support that, said Brian Callaghan, MD, FAAN, Fovette E. Dush Early Career Professor of Neurology and co-chief of the neuromuscular division at the University of Michigan and a co-author of the AAN guideline. Cleanup of hazardous substances at illegal drug manufacturing facility, Applicants for cannabis producer's, processor's, researcher's, or retailer's licenses. Published by Elsevier Inc. All rights reserved. A systematic review. The controlled substances listed in this section may be added, rescheduled, or deleted as provided for in RCW, Pharmacy quality assurance commission may change schedules of controlled substances: RCW. Drugs and other substances that are considered controlled substances under the Controlled Substances Act (CSA) are divided into five schedules. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.pfizermedicalinformation.com/en-us/patient/neurontin?section=full-pi), (https://www.rxlist.com/neurontin-drug.htm#description). Thank you for your patience as we continue to update our new website. Never take more than one dose in an attempt to catch up. and transmitted securely. Gabapentin controlled substance status Gabapentin is approved to treat postherpetic neuralgia and epilepsy with partial-onset seizures. We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Box 47852, Olympia WA 98504-7852. Veterinarians are required to report the dispensing of controlled substances (Schedule II-V) and drugs identified by the board of pharmacy under WAC 246-470-020, dispensed for more than a fourteen-day supply to Washington's Prescription Monitoring Program (PMP). have listed it as schedule V. States can make their own laws to schedule a drug or not. The large majority of gabapentin prescribing is off label. 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. 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. For example, Oregon has made pseudoephedrine (Sudafed) a C-III that is only available by doctor prescription. Gabapentin use, abuse, and the US opioid epidemic: the case for reclassification as a controlled substance and the need for pharmacovigilance. On July 1, 2019, pharmacies and other persons or entities that possess gabapentin must take a complete and accurate inventory of gabapentin at the opening of business in accordance with 54.1-3404 and 18VAC110-20-240(4). If you need technical assistance with uploader account creation or data reporting please contact the Bamboo Health Helpdesk at: 877-719-3121. The effort to put gabapentin on the federal Schedule 5 list may reduce its use for pain syndromes where it could actually help, thereby leading to increased use of other agents that have more side effects and drug interactions and possibly even translate to greater use of agents that have pronounced addictive potential such as tramadol and the larger family of opioids, said Gil I. Wolfe, MD, FAAN, Irvin and Rosemary Smith Professor and Chairman of Neurology at the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo/State University of New York. When you call our helpline, youll be connected with a representative who can assist you in finding mental health and addiction treatment resources at any of the Ark Behavioral Health addiction treatment facilities. 8600 Rockville Pike 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. Should Gabapentin Be a Controlled Substance? Utah. Federal Register, Vol. It's not classified as a controlled substance in most states. 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. But some states have, individually, taken action. Epub 2022 Jan 11. Antihistamine-containing cold, cough and allergy products. Unless specifically exempted or excluded or unless listed in another schedule, any material, compound, mixture, or preparation which contains any quantity of the following substances having a stimulant effect on the central nervous system, including its salts, isomers, and salts of isomers: Pyrovalerone. The department held a public hearing, received and reviewed comments during the public comment period, made necessary changes and filed the rules for adoption on July 27, 2011. Licensed retailers prohibited from operating vending machines, drive-through purchase facilities for the sale of cannabis products. 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. (https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-serious-breathing-problems-seizure-and-nerve-pain-medicines-gabapentin-neurontin), (https://www.ncbi.nlm.nih.gov/books/NBK493228/), Special Report: The Abuse Potential of Gabapentin & Pregabalin. Swallow tablets whole with a full glass of water. Schedule-V controlled substance and mandated reporting to PDMP. Risk to heroin users of polydrug use of pregabalin or gabapentin. Last updated on Dec 5, 2022. Neuromuscular specialist Raymond Price, MD, associate professor of clinical neurology at the University of Pennsylvania and a co-author of the new AAN guideline, agrees. Peckham AM, Ananickal MJ, Sclar DA. Under the federal Controlled Substances Act, gabapentin is not listed as a controlled substance. Unable to load your collection due to an error, Unable to load your delegates due to an error. Its available as 300- and 600-milligram tablets (Gralise) and 600- and 800-milligram tablets (Neurontin or generic gabapentin). Gabapentin-induced delirium and dependence. A direct phone line where you can be reached while you have access to a computer with internet connection. Beginning in December each year you may submit a waiver for the following year. Pharmacies must perform an initial gabapentin inventory on or after July 1, but before July 30, 2017. 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. The group argues that gabapentin should be reclassified, saying it [has] marked potential for abuse with serious consequences that include psychological effects, physical dependence, seizures, suicide, and overdose death.. 100% confidential. Are pregnant, trying to become pregnant or are breastfeeding. Review dispenser reporting compliance and follow up with reports of missing patient PMP data to ensure complete, timely, accurate, compliant reporting by dispensers. Listing gabapentin as a controlled substance would enhance the ability of the government to track the misuse or abuse of gabapentin. For information on alternative methods of reporting please contact the WA PMP at 360-236-4869. Registering healthcare providers will find the PMP service in SAW under Department of Health in the browse list. U.S. National Library of Medicine. 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. Electronic communication of prescription information, Registration of department of fish and wildlife for use in chemical capture programs. In February 2022, the nonprofit advocacy group Public Citizen filed a petition with the DEA and U.S. Food and Drug Administration (FDA). Program staff members work to assist system users and can do so efficiently when provided: The Washington State Prescription Monitoring Program (PMP) query portal allows healthcare professionals to query the monitoring program databases of other states using the Multi-state query function. Is for a prescribed substance required to be reported to PMP. The program was created to improve patient care and to stop prescription drug misuse by collecting dispensing records for Schedule II, III, IV and V drugs, and by making the information available to medical providers and pharmacists as a patient care tool. Gabapentin is available in both branded and generic forms. Access the system frequently enough to be well practiced. Accessibility Definition of Controlled Substance Schedules. Prac Pain Mgt, (https://www.practicalpainmanagement.com/treatments/pharmacological/non-opioids/special-report-abuse-potential-gabapentin-pregabalin). The Washington PMP is a great resource for providers to gain a better understanding of the controlled substance medications dispensed to their patients by pharmacies operating under a Washington license. Carefully measure the liquid formulation of gabapentin using the measuring device that comes with the drug. Individuals at the highest risk for abusing gabapentin include those with opioid . Seek immediate medical attention if these symptoms develop: Products that interact with gabapentin include: Avoid drinking alcohol while taking gabapentin. This helpline is a free resource at no cost to the caller. WAC 246-470-060 provides information about the process by which Law enforcement, prosecutorial officials, coroners, and medical examiners may obtain access to the PMP system under RCW 70.225.040. This page does not provide medical advice. 22, However, gabapentin still tends to be over-prescribed for health problems where it may not be truly effective. qJ(Q4#[EaA]IiT0VZ`^WCC40f)B9PlIQD,M48,Xt43~] |YS;?>@,O7Q|v76_/9N_V)]XO5{r=MEVtmp?tZt 6B!OD)N/U File a Complaint about a Provider or Facility, Washington's Uniform Disciplinary Act (UDA), Centers for Disease Control and Prevention (CDC), Local Health Jurisdictions and Tribal Directories, Northwest Center for Public Health Practice. Under federal law, the prescription medication gabapentin is not a controlled substance, although some states have moved to list it as a controlled substance on a state level. J Psychosoc Nurs Ment Health Serv. 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. An updated and complete list of the schedules is published annually in Title 21 Code of Federal Regulations (C.F.R.) Controlled substances board. Your message has been successfully sent to your colleague. The number of individuals who have Gabapentin present in an accidental overdose is significant enough . Medicines in this schedule are frequently used to treat diarrhea, cough or mild pain. Overdoses on gabapentin have been reported. And in December, the AAN published an updated practice guideline on the management of painful diabetic polyneuropathy, which recommends gabapentin, as well as serotonin-norepinephrine reuptake inhibitors (SNRIs), sodium channel blockers, and tricyclic antidepressants for the treatment of pain in this population. (https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2018/05/10/abuse-of-opioid-alternative-gabapentin-is-on-the-rise), (https://medlineplus.gov/druginfo/meds/a694007.html). may email you for journal alerts and information, but is committed Pain Pract. Thank you for your patience as we continue to update our new website. | Neurontin Addiction Potential, mixing it with other drugs to enhance effects, going to multiple doctors for prescription refills, Medscape FDA, DEA Pushed to Make Gabapentin a Controlled Substance, Pharmacy Today More states make gabapentin a Schedule V Controlled Substance, U.S. National Library of Medicine: MedlinePlus Gabapentin, U.S. Drug Enforcement Administration (DEA) Gabapentin (neurontin). The State of Kentucky is, and to date, remains, the only state to have reclassified gabapentin as a Schedule-V controlled substance. Its unknown if gabapentin can harm your unborn baby. Wolters Kluwer Health 100% confidential & free. Providers required to use the PMP frequently asked questions. Vestal C. The Pew Charitable Trusts. The Washington Legislature passed a law (RCW 70.225) authorizing the Prescription Monitoring Program in 2007. The oral solution contains 250 millgrams of gabapentin per 5 milliliter (50 mg per mL) Neurontin or generic gabapentin. Certain medicines for seizures, such as phenobarbital and primidone. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The approved CSRW certification meets all zero reporting requirements for a non-dispensing facility from the date of approval to the end of the licensing period(May 31 annually). 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. Bethesda, MD 20894, Web Policies Although rates of gabapentin misuse are rising, the drug is not federally regulated as a controlled substance. Several states, however, have enacted laws in recent years to list gabapentin as a controlled substance. You should include what information was inappropriately accessed or used, when, by whom and why you consider this action inappropriate. Epub 2015 Dec 31. Dont drive, operate heavy machinery or do other dangerous activities after taking gabapentin until you know how it affects you. If you need assistance email the DOH-PMP Technical Helpdesk. 3. PDMPs track prescriptions of certain medications to flag individuals who may be misusing them, at risk of an overdose or possibly diverting them to the streets. But I think the strategy to improve that process is to continue to reduce opioid use. 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. gabapentin. Generally, patients achieve steady-state plasma levels within 24 to 48 hours. National Library of Medicine Let your doctor know if you use alcohol or have a breathing disorder. How long does it take gabapentin to work? 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. New SB 5380 Waiver Attestation Forms for the e-prescribing mandate and PMP-EHR integration mandate can be found here. Is for a prescribed substance intended for more than 24 hours dose/use. Though Gabapentin is not a controlled substance at the federal level, Alabama joins a growing list of states that have reclassified the drug as a controlled substance in the past year. Waivers will be granted upon submission of an. Information collected includes: the patient's name, address, and date of birth, pharmacy and prescriber information, and specific prescription information. Bluish-colored or tinted skin, especially on lips, fingers or toes. When appropriate, review the PMP report (prescribing and dispensing history) directly with the patient. Have a history of drug abuse or alcohol abuse problems. 268 0 obj <>stream Gabapentin enacarbil, 300- and 600-milligram extended-release tablets (Horizant). We respect your privacy. These drugs may end up on the streets. If one of our treatment centers is not a good fit, our representatives may refer you to another detox or treatment center, or the Substance Abuse and Mental Health Services Administration (SAMHSA) hotline to find a program that best suits your needs. Gabapentin withdrawal symptoms have been reported since the drug was approved. A prescriber or pharmacist can delegate the authority to a licensed health professional that works for them (such as a registered nurse, medical assistant, pharmacy technician, or pharmacy assistant). Gabapentin is structurally and pharmacologically related to pregabalin (Lyrica, Lyrica CR), which is a Schedule V drug and controlled federally in all states. 69.50.385. But Gabapentin is not scheduled on the federal level as a controlled substance, only state level have a few states such as Kentucky, Tennessee, etc. 2016 Mar;50(3):229-33. doi: 10.1177/1060028015620800. Privacy Policy| Alternate Format Requests | Notice of Nondiscrimination, File Complaint About Provider or Facility, Healthcare Enforcement and Licensing Modernization Solution, Healthcare Professional Credentialing Requirements, Veterans, Service Members and their Families, Emergency Information for Specific Groups, Public Health System Resources and Services, Centers of Excellence for Perinatal Substance Use, Resource: How to: Registration for PMP Web Portal Access (PDF), How to: Registration for PMP Web Portal Access (PDF), http://www.orpdmp.com/health-care-provider/, List of state PDMP websites provided by the PDMP Training and Technical Assistance Center, WA PMP provides a transaction for your EHR, Washington's Health Information Exchange (HIE, Ensure resources and IT settings in your facility (and browser settings) meet needs (PDF), Email us at prescriptionmonitoring@doh.wa.gov, WAC 246-470-030 - Data Submission Requirements for Dispensers, Contact PMP staff members to receive more information, contact program staff members with any questions, National Alliance for Model State Drug Laws, National Association of State Controlled Substances Authorities, PDMP Training and Technical Assistance Center, Agency Medical Director's Group (AMDG) Opioid Dosing Guideline for Non-Cancer Pain (PDF), COPE-REMS Collaborative Opioid Prescribing Education Risk Evaluation and Mitigation Strategy, Living Well with Chronic Conditions in Washington State, SAMHSA Opioid Overdose Prevention Toolkit, SAMHSA SBIRT: Screening, Brief Intervention and Referral to Treatment, Stopoverdose.org - Helping individuals and communities in Washington State to prevent opioid overdose, US Drug Enforcement Administration - Office of Diversion Control, US Substance Abuse and Mental Health Services Administration, Washington State Department of Health Poisoning and Overdose Data (PDF), Washington State Division of Behavioral Health and Recovery, Centers for Disease Control and Prevention (CDC), Local Health Jurisdictions and Tribal Directories, Northwest Center for Public Health Practice. In general, medications classified as Schedule V (Schedule 5) controlled substances are considered to have the lowest potential for abuse compared to other controlled schedules, but may still pose a risk of addiction or misuse. If you would like to receive information regarding this rule-making process, please subscribe to updates through the 5380 PMP Integration Workgroup. GABA reduces the excitability of nerve cells (neurons) in the brain, which play a role in seizures and the transmission of pain signals. As we battle against the ongoing opioid epidemic in Washington and nationwide, healthcare providers increasingly rely on PMP(s) for ensuring safe prescribing for patients. By submitting a CSRW registration you are certifying that: WAC 246-470-035 - Dispensing and Data Submission Requirements for Veterinarians. With appropriate setting of patient expectations, its use typically results in reduction of neuropathic pain and improved quality of life, Dr. Price said. Lyrica vs Gabapentin: What's the difference? 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. Learn what side effects to watch for, drugs to avoid while taking gabapentin, how to take gabapentin and other important questions and answers. Advertising on our site helps support our mission. That is, it may be misused by those who have a past history of opioid use disorder, or another form of drug addiction, but its rarely misused by those without that history. Unlike opioid painkillers, gabapentin is not highly addictive. We do not receive any compensation or commission for referrals to other treatment facilities. Policy. It can also change how the body responds to pain. Gabapentin was, for a long time, believed to be non-addictive with a low potential for abuse. Gabapentin mirrors the effects of GABA calming excited neurons. At least seven have reclassified it as a Schedule IV controlled substance. [n-e&|>=|g>[]HmvI$DUWVC'R)w}LZ &Y t+1{A)Y{\KB4dS6'ul A[ Please note: Waivers are valid for one calendar year. Yes. Gabapentin isn't considered a controlled substance by the federal government as of July 2022. Trends, patient and prescriber characteristics in gabapentinoid use in a sample of United States ambulatory care visits from 2003 to 2016, Bonnet U, Scherbaum N. How addictive are gabapentin and pregabalin? Contact the department at 360-236-4806 or email us if you have any questions. (Kentucky, West Virginia, Michigan, Tennessee, and Virginia have reclassified gabapentin as a Schedule V controlled substance). 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.
Guadalupe County District Attorney,
Amc Interview With A Vampire Release Date,
Primary Care Physicians Uniontown, Pa,
Articles I