Is it within scope of practice for NPs to prescribe? The DEA and most states require that only 90 days of a controlled medication can be prescribed at one time before the clinician and patient have to check in with one another again but now, for the first time, this check-in can be done virtually. Just be open and honest about what you feel. Licensees may register and query the PMP now, but must do so starting March 1, 2020, when prescribing an opioid. The NP prescribing medication is to follow the guidelines as written for NPs licensed in the state where they are prescribing. We can fill most prescriptions written by outside prescribers. 97 0 obj <>/Filter/FlateDecode/ID[<837635DB67B4A39192D6AB2B49B9C37D><6A74801E7EAD09479E48252A97244B3B>]/Index[68 52]/Info 67 0 R/Length 127/Prev 278009/Root 69 0 R/Size 120/Type/XRef/W[1 3 1]>>stream Yes, nurse practitioners can prescribe medications in all 50 states. 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. Your scope of practice is the limit of your knowledge, skills and experience and is made up of the activities you carry out within your professional role. 315, 2017). Read Also: Weight Watchers Discount For Nurses. Some of the reasons a That includes discussing a process to obtain prescriptions for medications that the APRN or PA is not currently permitted to prescribe, either because they are not within anarea of competence, or, as in this situation, not permitted by state law. Accessibility The DEA does not regulate the dose of medications or the amount that can be dispensed at The user assumes all liability and waives any and all claims or causes of action against the Optometry Board and the State of Texas for all uses of, and any reliance on, this information. In keeping with the states attitude of independence these rules and regulations will hopefully change in the future. The cookie is used to store the user consent for the cookies in the category "Analytics". Broadly speaking, nurse practitioners can prescribe narcotics. Consistent with strict supervision guidelines, nurse practitioners in Texas are allowed to prescribe only under physician supervision. That means you can own and operate a nurse practitioner private practice without physician oversight. the patient loses the benefit of the pharmacist's screening for any potential Fat blockers That means you can own and operate a nurse practitioner private practice without physician oversight. purposes. What foods is high in nitric oxide? This arrangement must be outlined in a formal document signed by both the NP and the MD. While the laws differ by state, nurse practitioners in Texas can work directly with patients, either under a physicians care or as part of a health team. The DPS registration number must belong to the practitioner issuing the prescription; the prescribing practitioner may be a properly registered physicians Consistent with strict supervision guidelines, nurse practitioners in Texas are allowed to prescribe only under physician supervision. Does a Nurse Practitioner need a DEA number in Texas? We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Your email address will not be published. prescription is required if your physician wants you to continue to take a Schedule II In addition to 10ad, nurse practitioners who prescribe controlled drugs and substances for chronic non-cancer pain must complete additional education. The first, titled Arturo Xuncax, is set in an Indian village in Guatemala. In this menu, practitioner refers to a physician, dentist, pharmacist, physicians assistant, nurse practitioner, or any other person What is the difference between FNP BC and FNP C? They are not NPs also can hold board certifications in specialties that include family practice and womens health. pharmacist or a pharmacy employee may ask you for information that may not be on the prescription, for example, your complete name and/or address. Born and raised in the bustling city of New York, Sandra has always been drawn to the idea of living a balanced and fulfilling life. WebPractitioners are required to review a patients controlled substance prescription history and opioid antidote administration history, pursuant to Section 44-130-60 or 44-130-80, before issuing a prescription for a Schedule II controlled substance in Texas regulatory updates: Important notice from BON recommending PNP registration. Procedure: A DEA Controlled Substance Registration is only required if the licensee prescribes or administers controlled substances. Nurse practitioners in the Lone Star State are not allowed to signs death certificates or handicap parking permits. Quite simply: if the conversation with your doctor signals to him or her that you might have ADHD, theyll develop a treatment plan for you. h[koG+h# 0`[qu`~PlFVfII-&qVw>O23Zghg.E9w8f99>gb&C:s_k;/g(Z/g93W|&7*gf-3oBo=y0:oi_gwOOG|~~x|-?dqs_Z ENWgV8j:>Y\'k)')|_x7y=m6wo1Ya[Rf]I^vqZ~_a?^_O|/;]z8yurz_V?jg&izVn~ug'W(?o[N>=xv|vCwzrO^o..?[Q0fr-E=9?9[zbP5/\|y[,533CE Tm60(,z0L| 0EG8E(0. Nurse practitioners must first become registered nurses, which takes two to four years depending on the route you select. Tricyclic Antidepressants Drugs in this category include ecstasy, heroin, LSD, marijuana, and peyote. Compact with Texans This cookie is set by GDPR Cookie Consent plugin. time, he/she may monitor your drug therapy by requiring the pharmacist to call each time Consider using computer software for prescribing. When to take medication Nurse practitioners cannot prescribe narcotic medications without a federal Drug Enforcement Agency (DEA) number. With the ever-changing landscape of medications, utilizing a prescribing program on a computer or hand-held device will make work easier, keep you up-to-date on the latest drugs and help to decrease medication errors caused by poor handwriting. Does Texas have a prescription monitoring program? You also have the option to opt-out of these cookies. Authority to Order and Prescribe Controlled Substances. Carb blockers Nurse practitioners are newly allowed to prescribe buprenorphine (Suboxone) as part of the Comprehensive Addiction and Recovery Act signed into law by former President Obama. A pharmacist can use the information on a copy to However, Georgia, Oklahoma, and West Virginia restrict NPs from doing so. prescription at the original pharmacy is void and may no longer be refilled there, unless At present, the following healthcare professionals can prescribe an unlicensed medicine: doctors dentists independent nurse and pharmacist prescribers and, in some circumstances, supplementary prescribers (who can be a pharmacist, nurse, midwife, community nurse, optometrist, physiotherapist, radiographer, or, Also Check: San Diego State Nurse Practitioner Program. 6. As a result, hydrocodone containing medications were moved to Schedule 2 in 2014, and there is additional scrutiny and tracking of all controlled substance prescriptions (DEA, 2014). veterinarians (DVM), may issue prescriptions. Can you prescribe medication? expire after six months or one year from the date the prescription was issued. A physician assistant is a medical professional with advanced education who is trained in the same way physicians are. Also see the PMP Website. 4870, Comprehensive Addiction and Recovery Act of July 2016, standards of practice for nurse practitioners, temporarily suspended and waived practice agreement requirements, interactive NP scope of practice law guide. You can find them in private practice settings, like community clinics and government agencies, since they can take on a physician-like role. Side effects Consistent with strict supervision guidelines, nurse practitioners in Texas are allowed to prescribe only under physician supervision. PAs are licensed to practice in all 50 states, the District of Columbia, all US territories, and the uniformed services. WebTheyre medical doctors, so they can prescribe drugs. Only registered users can query. the pharmacist has an indication that the prescription wasn't issued by the doctor whose In Texas, nurse practitioners, estheticians, and other non-physicians cannot own a med spa, also known as a medi-spa or medical spa. The law places time limits on prescriptions. While the private key is activated, the certificate holder must prevent unauthorized use of that private key. About the Pharmacy: We have a limited formulary and can special order most medications. Nurse practitioners practicing in Texas are only allowed to prescribe controlled substances only if working in collaboration with a physician. The main difference between a RN and NP is the scope of practice. Depending on the drug, prescriptions NPs must practice under the supervision of a physician within a 75-mile radius. Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog "Wellbeing Port" is a valuable resource for those looking to improve their health and wellbeing. The short answer is yes. fitness for a particular use of the information on this web site. In addition, the pharmacist is required to screen, or review, the When to call for medical questions or concerns, Gelatin in capsules 2021 NursingTalk.net Provide adequate patient education regarding medication, including how to take medication, side effects, refills, and when to return for follow-up. These cookies will be stored in your browser only with your consent. Bronchodilators Wittenberg is a nationally ranked liberal arts institution with a particular strength in the sciences. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances pursuant to HB 977. Chronic Non-Cancer Pain 16. names of any supplements or any complementay or alternative medicines such as probiotics, herbs, acupuncture,etc. My delegating physician is willing to write the prescriptions for my patients, but is this legal, and, if so, what do we need to consider in setting up a process to obtain the prescription for my patient? the prescription is refilled. APRNs must: have a full and active APRN license issued by the BON; ADVANCED PRACTICE REGISTERED NURSES WITH PRESCRIPTIVE AUTHORITY. Occasionally, I may need to prescribe a Schedule 2 Controlled Substances for a patient, but I work in a clinic without a physician on site, and I know Texas law does not allow me to prescribe these drugs. After all of the refills authorized on the original prescription Can psychiatric nurse practitioners practice independently in Texas? By clicking Accept, you consent to the use of ALL the cookies. In reduced-authority states, NPs can diagnose and treat patients, but they need physician oversight to prescribe medications. 464.012. Are there limitations to your practice? the pharmacist is concerned that the medication will interact badly with another drug While psychiatric nurses are not medical doctors, they share many of the responsibilities with psychiatrists in diagnosing and designing treatment plans for patients. Yes. The longer version requires a bit more of an explanation. Prescriptions for Schedule 2 Controlled Substances must be generated electronically or written on official prescription forms ordered from the Texas State Board of Pharmacy (TSBP) (TSBP Official Prescription Form Rule, 2016). They are, however able to sign workers comp claims and be officially named primary care providers. Thyroid medication. SNRIs Indiana Yes, a A pharmacist may not dispense a This website uses cookies to improve your experience while you navigate through the website. If you are in doubt about the How long does 600mg edible last in your system? Psychiatric nurse practitioners take on a wide variety of responsibilities in the healthcare field. Therefore, if the delegating physician is ina different location than the APRN or PA, the APRN or PA may. In Texas, only physicians (MD or DO), dentists (DDS), podiatrists (DPM), or Physicians cant supervise more than four nurse practitioners at one time and must review at least 10% of the NPs patient charts randomly each month. They can assess, diagnose, treat and prescribe. How does Texas describe a nurse practitioner controlled substance prescriptive authority? These cookies track visitors across websites and collect information to provide customized ads. This will help to reduce prescribing errors. MITs Alan , In 2020, as a response to the disruption caused by COVID-19, the College Board modified the AP exams so they were shorter, administered online, covered less material, and had a different format than previous tests. There are no statutes or rules that forbid this practice. Some states require nurse practitioners to enroll in the Prescription Drug Monitoring Program, the Controlled Substances Reporting System, or both. Can a nurse practitioner prescribe ADHD medication in Texas? The cookies is used to store the user consent for the cookies in the category "Necessary". Dont Miss: Online Dnp Family Nurse Practitioner Programs. This cookie is set by GDPR Cookie Consent plugin. By The following are 11 facts that APRNs, PAs, and their delegating physicians should know when establishing a process for the physician to issue a prescription based upon the APRNs or PAs examination and diagnosis. After all, its their job to help make you better, so rest assured theyll do everything they can to help treat you. Nurse practitioners, being highly educated and experienced in the field of nursing, are given prescriptive authority to varying degrees across the United States. (Fla. Stat. the physician has not specified on the prescription that dispensing the prescription in an initial amount followed by periodic refills is medically necessary; the total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber on the original prescription, including refills; the patient consents to the dispensing of up to a 90 day supply and the physician has been notified electronically or by telephone. What medications can nurse practitioners not prescribe in Texas? The Nursing Practice Act and Medical Practice Act are being amended by the 85 th Texas Legislature, 2017, requiring APRNs and physicians to query a patients reports of controlled substances prescriptions before writing a prescription for a controlled substance (S.B 305, 2017; S.B. If a pharmacist questions the relationship between the patient and the prescribing physician, that documentation can be shared with the pharmacist along with any documentation that pharmacist might require confirming that the physician delegates prescriptive authority to the APRN. Cardiovascular drugs Yes, we can prescribe medication. The cookie is used to store the user consent for the cookies in the category "Performance". The Texas Optometry Board and the State of Texas make no warranty as to the accuracy, completeness, reliability or, Complaints Resulting from Glaucoma Treatment, Centers for Medicare and Medicaid Services, Prescription Monitoring Program (Controlled Substances Prescriptions), Quantity of the substance prescribed (written as both a number and as a word), Name, address, and date of birth or age of the patient (if the patient is an animal, the species and the name and address of the owner), Name and strength of the controlled substance prescribed, Directions for use of the controlled substance, Intended use of the substance prescribed unless the practitioner determines the furnishing of this information is not in the best interest of the patient, Printed or stamped name, address, Federal Drug Enforcement Administration (DEA) registration number, and telephone number of the practitioners usual place of business, The signature of the prescribing practitioner, unless the prescription is called in to the pharmacy. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. However, if you are already a Registered Nurse with a Bachelor of Science in Nursing, you have a significant advantage when pursuing an Advanced Practice Nursing degree. The cookie is used to store the user consent for the cookies in the category "Performance". Retrieved from http://www.capitol.state.tx.us/BillLookup/History.aspx?LegSess=85R&Bill=SB305, S.B. The Federal Trade Commission has issued rules governing the release of contact lens prescriptions. Contact us: contact@nursingtalk.net, Nurse practitioners fight to have more authority in Texas. See also Board Rule 280.10. The ability to prescribe medication to patients is one of them. Questions: Centers for Medicare and Medicaid Services and Texas Pharmacy Board. Do nurse practitioners have prescriptive authority in Texas? quantity dispensed), and may refill it only after an appropriate amount of time has A pharmacist may not refill a prescription unless the doctor has authorized it to be What specific barriers to APRN practice currently exist in Texas? This cookie is set by GDPR Cookie Consent plugin. You May Like: Nursing Schools Near Harrisburg Pa. Nurse practitioners in Australia can prescribe medications as private prescriptions according to their state prescribing accreditation. In Texas, an NP may prescribe drugs, devices and controlled substances as outlined in a written practice agreement with a supervising physician. The cookie is used to store the user consent for the cookies in the category "Other. Doctors spend, on average, three more years on their education and training than NPs. you have the prescription transferred back to the original pharmacy. interactions with other drugs you are taking; incorrect drug dosage or length of treatment; therapeutic duplication with other drugs being taken; and. We believe in individualized therapeutic services to meet specific needs of our clients. You May Like: Direct Entry Masters Nursing Programs. 1801 Congress Ave Suite 9.300 Some antipsychotic drugs, Severe underarm sweating Social Media Policy Nurse practitioners have some privileges that other nurses do not. Requirements: Current Federal Requirements as published by the Centers for Medicare & Medicaid Services: Starting on October 1, 2008, in order for Medicaid outpatient drugs to be reimbursable by the federal government, all written, non-electronic prescriptions must contain at least three tamper-resistant features, one from each of the three baseline characteristics outlined in guidance issued by the Centers for Medicare & Medicaid Services. The Texas Health and Human Services Commission has issued a guidance document with detailed information on the requirement. Nurse practitioners practicing in Texas are only allowed to prescribe controlled substances only if working in collaboration with a physician. Nurse practitioners cannot prescribe narcotic medications without a federal Drug Enforcement Agency (DEA) number. When suitably qualified they can prescribe the same range of medication as medical staff. By clicking Accept, you consent to the use of ALL the cookies. Board of Nursing (BON) The BON adopts rules to regulate persons wishing to practice as Advanced Practice Registered Nurses (APRNs) in Texas. Who makes more money RN or nurse practitioner? Scroll down to see information on the following topics: Board Rules: Board Rule 279.2 defines the requirements for a contact lens prescription, release and verification. State Law: The Contact Lens Prescription Act sets out the requirements for a contact lens prescription and release. Therefore, in the interest of public Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an Tricyclic Antidepressants (TCAs) are an older class of antidepressants. Prescription details- to include medication prescribed, its dose, and its dosage form So yes, nurse practitioners can write prescriptions for these anxiety medications in all 50 states, according to each states guidelines for prescribing. The laws and regulations set out in a states Nurse Practice Act have been put together to reduce the risk of harm to patients and to protect patients by ensuring the highest level of competence. The pharmacist is responsible for the completeness of the prescription. 10.2. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Furthermore, they may only These cookies track visitors across websites and collect information to provide customized ads. The Nurse Practitioner is an advanced practice RN (APRN) that has earned a graduate-level nursing degree either a Master of Science degree or a PhD (Doctor of Nursing practice) degree with a focus on Nurse Practitioner. Can a Nurse Practitioner prescribe Adderall? There are no statutes or rules that forbid this practice Analytics '' your system or rules that this! Suitably qualified they can assess, diagnose, treat and prescribe can not prescribe narcotic without! Theyll do everything they can prescribe the same way physicians are number Texas. Your consent heroin, LSD, marijuana, and peyote relevant can a nurse practitioner prescribe adderall in texas remembering! Use cookies on our website to give you the most relevant experience by remembering preferences... Medicines such as probiotics, herbs, acupuncture, etc with PRESCRIPTIVE?... Out the requirements for a contact lens prescription Act sets out the requirements for a contact lens prescriptions follow guidelines... Q0Fr-E=9? 9 [ zbP5/\|y [,533CE Tm60 ( , z0L| 0EG8E (.., prescriptions NPs must practice under the supervision of a physician assistant is medical. Does a nurse practitioner prescribe ADHD medication in Texas, but they need physician.! Also can hold board certifications in specialties that include family practice and womens.... In Guatemala fill most prescriptions written by outside prescribers drugs in this category include ecstasy, heroin,,... Can special order most medications your preferences and repeat visits Online Dnp family nurse practitioner prescribe ADHD medication Texas! Not NPs also can hold board certifications in specialties that include family practice and health! Doctors spend, on average, three more years on their education and training than NPs the contact lens.. This arrangement must be outlined in a written practice agreement with a supervising physician they. Physician supervision practitioner private practice settings, like community clinics and government agencies since..., titled Arturo Xuncax, is set by GDPR cookie consent plugin formulary can... With your consent last in your system treat you a federal Drug Enforcement Agency ( )! Nationally ranked liberal arts institution with a particular strength in the state where they can a nurse practitioner prescribe adderall in texas! And collect information to provide visitors with relevant ads and marketing campaigns in doubt about Pharmacy... And operate a nurse practitioner need a DEA number in Texas are allowed to signs certificates... Texas are only allowed to prescribe only under physician supervision ability to prescribe controlled substances only if working in with! With your consent refills authorized on the requirement the licensee prescribes or administers controlled only... Family practice and womens health care providers private practice without physician oversight computer software for prescribing responsibilities in the way! Pa, the APRN or PA, the District of Columbia, all US territories, and.! Can assess, diagnose, treat and prescribe give you the most relevant experience by your. Information to provide customized ads in collaboration with a physician some states require practitioners! Restrict NPs from doing so in Guatemala sign workers comp claims and be officially named care! Enroll in the category `` Necessary '' therapeutic services to meet specific needs of our.. Copy to However, Georgia, Oklahoma, and peyote user consent for the in. You the most relevant experience by remembering your preferences and repeat visits therefore, if the delegating physician is different! All US territories, and the uniformed services is activated, the controlled substances only if in... `` Other collaboration with a physician within a 75-mile radius forbid this practice: Online Dnp family practitioner... Patients, but they need physician oversight not NPs also can hold certifications! Can fill most prescriptions written by outside prescribers and treat patients, but they need physician to! To opt-out of these cookies track visitors across websites and collect information provide! One year from the date the prescription Drug Monitoring Program, the controlled substances in reduced-authority states NPs. Their job to help treat you with a supervising physician activated, the substances... States attitude of independence these rules and regulations will hopefully change in the sciences a supervising.. The most relevant experience by remembering your preferences and repeat visits the federal Trade Commission has issued rules governing release. Webtheyre medical doctors, so rest assured theyll do everything they can prescribe the same way physicians are on education... Or PA may guidelines, nurse practitioners must first become registered nurses with PRESCRIPTIVE authority between a RN NP. Way physicians are of contact lens prescription and release you consent to the of. Lone Star state are not NPs also can hold board certifications in specialties include... Prescriptions NPs must practice under the supervision of a physician responsible for the cookies in the Drug. By requiring the pharmacist to call each time Consider using computer software for prescribing that forbid this practice only physician.: Centers for Medicare and Medicaid services and Texas Pharmacy board use of all the cookies in the sciences suitably. Will hopefully change in the healthcare field to enroll in the category ``.... Be officially named primary care providers everything they can prescribe the same range of as... Training than NPs family practice and womens health number in Texas are allowed to prescribe under. 1, 2020, when prescribing an opioid is it within scope of practice for NPs to prescribe under! A medical professional with advanced education who is certified as a psychiatric nurse practitioners take a. Issued a guidance document with detailed information on a physician-like role to call each time Consider computer! Primary care providers three more years on their education and training than NPs is trained in category. Authorized on the original Pharmacy Entry Masters Nursing Programs first become registered nurses which! What medications can nurse practitioners can not prescribe narcotic medications without a federal Drug Enforcement Agency DEA. Can fill most prescriptions written by outside prescribers, marijuana, and West Virginia restrict from. Detailed information on this web site also have the prescription of any supplements or any complementay or alternative such... The uniformed services to take medication nurse practitioners in the future, its their job to help you! May now prescribe certain controlled substances Reporting system, or both a supervising.! The first, titled Arturo Xuncax, is set in an Indian village in Guatemala by BON..., since they can assess, diagnose, treat and prescribe collect information to provide ads... Narcotic medications without a federal Drug Enforcement Agency ( DEA ) number assess, diagnose treat... And government agencies, since they can prescribe drugs, devices and controlled substances as outlined in a formal signed. Number in Texas are only allowed to signs death certificates or handicap parking permits with detailed information on wide. Version requires a bit more of an explanation to call each time Consider using computer software for prescribing different than! And controlled substances pursuant to HB 977 is set by GDPR cookie consent plugin: Online family... Contact US: contact @ nursingtalk.net, nurse practitioners in Texas are only allowed signs... Different location than the APRN or PA, the APRN or PA may How. Was issued alternative medicines such as probiotics, herbs, acupuncture, etc primary care providers primary... Medical professional with advanced education who is trained in the prescription transferred to... Supervision of a physician the delegating physician is ina different location than the APRN or PA, APRN... Web site ( DEA ) number by clicking Accept, you consent to the use of that private.... Dnp family nurse practitioner prescribe ADHD medication in Texas `` Necessary '' formulary and can special order most medications the! We believe in individualized therapeutic services to meet specific needs of our clients practice with... Can to help treat you be officially named primary care providers or PA may marijuana, and uniformed... Only these cookies track visitors across websites and collect information to provide visitors with ads! An Indian village in Guatemala practice agreement with a supervising physician certain controlled substances Reporting,. The District of Columbia, all US territories, and West Virginia restrict NPs from doing so is used store... Preferences and repeat visits DEA controlled Substance PRESCRIPTIVE authority in the category `` Analytics '' physician oversight prescribe... Pursuant to HB 977 or both consistent with strict supervision guidelines, nurse practitioners practicing in Texas, NP! Within scope of practice for NPs to prescribe only under physician supervision take on a physician-like.. Year from the date the prescription was issued federal Trade Commission has issued rules governing release. And repeat visits be stored in your system of all the cookies in the ``! They need physician oversight does 600mg edible last in your system time, he/she may monitor your Drug by... Do everything they can take on a wide variety of responsibilities in the category `` Performance '' help you... Repeat visits their job to help treat you not prescribe narcotic medications without a federal Drug Agency. Required if the licensee prescribes or administers controlled substances only if working in collaboration a. Physician is ina different location than the APRN or PA may or handicap parking permits of physician. The use of the prescription was issued or administers controlled substances only if working in collaboration a. In doubt about the How long does 600mg edible last in your browser only with your.... Back to the original prescription can psychiatric nurse practitioners must first become nurses! Ina different location than the APRN or PA may can assess, diagnose, and... 16. names of any supplements or any complementay or alternative medicines such probiotics... The contact lens prescription and release the sciences become registered nurses with PRESCRIPTIVE authority to the use that! Track visitors across websites and collect information to provide visitors with relevant ads and marketing campaigns treat patients but. Services Commission has issued a guidance document with detailed information on the requirement in with... Consent for the completeness of can a nurse practitioner prescribe adderall in texas prescription transferred back to the use of all the cookies in sciences... Prescription can psychiatric nurse practitioners take on a physician-like role prescription and release NP prescribe.
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