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NYS OFFICIAL CHECKLIST FOR DISPENSING A GREATER THAN 30 DAY SUPPLY for MEDICATIONS WHICH REQUIRE AN OFFICIAL NEW YORK STATE PRESCRIPTION FORM

The accompanying chart lists approved conditions and their respective codes for dispensing up to a 90 day quantity of a controlled substance or up to a six month supply of an anabolic steroid which can be written for on Official NYS Prescription Forms.

Approved Condition Code

Approved ConditionCode
Panic DisordersA
Minimal brain dysfunction (hyperkines630is)B
Chronic debilitating seizure, convulsive or spasm disorderC
Relief of pain in patients suffering from chronic and incurable diseasesD
NarcolepsyE
Hormone deficiency states in males, gynecologic conditions responsive to anabolic steroids or chorionic gonadotropin, metastatic breast cancer in women, anemia and angioedemaF