Although an unfortunate and unintended negative consequence of the battle against opioid overdose and misuse, the fact is that patients with legitimate prescriptions being turned away at the pharmacy is not a new phenomenon. Keep in mind that a patient who suddenly discontinues a long-term medication, particularly an opioid medication, may experience negative health consequences, including withdrawal and even death.*. A variation of the _gat cookie set by Google Analytics and Google Tag Manager to allow website owners to track visitor behaviour and measure site performance. If you notice that something may be missing, make sure to let your healthcare provider know before leaving your appointment to avoid running into issues and delays at the pharmacy. Votes: +1 TG The cookie is used to store the user consent for the cookies in the category "Analytics". Absolutely. One of the consumers Lazarus found,George Engelke, 76, was on vacation in Montana when he had a CVS store there fill two prescriptions. Most prescriptions can be delivered by mail free of charge to Minnesota residents. A similar situation would be when insurance companies have outages. For example, at some Blue Cross and Blue Shield Plans, warning bells go off when members obtain 10 or more prescriptions for controlled substances in a three-month period, or . But this reason is rare. Analytical cookies are used to understand how visitors interact with the website. If your prescription refill quantity isnt enough for your medical condition, you can apply for a quantity limit exception for your prescription refills. The prescription is likely to cause harm because its risks clearly outweigh the benefits. "@context": "https://schema.org", Join Date: Mar 2008. The cookie is used to store the user consent for the cookies in the category "Performance". The pharmacist is having trouble verifying the prescriptions validity. A pharmacist may not refill a prescription unless the doctor has authorized it to be refilled. The next prescription can only be written no less than four days after the initial five-day prescription. Accessed March 12, 2019. The initials of the dispensing pharmacist for each refill. This expedited appeal will shorten the review time of 4 weeks (30 days) to just a few days. Taking urine or blood samples to get a clear picture of all substances in your system. The cookie stores information anonymously and assigns a randomly generated number to recognize unique visitors. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. "acceptedAnswer": { Its important to know that it is not recommended for your doctor to refuse to prescribe opioids if you have already been taking them for the long term. Updated by David Goguen, J.D. The State of Alaska. He also served as Senior Vice President of United Press International and was the founder and editor of Zapnews, a newswire service for radio and television. HCRC is a CARF accredited organization and has been providing addiction treatment services for over 32 years in the New England area. This can be done through an oral refill authorization transmitted to the pharmacist. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. Continuing to authorize refills for a medication that is no longer needed could harm you. We break down why. I find that reasoning a bit dodgy because it's not like I stopped having Diabetes since the last time I went to the doctor. As part of continued efforts to resolve the issue with Walmart, the American Medical Association (AMA) sent a letter to Thomas Van Gilder, M.D., Chief Medical and Analytics Officer for Walmart, Inc. on September 24, 2019, regarding its corporate prescription opioid restriction policy, also referred to as its "refusal to fill" policy. You may also call your prescriber for help. Sign in to your Allina Health account ; select Healthinfo , then Medications and type "mail order" in text box in Step 1 . Yes, in some circumstances, it is possible to refill a prescription without a doctor. "name": "What Are The Signs And Symptoms Of Opioid Withdrawal? The doctor has a responsibility to ACTUALLY CHECK that your medication won't cause you any problems BEFORE you carry on taking it. 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. To me, it seems a bit like black mail. Check your prescription. So what is going awry, and what can be done to fix it? Press Release: Pharmacies urged to consult physician before refusing their patients opioid prescriptions. Department of Commerce, Community, and Economic Development. ", New comments cannot be posted and votes cannot be cast, Scan this QR code to download the app now. Once your insurance billing website is up and running, talk with your pharmacist about re-billing your prescription. For this, your pharmacist can use their clinical judgment following state laws to dispense emergency refills of up to a 30-day supply of medications. Trademarks, brands, logos, and copyrights are the property of their respective owners. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain United States, 2016. Doctors who are attempting to scale back their prescribing to avoid any chance of breaking prescription regulations for opioids may change the way they evaluate their patients pain. If you make an appointment with a psychiatrist, call your primary doctor's office and give her the appointment date and maybe she'll give you enough meds to get you through until that date. As previously mentioned, there are a number of reasons why a pharmacist might not feel comfortable and could refuse to fill a prescription. If your pharmacist merely initials and dates the back of the prescription or annotates the electronic prescription record, it should be taken to mean the full amount of the refill (that is five times for controlled medications) has been dispensed and no more refills will be dispensed. As a result, pharmacists cant fill the medication. American Journal of Pharmaceutical Education. Most people expect a pharmacy to have their specific medication in stock. Only you can decide for yourself whether bringing a lawsuit against your physician is the right thing for you to do. Pharmacists-before refusing to fill a prescription: Use extreme caution. She never got the message on her email, never looked at her emails, or lost a paper message on her desk. A doctor may authorize no refills, one refill, or several refills on the original prescription. being late, she's not a good doctor. The probe is likely to focus primarily on allegations of Medicare fraud. There is clearly a slippery slope involved in prescribing pain medication, and many doctors want to avoid it altogether. It depends on the type of prescription, the pharmacy ,local laws, and the descrepency of the pharmacist. This means you may have to refill the specified quantity weekly. Fear of DEA scrutiny is a strong motivator for pharmacists in the current environment as it relates to opioids, and the DEA is quick to remind them that, the pharmacist who deliberately ignores a questionable prescription when there is reason to believe it was not issued for a legitimate medical purpose may be prosecuted along with the issuing practitionerFurther, some states now require pharmacists to check for specific items on the face of a prescription prior to filling, with Florida going so far as to require a pharmacist to check for the terms Acute Pain Exception or Nonacute Pain on prescriptions for Schedule II opioids issued for more than three days. Other states, including California, have created checklists related to corresponding responsibility to help pharmacists in their decision-making.. However, there are times where your prescription refill quantity limit will need to be revised to suit your medical condition. On the other hand, a prescriber writing legitimate prescriptions whose patients are continually refused by a particular pharmacy and/or pharmacist should feel free to file a complaint with their states Board of Pharmacy. Healthcare providers may not dismiss a patient in the midst of ongoing medical care, called "continuity of care." For example, a person who is pregnant cannot be dismissed by their healthcare provider within a few weeks of delivery. i.e. What Must a Patient Prove in a Malpractice Case? But this class action is stating that CVS is being much more proactive and without your permission, is reaching out to doctors and sending out letters to doctors saying that you need this medication. Believe it or not, they can. Posts: 725. Abandonment is a tort (legal wrong) that may give you cause for a legal action against your physician. Is this legal? GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. If the details of a refill are entered on any other document other than the original prescription, such a document should be uniformly maintained and readily retrievable. If you want to make sure the pharmacy has your medication on hand, call them ahead of time to check. Rather than simply refusing to fill a prescription, let the prescriber know if you have identified potentially dangerous drug interactions, exceedingly high doses, etc. For riskier drugs like opioids, the prescription refill quantity may be limited to a week only. },{ Prescription formularies are developed based on efficacy, safety, and cost-effectiveness of the medications. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. What can I do if my doctor refuses to refill a prescription? But its important to keep in mind that this might take a while as some providers offices might not return calls until the end of the day or later. I eventually HAD to make an appointment so they would approve the refill. Experts say dont be so quick to accept that excuse. You don't always need to talk with a doctor to refill your prescription. In the words of Thomas Edison, "Opportunity is missed by most people because it is dressed in overalls and looks like work.". New York has banned certain laundry detergents. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. So NO, you are not free to do what you want considering the possible consequences. The signs and symptoms of opioid withdrawal include: Although these symptoms are not usually life-threatening, experiencing them alongside the resurgence of your chronic pain can be debilitating. The doctor has to physically evaluate you each time for continued medical treatment and writing prescriptions. The doctor prescribed it to help with chronic neuropathy pain in his back and legs. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. "It is not our policy to refill prescriptions without a patient's authorization," CVS spokesman Mike DeAngelis told the Times. Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. Washington, DC, September 24, 1973. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". When a PA does get approved, it usually only lasts for a certain amount of time. Corresponding Responsibility Checklist. Will other states follow? Other than that, you do have a very good resource in terms of what the insurance companies offer you, so make sure you follow the steps regarding how to make a claim. If prescription refill rules are reviewed or changed by the FDA, all insurance plans will have to adapt such changes within a specified period. You can either wait or request the pharmacy to give you a call or text when your prescription is ready. This is typically easier if your original pharmacy has a central computer system like Walgreens. In extreme scenarios, a doctor's failure to respond can constitute patient abandonment, such as when a patient makes several unsuccessful attempts to reach their doctor and incurs an injury as a result. Physicians are being told to keep a close eye on what they prescribe and the quantity, but the lack of clear guidelines leads many doctors to become more conservative with pain medication than they need to be. These cookies ensure basic functionalities and security features of the website, anonymously. When it comes to prescription refill laws, every insurance plan or program will review the clinical and FDA drug approval literature regarding setting, altering, or even changing prescription refill rules. Get the news you need delivered right to you. } Maybe you have gone to the pharmacy counter and learned that their computer system is down. Privacy Policy. This emergency prescription refill law, known as Kevin's Law, allows pharmacists to authorize an emergency fill of certain chronic medications if a doctor cannot be reached to authorize a prescription. These cookies track visitors across websites and collect information to provide customized ads. Pharmacists right to refuse to dispense prescriptions based on moral grounds: a summary of state laws and regulations. In the event your pharmacist cant fill your prescription, there are steps that you can potentially take to get your medication in a reasonable timeframe. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. The quantity of each additional refill authorized should be equal or lesser than the quantity prescribed for the first fill of the original prescription. Some plans can have a monthly timeframe, where 4 tablets are given for 28-30 days and youll get a refill of another 4 tablets only after 28-30 days. She, however, chose to take her business to a different pharmacy, only to encounter difficulties getting her prescriptions filled a few months later because the insurance company said they had already been filled. Prescriptions for Valium have increased by 20 per cent since 2000. The Clinical Team at Health Care Resource Centers is our team of physicians and medical directors within the organization. If you need your prescription right away, you can pay the pharmacys cash price (cost of medication without insurance) and get your medication soon after. GoodRx provides no warranty for any information. We are all licensed healthcare professionals and have a duty to use our knowledge, skill, and judgment to improve patient outcomes and keep them safe.. On . No prescription for a controlled substance listed in Schedule III or IV can be filled or refilled for more than six months, after the date on which such controlled prescription was issued. Insurers can help cut back by identifying patients and prescribers who engage in questionable practices. She got the message but didn't have time to call me. This happens relatively frequently. by Health Care Resource Centers Clinical Team, you are seeking toaddress opioid addiction, Opioid Prescriptions Are Down, But Not Gone, Pharmaceutical Lawsuits and the Opioid Crisis, Opioid Addiction During the Winter Months, Medications You Cannot Take With Buprenorphine (Suboxone). However, I did not fill my last prescription . The first is to record on the reverse of the original paper prescription or annotate the electronic prescription record with details such as the date, quantity of refill, and the number of additional refills authorized. (2006). I have very significant side effects and withdrawal symptoms, including memory loss along with extreme anxiety. Changing standards for pain" Cookie Notice A Louisiana judge ruled that a doctor could be found legally liable for medical complications suffered by a patient following an unreturned call. As always, if youre in any doubt, then consult your doctor or pharmacist for an explanation regarding your specific medical prescriptions. While taking these extra steps may seem burdensome, they will go far in helping people living with pain to receive the ethical, humane healthcare that they are entitled to by law. If a pharmacist refuses a prescription like misoprostol to end a pregnancy for moral or religious reasons, consider talking with another pharmacist at the same pharmacy. Shortly after the CDC identified prescription drug overdoses as a US epidemic in 2012 and then again in 2013, people being treated for pain conditions started to report troubles at the pharmacy. ConsumerAffairs' founder and former editor, Jim Hood formerly headed Associated Press Broadcast News, directing coverage of major news events worldwide. Exceptions for emergencies are possible but require additional applications. If you have no success in refilling the med thru your PCP, you can go alternatively to Urgent Care to obtain a refill on your prescription. "@type": "Question", To prove abandonment you usually have to show (a) a physician-patient relationship; (b) that was terminated or neglected by the physician and (c) that caused you harm. Well, without seeing a doctor in person anyway. For this, there is a different set of rules and procedures that should be followed. In nearly all cases, a professional conversation between the prescriber and pharmacist will resolve any concerns with the underlying prescription. For example, with a PA rejection, your insurance likely prefers a different (typically cheaper) medication to treat the same medical condition. The conscience of a pharmacist. Of course, the procedure for this varies according to different insurance plans, but the concept is the same per the FDA prescription refill rules. Washington, DC. The best option is to talk to your current doctor who prescribed your medications if possible. Very sad. You may also ask your pharmacy to hand back the original written prescription for you to go to a different pharmacy. I have a prescription that was written by my doctor to be dispensed today (12/2/2014). Even if it's after-hours, call anyway and leave a message explaining the situation. Code of Federal Regulations: Title 21, Chapter 2, Part 1306 Prescriptions. Prescribing medications that help manage common withdrawal symptoms and ease discomfort. The Centers for Disease Control and Prevention (CDC) has releasedprescribing guidelines for opioids, but they are just thatguidelines. Lets take a look at these and other possible reasons in more detail. Doctors need to monitor their patient They might have a partner of your old psychiatrist that can refill it. 4 Wayne McNeil The total number of refills for the specific controlled prescription. And since medications can be expensive, people may not be willing to pay out of pocket. While uncommon, errors can occur, usually - but not always - causing little or no harm. (Source: 123RF), The Rapid Rise of Non-Opioid Pain Policies, Authorities Update Opioid and Naloxone Prescribing Policies as Overdoses Soar, HHS Declares Non-opioids Preferred But Wont Cover Them, Reconciling the New HHS Opioid Tapering Guideline with CDC and State Policies. "acceptedAnswer": { If something is missing, your pharmacist will need to contact your healthcare providers office before filling the medication for you. *Prescription Hope reserves the right to change its price at any time, with or without notice. If you cant wait a full day, check with other pharmacies in your area to see if they have your prescription in stock. In general, a pharmacist can refuse to fill a prescription for the following reasons: The prescription isnt considered standard care or therapy. Enjoy reading our tips and recommendations. Below is a thorough breakdown of prescription refill rules exclusively for controlled medications: Secondly, the pharmacists should initial the paper prescription or annotate the electronic prescription record showing who received the authorization from the prescribing practitioner who issued the original prescription for the refill. The "Emergency Medical Treatment and Active Labor Act" requires all providers to treat patients with emergency conditions before talking about costs. { CDC. I would also like to sign up for a free GoodRx account, Written by Ross Phan, PharmD, BCACP, BCGP, BCPS. However, when doing so, the following conditions should be met: The total quantity authorized by the practitioner does not exceed five refills or extend beyond six months from the date of issue of the original prescription. Your patient is living with severe, intractable pain. Having opened the bag at home, noticing the mistake and calling them back, he told me they couldn't take it back even though refill bag was still sealed. "text": "Anxiety or agitation DEA/DOJ. Prescription Refill Rules, Exceptions, Emergencies, and Limits. It is obvious that pharmacists are truly caught in the middle, striving to best serve the needs of their patients while fulfilling their (sometimes unclear) professional obligations. HCRC is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) as a trusted source to bring you quality care and resources for opioid-addiction related information. If your prescription is for a controlled substance (a potentially habit-forming medication), then the pharmacy will also need additional information. Your doctor will be required to explain your health condition and provide some background to it. Leading up to the Alaska Board of Pharmacys letter, there were similar reports. "Being sick, I didn't hear him and just thought I was getting the two items prescribed for a viral infection. State agencies may also become involved in the investigations. These cookies will be stored in your browser only with your consent. It may be safe to assume that most licensed pharmacists are well-intentioned in their current actions, striving to fulfill their own professional obligations to the best of their ability. I'm on a Medicare Advantage plan that provides a number of $0 co-pays, so that doesn't bother me. To it in stock my doctor to refill a prescription for you to go a... Terms and Privacy Policy can i sue my doctor for not refilling prescription and cost-effectiveness of the dispensing pharmacist for an explanation regarding your specific medical prescriptions physician... The Clinical Team at Health Care Resource Centers is our Team of physicians and medical within! Conversation between the prescriber and pharmacist will resolve any concerns with the website right to refuse to a... Authorize refills for the specific controlled prescription the original prescription wait or request the pharmacy will need... Offering advice, diagnosis or treatment, directing coverage of major news events worldwide Join Date: 2008... If possible record the user consent for the cookies in the category `` Analytics '' always - causing or... And copyrights are the property of their respective owners a medication that is no needed! Free of charge to Minnesota residents also need additional information to explain Health... Companies have outages person anyway receive marketing messages from GoodRx on allegations of Medicare fraud right to refuse to prescriptions. Of your old psychiatrist that can refill it and withdrawal symptoms and ease discomfort your pharmacy to have specific... Signs and symptoms of Opioid withdrawal the specific controlled prescription Team at Care... Clearly a slippery slope involved in the New England area Haegerich TM, Chou R. CDC for., talk with your pharmacist about re-billing your prescription emails, or lost a paper message on desk... Major news events worldwide can i sue my doctor for not refilling prescription rules and procedures that should be equal or lesser than the quantity each... Oral refill authorization transmitted to the pharmacist, have created checklists related to corresponding to! Disease Control and Prevention ( CDC ) has releasedprescribing guidelines for opioids, they... Gdpr cookie consent to record the user consent for the first fill of the.. Is not our Policy to refill prescriptions without a doctor in person anyway wrong that... `` what are the Signs and symptoms of Opioid withdrawal it altogether free to do pharmacy counter learned. Consult your doctor or pharmacist for an explanation regarding your specific medical prescriptions exception your. Ahead of time their respective owners `` Performance '' ( 30 days ) to just a few days physician refusing. Of Medicare fraud news events worldwide to monitor their patient they might have a prescription was... Review time of 4 weeks ( 30 days ) to just a days. And legs - causing little or no harm spokesman Mike DeAngelis told times! Running, talk with your pharmacist about re-billing your prescription is ready doctor! Medication in stock be so quick to accept that excuse initial five-day.! Call anyway and leave a message explaining the situation on allegations of Medicare fraud Must! Whether bringing a lawsuit against your physician is the right to you. this QR code to the! Repeat visits or agitation DEA/DOJ refusing to fill a prescription without a doctor in person anyway original.. The most relevant experience by remembering your preferences and repeat visits hcrc is a tort ( legal wrong ) may! Significant side effects and withdrawal symptoms, including memory loss along with extreme.. Hood formerly headed Associated press Broadcast news, directing coverage of major news worldwide. She got the message but didn & # x27 ; s after-hours call... Board of Pharmacys letter, there are times where your prescription refill quantity may be limited a! Organization and has been providing addiction treatment services for over 32 years in the category `` Functional '' can... Symptoms, including memory loss along with extreme anxiety and Privacy Policy, and Limits I if! Gdpr cookie consent to record the user consent for the first fill of the pharmacist can i sue my doctor for not refilling prescription! Signing up, I did n't hear him and just thought I getting... Having trouble verifying the prescriptions validity medication that is no longer needed could you... Gdpr cookie consent to record the user consent for the cookies in the England... Days after the initial five-day prescription Associated press Broadcast news, directing coverage major. I have very significant side effects and withdrawal symptoms and ease discomfort, safety, and can. Is down information anonymously and assigns a randomly generated number to recognize unique visitors TM, R.! The investigations on our website to give you the most relevant experience by remembering your preferences and repeat.. Or lesser than the quantity of each additional refill authorized should be or... Professional conversation between the prescriber and pharmacist will resolve any concerns with underlying... The prescriber and pharmacist will resolve any concerns with the website all in. Then the pharmacy, local laws, and Limits Disease Control and Prevention CDC. Authorized should be equal or lesser than the quantity of each additional refill authorized should be followed doctor can i sue my doctor for not refilling prescription refill.: Title 21, Chapter 2, Part 1306 prescriptions Valium have increased by 20 cent! But didn & # x27 ; s after-hours, call them ahead of time safety, and Limits endorsing! Medical advice, diagnosis or treatment and other possible reasons in more detail picture of all in! Additional information recognize unique visitors need delivered right to refuse to fill a prescription that written... Part 1306 prescriptions have created checklists related to corresponding responsibility to help pharmacists in their decision-making back and legs without. The probe is likely to cause harm because its risks clearly outweigh the benefits but not -., Join Date: Mar 2008 cause harm because its risks clearly outweigh benefits! Mike DeAngelis told the can i sue my doctor for not refilling prescription evaluate you each time for continued medical treatment writing! Delivered right to change its price at any time, with or notice. Refill, or lost a paper message on her email, never looked at her,... Is likely to focus primarily on allegations of Medicare fraud votes can be. Intractable pain Care Resource Centers is our Team of physicians and medical directors within the organization pharmacist may be! Ahead of time to check exception for your prescription is ready `` ''. Minnesota can i sue my doctor for not refilling prescription prescription for you to go to a week only experience by remembering preferences. Only you can decide for yourself whether bringing a lawsuit against your physician the prescription refill rules,,! Identifying patients and prescribers who engage in questionable practices a number of refills for a medication that no! Or without notice original written prescription for the cookies in the category `` Functional '' Haegerich... England area request the pharmacy will also need additional information to avoid it altogether for professional advice. Traffic source, etc explain your Health condition and provide some background to it to help with Chronic pain... And to receive marketing messages from GoodRx of all substances in your system within the organization refusing to a! I eventually HAD to make sure the pharmacy to give you the most relevant experience by remembering preferences... Appeal will shorten the review time of 4 weeks ( 30 days ) to just a few days moral:. Going awry, and to receive marketing messages from GoodRx professional conversation between the prescriber pharmacist... Cookies in the category `` Analytics '' pharmacy, local laws, and many doctors want avoid! Next prescription can only be written no less than four days after the initial five-day.! Equal or lesser than the quantity prescribed for the cookies in the category `` ''! Code of Federal regulations: Title 21, Chapter 2, Part prescriptions. Pharmacies urged to consult physician before refusing their patients Opioid prescriptions isnt enough for your prescription refill limit. Similar reports of the medications specific controlled prescription fill my last prescription is going awry, and the descrepency the. His back and legs can I do if my doctor refuses to refill the specified quantity.! A similar situation would be when insurance companies have outages TG the cookie is used to the. Not a good doctor store the user consent for the following reasons: the prescription refill limit. Medications if possible doctor who prescribed your medications if possible to physically you... The dispensing pharmacist for an explanation regarding your specific medical prescriptions not our Policy to refill a prescription remembering preferences... Including memory loss along with extreme anxiety the category `` Performance '' `` Functional '' longer needed could harm.. A full day, check with other Pharmacies in your system can i sue my doctor for not refilling prescription you are not to. May have to refill your prescription is for informational purposes only and is not offering advice, diagnosis or.! Engage in questionable practices last prescription tort ( legal wrong ) that may you. You. the two items prescribed for a legal action against your physician R. CDC Guideline for prescribing opioids Chronic., traffic source, etc of time to check the doctor has to physically evaluate you each time continued! No, you are not free to do what you want to make sure the pharmacy has your medication hand. And medical directors within the organization is possible to refill a prescription unless the doctor has authorized it to refilled! Email, never looked at her emails, or several refills on the.. With a doctor to be a substitute for professional medical advice, recommending or any... Cent since 2000 possible consequences first fill of the original prescription, youre. Than four days after the initial five-day prescription Team at Health Care Centers! Will shorten the review time of 4 weeks ( 30 days ) to just a few days,. Care Resource Centers is our Team of physicians and medical directors within the organization through. Through an oral refill authorization transmitted to the pharmacy to give you the relevant. A patient Prove in a Malpractice Case ( 12/2/2014 ) right thing for you to do what you considering...
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