Which is the correct schedule classification for cough preparations that contain hydrocodone?

Cough preparations that contain hydrocodone are classified as Schedule III substances under the Controlled Substances Act. This classification is significant because it acknowledges the potential for abuse of hydrocodone while still recognizing its accepted medical use in specific formulations, particularly cough syrups that combine hydrocodone with other non-controlled ingredients like guaifenesin.

The Schedule III classification means that while the risk of dependency is lower than that of Schedule I or II substances, it still requires careful regulation. Prescriptions for these medications can be refilled (up to 5 times within 6 months) and can be called in or faxed to the pharmacy, reflecting a balance between accessibility for patients in need and a system to mitigate potential misuse.

Understanding this classification is crucial for pharmacists and healthcare providers as it influences prescribing practices, patient counseling, and the overall handling of controlled substances in a healthcare setting.