Evidence status: PUBLIC INSTITUTIONAL FORM / CURRENT DISTRIBUTION PATH UNRESOLVED. University of Cincinnati University Health Services continues to host a Controlled Medication Agreement that expressly includes opiate pain medicines. UHS remains active; this evidence pass did not establish a current forms page distributing this exact copy.

Quick read

The agreement covers a single prescriber, pharmacy use, refill notice, no early renewals, lost/stolen medication, other controlled substances, unannounced testing, taper/discontinuation, disclosure to outside entities, and minimum follow-up.

Who is on the provider side

The form uses a blank prescribing-provider signature line. The institutional counterparty is University of Cincinnati University Health Services; no one current provider is assigned responsibility for the form without a source tying that person to this version.

Terms that matter most

  • Controlled medication is obtained through one UHS prescriber/covering provider and one pharmacy whenever possible.
  • Renewal requests require 48 hours—two business days—notice; early renewals are not given.
  • Lost, damaged, or stolen medication and paper prescriptions are not replaced.
  • The agreement permits unannounced blood or urine testing. Abnormal results can lead to discontinuation; refusal can lead to immediate taper/discontinuation.
  • The patient agrees to restrictions on other controlled substances, including marijuana.
  • The agreement allows specified disclosure/cooperation with pharmacies, other providers, emergency departments, insurers, and law enforcement concerning medication management/diversion.
  • At least one appointment with the prescribing provider is required every six months under the general controlled-medication agreement.

Ohio law versus institutional policy

For opioid treatment at Ohio’s 80-MED threshold, screening permission, compliance/pill-count terms, one-prescriber opioid control, and taper language are required agreement subjects. UHS’s 48-hour renewal rule, no-replacement rule, one-pharmacy preference, six-month minimum, and exact testing consequences are institutional implementation.

For qualifying opioid dosing at 50 MED or greater, Ohio’s physician rule separately requires follow-up at least every three months. The UHS six-month provision is therefore best read as a general minimum for the broader controlled-medication agreement, not as a substitute for a more frequent opioid-specific requirement when Ohio law applies.

Current-law caution: marijuana terminology

The institutional form restricts marijuana along with other controlled substances. Current Ohio law authorizes medical and adult-use marijuana within Chapter 3796. The agreement may still impose a clinical or institutional restriction, but the page does not characterize marijuana use within current Ohio law as categorically illegal.

Primary sources

← Ohio Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: The document is a real public UHS agreement and expressly covers opiate pain medicine. Exact current distribution of this particular copy remains unresolved.