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  4. Medical & Fitness Requirements

DMV Pain Management Policy

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  • Medical & Fitness Requirements
    • Medical Review Process
    • Medical Review of Drivers
    • Appeals Process
    • Why am I on Review Plus Possible Outcomes
    • Medical Policies
    • Vision Requirements Overview
    • Vehicle Sun-Shading Medical Authorization
    • Bioptic Telescopic Lens Wearers
    • Conditions of Variance for CDL Driver to Haul Hazardous Materials
    • DMV Cognitive Impairment Policy
    • DMV Pain Management Policy
    • DMV Policy for Adaptive Equipment and Certified Driving Rehabilitation Specialist Referrals
    • DMV Policy for Drivers Experiencing a Crash Due to a Pedal Application Error
    • DMV Policy for Drivers with Heart-Assist Device
    • DMV Policy for Drivers with Psychiatric Disorders
    • DMV Policy for Drivers with Respiratory Conditions Requiring Supplemental Oxygen and/or Sleep Disorders
    • DMV Diabetes Policy
    • DMV Seizure/Blackout Policy
    • DMV Substance Abuse Policy
    • DMV Transient Ischemic Attack and/or Cerebral Vascular Accident Policy
    • DMV Vaso-Vagal Syncope Policy
    • DMV Visual Field Policy
    • Driving Under the Influence of Prescription Medications
    • Interpreting Letters / Instructions from the Medical Review Services (MRS) Team
    • Medical Advisory Board
    • Periodic Review with Medical Review Services (MRS)
    • Report an Impaired Driver
    • Suspension Date Approaching / Past

It is the policy of the Department of Motor Vehicles, based on guidance and recommendations from the Medical Advisory Board, that drivers who have any medical condition that indicates the need for and use of prescribed long-acting narcotics (LANS) or any potentially mind-altering drug for the treatment of chronic and severe pain will be placed on yearly periodic medical review. If the LANS are newly prescribed, the initial follow-up review will take place in 6 months and then once a year. DMV may impose additional requirements on the individual depending on the information received by the agency.

Drugs are subject to review including, but not limited to, all Schedule II narcotics such as Oxycodone, Morphine, Methadone, Fentanyl and Tramadol.

DMV reserves the right to request that a driver provide additional information from a specialist in order to assess their ability to safely operate a motor vehicle.

Commercial Drivers

DMV adheres to the guidelines set forth by the Federal Motor Carrier Safety Administration for commercial drivers as it pertains to the use of prescribed medication:

A driver of a commercial motor vehicle (CMV) cannot take a controlled substance or prescription medication without a prescription from a licensed practitioner. The driver is medically unqualified to drive if he/she is taking:

  • A drug identified in 21 CFR 1308.11 (391.42(b) (12))
  • A anti-seizure medication used for the prevention of seizures
  • An amphetamine, a narcotic, or any other habit forming drug, including methadone

The driver may be qualified to drive a CMV if the prescribing doctor certifies that he/she can safely drive a CMV while taking the medication. In this case, the Medical Examiner may, but is not required to, certify the driver.

To determine if any medication a driver uses will adversely affect safe operation of a CMV, the medical examiner may review each medication, whether prescription, non-prescription and supplement, or request a letter from the prescribing doctor.

DMV reserves the right to request that a commercial driver provide additional information from a specialist in order to assess the CMV driver's ability to operate a motor vehicle safely.

Additional Requirements

DMV may impose additional requirements on the individual depending on the information received by the agency.

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