Tramadol is a Schedule IV controlled substance under the U.S. Controlled Substances Act since 2014, requiring a valid prescription from a DEA-registered healthcare provider for moderate-to-severe pain unresponsive to non-opioid treatments. Prescriptions must specify patient details, dosage, quantity, and directions, with limited refills allowed unlike Schedule II drugs.
Consult a licensed provider via in-person or approved telehealth for evaluation, confirming medical necessity before receiving an e-prescription. Submit to NABP-verified, licensed pharmacies for secure dispensing and shipping; legitimate outlets always mandate verification.
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