Monday, September 18, 2017

Medical Exception for Increased Access to Medical Cannabis

How To Apply For The Medical Exception?


Registered Patients in the New Mexico Medical Cannabis Program can request a Medical Exception through the state’s Medical Cannabis Program.  A greater quantity of usable cannabis, not to exceed 115 additional units, may be allowed, and a concentrated cannabis-derived product with THC content greater than seventy percent (70%), as well.

Utilizing the medical exceptions for both additional units and access to concentrates with no potency cap has many advantages for oneself and for the entire community. Petitions for both removing the Concentrate Cap and Increasing Patients Adequate Supply Amounts have be approved by the MCAB in April 2017 and await final decision from the Department of Health Secretary.

Having patients now request both medical exceptions will also show how these changes are needed for all in the community, in conjunction with the reasoning provided in the two MCAB approved Petitions . For patients living in a rural area, having access to the additional units will enable one to have more on hand, allow one to purchase more if they have to travel to get their medicine, and can provide cost saving allowing patients to purchase more during sales.

To acquire the medical exceptions for both additional units and access to concentrates with no potency cap; the registered patient need to contact their medical provider for a brief appointment for the to provide a statement. Upon the submission of the statement by a medical practitioner explaining why a greater number of units of usable cannabis, or a higher concentration of THC in concentrated cannabis-derived product, is medically necessary; it then shall be reviewed for approval by the program’s medical director.

The following forms below, are two Medical Exception forms that have been created by the LECUA Patients Coalition of New Mexico to make the process easy as possible for the patient community. The forms are based off of ones used in the Illinois Medical Cannabis Program that Doctors there created for this same purpose.  (The Forms can be printed out from the article.)




Form 1:

Medical Exception Waiver for Increasing the Adequate Supply of Medical Cannabis
Maximum Quantity Medical Exception Waiver
Medical exception:  A greater quantity of usable cannabis, not to exceed 115 additional units, may be allowed, and a concentrated cannabis-derived product with THC content greater than seventy percent (70%) by weight may be allowed, at the department’s discretion, upon the submission of a statement by a medical practitioner explaining why a greater number of units of usable cannabis, or a higher concentration of THC in concentrated cannabis-derived product, is medically necessary.  Any such allowance shall be reviewed for approval by the program’s medical director.

INSTRUCTIONS
Type or print clearly and answer all of the questions. This waiver recommendation does not constitute a prescription for medical cannabis. Questions About Completing This Form: Call 505-827-2321 or Email: medical.cannabis@state.nm.us

THIS MUST BE COMPLETED BY THE PHYSICIAN
Mail this Completed Form to:
Department of Health Medical Cannabis Program
PO Box 26110
Santa Fe, NM, 87502-6110

QUALIFYING PATIENT INFORMATION
Qualifying Patient's Registry Identification Number:
Qualifying Debilitating Condition:
Last Name Middle Name First Name
Home Address:
Apartment or Suite #        City State: NM    ZIP Code
Date of Birth (mm/dd/yyyy):
Gender:
PHYSICIAN INFORMATION
First Name      Middle Name    Last Name Office Address (Location where the Qualifying Patient’s Medical Examination was conducted)

Suite #      City State: NM    ZIP Code
Office Telephone Number (###-###-####):         
E-mail Address:
New Mexico Physician License Number:
Length of time patient has been under your care (years/months):
New Mexico Controlled Substances License Number:
Date of in-person medical examination relating to this waiver (mm/dd/yyyy):

Pg. 1

Medical Exception Waiver for Increasing the Adequate Supply of Medical Cannabis For a Registered Debilitating Patient

NOTE: The waiver for increasing the adequate supply for medical cannabis for a registered medical cannabis patient requires an in-person medical examination within 30 days of the date of this recommendation. The in- person medical examination and the recommendation document must be completed by the physician who certified the qualifying patient for his/her registration application.

I _____________________________________________ (the physician), hereby certify that, based on the patient’s medical history, in my professional judgement, ___________________________________________ (the registered qualifying patient), should be approved for an exception of quantity of usable cannabis, not to exceed 115 additional units. Allowing for a total of 345 units every 3 months as provided in the Lynn And Erin Compassionate Use Act. It is my professional judgement that a quantity of 115 additional units should be approved to properly alleviate the patient’s debilitating medical condition or symptoms associated with the debilitating medical condition. I am recommending a medical exception to the 230 Units of useable medical cannabis and this medical exception for 115 additional units for the following reasons:
________________________________________________________________________________________
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________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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________________________________________________________________________________________
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This recommendation does not constitute a prescription for medical cannabis.
_____________________________________________________________ ____________________________ Physician signature (no stamps accepted) Date of signature (mm/dd/yyyy)

Pg. 2



Form 2:

Medical Exception Waiver for Increasing the Adequate Supply of Medical Cannabis
Maximum THC content of concentrates Medical Exception Waiver
Medical exception:  A greater quantity of usable cannabis, not to exceed 115 additional units, may be allowed, and a concentrated cannabis-derived product with THC content greater than seventy percent (70%) by weight may be allowed, at the department’s discretion, upon the submission of a statement by a medical practitioner explaining why a greater number of units of usable cannabis, or a higher concentration of THC in concentrated cannabis-derived product, is medically necessary.  Any such allowance shall be reviewed for approval by the program’s medical director.

INSTRUCTIONS
Type or print clearly and answer all of the questions. This waiver recommendation does not constitute a prescription for medical cannabis. Questions About Completing This Form: Call 505-827-2321 or Email: medical.cannabis@state.nm.us

THIS MUST BE COMPLETED BY THE PHYSICIAN
Mail this Completed Form to:
Department of Health Medical Cannabis Program
PO Box 26110
Santa Fe, NM, 87502-6110

QUALIFYING PATIENT INFORMATION
Qualifying Patient's Registry Identification Number:
Qualifying Debilitating Condition:
Last Name Middle Name First Name
Home Address:
Apartment or Suite #        City State: NM    ZIP Code
Date of Birth (mm/dd/yyyy):
Gender:

PHYSICIAN INFORMATION
First Name      Middle Name    Last Name Office Address (Location where the Qualifying Patient’s Medical Examination was conducted)

Suite #      City State: NM    ZIP Code
Office Telephone Number (###-###-####):         
E-mail Address:
New Mexico Physician License Number:
Length of time patient has been under your care (years/months):
New Mexico Controlled Substances License Number:
Date of in-person medical examination relating to this waiver (mm/dd/yyyy):

Pg. 1

Medical Exception Waiver for Increasing the Adequate Supply of Medical Cannabis For a Registered Debilitating Patient

NOTE: The waiver for increasing the adequate supply for medical cannabis for a registered medical cannabis patient requires an in-person medical examination within 30 days of the date of this recommendation. The in- person medical examination and the recommendation document must be completed by the physician who certified the qualifying patient for his/her registration application.
I _____________________________________________ (the physician), hereby certify that, based on the patient’s medical history, in my professional judgement, ___________________________________________ (the registered qualifying patient), should be approved for a medical exception of concentrated cannabis-derived product with THC content greater than seventy percent (70%) by weight be allowed. Allowing for a higher concentration of THC in concentrated cannabis-derived product, is medically necessary, as provided in the Lynn And Erin Compassionate Use Act. It is my professional judgement that a higher concentration of THC in concentrated cannabis-derived product, is medically necessary and should be approved to properly alleviate the patient’s debilitating medical condition or symptoms associated with the debilitating medical condition. I am recommending this medical exception of higher concentration of THC in useable medical cannabis for the following reasons:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
This recommendation does not constitute a prescription for medical cannabis.
_____________________________________________________________ ____________________________ Physician signature (no stamps accepted) Date of signature (mm/dd/yyyy)    
Pg. 2



Supporting Documentation, if your Provider feels it's necessary, for both Medical Exemptions Available:

This Petition was provided to the Medical Cannabis Advisory Board and was approved by the MCAB with 4-0 vote in favor at the April 2017 Meeting :

“Petition: Medical Treatment; Adequate Supply: Removal Of Maximum THC Content Of Concentrates” and can be printed at: http://lecuanmmcpmcabpetitions.blogspot.com/2017/03/petition-medical-treatment-adequate_10.html


This Petition was provided to the Medical Cannabis Advisory Board and was approved by the MCAB with 4-0 vote in favor at the April 2017 Meeting :

Petition: Medical Treatment; Adequate Supply: Quantity of Useable Cannabis That May Be Possessed By A Qualified Patient Or Primary Caregiver and can be printed at:

Printable Images of the Forms:
















Appendix 420:
7.34.3.9                 QUANTITY OF USABLE CANNABIS THAT MAY BE POSSESSED BY A QUALIFIED PATIENT OR PRIMARY CAREGIVER:
               A.            Maximum quantity:  A qualified patient and a qualified patient’s primary caregiver may collectively possess within any three-month period a quantity of usable cannabis no greater than 230 total units.  For purposes of department rules, this quantity is deemed an adequate supply.  (For ease of reference:  230 units is equivalent to 230 grams, or approximately eight ounces, of dried usable cannabis plant material.)  A qualified patient and primary caregiver may also possess cannabis seeds.
               B.            Calculation of units:  For purposes of department rules, one unit of usable cannabis shall consist of one gram of the dried leaves and flowers of the female cannabis plant, or 0.2 grams (200 milligrams) of THC for cannabis-derived products.
               C.            Maximum THC content of concentrates:  A qualified patient or primary caregiver shall not possess a concentrated cannabis-derived product that contains greater than seventy percent (70%) THC by weight.
               D.            Medical exception:  A greater quantity of usable cannabis, not to exceed 115 additional units, may be allowed, and a concentrated cannabis-derived product with THC content greater than seventy percent (70%) by weight may be allowed, at the department’s discretion, upon the submission of a statement by a medical practitioner explaining why a greater number of units of usable cannabis, or a higher concentration of THC in concentrated cannabis-derived product, is medically necessary.  Any such allowance shall be reviewed for approval by the program’s medical director. [7.34.3.9 NMAC - N, 2/27/2015]
Source: NMAC 7.34.3 - Medical cannabis registry identification cards.

Resources:
New Mexico Department of Health MCP Forms & Documents

New Mexico Department of Health Medical Cannabis Program Contact Information
Physical Address
Medical Cannabis Program
1474 Rodeo Rd., Suite 200
Santa Fe, NM 87505
505-827-2321 (Phone)
505-476-3025 (Fax)
Mailing Address
Department of Health
Medical Cannabis Program
PO Box 26110
Santa Fe, NM, 87502-6110



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