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8481000001100: Controlled drug category No Controlled Drug Status (qualifier value)

Status: current, Not sufficiently defined by necessary conditions definition status. Date: 15-May 2019. Module: SNOMED CT United Kingdom drug extension module

Descriptions:

Id Description Lang Type Status Case? Module
13321000001116 No Controlled Drug Status en Synonym Active Entire term case sensitive SNOMED CT United Kingdom drug extension module
13341000001114 Controlled drug category No Controlled Drug Status (qualifier value) en Fully specified name Active Entire term case sensitive SNOMED CT United Kingdom drug extension module
13351000001112 Controlled drug category No Controlled Drug Status en Synonym Active Entire term case sensitive SNOMED CT United Kingdom drug extension module

0 descendants.

Expanded Value Set

Outbound Relationships Type Target Active Characteristic Refinability Group Values
Controlled drug category No Controlled Drug Status Is a Controlled drug category true Inferred relationship Existential restriction modifier
Inbound Relationships Type Active Source Characteristic Refinability Group
Adenosine 30mg/10ml solution for infusion vials (Baxter Healthcare Ltd) 5 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Shingrix (Herpes Zoster) adjuvanted recombinant vaccine powder and solvent for suspension for injection 0.5ml vials (Imported (United States)) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Shingrix (Herpes Zoster) adjuvanted recombinant vaccine powder and solvent for suspension for injection 0.5ml vials (Imported (United States)) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Omeflex special without electrolytes infusion 1.875litre bags 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
ProSource TF plant liquid 45ml sachets (Nutrinovo Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
ProSource TF plant liquid 45ml sachets (Nutrinovo Ltd) 50 sachet Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Furosemide 20mg/2ml solution for injection ampoules (Baxter Healthcare Ltd) 10 ampoule Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 1g/50ml emulsion for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Hydroxychloroquine 200mg tablets (Accord Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 500mg/50ml emulsion for infusion vials (Baxter Healthcare Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 200mg/20ml emulsion for injection vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Omeflex special without electrolytes infusion 625ml bags 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Adenosine 6mg/2ml solution for injection vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.25litre bags (B.Braun Medical Ltd) 5 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Furosemide 50mg/5ml solution for injection ampoules (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 625ml bags (B.Braun Medical Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Zirabev 400mg/16ml solution for infusion vials (Pfizer Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Omeflex special without electrolytes infusion 1.875litre bags 5 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.875litre bags (B.Braun Medical Ltd) 5 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Omeflex special without electrolytes infusion 1.25litre bags 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Zirabev 400mg/16ml solution for infusion vials (Pfizer Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Zirabev 100mg/4ml solution for infusion vials (Pfizer Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Yargesa 100mg capsules (Piramal Critical Care Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aciclovir 250mg/10ml concentrate for solution for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aminoplasmal 15% solution for infusion 500ml bottles (B.Braun Medical Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Aminoplasmal 15% solution for infusion 500ml bottles 10 bottle Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Hydroxychloroquine 200mg tablets (Accord Healthcare Ltd) 60 tablet 6 x 10 tablets Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 200mg/20ml emulsion for injection vials (Baxter Healthcare Ltd) 5 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Mometasone 0.1% ointment (Accord Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Furosemide 50mg/5ml solution for injection ampoules (Baxter Healthcare Ltd) 10 ampoule Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Adenosine 30mg/10ml solution for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 1g/100ml emulsion for infusion vials (Baxter Healthcare Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Aminoplasmal 15% solution for infusion 1litre bottles 6 bottle Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Mometasone 0.1% ointment (Accord Healthcare Ltd) 100 gram Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aciclovir 500mg/20ml concentrate for solution for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Ondansetron 4mg tablets (Viatris UK Healthcare Ltd) 10 tablet Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Adenosine 6mg/2ml solution for injection vials (Baxter Healthcare Ltd) 5 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.875litre bags (B.Braun Medical Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Ketorolac 30mg/1ml solution for injection ampoules (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 500mg/50ml emulsion for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aciclovir 500mg/20ml concentrate for solution for infusion vials (Baxter Healthcare Ltd) 5 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aciclovir 250mg/10ml concentrate for solution for infusion vials (Baxter Healthcare Ltd) 5 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Veklury 100mg powder for concentrate for solution for infusion vials (Gilead Sciences Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Shingles (Herpes Zoster) adjuvanted recombinant vaccine powder and solvent for suspension for injection 0.5ml vials 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.25litre bags (B.Braun Medical Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic ProSource TF plant liquid 45ml sachets 50 sachet Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Furosemide 20mg/2ml solution for injection ampoules (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 1g/100ml emulsion for infusion vials (Baxter Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propofol 1g/50ml emulsion for infusion vials (Baxter Healthcare Ltd) 1 vial Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.875litre bags (B.Braun Medical Ltd) 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Veklury 100mg powder for concentrate for solution for infusion vials (Gilead Sciences Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Aminoplasmal 15% solution for infusion 1litre bottles (B.Braun Medical Ltd) 6 bottle Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 1.25litre bags (B.Braun Medical Ltd) 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Zirabev 100mg/4ml solution for infusion vials (Pfizer Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Omeflex special without electrolytes infusion 625ml bags (B.Braun Medical Ltd) 1 bag Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Quinine dihydrochloride 300mg/1ml solution for infusion ampoules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Pentoxifylline 400mg modified-release tablets Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Prednisolone sodium phosphate 0.5% eye drops 0.5ml unit dose preservative free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Ofloxacin 200mg/100ml solution for infusion bottles Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Rizatriptan 10mg oral lyophilisates sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Terlipressin 1mg powder and solvent for solution for injection vials Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propranolol 160mg modified-release capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Sodium chloride 600mg modified-release tablets Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Venlafaxine 75mg modified-release capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Trifluoperazine 5mg/5ml oral solution sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Sodium alginate 500mg/5ml / Potassium bicarbonate 100mg/5ml oral suspension sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Venlafaxine 150mg modified-release capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Verapamil 240mg modified-release tablets Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Propranolol 80mg modified-release capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Tranexamic acid 500mg/5ml solution for injection ampoules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Potassium chloride 600mg / Potassium bicarbonate 400mg (total potassium 12mmol) effervescent tablets Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Triamcinolone 55micrograms/dose nasal spray Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Orphenadrine 50mg/5ml oral solution sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Tamsulosin 400microgram modified-release capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Sodium feredetate (iron 27.5mg/5ml) oral solution sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Oxcarbazepine 60mg/ml oral suspension sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Promethazine 5mg/5ml oral solution sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Sodium picosulfate 5mg/5ml oral solution sugar free Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Prednisolone 20mg/application foam enema Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Promazine 50mg/5ml oral solution Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Indigo carmine 40mg/10ml solution for injection vials Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Generic Nutratain 932mg powder for solution for infusion vials Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Pentoxifylline 400mg modified-release tablets (Dowelhurst Ltd) 90 tablet Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Venlafaxine 75mg modified-release capsules 30 capsule Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Tardcaps XL 150mg capsules (IXL Pharma Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Alphacard MR 400microgram capsules (Ratiopharm UK Ltd) 30 capsule 3 x 10 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Vexarin XL 150mg capsules (Viatris UK Healthcare Ltd) 28 capsule 4 x 7 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Tranexamic acid 500mg/5ml solution for injection ampoules (Focus Pharmaceuticals Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Pamsvax XL 400microgram capsules (Almus Pharmaceuticals Ltd) 30 capsule 3 x 10 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Gaviscon Advance liquid peppermint (Reckitt Benckiser Plc) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Sodium alginate 500mg/5ml / Potassium bicarbonate 100mg/5ml oral suspension sugar free 250 ml Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Nasacort 55micrograms/dose nasal spray (PI) (Waymade Ltd) 120 dose Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Orphenadrine 50mg/5ml oral solution sugar free (Colorama Pharmaceuticals Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Depefex XL 150mg capsules (Chiesi Ltd) 28 capsule 2 x 14 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Stelazine Forte 1mg/ml oral solution (Goldshield Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Bazetham MR 400microgram capsules (Pliva Pharma Ltd) 30 capsule 3 x 10 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Vensir XL 150mg capsules (Morningside Healthcare Ltd) 28 capsule 2 x 14 capsules Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Tamsulosin 400microgram modified-release capsules (PI) (Waymade Ltd) 30 capsule Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Contiflo XL 400microgram capsules (NorthStar Healthcare Unlimited Company) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Mentaven XL 150mg capsules (Arrow Generics Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier
Politid XL 150mg capsules (Accord Healthcare Ltd) Has NHS dm+d (dictionary of medicines and devices) controlled drug category True Controlled drug category No Controlled Drug Status Inferred relationship Existential restriction modifier

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