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What this means for patients/prescribers: Both Ultram (tramadol) and Soma (carisoprodol) can be class four controlled substances. Physicians in Tennessee will only be in a position to write to get a maximum of six total fills in the drug (2 should it be carried out in ninety day supplies instead with the usual calendar month) instead of a total year’s worth every time a drug isn’t controlled. The prescription will likely be perfect for a few months on the date of writing (not the date you initially fill it up!) and it is on a a single time transfer between two pharmacies. Prescriptions for both drugs also will be reported for the state’s Controlled Substance Monitoring Database, that all prescribers and pharmacists are legally necessary to have admission, included in patient’s drug utilization review.