Physician Certification Pattern Review, 2024 Annual Report 11 On August 26, 2022, Emergency Rule 64ER22‐8 went into effect, implementing section 381.986(4)(f), F.S., by quantifying a daily dose amount with equivalent dose amounts for each allowable form of marijuana dispensed by a medical marijuana treatment center. This rule also establishes submission procedures of a request for an exception to the daily dose amount limit, the 35‐day supply limit of marijuana in a form for smoking, and the 4‐ounce possession limit of marijuana in a form for smoking. Comparing the FY 2022 data with the FY 2023 data, and including outlier amounts, low‐THC cannabis average daily dose amounts ordered have decreased for all routes of administration. Edibles decreased by 54%, Inhalation by 15%, Oral by 46%, Sublingual by 51%, Suppository by 22%, and Topical by 53%. The FY 2022 data and FY 2023 data comparison of medical marijuana average daily dose amounts ordered, including outlier amounts, similarly showed a decrease across all routes. The Edibles route decreased by 70%, Inhalation by 19%, Oral by 64%, Sublingual by 71%, Suppository by 48%, and Topical by 75%. In order to retain all data observations and make comparisons without skewing caused by outlier amounts, the data presented here uses a geometric mean (GeoMean) calculation. A geometric mean uses all data observations to create a mean closer to the median. See the “Terms and Definitions” section for more detail on geometric mean calculations and outliers. Table 10: Statewide geometric mean daily dose (mg) for low‐THC cannabis, in Edibles, Inhalation and Oral forms, in each data set. Edibles as a route of administration became available August 27, 2020. Number of physicians with orders in each year is included in brackets. Low‐THC Edibles Inhalation Oral FY 2021 [1,423] FY 2022 [1,553] FY 2023 [1,594] FY 2021 [1,451] FY 2022 [1,501] FY 2023 [1,532] FY 2021 [1,500] FY 2022 [1,560] FY 2023 [1,584] GeoMean 179 192 88 212 226 193 189 203 109 Max1 1,000,000 1,000,000 300,300 1,000,000 1,000,000 700,250 1,000,000 1,000,000 400,400 Min1 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 Median1 200 200 60 200 200 200 200 200 100 Mode1 200 200 50 200 200 200 200 200 200 1Numbers changed from previous reports where the Max, Min, Median and Mode to reflect all ordered amounts. (Descriptive counts were previously taken from the average of all ordered amounts.) Table 11: Statewide geometric mean daily dose (mg) for Low‐THC cannabis, in Sublingual, Suppository and Topical forms, in each data set. The number of physicians with orders in each year is included in brackets. Low‐THC Sublingual Suppository Topical FY 2021 [1,435] FY 2022 [1,514] FY 2023 [1,524] FY 2021 [682] FY 2022 [791] FY 2023 [690] FY 2021 [1,415] FY 2022 [1,508] FY 2023 [1,512] GeoMean 177 191 93 205 228 179 159 177 83 Max1 1,000,000 1,000,000 450,450 1,000,000 1,000,000 420,420 1,000,000 1,000,000 500,500 Min1 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 Median1 200 200 100 200 222 200 200 200 100 Mode1 200 200 200 200 200 300 200 200 200 1Numbers changed from previous reports where the Max, Min, Median and Mode to reflect all ordered amounts. (Descriptive counts were previously taken from the average of all ordered amounts.)
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