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Vicodin is classified as a controlled substance in many countries because it contains hydrocodone, an opioid with a known potential for misuse and addiction. It is legally available only with a valid prescription from a licensed healthcare provider and must be dispensed by a licensed pharmacy.

Prescribers are required to assess pain severity, expected duration, medical history, and risk factors before initiating opioid therapy. Many healthcare systems use prescription monitoring programs to track opioid use and reduce diversion and misuse.

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