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- Indication for use (IFU): Rheumatoid Arthritis- Mechanism of Action: Slows the progression of rheumatoid arthritis by inhibiting immune cell activity (lymphocytes & cytokine)- Side Effects: Hepatoxicity, Bone marrow suppression, GI disturbances, Kidney or Renal impairment, Infection, Lupus, Pulmonary Fibrosis-Drugs: Rheumatrex (methotrexate), Ridaura (auranofin)

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Prohibits discrimination in employment and health insurance based on genetic information and restricts the acquisition and disclosure of such information.- Primarily concerned with protecting individuals who may be discriminated against because the employer thinks they are an increased risk of developing a condition in the future. - Pre-employment exams must not include taking family medical history or other forms of genetic information gathering. - Employers can violate GINA by requesting information to health care providers.

Alabama has a drug-free workplace program where employers can qualify for discounts on worker's compensation insurance premiums. To qualify:- Must test job applicants upon conditional offers of employment- Must include notice of testing in job announcements- Generally, the program follows the program requirements under federal laws

Under the ADA, prior to making a conditional offer of employment, an employer is prohibited from requiring applicants submit to medical exams.- The offer is "conditional" upon satisfactory results from a medical exam.Medical exams following conditional offers of employment are unrestricted in scope and many inquire into physical and mental health of applicants which are NOT job related. Drug tests searching for illegal substances are NOT medical exams.- But testing for prescription drugs taken for medical conditions that might be disabling IS a medical exam. - EEOC considers routine access to these types of drug tests as defeating the purpose of ADA.

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