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Methylphenidate (Ritalin): What You Need To KnowThere is no BTC drug category in the US, although some OTC drugs under the GSL drug category, such as pseudoephedrine, need to be strictly kept. They're called behind-the-counter (BTC) medications. There are a handful of medications that fall into this group. But what makes them different. Medications containing ephedrine and pseudoephedrine were initially released as OTCs but are now behind-the-counter (BTC) medications. class. DXM's actions.