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Re: Dispensing Schedule II meds

Posted by BLPBart on May 19, 2002, at 5:03:41

In reply to Re: Dispensing Schedule II meds, posted by medlib on May 16, 2002, at 11:53:00

> Hi 3beers--
>
> I'm impressed by the amt. of info you've collected re stims. May I contribute a little factoid or two about dispensing Sched II meds to your library?
>
> While every rx of a Sched. II med requires a separate triplicate for no more than 1 month's supply, it is *not* illegal for a pdoc to give the pt. more than 1 triplicate script for the same med on the same visit--as long as each one is post-dated appropriately. My pdoc has provided both a 1 week and a 3 week scrip each time I've tried a different stim so I won't end up with an entire bottle of an rx I can't take. He also has given me 2 full month scrips for the same med (he was going to be on vacation when I was due to run out). I always bring back scrips I haven't used (for his DEA records).
>
> Also, it is *not* illegal to mail triplicate scrips. My pdoc's practice has done it for a number of pts. It helps to build trust if you're an established pt. whose stim dosage is stable. It helps, also, if you use the same pharmacy consistently, and for other meds as well.
>
> My state requires that Sched II scrips be filled no later than 7 days after the scrip date, and that they be filled in-state only. It's helpful to call ahead to see if they have sufficient stock to fill your rx. Although you may purchase less than the scrip was written for, the pharmacy can not legally give you the balance later (even if "later" is within the 7 day period). They must have a separate piece of paper each time a Sched II med is dispensed (because the coming-on and the going-off pharmacists must count the narc safe together, have paperwork to account for each dose "missing" from the previous count and each must sign for the count). These are 1 state's regs; they may differ in other states and countries.
>
> Sorry for the length of this; just wanted you to know that there *are* work-arounds for the 1 triplicate scrip/month/pdoc visit rule--at least here. (No one should have to drive 2 hours for a single month's rx!) Good luck on your upcoming stim trials.
>
> Carefully tiptoeing around the dozing dragon "Paranoia"---medlib

I'm really lucky in that I have a pretty cool pdoc who was willing to give me scrips for three months worth of dexedrine SR so I don't have to go back to see him every month. He just dated one 5/20, the next one 6/20, etc.


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