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DrugBuyersAdministrator
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Prescribing clarification from DEA
      #100655 - 09/16/03 09:32 PM

From time to time there are questions that physicians and pharmacists have about how federal controlled substances requirements pertain to specific situations, the answers to which may not be readily apparent in federal regulations. Recently, Dr. Howard Heit and David Joranson asked DEA for clarification about the practice of writing more than one prescription for a controlled substance at a time for a patient to cover an extended period of treatment. DEA provided its response, which can be accessed below.

View letter in PDF format

Open letter as a MS Word document

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brain4201
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Reged: 08/13/02
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Re: Prescribing clarification from DEA [Re: DrugBuyers]
      #100657 - 09/16/03 10:08 PM

Everytime I try to open the file, it crashes my PC, maybe something is wrong with it, but I cant view the file, can someone give me a brief rundown, or a link that doesnt contain a Best if kept off the board pdf..
B

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intrepid1
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Reged: 01/24/03
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Re: Prescribing clarification from DEA [Re: brain4201]
      #100661 - 09/16/03 10:32 PM

Some of what it says is that an MD may write several CII Rxs in one visit as long as the additional scripts have "do not dispense before x date" on them. With the caveat that it must not be against state law.

Thank you DB, very interesting.



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gage
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Reged: 11/27/02
Posts: 138
Loc: south central U.S.A.
Re: Prescribing clarification from DEA [Re: intrepid1]
      #100682 - 09/17/03 06:15 AM

BRAIN, AS I understood it.they were only talking about class 11"narcotics. they said under federal law it was ok for the doc to give multiple scripts for these as long as they met certain criteria. original date written on all scripts, refill dates also written.
they seemed to be talking about a doc writeing them all to the same person though
example:a person gets mutiple scripts for oxy instead of going back month after month for refills???
now all of this is my understanding, im sure others will interperet differint.
we need that person who runs it through his sifter????
gage
ps and of course they added a person needs to check there own state laws!!!


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moonbeam
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Reged: 05/23/03
Posts: 176
Re: Prescribing clarification from DEA [Re: gage]
      #100845 - 09/17/03 05:15 PM

Since there are no "refills" on schedule II medications, each script is viewed as a separate script to be filled on separate days. A doctor can write 3 (or more) separate scripts for the same medication to be filled on 3 separate dates which must include the original date the script was written and the date that the script can be filled (as long as this practice doesn't conflict with state law).

I am assuming that the patient could present all three scripts at the same time to the same pharmacy so that the pharmacist could "hold" them for future need, or the patient could put them up and present them at the time that the script was due. (Kinda like a "post-dated" script)

If I'm wrong, someone can correct me.


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d989
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Reged: 12/19/01
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Loc: Connecticut USA
Re: Prescribing clarification from DEA [Re: moonbeam]
      #100861 - 09/17/03 07:09 PM

Even though it is legal to have several post dated scripts, I still would not present all of them to the pharmacy at a time. It is awkward enough to get one CII script filled at a pharmacy, let alone trying to bring scripts in for three months worth. I just don't think it is worth the risk. The paranoid/judgmental pharmacist might accidentally loose the post dated scripts.. lol

-d


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moonbeam
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Reged: 05/23/03
Posts: 176
Re: Prescribing clarification from DEA [Re: d989]
      #100868 - 09/17/03 07:29 PM

My husband never does either. He puts them in his billfold and holds on to them, but I'm so forgetful, I'd probably lose them.

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Jeremiah
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Reged: 07/14/02
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Re: Prescribing clarification from DEA [Re: brain4201]
      #100944 - 09/18/03 06:01 AM

The above info can be found at :

DEA Diversion Control Program

Thank You for the info,DB. Very Interesting!
J.

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I can't see me lovin nobody but you,for all my life


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