doglover82
Board Addict
Reged: 11/20/02
Posts: 328
Loc: Idaho, US
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Today my doctor gave me a prescription for percocet. He told me he was giving me 100 enough to last until I see the surgeon. When I got the script I looked and it said QTY 100.
Well a little while ago I went to take one and noticed the bottle said 90 for the quantity. I counted them and there was 90.
Can a doctor write a triplicate for any amt. or are they limited? I am trying to figure out why the pharmacist did this. He didn't say anything to me about it. Shouldn't he be able to look on the prescription and see it says 100 and give me the extra 10 or am I out of luck. I know 10 doesn't seem like a lot but it is if it has to last a certain amount of time.
Any help would be appreciated.
I am finally receiving pain management which is such a relief to me.
Thanks in advance.
doglover
Edited by doglover82 (06/17/04 09:00 PM)
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tb1218
Member
Reged: 09/19/02
Posts: 171
Loc: indiana
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I would contact your pharmacy. They may only have filled it for 90 and at a certain date you can get the other ten. When I had a 30 qty for ativan they would only fill 15 at a time and I had to wait ten days to refill for the other 15. They said this was because of my insurance, my script was for 1 daily so they were going to make sure I couldnt take more than that. But its seems silly to withhold a mere 10 tabs for you.
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Mercedes116x
Newbie
Reged: 12/18/03
Posts: 48
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If you used insurance and the doctor wrote it for tid or three times daily then they would have filled it for 90 because usually thats what insurance does. But I know in MI if you don't get the full amount of a schedule II script, it voids the amount that was not filled. In other words no partial fills on these kinds of meds.
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Daeshay76
Old Hand
Reged: 03/22/04
Posts: 412
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it could be your insurance...my insurance would only cover 90 for a 30 d/s so that could be what happened but also depending on how the dr wrote the script for how you should take it...i would just call the pharmacy and ask...also does the bottle say anything about a refill?? i would always have a refill on mine for the remaining pills
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johng
Board Addict
Reged: 02/13/03
Posts: 358
Loc: great lakes
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2 things if the pharmsist changed anything he should advise you of the change. and most places will say the ins payed for x amount. do you want to pay cash for the rest. I have never been shorted like that without an expianation of some type. call the phamccy..
johng
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Ask and it will be given to you Matthew 7:7
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doglover82
Board Addict
Reged: 11/20/02
Posts: 328
Loc: Idaho, US
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Thanks everyone for your help. I will call this morn. It seems like he would have told me if my insurance wouldn't cover it. I have been doing business with him for along time so seems like he would have asked me if I wanted to pay for the rest. He never said a word.
We shall see when I talk to him.
Thanks again.
doglover82
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Mercedes116x
Newbie
Reged: 12/18/03
Posts: 48
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The pharmacist does not have control over this. I know at Walgreen's(because I worked there) when you imput the script the computer it automatically adjusts to what your insurance will pay. If you put in Qty. 100 and your insurance only pays for a 30 day supply at 3 per day then the label prints out for the 90 and everyone in the pharmacy knows this. Many times with drugs like patches our pharmacy would only have 4 when the script was for 8. We would give the patient 4 and void the rest of the script because we could not partial fill for schedule II scripts.
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Partial filling of Schedule II drugs may not be allowed in SOME states, but is IS allowed in mine (MN.) I posted the pharmacy laws for EVERY state in THIS THREAD.
State pharmacy laws vary widely, so check out that thread if you need specific state information.
They should tell you why there was a difference in the amount prescribe vs what you actually received. My doctor commonly gives me 100ct methadose tabs when the label reads take one tablet by mouth every 8 hours (or 3 a day)...I get the other 10 tabs to take throughout the month if my pain gets really bad. The pharmacy always gives me 100 pills.
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Never underestimate the predictability of stupidity.
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DonBarba
Board Addict
Reged: 04/02/04
Posts: 301
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Quote:
I posted the pharmacy laws for EVERY state in THIS THREAD.
I agree with the above and know several people in my state that get > 90. (and your post is very helpful)
I think this persons problem is:
Quote:
computer it automatically adjusts to what your insurance will pay
......... the insurance company - which in my experience can have rules worse than the DEA or state or any LE.
One of many reasons NOT to use insurance (except for the better price 
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Mercedes116x
Newbie
Reged: 12/18/03
Posts: 48
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Even in Minnesota it must be filled within 72 hours. So if the pharmacy is out of a medication and it has to be ordered, it's going to be expired by the time the med comes in.
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doglover82
Board Addict
Reged: 11/20/02
Posts: 328
Loc: Idaho, US
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Well it seems that all of you are right. The prescription says take one every 8 hours or three a day. The insurance would only pay for a 30 day supply which meant I could get 90. I asked him if I could just go ahead and pay for the entire prescription and he said yes. So I did. Sounds silly for 10 pills but this has to last me awhile so I really needed the 10. I am sure he thought I was a little crazy but oh well. I did tell him if there is ever a problem like that again please tell me and I will just pay the bill. It isn't that much money. It is so hard to get doctors to prescribe pain meds and when the doctor finally does it is worth it to me to just pay for it.
Thanks for your help everyone. I have never had to deal with triplicates before so couldn't understand what was going on.
doglover
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Sweetz
Diamond Mind
Reged: 05/11/02
Posts: 765
Loc: Texas!
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And, that's why I hate Walgreen's. My Eckerd's ALWAYS checks SchII scripts when you drop them off to make sure they have it all. If they don't, they tell you right then and there. No scribbling all over the script, no being screwed out of your meds, nothing. Sometimes I've had to wait a day or two till they ordered them. But, that's why I get my daughter's Adderall script when she has about 5 pills left, to budget for time, etc.
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"If you choose not to decide you still have made a choice."
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Quote:
Even in Minnesota it must be filled within 72 hours
That is incorrect. Minnesota statutes read:
STAT AUTH: MS s 151.06
6800.3510 FILL/REFILL LIMITATIONS.
No prescription may be filled or refilled more than 12 months after the date on which the prescription was issued. {this includes all controlled substances, see below for further reference} Refills originally authorized in excess of 12 months are void 12 months after the original date of issuance of the prescription. After 12 months from the date of issuance of a prescription, no additional authorizations may be accepted for that prescription. If the prescriber desires continued therapy, a new prescription must be generated and a new prescription number assigned.
And I've also had several practical experiences to back that up.
My doc used to write for the liquid methadone. The first time I got an Rx for the liquid, it had to be ordered in and it took 2 weeks. Not a single problem getting my prescription filled.
In addition, I lost one of my kids' Adderall prescriptions and found it under the seat in my car a month later. Filled it no problems. I even brought the date of the prescription to the pharmacy's attention and ASKED if it would be a problem...nope, no problem at all.
Finally, more than once I was given prescriptions for methadone tablets that Walgreens did not have enough stock to fill the entire prescription. I simply got the amount they had in stock on the day I filled the prescriptions and picked the rest up when the remainder arrived. This is also true of Adderall prescriptions, which both of my children take. I tried to fill their September prescription before school started and the pharmacy had run out due to many other parents doing exactly the same thing at the same time. Again, we received the supply on hand and picked the rest up at a later date.
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Further reference (from Minnesota Board of Pharmacy FAQs:
IS THERE A TIME LIMIT BETWEEN THE DATE A PRESCRIPTION FOR A SCHEDULE II DRUG IS ISSUED AND THE DATE WHEN IT MAY BE FILLED?
There is no time limit under federal law, however under Minnesota Rules, a one year limit from the date of issue exists for all prescriptions. Federal rules provide that prescriptions for drugs in Schedules III and IV cannot be filled or refilled longer than six months after the date they were issued.
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