Hi rajendran,
Not sure what state you are from. It sounds like you have been "forced" to use it for 10 months. We have had similar issues although the failures have been very infrequent.
The problem is time consuming. In some ways it is improving our cash flow, because we now do not print a tamper-proof script for someone to pick up or give more than one.
It is interesting, because Maine was scheduled to "go live" on the regulated used of EPCS July 1, 2017. So, now all patients on benzos and opioids MUST have a one month appointment. But, the July 1st date has correlated with the state of Maine's huge law changes in the prescribing of opioids, which are extremely complicated.
Sorry, this post is sort of all over the place. But, if we are going to write a script for oxycodone for someone with IBD or Dermatomyositis and HAVE to include the ICD-10 code (not the diagnosis) but looking up the code, the MME -- Morphine Milligram Equivalent -- the lookup on the PMP and including the possible reason for being over, plus documenting a note, this will need to be compensated.
But, the tough ones, again, are the ADHD meds. We are just not going to make parents whose children use Vyvanse come in monthly. And, as stated above, there are just reasons that patients need to pick them up at the office before an appointment.
Therefore, the need for the MAs to be able to "queue" the meds. Which I am getting closer to learning how to do. I suppose the learning curve will come not just from reading about the law but from pharmacies turning down scripts, etc.
I think, if this setup is going to work like I think, this will be the first time where I will be forced to tell pharmacies that since you will not work with the way we prescribe the medication, the patient will be forced to go elsewhere. It sounds as though pharmacies like WalMart will not wish to work with the three-script prescriptions. And, we are not going to have patients call wanting a refill script. So, we will have to tell them to either come in monthly for their current prescriber or come in quarterly for Walgreen's.
