Originally Posted by beagle
Where is this rule? Does it apply to paper rxs? My state has not gone mandatory electronic rx yet.

Hi Larry,

This all gets very confusing, and there may be state to state differences.

Of course, per DEA, schedule II prescriptions cannot have refills. The last DEA directive I was able to find says that it is legal to give up to 3 months of prescriptions, with the second and third month indicating a fill date. How this is different from giving a prescription with 2 refills, I really do not see that that…

I was unable to find any modification of this, when prescribing is electronic. I think that Bert is saying he likes to see the patient, then give 3 months worth of schedule II at the time of that visit, which involves 3 separate prescriptions. And, of course, with the recent delay in prescribing, the fact that they have to be separately sent is quite time consuming.

I have patients call in monthly, the day before they are due for a new prescription, and check Maryland prescription drug monitoring program website before each refill. This is overkill, Maryland law just requires that it be checked every 3 months.

Did you have other specific questions or concerns?

Gene

Gene Nallin MD solo family practice with one PA Cumberland, Md