Texas will no longer allow paper scripts for schedule 2s. As an NP, I am not allowed to send in schedule 2s. I consult with my collaborative Physician on all of these pts and he will send in the script. One problem is he is not in the office daily. The shortage has been for all forms of Adderall, in this area. I try some of the other medications but then run into insurance issues. We have started having the pts call pharmacies to see who has it in stock and then send to that pharmacy for that pt. Pharmacies are sometimes filling the quantity they have in stock, say #15, out of a #30 script. The other 15 is just lost because the pharmacy will not keep that script on hand to fill once they get stock. We have to send in a new script when the pt tells us this happened and the pharmacy has stock back on the shelves. We also have to check PMP Aware to make sure of the quantity dispensed. Pharmacies can not transfer schedule 2s from on to the other even if it is one Walgreens to another on the other side of town! All of this is very time consuming.

Bert- we will send in #30 or #90 depending on the insurance coverage. We make pts be seen every 3 months regardless. If insurance only pays for #30 at a time then we will send in a refill at the 1 and 2 month mark and then have a visit at month 3. We do not charge for the 1 month at a time refills.