Home Forums Discussions General Discussion Schedule II drugs?

Okay everyone a little help here. I am having issues with a local pharmacy. I was trying to go into the pharmacy last night and write a Percocet script for a patient of mine who lives in my neighborhood and was layed up on the floor from back pain. She has known back issues and MRI that proves it. They say you can't walk in and use the script pad to write the meds. They then told me that I can e-prescribe the schedule II. AC doesn't let you send e-prescribe as I tried from home last night.

Anyone know the rules on this?

On another note the pharmacist accused me of not knowing the patient for real and it was too wierd that a doc would care enough for his patient to come to the pharmacy to work things out. Also if you write a schedule II do you use AC to write it and print on your printer or you guys useing a seperate pad?

Hi Ketan,

Be a little careful with this, physicians with a drug problem will "pick up a prescription for a patient" and use it themselves. I'm not sure of the legality of picking up a prescription for a patient, but I would avoid doing this.

Schedule 2 rxs must be hand signed and carried to the pharmacy. I print these on tamper proof paper and hand sign.

Gene

This is the 21st century.

Doctors who do favors for patients might be just a little suspect -- especially when it comes to drugs.

Better to call a mutual friend to take the prescription to the pharmacy -- and the guy on the floor should probably give his friend his ID, and even then I'm not sure you could do it where I live.

Honestly I think that is a crock. I simply explained the situation and I was not trying to pick up any meds. I was trying to drop off the prescription because I messed up and forgot it for them and was trying to just drop it off/write it in. God forbid there is a doc out there that gives a crap about their patients...i realize people abuse the system but just saying. . .and for the record her husbadn was going to pick up the script with his and her ID and their insurance cards and such. I guess that is besides the point for right now.

Are you all using a seperate printer to print scheduled meds or just your regular printer? I don't write a ton of narcotics so i don't know but i haven't had issues in the past.

Also, are you allowed to e-rx schedule II meds?

Thanks

Hi Ketan,

That is weird. I misunderstood, if you were just dropping off a script they should not have had a problem with that.

You cannot erx schedule 2. At the moment, in Maryland, we cannot erx anything controlled, but I think some areas are allowing erx of schedule 4/5, not sure about 3.

I have a separate printer with security paper for controlled rxs.

Gene

Ketan,
You should be able to drop a Schedule II script in person for one of your patients. I have done the same, here in Florida, for one of my patients/neighbors with plenty of chart notes, physical exam, imaging reports to back up the script as you describe.

I sent the prescription over by "sneakernet" ( I walked out the back door of my office to the pharmacy next door and put it in the tube at the drive thru - the pharmacy tech laughed (she knew me).

However, I don't know if I could have used the generic pharmacy script pad. In Florida Scheduled drugs have to be on security paper, pre-printed etc.

Currently we can't e-prescribe controlled meds.

okay for those of you with a seperate printer if you are doing it from AC which printer are you guys using? and do you just pick the printer each time with that? how much are those printers? learn something new everyday

i would never try to pick up a patients med...i agree that is very fishy and if i was the pharmacist i would agree to not give out that med to anyone but the patient or family member!

Hi Ketan,

I use DocuGard security paper

http://www.amazon.com/Paris-Busines...3115716&sr=8-1&keywords=docugard

in a separate printer. Any printer will work, I am using a Canon that is now off lease.

To print, on the final AC screen "Print or transmit", select "Preview prescriptions". This will then let you select the relevant printer, which I have named "Controlled." (I learned this shortcut from JBS, credit to him.)

Gene

Hi Ketan,

We use a Star TSP847IIE3-24 GRY DT 203 ENET (AKA TSP800)...about $600 from CDW.COM. It is a bit pricey, but it's a dedicated prescription printer with a lock to prevent access to the script paper. This particular model has an Ethernet interface, so any computer on the network can access it. Since most print jobs are sent to the "regular" printer, you do have to manually select it when you want to print scripts, but that isn't a major issue. The thermal paper costs about $16 per roll of approximately 500.

We use ours for scheduled meds that patients must take to the pharmacy to fill. For scheduled meds that cannot be e-prescribed, but can be called in (like Ambien & Vicodin), my physician prints to the "regular" printer, and sends the front office a message to call in the script...then we shred the printout.

Hope this helps!

All Schedule drug must be written on special paper in California, but schedule 3-5 can be faxed or called in.

I print them all out on regular paper, the schedule 2 I hand write them on the special paper Rx pad and attach that to the printout after writing void on the printout.
The other schedule prescriptions I sign and the front office faxes them to the pharmacy.

I don't have that many schedule 2 prescriptions, the more you have the better a separate printer and paper looks.

Greg

Here is a press release touting the rise in eRx's for controlled substances. "?Now that electronic prescribing of controlled substances is legal nationwide and in active use across 40 U.S. states..."

Thanks Jon. When will that help us?