Issuance of Multiple Prescriptions for Schedule II Controlled Substances
Under Massachusetts General Laws Chapter 94C, section 7, an MCSR is be used on all prescriptions for federally controlled substances (Schedules II-V) and A check or money order in the amount of $ made payable to the In most cases, the registration certificate you will receive will not show an expiration date. Massachusetts Board of Registration in Medicine's Prescribing Practices Policy effects of limb reduction birth defects suffered by her children. Section (a) A written prescription for a controlled substance in Schedule II shall become invalid 30 days after the date of issuance. (b) A written prescription .
He actually told me I have names, dates, timethat I should try Publix.
Learn about Massachusetts Controlled Substances Registration (MCSR) for practitioners
Not the least of which is why do you need it filled early? Yes, the patient would need to allow some extra time to find a pharmacy that would be okay filling it, and doing their necessary checking, however this is not an insurmountable obstacle in the least. What then is your advise for patients who continually get these C-II prescriptions filled early, and easily have an additional days supply on hand, at home, but still receive prescriptions from their prescriber?
Hold on to those extras for a rainy day? Please, let me know as a retired pharmacist what you think is the best way to handle a patient with all that extra medication on hand. Because this is what you are advocating for. But, I would assume a pharmacist would know this, which truly makes me question any credentials Steve may have. They can help explain to you more about medication schedules, laws, etc surrounding your prescription fills, esp for your chronic pain. To Andy, I hope you are a smart, rational person who ignores everything Steve advises in his response, and a find more appropriate, and sane, course of action to take.
To Steve…well, you brought laughter to my day. There are laws to follow and they can get in trouble for filling scripts for an addict. Pharmacists are under a lot of pressure from everyone.
I would say your best bet is to stick with one pharmacy. I understand all of the comments about filling prescriptions early. I do not look like an addict. I go to respectable physicians. I wish the pharmacists reading this would understand that there are many patients out there that do NOT abuse drugs, that just need pain medication to live a somewhat normal life.
Ask the Pharmacist: Can a Pharmacy Delay Filling a Prescription?
It truly is not fair. And just to throw another issue into this debate…we actually have pain clinic physicians who require that we calculate the 30 days since the patient received their last prescription and are adamant that we not fill the new rx until that date regardless of the date that they may have written. Lest we get an earful from the physician. The better answer was to tell him that pharmacists are unfortunately more often regulated by laws rather than what you seem suggest is only common sense.
You needed to explain that every state has different laws governing controlled substances that pharmacists are bound to follow. You are correct that many RPHs do seem to take that to an unreasonable extreme which years of experience eventially tends to quell.
But I will say that the best advise for him instead of your ridiculous rant is: Its a damn free country and CVS is not the only pharmacy around. And no, his RPh would not mind that one bit! Their worst fear is to run out of meds, especially while on vacation or on a business trip. I can fill my blood pressure meds ahead of time, but not my pain meds. I hate this system. Pharmacists have become control freaks. Let their attorney educate themselves and possibly get their client blackballed from every pharmacy chain in town.
What do you care? As long as you are being heard, right? I am very compassionate to the needs of a patient with chronic pain, but the issue that most pharmacists responding to the article is the one-sided assault about our profession, especially coming from someone who has practiced.
Pharmacists, especially in the last 10 years, have a vast amount of clinical experience and knowledge compared to pharmacy school in the 60s or 70s which is when Steve probably graduated. Threats of lawsuits, filing complaints, audits add more to the friction of the bond between patient and pharmacist. While it is very unfortunate that patients sometimes cannot obtain the medications to due a variety of circumstances, it is a reality today.
Ariens has clearly not been practicing pharmacy for a while and I feel that the profession of pharmacy has left him behind. It is clear to me that Mr.
Encouraging the patient to hire a lawyer and file complaints to corporate, the state board of pharmacy, the insurance company, and human resources is inflammatory and does not help the patient. What needs to happen is the pharmacist needs to work with the patient and his physician to make sure the patient is getting the proper treatment he needs.
Steve knows more about pain management than most of you ever will. We are supposed to be in this for the patients, not in spite of them. Yes, we are doctors with tons of knowledge about pain management. Patients come first, always. Its all well and good to crow about our doctorates, our knowledge of the law, our authority in the pharmacy.
But unless we use it for the benefit of our patients — and the possibility of putting a patient through withdrawal is not for their benefit — then what good is it? Slandering of another pharmacist and inciting a litigation? Each and every day pharmacist continue to care for patients upholding Hippocratic oath to the best that we can. We can only abide to the rules and regulations of countless regulators including DEA. Having retired you should have sought your peer review before you hastily slander a fellow colleague in the matter in which you did.
I hope this message finds you so that you can reflect on your letter and the profession that you once hold so dear. Your website has already done a good job of this. Many articles on this website are disrespectful to pharmacists and doctors and are only confirming our worst impressions of chronic pain patients.
As pharmacists we are simply trying to set the record straight to an article that is full of misinformation. If you are going to publish articles like this, be prepared for the backlash. Is there a limit on the number of separate prescriptions per schedule II controlled substance that may be issued for the day supply? The rule does not stipulate how many separate prescriptions per schedule II controlled substance may be issued for the day supply. It is up to the practitioner to determine how many separate prescriptions to be filled sequentially are needed to provide adequate medical care.Lil Pump - "Drug Addicts" (Official Music Video)
How is the issuance of multiple schedule II prescriptions different than issuing a refill of a schedule II prescription? The issuance of refills for a schedule II controlled substance is prohibited by law. The use of multiple prescriptions for the dispensing of schedule II controlled substances, under the conditions set forth in the Final Rule, ensures that the prescriptions are treated as separate dispensing documents, not refills of an original prescription.
Learn about Massachusetts Controlled Substances Registration (MCSR) for practitioners | n3ws.info
Each separate prescription must be written for a legitimate medical purpose by a practitioner acting in the usual course of professional practice. Each separate prescription must contain written instructions indicating the earliest date on which a pharmacy may fill each prescription.
Check off amended information for any change to your previously submitted application. There is no fee charged for amended information. Most practitioners will need to register only their primary place of business. You only need a second registration if the practitioner stores stock or sample controlled substances at a second location as well. As such, working at more than one address does not necessarily require an additional registration.
For which drug schedules should I request approval? Unless there is a restriction on the practitioner license, practitioners may request Schedules II through VI. Please contact us if you need more information on these schedules. What is Schedule VI? When will my MCSR expire? In most cases, the registration certificate you will receive will not show an expiration date.
Until you receive a recall notice from the Department, your registration is valid as long as you maintain continuous practice in this state.