I work in a state where there was a specific FAQ created about this, and it blatantly said that you cannot sub without talking to the doc. So there's kinda no choice.
And no, the phone call is more like "Hey, vicodin doesn't come in that strength and since it's a C2, I have to ask before I can change it. Can I make it 300 instead of 325? Awesome thanks! Sorry for the trouble but I suppose rules are rules, have a nice day!"
But sure, yeah, I guess you could be more dramatic about it if you wanted with your all caps rage lol
Your state sees the same way California does.
For C2, California board allows changing name of med over the phone, fix omission, errors over the phone. The only 2 things we cannot touch are signature and date. The rest, if error, if wrong, if blank, if omitted, can be fixed over the phone. And I present the proof:
Reference: Official statement from California Board of Pharmacy, inside the document called The Script, issue of 07/11/2011, page 15, you will find and I also uploaded here for your quick reference:
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Q. What does the pharmacist do upon receiving a Schedule II prescription on which the prescriber has omitted the quantity or has written the wrong strength?
A. Section 1716, Title 16 of the California Code of Regulations (CCR) prohibits the pharmacist from deviating from the requirements of a prescription except upon the prior consent of the prescriber. Further, section 1761 does not permit a pharmacist to compound or dispense any (emphasis added) prescription which contains any significant error, omission, irregularity, uncertainty, ambiguity or alteration. Upon receipt of such prescription, the pharmacist must contact the prescriber to obtain the information needed to validate the prescription.
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My understanding of above language: If I get a script with any significant error, omission, irregularity, uncertainty, ambiguity or alteration, call prescriber, fix over the phone. No law forcing us to give back the paper and force patient to get new paper.
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Q If a physician prescribes MS Contin 30mg qty 60 1 bid, can the pharmacist call the physician and request to change the prescription to Kadian 30mg qty 60 1 bid without requesting a new prescription? And if the physician authorizes this change over the phone and the pharmacist documents the conversation with the physician for this change on the original prescription, is all pharmacy law fulfilled?
A. The answer to both questions is yes. After you have discussed changing the prescription with the prescriber and received permission to do so, the change can be made on the prescription, and no new prescription is required. The Board recommends documenting the discussion with the prescriber,
including the receipt of consent, on the prescription. (CCR 1716 and B&PC 4073)
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My understanding of above language: If I get a script with med name that I don't have in store and I need to change name of medication, call prescriber, fix over the phone. No law forcing us to give back the paper and force patient to get new paper.
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Q. If there is an error or omission on a CII prescription, can the pharmacist call the prescriber to orally change or add the necessary information onto the prescription? Or does the pharmacist have to send the prescription back to the physician to make the necessary changes, or write a new prescription?
A. Title 16, CCR 1716 and 1761, relating to deviating from the requirements of a prescription and errors/omissions on a prescription, do not address whether to send the prescription back to the physician for a new prescription in such instances. They do, however, require the pharmacist to obtain prior consent of the physician before making any change to the prescription. The Board recommends that the pharmacist note the conversation with the physician on the back of the prescription, and enter the changes on the front as one possible method of documentation.
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My understanding of above language: If I get a script with any significant error like VICODIN 5 /325 which does not exist, omission like no quantity, irregularity, uncertainty, ambiguity or alteration like someone circle refills of Norco to be 5, call prescriber, fix over the phone. No law forcing us to give back the paper and force patient to get new paper.
That's California.
Reference: Official statement from California Board of Pharmacy, inside the document called The Script, issue of 07/11/2011, page 15.
Any written DEA law that bans ''fixing C2 paper over the phone"? Thank you very much for your helpful thoughts.
'Nuff said!
