90 day refills on Control 3-5

[rxboy1996]

I know this may vary by state laws, I am in North Carolina. Can a refill on a medication that is C3-5 be for 90 days? Here a situation that happened. Prescribed Klonopin 0.5 mg #30 1 po qd with 5 refills. Patient picked up initial #30 then a month later wanted it refilled for #90 because insurance paid the same for #90 as for #30. I had a pharmacist tell me that a person can only get a refill for a 90 day supply on a control only if the prescription was written for #90, so like Klonopin 0.5 mg #90 1 po qd with 1 refill. Can someone inform me or direct me to a source with this information?

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[Dred Pirate]

I know this may vary by state laws, I am in North Carolina. Can a refill on a medication that is C3-5 be for 90 days? Here a situation that happened. Prescribed Klonopin 0.5 mg #30 1 po qd with 5 refills. Patient picked up initial #30 then a month later wanted it refilled for #90 because insurance paid the same for #90 as for #30. I had a pharmacist tell me that a person can only get a refill for a 90 day supply on a control only if the prescription was written for #90, so like Klonopin 0.5 mg #90 1 po qd with 1 refill. Can someone inform me or direct me to a source with this information?

yes - you would need a new Rx =

 

[pezdispenser]

By definition, all controls have the potential for abuse so you should not let the patient have on hand more than the quantity prescribed at any one time. So do not consolidate #30 with 2 refills into a single #90 fill. Ask the prescriber if it's ok first.

 

[applegirl89]

I believe Federal law states that if a doctor were to add more refills to an existing c3-c5 script, then the quantity/amount on the new refills cannot be larger than the original quantity. Anything MORE than the original quantity will require a new script.. so call the doctor!

 

[mentos]

No. Your license is on the line. If in doubt do what you think is safest.

 

[BidingMyTime]

Depends on the state, in IL the law specifically says that all refills (including for control's) can be dispensed at 1 time if the patient wants, so yes it would be perfectly legal for to give 90 in the scenario you describe. I have no idea about NC law though. I'm pretty sure the federal law does not address this.

 

[BenJammin]

Texas state law says I can turn a 30 day into a 90 day if refills allow, the patient is over 18 and consents to it, and that it's not a psychotropic drug used to treat a mental condition. The last one is why I couldn't do it in Texas.

 

[rxboy1996]

Depends on the state, in IL the law specifically says that all refills (including for control's) can be dispensed at 1 time if the patient wants, so yes it would be perfectly legal for to give 90 in the scenario you describe. I have no idea about NC law though. I'm pretty sure the federal law does not address this.

Interesting, ill try and do some more research