C2 rx decision...please help!

[PharmDqd]

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Hi,

Please give me some advice on C2 rx prescriptions...2 cases..

1) If a doctor writes rx for percocet 5/325 1 q4-6h prn pain #1 week supply. What would you do? (would you calculate yourself as 6 tabs (1q4h-6h)x7=42???)

2) Concerta rx came with 3 refills on a prescription. Would you just fill it with 0 refill or ask for a new rx?

Thank you!

 

[rxtech2012]

1. I would call dr and ask for specific qty. in Texas, only things we can't change is Name, name, name, and date, so changing qty or sig is perfectly fine.

2. I would ignore the refills obviously.

 

[rxtech2012]

For any controlled meds there must be a specific qty and I believe it must be written out also in words.

 

[grumps]

is this retail or ltc?

 

[PharmDqd]

is this retail or ltc?

retail

 

[wucool33]

For 1st one just call and ask for a #

Second case, just ignore the refill... Don't need a new rx

 

[npage148]

#1 gets sent back, can't add a qty and a days supply is not a qty esp when PRN. In this case, you're not changing a qty, but adding one
#2 omit refills, or if you want to be nice call the office and get it changed to a 90d supply with Code B

 

[Digsbe]

If the doctor didn't indicate a quantity send it back. Don't bother calling if it's illegal in your state to alter a CII.

For the last one I would ignore the refills. Tell the patient that CII's cannot have refills and they'll need to get another hard copy from their doctor for each month.

 

[meister]

If they put refills on a C2 you should probably call the office to verify it's a legitimate prescription...

 

[WVUPharm2007]

If you've never seen these people before, call the office. And not the number on the script, the number in your database.

#1 goes back, tell the MD to write it correctly
#2, fill it, ignore the refill

 

[BenJammin]

Any refills on a CII or more than allowed by law for a III-V should always warrant a call to the doctor. Follow state and federal laws. If your state says you can't make ANY changes to a CII then refuse the script.

 

[npage148]

#1 goes back, tell the MD to write it correctly

Don't you mean the 19 year old receptionist?

 

[BidingMyTime]

Any refills on a CII or more than allowed by law for a III-V should always warrant a call to the doctor. Follow state and federal laws. If your state says you can't make ANY changes to a CII then refuse the script.

It doesn't *always* warrant a call. There are doctors in my area who routinely put 3 refills on all their RX's, including their CII's. They have been practicing for many years and are well aware of the law, but apparently can't break their habit. I just ignore the refills and fill the script. When they write 12 or PRN refills on their CIII's -CV's RX, I also ignore those and give the pt 5 refills. I would only call for an out-of-area prescriber that I wasn't familiar with.

Back to the OP--"1 week supply" on a PRN, any PRN, but especially a controlled doesn't work. Either send it back with the pt, or if allowed by your state, call the office to get an exact, numerical quantity.