Being it's the new year, many of us are used to writing 10 instead of 11, so when you get a script for a C2 dated 2010 instead of 2011, are we allowed to call and verify the date written and change the year to 2011? I remember in class there was a time frame to change the year for the beginning of the new year, but wasn't sure what that time frame was and if it applied to C2's. I think we can't alter any part of the date on a C2 no matter what, but not sure...
Change Date (year) on C2?
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In my state I know we're not allowed to change the date at all, but I'm not sure if that's a federal thing or not.
The patient would need to get a new prescription. Now, if it's an emergency (i.e. you know they NEED that OxyContin and do not abuse it), you can fill it but call the doctor and have them mail a revised copy.
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It's a federal dea thing. Can't change over phone. Now some pharmacists would call and verify if md actually meant 2011 and fill it anyway with approval but that's technically a violation of federal law. Use your judgement.... Is it a regular patient that fills their adderall xr with you every month and is due for a refill with a rx dated 1-11-10? I mean come on.
As with so many things in our profession, it depends on the situation. If it's a seedy looking character and you need an easy excuse NOT to fill their Oxycodone at 10 minutes before closing time, there you have it. If it is like stated above for your regular Adderall XR monthly script, fill it with "altered" date.
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So this may be a state thing, but in WA at least, the only three things we can't change on a CII Rx are the patient's name, the name of the drug, and the name of the doctor. I just had this conversation with the pharmacist at work this weekend. If we got an Rx that seemed as if the doctor just accidently wrote the wrong year, we'd still call and verify, but there'd be no problem changing the date.
You are correct FarscapeGirl, that is actually Federal Law and to my knowledge most states follow it.
It looks like it's a state law what you can and can't change on a C2.
DEA recognizes the Resultant Confusion regarding this conflict and plans to resolve this matter through a future rule making. Until that time, pharmacists are instructed to adhere to state regulations or policy regarding those changes that a pharmacist may make to a schedule II prescription after oral consultation with the prescriber.
Representatives of the Texas State Board of Pharmacy (TSBP) met with representatives of the Texas Department of Public Safety (DPS) on October 31, 2008, and have agreed that the following four (4) items on a Schedule II prescription MAY NOT BE CHANGED.
Name of the patient
Name of the drug
Name of the prescribing physician
Date of the prescription
Any other item, such as the strength of the drug, quantity of the drug, and directions for use, MAY BE CHANGED PROVIDED, the pharmacist:
(1) contacts the prescribing physician and obtains verbal permission for the change; and
(2) documents on the prescription the following information:
(a) change that was authorized;
(b) name or initials of the individual granting the authorization; and
(c) initials of the pharmacist.
CHANGES TO SCHEDULE II PRESCRIPTIONS
Recently adopted rules for multiple Schedule II prescriptions by the Drug Enforcement Administration (DEA) appear to conflict with a long standing DEA policy regarding what a pharmacist may change on a Schedule II prescription after consultation with the prescribing practitioner. Because of this confusion, DEA issued a letter on October 15, 2008, that contains the following statement:
DEA recognizes the Resultant Confusion regarding this conflict and plans to resolve this matter through a future rule making. Until that time, pharmacists are instructed to adhere to state regulations or policy regarding those changes that a pharmacist may make to a schedule II prescription after oral consultation with the prescriber.
Representatives of the Texas State Board of Pharmacy (TSBP) met with representatives of the Texas Department of Public Safety (DPS) on October 31, 2008, and have agreed that the following four (4) items on a Schedule II prescription MAY NOT BE CHANGED.
Name of the patient
Name of the drug
Name of the prescribing physician
Date of the prescription
Any other item, such as the strength of the drug, quantity of the drug, and directions for use, MAY BE CHANGED PROVIDED, the pharmacist:
(1) contacts the prescribing physician and obtains verbal permission for the change; and
(2) documents on the prescription the following information:
(a) change that was authorized;
(b) name or initials of the individual granting the authorization; and
(c) initials of the pharmacist.
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This is the exact same thing from the federal DEA law. I'm under the impression all states follow this. But as we learned in law class, if a state said you could change the date, you have to follow the more stringent law which would be the federal that says you can't.
A lot of pharmacists don't follow this black and white law in practice and that's your decision to make, just don't get caught. LOL
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Honestly, even if you do get caught... nothing is going to happen. I have not heard of any pharmacists getting prosecuted over this. This is not the spirit of the law... and no board of pharmacy or federal judge will prosecute you because the needs of a patient comes first.
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Use your discretion. I actually had the situation happen today, for a kid's Methylin. Made a mark to change the "0" to a "1" and that was that 😉
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I've already turned away two of these since the beginning of the year. It's against the law to change the date, therefore I don't touch it.
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http://www.deadiversion.usdoj.gov/faq/general.htm#rx-7
Not a primary source (was lookin to get down with the laws) but the DEA is good enough. Unless your state prohibits changing the date on a prescription, you can change it after verbal consent from provider + documenting on the prescription. However, state laws may vary!
No offense to the OP or commenters, but it's kind of a sad state of affairs when there are so many conflicting/inaccurate points due to arcane DEA/board of pharmacy/pharmacist opinions, so much obfuscation even in the DEA website. Especially considering that this impacts access to care, and makes patients hate us because of the BS we give them for their kid's methylphenidate.
tl;dr: federally, RPh can change anything except for name, drug, or provider signature.
Not a primary source (was lookin to get down with the laws) but the DEA is good enough. Unless your state prohibits changing the date on a prescription, you can change it after verbal consent from provider + documenting on the prescription. However, state laws may vary!
No offense to the OP or commenters, but it's kind of a sad state of affairs when there are so many conflicting/inaccurate points due to arcane DEA/board of pharmacy/pharmacist opinions, so much obfuscation even in the DEA website. Especially considering that this impacts access to care, and makes patients hate us because of the BS we give them for their kid's methylphenidate.
tl;dr: federally, RPh can change anything except for name, drug, or provider signature.
