Dismiss Notice
SDN members see fewer ads and full resolution images. Join our non-profit community!

dentist prescribing benzaclin

Discussion in 'Pharmacy' started by rxbaby, Mar 24, 2015.

  1. Sine Cura

    Sine Cura 10 seconds or less

    Joined:
    Feb 5, 2010
    Messages:
    1,255
    Likes Received:
    732
    Status:
    Pharmacist
    There are varying appetites for looking the other way.

    I've seen people fill office use Rx for CII, office use Rx for dentists for eye drops, fill OOS CIIs when filling of OOS CIIs isn't permitted.

    People don't question purple drink scripts written from radiologists or even basic requirements for written prescriptions. I've even had MDs try to call in prescriptions for their pets (I look up licenses first).

    Truth is most RPH don't give a **** and are just getting through the day
     
  2. Thread continues after this sponsor message. SDN Members do not see this ad.

  3. ancienbon

    Joined:
    Jul 27, 2010
    Messages:
    628
    Likes Received:
    123
    Status:
    Pharmacist
    Though this is an old post,i am completely in agreement with you. I can't believe what i am reading here. Some pharmacists are really out of touch
     
    CetiAlphaFive likes this.
  4. ancienbon

    Joined:
    Jul 27, 2010
    Messages:
    628
    Likes Received:
    123
    Status:
    Pharmacist
    Thanks for schooling these rphs old timer. I cant believe someone with a pharm d has no idea what scope of practice is.
     
  5. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    So who did you call first:
    Dental board or CPS?
     
  6. owlegrad

    owlegrad Uncontrollable Sarcasm Machine
    Staff Member Administrator Pharmacist

    Joined:
    Mar 19, 2009
    Messages:
    20,340
    Likes Received:
    4,341
    Status:
    Pharmacist
    This. I wouldn't have cared about an MD calling in a script for their pet. The upside to filling it is I don't annoy a prescriber or have to deal with arguing about if it is allowed. The downside is...one more script to fill, I guess? I wouldn't hesitate to fill it. It's not a controlled substance and they have a valid license? Yeah, I am not making my life any harder by trying to discern if they are writing outside their scope of practice.
     
  7. msweph

    Joined:
    Jun 27, 2013
    Messages:
    2,005
    Likes Received:
    803
    Status:
    Pharmacist
    I wouldn't fill for a pet.
     
  8. PharmDminus

    Joined:
    Mar 18, 2016
    Messages:
    131
    Likes Received:
    47
    cosmetic surgeon is an MD....any MD (regardless of specialty) can write for Tamiflu and be well within their scope of practice. i dont see why they would feel the need to put refills on it though
     
  9. zelman

    Joined:
    Nov 27, 2009
    Messages:
    3,039
    Likes Received:
    2,345
    Status:
    Pharmacist
    Yes, a cosmetic surgeon is an MD. But appropriate prescribing also requires appropriate diagnosis and monitoring. Go to a cosmetic surgeon and ask then to do a nasal swab to diagnose influenza. I'd bet that they do not have the necessary POC testing available in the office. I had a dentist write an RX for an antiinfective once that I refused to fill. Antiinfectives are within their scope of practice, but this was chloroquine to be taken while traveling in a malarial area. They may have been a DDS, but there was no way they were doing bloodwork to monitor for bone marrow suppression with long term use.
     
    catalyzt likes this.
  10. croquemonsieur

    Joined:
    Apr 13, 2009
    Messages:
    251
    Likes Received:
    207
    Status:
    Pharmacist
    Not to pile on, but endorsing the practice of veterinary medicine without a valid license has to be a HARD NO.
     
  11. owlegrad

    owlegrad Uncontrollable Sarcasm Machine
    Staff Member Administrator Pharmacist

    Joined:
    Mar 19, 2009
    Messages:
    20,340
    Likes Received:
    4,341
    Status:
    Pharmacist
    Oh you can feel free to pile on, I still wouldn't care. ;)

    Sent from my SAMSUNG-SM-G920A using SDN mobile
     
    croquemonsieur and CetiAlphaFive like this.
  12. PharmDminus

    Joined:
    Mar 18, 2016
    Messages:
    131
    Likes Received:
    47
    Tamiflu is also indicated to prevent influenza, not only to treat it. No swab or lab needed in a case like that
     
  13. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    The snark is 2 real 4 me.
    LOL

    (I would reject a script from an MD for a non-human too, fwiw.)
     
    #112 CetiAlphaFive, May 31, 2017
    Last edited: May 31, 2017
    owlegrad likes this.
  14. sosoo

    Joined:
    Aug 10, 2009
    Messages:
    992
    Likes Received:
    180
    Status:
    Pharmacy Student
    when u see a lot of red flags and you're closing your eyes, that is a problem.
     
  15. msweph

    Joined:
    Jun 27, 2013
    Messages:
    2,005
    Likes Received:
    803
    Status:
    Pharmacist
    Maybe this guys collage roomie got the flu and his wife was suddenly sick .... So he called the script in . What's the big deal? It's tamiflu lol
     
  16. Thread continues after this sponsor message. SDN Members do not see this ad.

  17. VA Hopeful Dr

    VA Hopeful Dr Senior Member
    Physician

    Joined:
    Jul 28, 2004
    Messages:
    14,288
    Likes Received:
    12,879
    Status:
    Attending Physician
    How long of a trip? Cause I wouldn't monitor for anything less than 2 months. A chloroquine script for a week in Mexico doesn't really need any lab work.

    I also don't even do flu swabs. Fever and body aches during flu season? You've got the flu, here's your Tamiflu.
     
  18. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    Scopes, standards, and legal requirements notwithstanding, why does anyone write for Tamiflu anyway?
     
    rxmommy7 and owlegrad like this.
  19. VA Hopeful Dr

    VA Hopeful Dr Senior Member
    Physician

    Joined:
    Jul 28, 2004
    Messages:
    14,288
    Likes Received:
    12,879
    Status:
    Attending Physician
    Because patients demand it and get furious if they can't get it.

    2 years ago I worked urgent care and only prescribed it to high risk patients. My satisfaction scores were the lowest in the hospital system - cost me the job I really wanted.

    So now unless I have a compelling reason not to, I'll do what the patients want so long as it's reasonably safe.
     
    BidingMyTime likes this.
  20. Rouelle

    PhD Pharmacist

    Joined:
    Jan 7, 2011
    Messages:
    789
    Likes Received:
    804
    Status:
    Pharmacist
    I never thought I would be the stickler for the rules out of a group of people, but here I am. For me to fill it, it has to be:

    1. For a physician, the script has to be for a human, no pets.
    2. For a vet, the script has to be for an animal, no humans.

    To me, 1 is just as obvious as 2.

    Furthermore:

    3. For a dentist, the script has to be reasonably explainable as being for something between the lips and the esophagus.
    4. For an optometrist, the script has to be for the eyes.

    This isn't difficult.
     
    #118 Rouelle, Jun 1, 2017
    Last edited: Jun 1, 2017
  21. Sine Cura

    Sine Cura 10 seconds or less

    Joined:
    Feb 5, 2010
    Messages:
    1,255
    Likes Received:
    732
    Status:
    Pharmacist
    catalyzt and Rouelle like this.
  22. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    An optometrist call in PO prednisone once, and my floater filled it the day before while I was off.
    I called them up to let them know that wasn't legal, and was met with a bunch of scoffing.

    "He's a ~~~ therapeutic~~~~ glaucoma optometrist, don'cha know"


    I faxed them the list of meds they're allowed to prescribe, and wrote "where's the prednisone?" At the bottom. Lol
     
    rcodyfb16 and Rouelle like this.
  23. giga

    U.S. Public Health Service Pharmacist

    Joined:
    Aug 23, 2005
    Messages:
    463
    Likes Received:
    681
    Status:
    Pharmacist
    snarky pharmacist faxes would be an awesome tumblr. just sayin.
     
    CetiAlphaFive likes this.
  24. zelman

    Joined:
    Nov 27, 2009
    Messages:
    3,039
    Likes Received:
    2,345
    Status:
    Pharmacist
    Most of mine are just pages from statutes with the law they're trying to break circled.
     
    Apotheker2015, giga and CetiAlphaFive like this.
  25. Apotheker2015

    Joined:
    Jun 9, 2015
    Messages:
    830
    Likes Received:
    512
    Status:
    Pharmacist
    Tamiflu is annoying and the perfectly fine adults that refuse to swallow capsules, are worse. Then you gotta order the suspension, bla bla bla.
     
    VA Hopeful Dr likes this.
  26. BidingMyTime

    BidingMyTime Lost Shaker Of Salt

    Joined:
    Oct 2, 2006
    Messages:
    2,985
    Likes Received:
    1,895
    Status:
    Pharmacist
    Interesting. But since smoking 1) yellows teeth and 2)increases risk of mouth cancer (which my dentist checks for), then it seems clear that Chantix falls within scope of practice for a dentist. I suppose bupropion would be a bit more of a gray area...
     
    CetiAlphaFive likes this.
  27. TanMan

    TanMan New Member
    Dentist

    Joined:
    Jul 21, 2004
    Messages:
    365
    Likes Received:
    551
    The hate is strong against dentists in this thread :p . Although I can see why - you guys are the gatekeepers and it's your license on the line too. I'm sure you guys see enough prescriptions from each field to see what's out of the ordinary, but doesn't hurt to ask what medical condition they are treating either do determine if it's within their scope of practice (especially if the rx is not common to what that specific specialty/profession tends to prescribe).
     
  28. Lexington2012

    Joined:
    Sep 7, 2012
    Messages:
    345
    Likes Received:
    131
    Status:
    Pharmacy Student
    If the person has been on it in the past and the new RX is for short-term use, I'd fill it. Lots of medicaid people go to urgent care if they can't get an appointment with a regular doctor.
     
  29. Sine Cura

    Sine Cura 10 seconds or less

    Joined:
    Feb 5, 2010
    Messages:
    1,255
    Likes Received:
    732
    Status:
    Pharmacist
    I've even had ED prescribers write for long-acting opioids for 30 day supply.
     
  30. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    An ED prescriber?

    Do they normally only write for boner pills?
     
  31. npage148

    npage148 Senior Member
    PhD Pharmacist

    Joined:
    May 2, 2005
    Messages:
    2,023
    Likes Received:
    729
    Status:
    Pharmacist
    I heard priapism can be painful
     
  32. owlegrad

    owlegrad Uncontrollable Sarcasm Machine
    Staff Member Administrator Pharmacist

    Joined:
    Mar 19, 2009
    Messages:
    20,340
    Likes Received:
    4,341
    Status:
    Pharmacist
    Heard it from a friend?
     
  33. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
    Pharmacist

    Joined:
    Jun 23, 2003
    Messages:
    13,082
    Likes Received:
    2,405
    Status:
    Pharmacist
    WTF happened to him, anyway? Someone bring him back.
     
  34. Dr.p53

    Dr.p53 RN to DMD

    Joined:
    Feb 11, 2015
    Messages:
    68
    Likes Received:
    11
    Status:
    Pre-Dental, Dental Student
    Oral and Maxillofacial Surgeons are Dentists who are allowed to treat defects/diseases in the regions of the Face, mouth & jaw. Some OMS even do fellowship in facial cosmetic surgery. Dentistry in not all about teeth/mouth, especially in case of Oral & Maxillofacial surgeons. So are they really not allowed to prescribe benzaclin?
     
  35. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    Are the eyes considered part of the face?
     
  36. Dr.p53

    Dr.p53 RN to DMD

    Joined:
    Feb 11, 2015
    Messages:
    68
    Likes Received:
    11
    Status:
    Pre-Dental, Dental Student
    OMS do treat Orbital floor fractures but not the eyeball.
    Back to the topic. If the question is about the use of benzaclin for pimple, then an Oral & Maxillofacial Surgeon which is still a Dentist especially those with cosmetic fellowship in the face maybe allowed to prescribe it.
     
  37. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    Hahaha, everything is maybe with you guys.

    Tell me, if an OMS can maaaaybe prescribe Benzaclin, can they prescribe Claravis?

    It's only an acne med, right?
     
  38. quickpic007

    Joined:
    Sep 22, 2016
    Messages:
    373
    Likes Received:
    192
    I'd fill claravis from a dds, but only if the patient donated to the hurricane harvey relief fund at point of sale.
     
    CetiAlphaFive and npage148 like this.
  39. npage148

    npage148 Senior Member
    PhD Pharmacist

    Joined:
    May 2, 2005
    Messages:
    2,023
    Likes Received:
    729
    Status:
    Pharmacist
    how about 5-fu cream for lesion on the face?
     
    CetiAlphaFive likes this.
  40. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    LOL.

    I once had a specialist surgeon from California try to call in scripts for Absorica for his kids.

    I ask if he registered them etc... And he had no idea what I was talking about.
    I have him the Cliffs Notes ™ and he, no joke, says, "I don't have time for that. Sign me up, and fill the prescriptions."
    He then hung up.

    I Michael Jordan tongue out dunk'd the scripts into the shred bin, and walked away.

    A couple weeks later, I found out the brats showed up when a floater was there and threw a fit that the meds weren't ready. Told store manager the law was the law and to eat ****.

    Over the next month, Moron Dad, MD calls back about 5 times trying to figure it out.
    I then ask how the hell he did the testing and he tells me to mind my own business.

    Eventually he does, and gets them set up.
    However, I happened to Google him and call his office to ask a relevant question.

    His nurse says, "what? Dr. Moron has been overseas for the last month and won't be back for 2 more months."

    b
    r
    u
    h
     
  41. Rouelle

    PhD Pharmacist

    Joined:
    Jan 7, 2011
    Messages:
    789
    Likes Received:
    804
    Status:
    Pharmacist
    Honestly, a script for zit cream seems perhaps even more suspect coming from an OMS specializing in cosmetic and reconstructive surgery than it would coming from a general practice dentist. Just my opinion, others will likely disagree. I think we can all agree that this thread has outlived its usefulness.
     
  42. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    It's pretty standard procedure for dentists when I'm calling them out for trying to treat non dental stuff.
    It's like interviewing a new grad gunner trying to impress a panel.
    The more almost-doctory they can make something sound, the better. I guess.
     
    #140 CetiAlphaFive, Sep 10, 2017
    Last edited: Sep 10, 2017
    Rouelle likes this.
  43. Sine Cura

    Sine Cura 10 seconds or less

    Joined:
    Feb 5, 2010
    Messages:
    1,255
    Likes Received:
    732
    Status:
    Pharmacist
    Just another data point here. The Dental Board of California apparently will take action against dentists only if there is a blatant violation of the Dental Practice Act and not the Medical Practice Act, as apparently violations of the Medical Practice Act do not apply to non-physician health professionals in the eyes of the Dental Board (though you could theoretically face criminal prosecution). Thus pharmacists in California bear more liability, due to the broad nature of the "unprofessional conduct" definition under the pharmacy law, for filling inappropriate prescriptions from dentists or other licensees practicing outside their license (link) than than the offending dentist who literally engages in unprofessional conduct (prescribing outside of the license that permits him to practice his profession)

    The above is based on the result of a complaint I filed a few months ago.
     
    CetiAlphaFive likes this.
  44. CetiAlphaFive

    Joined:
    Apr 12, 2016
    Messages:
    3,020
    Likes Received:
    3,125
    Status:
    Pharmacist
    This is precisely what the "MUH VAGUE DENTAL REASONS" crowd don't get.

    Just because dental boards are incompetent and refuse to take action, does not mean that your board will be so kind
     

Share This Page