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dentist prescribing benzaclin

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

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  1. Sine Cura

    Sine Cura 10 seconds or less 7+ Year Member

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    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
     
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  3. ancienbon

    ancienbon 7+ Year Member

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    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

    ancienbon 7+ Year Member

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    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

    CetiAlphaFive

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    So who did you call first:
    Dental board or CPS?
     
  6. owlegrad

    owlegrad Uncontrollable Sarcasm Machine Staff Member SDN Administrator 7+ Year Member

    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

    msweph 2+ Year Member

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    I wouldn't fill for a pet.
     
  8. PharmDminus

    PharmDminus

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    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

    zelman 7+ Year Member

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    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

    croquemonsieur 7+ Year Member

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    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 SDN Administrator 7+ Year Member

    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

    PharmDminus

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    Tamiflu is also indicated to prevent influenza, not only to treat it. No swab or lab needed in a case like that
     
  13. CetiAlphaFive

    CetiAlphaFive

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    The snark is 2 real 4 me.
    LOL

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

    sosoo 7+ Year Member

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    when u see a lot of red flags and you're closing your eyes, that is a problem.
     
  15. msweph

    msweph 2+ Year Member

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    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. VA Hopeful Dr

    VA Hopeful Dr Senior Member 10+ Year Member

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    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.
     
  17. CetiAlphaFive

    CetiAlphaFive

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    Scopes, standards, and legal requirements notwithstanding, why does anyone write for Tamiflu anyway?
     
    rxmommy7 and owlegrad like this.
  18. VA Hopeful Dr

    VA Hopeful Dr Senior Member 10+ Year Member

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    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.
  19. Rouelle

    Rouelle 5+ Year Member

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    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.
     
    Last edited: Jun 1, 2017
  20. Sine Cura

    Sine Cura 10 seconds or less 7+ Year Member

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    catalyzt and Rouelle like this.
  21. CetiAlphaFive

    CetiAlphaFive

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    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.
  22. giga

    giga 10+ Year Member

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    snarky pharmacist faxes would be an awesome tumblr. just sayin.
     
    CetiAlphaFive likes this.
  23. zelman

    zelman 7+ Year Member

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    Most of mine are just pages from statutes with the law they're trying to break circled.
     
    Apotheker2015, giga and CetiAlphaFive like this.
  24. Apotheker2015

    Apotheker2015 2+ Year Member

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    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.
  25. BidingMyTime

    BidingMyTime Lost Shaker Of Salt 10+ Year Member

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    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.
  26. TanMan

    TanMan New Member 10+ Year Member

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    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).
     
  27. Lexington2012

    Lexington2012 5+ Year Member

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    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.
     
  28. Sine Cura

    Sine Cura 10 seconds or less 7+ Year Member

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    I've even had ED prescribers write for long-acting opioids for 30 day supply.
     
  29. CetiAlphaFive

    CetiAlphaFive

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    An ED prescriber?

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

    npage148 Senior Member 10+ Year Member

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    I heard priapism can be painful
     
  31. owlegrad

    owlegrad Uncontrollable Sarcasm Machine Staff Member SDN Administrator 7+ Year Member

    Heard it from a friend?
     
  32. WVUPharm2007

    WVUPharm2007 "Bubs Depot!" 10+ Year Member

    WTF happened to him, anyway? Someone bring him back.
     
  33. Dr.p53

    Dr.p53 RN to DMD 2+ Year Member

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    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?
     
  34. CetiAlphaFive

    CetiAlphaFive

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    Are the eyes considered part of the face?
     
  35. Dr.p53

    Dr.p53 RN to DMD 2+ Year Member

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    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.
     
  36. CetiAlphaFive

    CetiAlphaFive

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    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?
     
  37. quickpic007

    quickpic007

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    I'd fill claravis from a dds, but only if the patient donated to the hurricane harvey relief fund at point of sale.
     
    npage148 likes this.
  38. npage148

    npage148 Senior Member 10+ Year Member

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    how about 5-fu cream for lesion on the face?
     
    CetiAlphaFive likes this.
  39. CetiAlphaFive

    CetiAlphaFive

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    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
     
  40. Rouelle

    Rouelle 5+ Year Member

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    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.
     
  41. CetiAlphaFive

    CetiAlphaFive

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    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.
     
    Last edited: Sep 10, 2017
    Rouelle likes this.

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