ER Physician Prescribing Question

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medguy1982

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I am a senior pre-med student (already accepted to medical school) and me and another student are writing research papers regarding physician prescribing laws and a question came up on how ER physicians prescribe medication. Lets say that an ER doctor works soley in the hospital setting (no office), is that doctor allowed to have his/her own prescription pads for use outside of the hospital or can the doctor only write prescriptions using the hospital pads and only write scripts while at work??
 
I can write a prescription on pretty much any pad that I want, as long as it has my printed (legible) name. Narcotic prescriptions have to be on specific paper that when photocopied looks funny. The paper that we use here at my ER says "void" when copied.

All a pharmacy needs is your dea number and NPI number. I have called in a prescription in a state that I don't have a license in with my dea and NPI number. Nurses call in prescriptions all the time for doctors. You can call in anything but schedule 2 prescriptions, which require a paper copy. Locally, the pharmacies have all of the relevant prescribing information for the doctors that commonly send prescriptions to them.

Think about the traveler, who ends up filling their prescriptions thousands of miles from where it was written. The pharmacies sometimes have to call the office or the ER and get their NPI numbers from the clerks who work there.
 
I've walked up to a random pharmacy and asked for a blank scrip and they will give it to you. Fill it out and turn it in. This is different if you are a resident and don't have your own medical license (residents work on a training license until they get their own state license) or DEA number.
 
I've walked up to a random pharmacy and asked for a blank scrip and they will give it to you. Fill it out and turn it in. This is different if you are a resident and don't have your own medical license (residents work on a training license until they get their own state license) or DEA number.

Not all residents...I had both a license and a DEA as a resident. It is state and institution dependent.
 
There's something fishy about the OP's question...

fishy.jpg
 
Op wants to know if he can write himself an oxy scrip using the stolen scrip pad from the ER. Go for it, op! 😉
 
Some states have out of control State DEA or pharmacy boards, filled with bureaucrats who love to discipline doctors for improper prescribing habits. Unless you have a legitimate documented doctor patient relationship with whoever you are prescribing for you are you are asking for trouble. That means never prescribe for yourself, your friends, your family, or out of state, unless you have done a physical exam and established a legitimate clinical relationship, with a full medical record from you normal place of work and a charted physical exam.
 
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