filling a rx with 2 different manafacture

[mirx]

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I have a quick question. Is it legal to fill a 1/2 rx with a medication from one manufacture. and fill 1/2 with different manufac. at the same time with one lable. My manager says as long as you put generic equivalent it is ok. But I'm not satisfied. Since the label indicated the name and description of one generic only.

And can we fill the E_rx or faxed rx for controlled subs. even it is faxed from doctor's office or we need to verify it.( CA)

 

[MountainPharmD]

I have a quick question. Is it legal to fill a 1/2 rx with a medication from one manufacture. and fill 1/2 with different manufac. at the same time with one lable. My manager says as long as you put generic equivalent it is ok. But I'm not satisfied. Since the label indicated the name and description of one generic only.

And can we fill the E_rx or faxed rx for controlled subs. even it is faxed from doctor's office or we need to verify it.( CA)

Question #1. Yes it is as long as the label matches what is inside. In Texas the name of the drug, manufacturer and NDC have to be on the bottle. I run a label for each manufacturer.

Question #2. Federal law governs controlled substances as well as you state law. Which ever is stricter is what you follow. The Controlled Substance Act of 1970 has not been amended to allow electronic prescriptions for controlled substances.

From the DEA Pharmacists Manual:

Schedule III-V Controlled Substance Prescriptions
A pharmacist may dispense a Schedule III, IV, or V controlled substance having received either a written prescription signed by a practitioner, a facsimile of that prescription transmitted by the practitioner or his/her agent to the pharmacy, or an oral prescription made by an individual practitioner. The pharmacist must promptly reduce the oral prescription to writing, including all required information. At this time, DEA does not permit a prescription received via the internet to be filled. If prescription information in received via the internet, the pharmacist must contact the prescriber via telephone and receive an oral prescription for the controlled substance including the full name and address of the patient, the drug name, strength, dosage form, quantity, prescribed directions for use, and the name, address, and registration number of the practitioner. The pharmacist must then immediately reduce the oral prescription to writing.

 

[Old Timer]

I have a quick question. Is it legal to fill a 1/2 rx with a medication from one manufacture. and fill 1/2 with different manufac. at the same time with one lable. My manager says as long as you put generic equivalent it is ok. But I'm not satisfied. Since the label indicated the name and description of one generic only.

And can we fill the E_rx or faxed rx for controlled subs. even it is faxed from doctor's office or we need to verify it.( CA)

The real problem is insurance billing. At the present time, there is NO way to split the billing between brands and so technically this is insurance fraud. As long as you follow all pharmacy regulations in your state, it's not a pharmacy law issue.

 

[mirx]

Thank you Old Timer & Mountain PharmD.

 

[bananaface]

The real problem is insurance billing. At the present time, there is NO way to split the billing between brands and so technically this is insurance fraud. As long as you follow all pharmacy regulations in your state, it's not a pharmacy law issue.

We often bill for the least expensive ingredient in a compounded Rx. Could we not just bill for the least expensive generic and document the 2 NDCs used in parenthesis after the directions?

 

[Old Timer]

We often bill for the least expensive ingredient in a compounded Rx. Could we not just bill for the least expensive generic and document the 2 NDCs used in parenthesis after the directions?

But there is no place in an electronic claim for more than one NDC that's why compounds go under the most expensive NDC. I personally don't have a problem with it it's just a technical violation....

 

[johnep34]

Happens quite often in UK as prices change and cheapest is purchased. Have standard label printed which says ' This prescription contains tablets from different batches. However, they are identical in composition'
johnep