Filling foreign rx

[Charcoales]

If MD has an NPI/DEA number then ok, if not then they can get lost

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[Rouelle]

If MD has an NPI/DEA number then ok, if not then they can get lost

Agreed. How does one verify the legitimacy of a foreign prescriber? (Serious question, not rhetorical)

 

[owlegrad]

Agreed. How does one verify the legitimacy of a foreign prescriber? (Serious question, not rhetorical)

Fair question.

Agreed. How does one verify the legitimacy of a foreign prescriber? (Serious question, not rhetorical)

Fair question, you most likely can't. But how do you confirm the legitimacy of a non-foreign prescription? I doubt anyone checks the NPI of every atenolol script you get, why is it coming from out of country make it more suspicious than any other script?

 

[zelman]

Fair question.


Fair question, you most likely can't. But how do you confirm the legitimacy of a non-foreign prescription? I doubt anyone checks the NPI of every atenolol script you get, why is it coming from out of country make it more suspicious than any other script?

If I have to add a provider into my system, I check the NPI registry at a minimum. Do you just take whatever is printed on the Rx header as truth?

 

[BidingMyTime]

There is also the issue of prescriber qualifications (which I guess if you are in a state that says foreign RX's are OK, then it doesn't matter.) Medical education in the US is pretty standardized, so regardless of what state one gets their license in, it's a sure bet that the doctor has a certain basic competency, which is why states recognize prescriptions from doctors in other states. But medical education varies widely by country, if a doctor isn't even license eligible in the US, it seems bizarre to fill prescriptions from them. And what about countries that recognize prescribers that generally aren't recognized in the US (say like pharmacists), would you fill a prescription from a provider type that wouldn't be able to prescribe in the US? What if there is some fly-by-night website selling prescriptions (VIAgra!) from a foreign doctor to US citizens over the web? I'd agree with you that probably, in many cases, it really doesn't matter, but it doesn't make sense to have laws over who can prescribe and minimal basic competency educational requirements, and licensing standards, if they can all be ignored for a foreign prescriber.

 

[owlegrad]

If I have to add a provider into my system, I check the NPI registry at a minimum. Do you just take whatever is printed on the Rx header as truth?

For noncontrols, yeah I took scripts at face value.

 

[zelman]

For noncontrols, yeah I took scripts at face value.

Be careful. I've seen retired docs with inactive licenses writing prescriptions.

 

[Charcoales]

Didn't know veterinarians do NOT have an NPI number until today. Couldn't find this DVM in our system anywhere and was too leary to just randomly fill it without proof they were actually liscenced. They gave me their liscense # instead of their NPI and it was valid in the liscense database for our state. Seems legit.

 

[CetiAlphaFive]

I'm a tech at CVS and my PIC is on vacation this week, so we had a floater this weekend. When we opened, an American girl who lives in Europe brought us a script in Russian, which the floater proceeded to fill. Rph took 3 full hours, 180 minutes, editing, translating, entering a FOREIGN physician into our system, and eventually filling. This was for depakote, 300mg. Rph instructed patient to OPEN the 250mg capsules and pour a fraction of the powder into water and drink along with a capsule, . I took no part in filling the rx or even interacting with the patient, as I was almost positive that it should have been taken care quickly when we realized the script wasn't from the USA.


TLDR

1. Is filling foreign prescriptions legal here? I am told no.
2. My store is in hot water as it is, should I fear for my PIC's license and/or employment? Even thought she wasn't around today?
3. Should I have done more to prevent this from occurring? I plan on quitting CVS in 6 weeks so I'm laying low
4.

Thanks for any advice

as a side note, the patient sat quite quietly and politely for the full duration of this ordeal.

Some fishy things about this old post:

1.) Russia doesn't have a prescription system like the U.S.
The doctor doesn't issue you prescriptions to take to a pharmacy like we do here.

2.) Russian handwriting is radically different looking than prefect Cyrillic type.
If it's in cursive, you can forget anyone other than a native reader from deciphering what the characters are.
There's no way anyone could've translated it.

I don't believe OP's story in the least.

 

[SoylentGreen]

If I have to add a provider into my system, I check the NPI registry at a minimum. Do you just take whatever is printed on the Rx header as truth?

My system has a database of just about every prescriber that you can access. In the rare event that it's not there, I do look it up, but that happens like twice a year. Just last week, there was a doctor working at the local er who had no license and not even an npi.. lol.