Hospital doctors

[labcoatguy]

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When there's a Rx for a controlled medication by a hospital doctor but he doesn't have a license# (most likely he's an intern), is it okay to dispense as long as there is a valid DEA# and NPI#? How about if it's for CII stuff like Percocet? If so, do you just leave the license# blank on the prescriber file?

Any input is much appreciated.

 

[pharmd201389]

All (I hope) hospital prescriptions will have the residents name on it plus the attending physician or supervising physicians name on it. Always put the attending physicians name on the label. At CVS, they won't even allow us to process the script through if its a resident. A hard stop pops up

 

[Carboxide]

All (I hope) hospital prescriptions will have the residents name on it plus the attending physician or supervising physicians name on it. Always put the attending physicians name on the label. At CVS, they won't even allow us to process the script through if its a resident. A hard stop pops up

Wrong. The resident should be using the hospital DEA plus a doctor number. That is what you bill under. They do NOT need to write under anyone else, they just need the hospital DEA, doctor number and their NPI. They can write CIIs no problem.

 

[xiphoid2010]

When there's a Rx for a controlled medication by a hospital doctor but he doesn't have a license# (most likely he's an intern), is it okay to dispense as long as there is a valid DEA# and NPI#? How about if it's for CII stuff like Percocet? If so, do you just leave the license# blank on the prescriber file?

Any input is much appreciated.

teaching hospitals I'm in or know provide a hospital DEA # with additional digits (e.g 1234) to indicate the intern/fellow authorized to write controlled these scripts under their scope of practice.

 

[owlegrad]

The federal law is the institution's DEA and a unique identifier for the intern assigned by the institution. That's all you need. The "hard stop" at CVS has nothing to do with what the law actually says, that is from picking an individual prescriber rather than the institution (the system doesn't know the intern is prescribing under an institutional DEA #).

 

[pharmd201389]

Wrong. The resident should be using the hospital DEA plus a doctor number. That is what you bill under. They do NOT need to write under anyone else, they just need the hospital DEA, doctor number and their NPI. They can write CIIs no problem.

What are you on about?

Just put the attendings name on the script. You can't go wrong. It's there for a reason, and it saves you time

 

[ucrx]

What are you on about?

Just put the attendings name on the script. You can't go wrong. It's there for a reason, and it saves you time

And if you don't have the attending's name?

 

[Carboxide]

What are you on about?

Just put the attendings name on the script. You can't go wrong. It's there for a reason, and it saves you time

Yes, you can go wrong, because the attending DIDN'T WRITE THE RX. The resident has legal rights to write it. It goes under his or her name. End story.

 

[pharmd201389]

Yes, you can go wrong, because the attending DIDN'T WRITE THE RX. The resident has legal rights to write it. It goes under his or her name. End story.

Have you ever done rotations at a hospital?

For controlled substances, the resident tells the attending what they want to do and then the attending says OK. The resident doesn't just out of the blue prescribe roxicet to patients.

Are you really that thick?

 

[Carboxide]

Have you ever done rotations at a hospital?

For controlled substances, the resident tells the attending what they want to do and then the attending says OK. The resident doesn't just out of the blue prescribe roxicet to patients.

Are you really that thick?

Yes. I work at one and have for years, in fact. Sometimes this is true. Other times, more experienced residents practice basically independently. In fact, there are times where I have had to page the attending and ask to fill under their name due to an unusual circumstance (e.g. the insurance doesn't recognize the doctor, or we need a change and the writing resident isn't there) and frequently (usually) they say, "Sorry, I haven't seen the patient. I can't do that."

 

[vistaril]

Have you ever done rotations at a hospital?

For controlled substances, the resident tells the attending what they want to do and then the attending says OK. The resident doesn't just out of the blue prescribe roxicet to patients.

Are you really that thick?

lmfao....funniest thing I have read this week.

 

[Sparda29]

Have you ever done rotations at a hospital?

For controlled substances, the resident tells the attending what they want to do and then the attending says OK. The resident doesn't just out of the blue prescribe roxicet to patients.

Are you really that thick?

Ummm, yeah they do. I have ortho residents here calling me all the time asking me how to prescribe something.

 

[ucrx]

Have you ever done rotations at a hospital?

For controlled substances, the resident tells the attending what they want to do and then the attending says OK. The resident doesn't just out of the blue prescribe roxicet to patients.

Are you really that thick?

They do it all the time. Do you think an attending really wants to know all the little details about the prescriptions residents write? (And I've done more than rotations at a hospital, I've worked in 3.)

 

[labcoatguy]

I see there is division is responses, some say to just write the attending doctor's name and others say to put down the intern's name even if they don't have a license number. Thanks for the responses though.

 

[Carboxide]

I see there is division is responses, some say to just write the attending doctor's name and others say to put down the intern's name even if they don't have a license number. Thanks for the responses though.

You cannot be an intern if you do not have a license number. I can't imagine that it is legal to fill a script under the name of a doctor who did not write it.

 

[owlegrad]

You cannot be an intern if you do not have a license number. I can't imagine that it is legal to fill a script under the name of a doctor who did not write it.

Not to mention, in retail how would you ever know who the supervising physician is anyway? 😕

 

[naseuy]

Not to mention, in retail how would you ever know who the supervising physician is anyway? 😕

A lot of scripts from NY hospitals have the intern's information as well as the attending's information.