quantity limit II for maryland

[sosoo]

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hi,
i wonder if anyone licensed in maryland can tell me if there is quantity limit for CII prescriptions in maryland? i know federal has no quantity limit. not too sure about maryland. i couldnt find answer on the web, and calling the board is a lot of hassle (they usually ask to leave a message and will get back whenever).

thanks.

 

[boriqua]

dunno about MD but 30 day supply is the limit in NY

 

[sosoo]

how about day supply limit in maryland? or federal?

 

[fiestychix03]

how about day supply limit in maryland? or federal?

I believe a physician can write up to a maximum of 90 days supply of a CII however only 30 day supply at a time can be filled.

 

[BidingMyTime]

hi,
i wonder if anyone licensed in maryland can tell me if there is quantity limit for CII prescriptions in maryland? i know federal has no quantity limit. not too sure about maryland. i couldnt find answer on the web, and calling the board is a lot of hassle (they usually ask to leave a message and will get back whenever).
thanks.

Federal DEA regulations now limit to a maximum of a 30 day supply (qty can be whatever is needed for the 30 day supply)

I believe a physician can write up to a maximum of 90 days supply of a CII however only 30 day supply at a time can be filled.

just to clarify, on separate RX's. If he writes 90 days on 1 RX, then only 30 days can be filled, and the rest would not be refillable, but if he puts 30 days on 3 separate RX's, that is legal (not all doctors seem to get this, once in a while I still see get a refill for 30 days + 2 refills on a CII)

 

[g40631]

Federal DEA regulations now limit to a maximum of a 30 day supply (qty can be whatever is needed for the 30 day supply)



just to clarify, on separate RX's. If he writes 90 days on 1 RX, then only 30 days can be filled, and the rest would not be refillable, but if he puts 30 days on 3 separate RX's, that is legal (not all doctors seem to get this, once in a while I still see get a refill for 30 days + 2 refills on a CII)

Has something changed? I'm not aware of any federal regulation mandating that a day supply on a CII cannot exceed 30 days.

I was under the impression that the "Do not fill until date MM/DD/YY" law was adopted understanding that A: patients may be only able to get a 30 day supply based on third party restrictions, and B: the patient may be stable enough on their therapy to warrant a visit only every 3 months, and/or C: the patient may live too far from the office to making it difficult to visit every month. This whole process thus got us around the "partial fill rule" which would normally prohibit breaking up a 90 day supply CII presciption into three 30-day supply parts due to third party restrictions.

Now many states may limit day supplies on CIIs, but I believe the Feds leave it up to our judgement.

 

[accordman83]

Federal DEA regulations now limit to a maximum of a 30 day supply (qty can be whatever is needed for the 30 day supply)



just to clarify, on separate RX's. If he writes 90 days on 1 RX, then only 30 days can be filled, and the rest would not be refillable, but if he puts 30 days on 3 separate RX's, that is legal (not all doctors seem to get this, once in a while I still see get a refill for 30 days + 2 refills on a CII)

Not true, there are no specific day supply limits defined by the federal government for c2 rx's. See: http://www.deadiversion.usdoj.gov/pubs/manuals/pract/section5.htm

explicitly:

"Schedule II controlledsubstances require a written prescription which must be signed by the practitioner. There is no federal time limit within which a Schedule II prescription must be filled after being signed by the practitioner.

While some states and many insurance carriers limit the quantity of controlled substance dispensed to a 30-day supply, there are no specific federal limits to quantities of drugs dispensed via a prescription. For Schedule II controlled substances, an oral order is only permitted in an emergency situation."

 

[BidingMyTime]

Not true, there are no specific day supply limits defined by the federal government for c2 rx's. See: http://www.deadiversion.usdoj.gov/pubs/manuals/pract/section5.htm

My error, I was confusing my state IL law with the DEA regulations.

 

[sosoo]

"...There is no federal time limit within which a Schedule II prescription must be filled after being signed by the practitioner.

the time limit here is the time to which they need to bring the prescription to the pharmacy. for example, in maryland the time limit is 120 days that it must be brought into the pharmacy. it isn't referring to the days supply limit.

first paragraph on this news article from government website, " It will allow a physician to prescribe up to a 90-day supply of Schedule II controlled substances during a single office visit." http://www.justice.gov/dea/pubs/pressrel/pr090606.html

 

[dehjavoo]

speaking of maryland law, what are you using to study for it?

 

[sosoo]

md has that book that you have to buy, and it takes awhile for them to mail.