Question on filling partial oxycodone script

[doublehh03]

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OP is correct. When a CII script is filled (full or partial), it's ONE script. The rest of the quantity on that script is voided. So I understand his reasoning

However, in this instance, if it was the SAME doctor who originally prescribed the original prescription says it's fine, I would have filled it since he intended for the patient to get the #180 amount (and the patient's RX history is clean).

If it was a different doctor who prescribed the 2nd script, I wouldn't have filled it.

Again, use your judgement. Laws are laws, but sometimes you have to look at the patient. Your pharmacy didn't have the full quantity in stock, so you had to give the patient a partial. The doctor complied b/c I'm sure the patient needed it, and now they're simply requesting to get the rest of the amount.

 

[Quiksilver]

Some people just can't wait. Hence, the post-dated scripts that show up in the middle of the night around midnight. 😉

Of course no one is banging on the door at midnight looking to fill their Lipitor though.

 

[xiphoid2010]

Of course no one is banging on the door at midnight looking to fill their Lipitor though.

Part of it is difference in addictive potential, but the biggest part is because high cholesterol doesn't cause 8/10 pain.

Also, a part of it is patient don't keep track of their meds, and love to run out of them before calling the doctors for more.

 

[owlegrad]

Of course no one is banging on the door at midnight looking to fill their Lipitor though.

Of course no one has ever had to drive to ten different pharmacies all over town to fill a Lipitor script.

 

[Quiksilver]

Part of it is difference in addictive potential, but the biggest part is because high cholesterol doesn't cause 8/10 pain.

Also, a part of it is patient don't keep track of their meds, and love to run out of them before calling the doctors for more.

Its the fault of the pharmacy if they run out of their controls early. OBRA'90 requires counseling on all new scripts. So every month on a CII you should be counseling, and talking about MDD. Or at the very least write MDD in the sig. You then have it in writing.

Of course no one has ever had to drive to ten different pharmacies all over town to fill a Lipitor script.

They don't if you partially fill the script because you are out of stock. I don't get and don't feel bad for people that do that. and as a pharmacy I think you are stupid if you don't believe in partially filling controls because you are contributing to patients using multiple pharmacies and making this a nightmare

 

[owlegrad]

They don't if you partially fill the script because you are out of stock. I don't get and don't feel bad for people that do that. and as a pharmacy I think you are stupid if you don't believe in partially filling controls because you are contributing to patients using multiple pharmacies and making this a nightmare

Huh? I don't understand you point. Not doing partials creates this problem? I thought doing the partial is what created the problem?

 

[Ackj]

Huh? I don't understand you point. Not doing partials creates this problem? I thought doing the partial is what created the problem?

No, partial means "come back tomorrow for the rest." If you say "here is a small quantity, that's all we can do," then the patient ends up looking for someplace to get the rest. If they are partially filled, they get it all done at one pharmacy.

 

[Carboxide]

No, partial means "come back tomorrow for the rest." If you say "here is a small quantity, that's all we can do," then the patient ends up looking for someplace to get the rest. If they are partially filled, they get it all done at one pharmacy.

In many states you cannot partially fill a CII; if you only fill 50% of the tablets, the rest cannot be filled or picked up later.

 

[All4MyDaughter]

In many states you cannot partially fill a CII; if you only fill 50% of the tablets, the rest cannot be filled or picked up later.

In both of the states where I hold a license, you can partial CIIs but you must supply the balance within 72 hours.

 

[ucrx]

In both of the states where I hold a license, you can partial CIIs but you must supply the balance within 72 hours.

This is the law in MD and I believe in CT also.

 

[Quiksilver]

In many states you cannot partially fill a CII; if you only fill 50% of the tablets, the rest cannot be filled or picked up later.

In many states, you can partial fill only under specific circumstances such as an out of stock situation, and the balence is due within 72 hours. This is the ideal situation.

My point is give this patient enough for 72 hours and make her come back for the rest. In other words, I would have never dispensed 83 tablets. But then again I don't know FL law

 

[MountainPharmD]

This is the law in MD and I believe in CT also.

It's the law every where since it is a Federal law unless your specific state has more stringent requirements.

 

[MountainPharmD]

For your review.

Pharmacist Manual
This manual has been prepared by the Drug Enforcement Administration, Office of Diversion Control, as a guide to assist pharmacists in their understanding of the Federal Controlled Substances Act and its implementing regulations as they pertain to the pharmacy profession.

An Informational Outline of the Controlled Substances Act
Revised 2010

Partial Dispensing


A prescription for a schedule II controlled substance may be partially dispensed if the pharmacist is unable to supply the full quantity of a written or emergency oral (telephone) prescription, provided the pharmacist notes the quantity supplied on the front of the written prescription, on a written record of the emergency oral prescription, or in the electronic prescription record. *The remaining portion may be dispensed within 72 hours of the first partial dispensing. *However, if the remaining portion is not or cannot be filled within the 72 hour period, the pharmacist must notify the prescribing practitioner. *No further quantity may be supplied beyond 72 hours without a new prescription.