RX prescription for 5g of pseudoephedrine daily for 30 days.. can you fill it?

[ll strife ll]

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OTC sale limit is 3.6g daily and 9g monthly. But, how about Rx prescribed pseudoephedrine? Can it be over that limit if the patient has a prescription order?

 

[Tonyg89]

Yes you can be prescribed more than the legal amount you are allowed to buy OTC per day/month.

 

[aznkukuboi]

Surely you don't mean 5g per day.

One of my pts told me that they needed a higher dose because their bodies built a tolerance, so they have a prescription for a higher than normal amound of pse. It was covered by the insurance, might as well bill it.

 

[ll strife ll]

Surely you don't mean 5g per day.

One of my pts told me that they needed a higher dose because their bodies built a tolerance, so they have a prescription for a higher than normal amound of pse. It was covered by the insurance, might as well bill it.

So, it's legal to sell over the OTC sale limit if the patient has a prescription?

 

[owlegrad]

So, it's legal to sell over the OTC sale limit if the patient has a prescription?

You realize your question has the answer built-in, right?

The answer is yes.

 

[Ackj]

While technically legal, I highly doubt 5g/day is safe and would not dare dispense it. Rx PSE is also exempt from the blister pack requirements, because it is subject to Rx packaging requirements.

 

[bananaface]

So, it's legal to sell over the OTC sale limit if the patient has a prescription?

The legal OTC limits do not apply to prescription transactions. If you are filling an Rx for a legitimate medical purpose you could fill three months worth of pseudoephedrine at once if the prescriber authorized it. At 240mg/day that would be 21.6 grams of pseudoephedrine. That patient could still make an OTC purchase of pseudoephedrine, but not beyond the legal OTC purchase limit. (Maybe they want Nyquil for a family member or something.)

 

[farmadiazepine]

Why would you fill an Rx for 5 grams of PSE a day? What kind of pharmacist are you? The answer is no, you don't fill that ish.

If you have an Rx for PSE, you don't have to follow the OTC rules regarding quantity limits. But that doesn't mean a doctor can write for 1,000,000 boxes of Sudafed to be dispensed as a month supply. There is clearly something wrong with that. There is a max daily dose for Sudafed. Just because you have an Rx doesn't mean you forget to be a pharmacist.

 

[rph3664]

This reminds me of the urban legend that's been circulating for decades about the person who presented a prescription that was obviously forged because it was for 1 pound of morfeen.

 

[BidingMyTime]

Was this the prescription from vet, like for an elephant or something?