texas law

Discussion in 'Pharmacy' started by sosoo, Apr 18, 2017 at 7:05 PM.

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  1. sosoo

    sosoo 7+ Year Member

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    i'm reading from the "ultimate texas mpje review guide 2016," and it covered pretty much every topic i need to study for the exam. however, it doesn't mention how long a prescription is good for. let's say CII script, the book tells you it has to be filled within 21 days. but, what about CIII-V? and non-controls? it doesn't tell you within how many days you have to fill them by before they are invalid?
     
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  3. Sine Cura

    Sine Cura 10 seconds or less 7+ Year Member

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    APRN and PA have limits on day supply for CIII-CV
     
  4. CetiAlphaFive

    CetiAlphaFive

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    ... Don't come to Texas.
     
    sosoo likes this.
  5. sosoo

    sosoo 7+ Year Member

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    also the book specified "no quantity limit" for CII. can we assume there is no "day supply limit" as well? the book did not specify..... the book only mention 90-day limit on multiple scripts and earliest fill date. this is annoying.
     
  6. PharmD500

    PharmD500

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    Did you try reading the actual law? It's all there.
     
    CetiAlphaFive likes this.
  7. sosoo

    sosoo 7+ Year Member

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    i would think an "ultimate guide" would not miss multiple topics that will obviously be on the exam.
     
  8. CetiAlphaFive

    CetiAlphaFive

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    I'm scratching my head trying to figure out how you made it through 4 years of school without learning expiration timelines for the different schedules.

    The only review anyone should review for TX law is the one Professor Cacciatore Chicken wrote. The rest are trash compared to that golden tome.
     
    CountBy5s likes this.
  9. sosoo

    sosoo 7+ Year Member

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    that was 2011, and it was DC law, and MD law. Texas in case u don't know has different laws.
     
  10. laepharmD

    laepharmD 5+ Year Member

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    Why not? Elaborate please...
     
  11. txpharmguy

    txpharmguy 7+ Year Member

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    For CII, MD can write one 90 rx or three thirty day rxs all on same date of issue with earliest fill date on 2nd and 3rd month. Rxs have to be filled within 21 days of earliest fill date. Must be written on official prescription pad or sent electronically. Faxing of CII is permissible for hospice, long term care, and compounding purposes. Emergency supplies may be phoned in but must be followed up with a hard copy within 7 days. The quantity of emergency supply isn't specified in law but calling in 30 days worth of Vyvanse for Johnny would not be considered an emergency situation. Midlevels can prescribe CII in limited situations. (I don't recall exact law but don't believe it's in community setting.)

    For CIII to CV, state law allow pretty much mimics federal law: one 90 day rx with one refill or one 30 day with 5 refills. Midlevels can only write for 30 days and 2.refills (language says something like and a refill not to exceed 90 days). Transferring of CIII to CV is permitted (even original fill if rx stored). There's some controversy between stare and federal law (which says refills may be transfered but doesn't say original cannot). Some pharmacy chains won't transfer if original never filled. They (CIII to CV) can be transferred only one time unless pharmacy has a real time online database. Short fills don't expire after 5 fills (thinking cash paying customer who gets a week's worth of Suboxone). They can be filled up to original 180 says.
    Hope this answers most of your questions
     
  12. CetiAlphaFive

    CetiAlphaFive

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    Ravioli Ravioli Your Post Is Wrongioli.

    There is no quantity limit on a single CII prescription.

    Mid-levels can only prescribe CIIs for inpatient .
    I.e. hospital PA/NP writing for a hospital patient for use in the hospital.

    There's one in San Antonio that continually tries to write for patients being discharged.

    Really? States laws can differ?
    Weird.

    In case you know, there's this thing called the DEA.
    If a state doesn't specify, the law defaults to federal.
     
    Last edited: Apr 19, 2017 at 11:16 AM
    Leper Messiah likes this.
  13. sosoo

    sosoo 7+ Year Member

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    Thanks. just to clarify, a single cII Rx by MD will have no quantity limit, but 90-day supply limit? that was my guess while taking the exam.... is it correct? also, for CIII-CV and dangerous drugs, what is the expiration date that you have to get it filled by? i understand with CII Tthe expiration is 21 days..
     
  14. BenJammin

    BenJammin No Apologies 5+ Year Member

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    Wrong wrong wrong WRONG. There is no limit on C2 to C5 quantity. If a doctor wants to write for a 180 day supply of fentanyl patches, nothing in state law forbids it. I suggest you read up on Texas law.
     
  15. quickpic007

    quickpic007

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    What is the salaries out in DC Maryland Va area?
    For TX I hear offers from high 50s to mid 70s dependent on location FYI
     
  16. CountBy5s

    CountBy5s

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    Yep you can write for any quantity of a C2 but it must be filled within we 21days of the date written or earliest fill date. Prescriptions can be written up to 90 days in advance * earliest fill date 90 days out from date written. Jeep in mind day 1 for an rx written o4 19 17 is actually 04 20 17.
     
  17. CountBy5s

    CountBy5s

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    If your Making 70s in Texas probably want to consider the location and hazard pay. Hint hint. Maybe it's the cvs on the corner of Zeta and gulf cartel street.
     
    sosoo likes this.
  18. txpharmguy

    txpharmguy 7+ Year Member

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    On June 19, 2009, amendments to the Texas Controlled Substances Act allowed
    practitioners the option of issuing multiple Official Prescription forms to a patient at
    one time. Each Official Prescription form of the multiple set must be written for the
    identical Schedule II controlled substance prescription, and the total quantity of the
    multiple set may not exceed a ninety (90) day supply.
     
  19. txpharmguy

    txpharmguy 7+ Year Member

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    CIII-V can be filled up to 6 months from date of issue (no different than federal law)
     
  20. BenJammin

    BenJammin No Apologies 5+ Year Member

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    That quote does not address C2 limits. Try again.
     
    fishert16 likes this.
  21. sosoo

    sosoo 7+ Year Member

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    salary is about $60/hr in the DMV area. but the cost of living is super high. a small 2BR condo built in 1960s is fetching $180k, and a monthly condo fee $340 where i live. condo fee can go twice as much. in Texas you can fetch a nice single family, and call it home.
     
  22. CetiAlphaFive

    CetiAlphaFive

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    It's nice to see that you're telling people to follow your example.

    [​IMG]

    #REKT
     
  23. quickpic007

    quickpic007

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    Where in TX are you looking?, I was thinking of leaving TX to try work in DMV actually ahaha opposite of you. I hear cvs lets u keep same pay so thats good in my case. Theres so much free museums and stuff to see in DMV area. do u need all 3 licenses to work retails in DMV
     
  24. BenJammin

    BenJammin No Apologies 5+ Year Member

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    I was a young pup back then haha
     
  25. zelman

    zelman 7+ Year Member

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    I moved from NY to Boston area and kept my salary. But when I went from there to Hawaii, they offered me a juicy paycut.
     
  26. sosoo

    sosoo 7+ Year Member

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    im thinking of Dallas, Houston, Austin. anywhere really, except the rural areas and near Mexico border. the DMV area is nice. but the quality of life is reduced when much of your paycheck go for small living spaces. i can't have a huge fish tank in my condo. i don't have a backyard to build a small pond. i feel trapped in a super expensive, 776 sq.ft box. and the monthly condo fee is a total waste of money each month. unlike a mortgage where u earn equity. condo fee is ridiculously expensive, and a waste.
     
  27. CetiAlphaFive

    CetiAlphaFive

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    Here's a few fantastic, affordable properties in Austin for you to check out:

    2102 Oxford ave Austin, Texas

    1704 Margaret st Austin, Texas


    Or, if you prefer another condo:

    1600 Barton springs rd unit 4301
     
  28. sosoo

    sosoo 7+ Year Member

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    Lol. i know Austin is expensive. im thinking of suburbs. in dmv area, even suburbs are ridiculously overpriced.
     
  29. CetiAlphaFive

    CetiAlphaFive

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    Ohhhh, I'm sure there aren't another few hundred thousand other people with the same idea.

    Round Rock and Georgetown are growing at a rate of 80-90%, and Pflugerville is growing at a rate of 260%
    That's right. A population growth rate in the closest suburb of nearly 300%

    Furthermore, if the Rx Sup sees an address in a suburb on your transfer request, guess where they're gonna send you:
    Salado, Temple, Cameron, Rockdale, Bastrop, Buda, or San Marcos.


    If you're lucky enough to get a job in one of the stores in south Austin, you're looking at a 25 mile, 1hr and 20 minute drive from Pflugerville or Round rock.
     
    Last edited: Apr 22, 2017 at 12:17 PM
  30. Rouelle

    Rouelle 5+ Year Member

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    I haven't lived in Texas for quite some time now and I seem to be behind on the abbreviations. Does DMV = DFW?
     
  31. Rouelle

    Rouelle 5+ Year Member

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    Oh I see, DC, Maryland, Virginia. Sorry.
     

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