Alprazolam take as needed early refill12/29/2023 What is the time frame for other states out there? I don't think Virginia's PMP has that feature. I am now more cautious from this experience. Some of the advice on the responses has made me second guess reporting due to possible repercussions. I am pretty certain they can take it from there. I was just going to report it with the RX# and pharmacy name/address and date it was filled. I could not find specifics on Virginia privacy act info. I was trying to find specific info WRT reporting to the DEA. They would be very interested in the patient, the doc and the pharmacy and their behaviors. The likelihood of diversion here is very high. I think you are doing the right thing saying you dont want further involvement in the care of this patient. My personal policy is a steadfast no in those instances. I think writing this letter may not only expose the pharmacies practice but the PCP. Never found anything specifically stating that the pharmacist is required to follow the -30 day supply rule.Did find out they CAN NOT fill early when the prescription ha a *DO NOT FILL UNTIL-* DATE :) I did a ton of digging on the Virgina Gov site. I am 100% certain the MD is not involved in anything un ethical. Unfortunately there are 3 MDs at the practice that see patients taking large amounts of Benzos. Then after the New Years celebration was all over and the patient woke up from the haze he realized his script was stolen and the pharmacist filled it again. The patient came in and told the pharmacist the bottle fell into the toilet on 12/29 (right before New Years), so he got the second script. The pharmacy (or pharmacists(s)) are not following the instructions on the script so it is fraud or illegal or something like that and it should be reported to the pharmacy board, too. I would send the letter, definitely, but be prepared to strengthen your back bone if there is something fuzzy going on with the MD and the patient. Was the script filled by the same pharmacist? You might not have that information. Maybe the MD, the pharmacist and the patient have an agreement in place so they each can get their benzos. The MD was not willing to discharge this patient and agreed to exclusively see this patient. I suggested the patient be discharged from the practice. I also let the staff know I was not comfortable seeing this patient again and it was my belief that this constituted abuse. When I learned about the dispensed amount and dates of dispensing this medication I immediately bought it to the MD's attention. I assure you, when I wrote this prescription I felt the pucker factor but, I was not going to reverse the treatment course that the MD was following. Almost exclusively seen by 1 particular staff MD. This particular patient is a regular at our practice. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXīefore anyone chimes in WRT the ridiculously high amount of Xanax this prescription was written for - Don't bother. If you have any questions, please do not hesitate to contact me. Thank you for your attention to this matter. The pharmacy clearly did not follow the 30 day period on this prescription putting the patient in danger of overdose. I am concerned that this puts my license at risk. How was the pharmacy able to Re-fill a 30 day prescription after 8 days then re-fill again in 4 days? The prescription was filled and subsequently refilled at name of Pharmacy at Address and store # of said pharmacy. This spans a 12 day period where the patient was issued #270 Xanax 1.0 mg. Take 1 tab three times daily #90, DS 30Īccording to the PMP database, the above referenced prescription was filled on for #90, refilled on for #90 and again on for #90. Original prescription was written on for Xanax 1.0 mg. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX This is the text from the top of the letter: This is part of a draft of letter I want to send to the state board of Medicine about a particular pharmacy's business practices. Has anyone had difficulty with patients filling Benzo's early? Of course you have.ĭo you ever wonder why? I have been scratching my head about this for months now.
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