Doctor Prescription

What is doctor prescription mean?

A prescription is a health-care program implemented by a physician or other qualified health care practitioner in the form of instructions that govern the plan of care for an individual patient. The term often refers to a health care provider’s written authorization for a patient to purchase a prescription drug from a pharmacist.

Expiration Dating

1. Do prescription orders or prescription documents have an expiration date?

Non-controlled legend drugs: There is no expiration date for a prescription for any non-controlled, legend drug.

Schedule II controlled substances: There is no expiration date for prescriptions written for schedule II controlled substances.

Schedule III-IV controlled substances: Prescriptions for schedule III-IV controlled substances expire 6 months after the written date on the prescription or after 5 refills, whichever comes first.

Schedule V controlled substances: There is no expiration date for prescriptions written for schedule V controlled substances.

2. If a patient does not pick up his or her prescription and the medication is returned to stock, what is the resulting expiration date?

If the stock bottle for that medication has been thrown away, the resulting expiration date is either the expiration date on the label or 12 months, whichever date is less. If the stock bottle has not been thrown away, it is acceptable to use the expiration date printed on the stock bottle.

Labeling

1. Must a prescription label state the drug’s generic name? 

The prescription label may contain the brand name, generic name, or both2.What are the requirements for the content of a label? 

The label must contain the phrase “Caution, federal law prohibits dispensing without a prescription”

The label must also contain the name and address of the pharmacy, name of the prescriber, the name of the drug being dispensed, the directions for use, the serial number,3. What should be on the label of a prescription?

The following is required to be on the label of a prescription:

  • Name and address of the Doctor
  • Doctor registration number
  • Date of the prescription
  • Name of the prescriber
  • Name of the patient
  • Name and strength of the drug
  • Directions for use
  • Appropriate cautionary statements, such as “do not take with food” or “shake well”
  • The expiration or discard date.
  • “Filled by” or “dispensed by” with at least the first initial and last name of the dispensing pharmacist.

Prescriptions: E-prescribing

1. May a pharmacist process Schedule II through V prescriptions using e-prescribing? 

Yes, assuming the proper requirements for proper e-prescribing have been met.2.What are the record requirements for e-prescribed controlled substances? 

All records must be backed up daily and stored for a minimum of 2 years3.What are the options for prescribers to be credentialed? 

The prescriber must be credentialed. The prescriber must use two of these three credentials:

  • a password or response to a challenge question
  • a biometric, such as a fingerprint or iris scan
  • a hard token, such as a cryptographic module

The act of applying the two credentials ensures the legal electronic signature on the prescription. The software should not permit the transmission of the controlled e-prescription unless the prescription is properly signed by a credentialed prescriber using the two-factor system.

Weight Loss Medications

1.May a physician prescribe a Schedule II controlled substance for patients for the purpose of weight reduction? 

No2.May a physician or agent of a physician call in orders for controlled substances for patients for the purpose of weight reduction? 

No3.May anyone other than a licensed MD or DO prescribe controlled substances for weight reduction? 

Only a doctor of medicine or doctor of osteopathy licensed by the Medical Licensure Commission of Alabama may order, prescribe, dispense, supply, administer or otherwise distribute a controlled substance in Schedule III, IV or V to a person for the purpose of weight control, weight loss, weight reduction or treatment of obesity, except that a Physician Assistant, Certified Registered Nurse Practitioner or Certified Nurse Midwife may prescribe Belviq® or Qsymia(TM) for such purpose. If a Physician Assistant, Certified Registered Nurse Practitioner or Certified Nurse Midwife prescribes Belviq® or Qsymia(TM), the prescriber shall comply with the guidelines and standards of this Chapter which apply to M. D.s and D. O.s.4. May a prescription or order for any controlled substance for a patient for the purpose of weight loss or treatment of obesity be called into the pharmacy? 

No, such prescriptions may not be called in to a pharmacy by the physician or agent of the physician. Such prescriptions may be written or e-prescribed.5. What is the maximum days’ supply a physician may prescribe for a weight loss medication? 

Physicians may only prescribe a maximum of 35 days’ supply of medication. At the end of that prescription, the patient must be seen by the physician, a physician assistant, or a certified registered nurse and should be evaluated. If medically established goals have been met, the patient may have another prescription for a 35 day supply.6. Under what circumstances may a patient be eligible for a prescription for a weight loss medication? 

The patient should have any of the following before being prescribed a weight loss medication:

  • Body Mass Index (BMI) of 30 or above
  • Body Mass Index (BMI) of greater than 25 with at least one comorbidity factor
  • Male patients: A measurable body fat content greater than or equal to 25% of total body weight
  • Female patients: A measurable body fat content greater than or equal to 30% of total body weight
  • Male patients: An abdominal girth of at least 40 inches.
  • Female patients: An abdominal girth of at least 35 inches

7. Under what circumstances may a prescription for weight loss medication be refilled? 

After an original prescription for Qsymia® or Belviq® and an office visit for evaluation, the prescription may be refilled up to 5 times in a six month period. Refills are specific to brand name drugs Qsymia® and Belviq®, and refills are not allowed for generic substitutes or for individual prescriptions of phentermine or topiramate.8. What are some examples of weight loss drugs covered by this policy? 

  • Belviq® (lorcaserin)
  • Qsymia® (phentermine and topiramate)
  • Fastin® (phentermine)
  • Adipex® (phentermine)
  • Suprenza® (phentermine)
  • Tenuate® (diethylpropion)
  • Bontril® (phendimetrazine)
  • Ionamin® (phentermine resin)
  • Didrex® (benzphetamine)

Can I safely order medicines online without a prescription from an online doctor?

You cannot get prescription medicines without a prescription. A legal medicines supplier will never give you prescription medicines if you do not have a prescription from a doctor. Doctors, including online doctors, may only prescribe you medicines if they meet certain conditions. For example, they must have access to your medical records, which must be up to date.

When can medicines be prescribed online?

An online doctor can only prescribe you prescription medicines online if the doctor:

  • has a treatment relationship with you
  • knows your medication history 
  • has access to your medical records, which are up to date.

The doctor needs to meet all these conditions to make a correct diagnosis of your medical problem. If they do not, they are not allowed to prescribe you medicines online. Online doctors are not allowed to prescribe medicines based on your answers to an online questionnaire.

Don’t buy prescription medicines from online suppliers who don’t require a prescription

Have you found an online supplier that is offering medicines for sale without prescription that usually require a prescription? Be aware: they are selling fake medicines. Using them can seriously damage your health.