What are the Basic Requirements for Prescribing, Dispensing, and Importing Controlled Substances?


This question and answer are from
DEA Web Site

Only practitioners acting in the usual course of their professional practice may prescribe controlled substances. These practitioners must be registered with DEA and licensed to prescribe controlled substances by the State(s) in which they operate. Pharmacies filling prescriptions for controlled substances must also be registered with DEA and licensed to dispense controlled substances by the State(s) in which they operate. A prescription not issued in the usual course of professional practice or not for legitimate and authorized research is not considered valid. Both the practitioner and the pharmacy have a responsibility to ensure that only legitimate prescriptions are written and filled.

Pharmacists must receive written and manually signed prescriptions for Schedule II substances. They may receive oral or faxed prescriptions for Schedules III-V substances provided they confirm the legitimacy of the prescription and the practitioner. Prescriptions for Schedule II substances may not be refilled. Prescriptions for Schedules III-V controlled substances may be refilled five times, but no prescription may be filled or refilled more than six months after the date on which the prescription was issued. Only those people who are registered with DEA as importers and who are in compliance with DEA requirements may have controlled substances shipped into the customs territory or jurisdiction of the U.S. from a foreign country.

DEA regulations covering prescriptions can be found in Title 21 of the Code of Federal Regulations. part 1306: Rules on importation are found in 21 CFR 1312

im sorry if this has been covered and i doubt anyone can answer it but i am a 24 year old male with medical records deeming my left knee completely defiecent and disarranged and destroyed. of course these records arent 1 year or newwer but the drs ive been too in the past few month have made notes and prescribed 10 or 20 hydros. will these notes of my knee still ruining my life be sufficient to get a script of hydros from an OP??

Most ROPs require that the records be no less than 2 years old. Some sites are less than one year. Best thing to do is go thru the OCS Threads & read the feedback and decide from there...

Good luck

Patty

YOU CAN ALSO DOWNLOAD A FORM ON SOME OF THE SITES TO TAKE TO A IMMEDIATE CARE CENTER OR SOMETHING FOR A PHYSICAL - THEY CAN PROBABLY ORDER ANY XRAYS OR TESTING AT THAT FACILITY AND BLAM YOU HAVE UPDATED MED RECORDS!

My rop wants the medical records to be less than a year old. Before a year is up, you must re-send all records

I still don't get how this works.I have chronic back pain and I am prescribed percocet by my doctor and I just stumbled onto this site and am now curious.Do I need a script from my doc?I need someone to break it down to me
in plain english exactly how this site works.

B,

Reading the FAQs of each site might shed some light on "how this works". I assume you mean the Online Consultation Services (OCSs). Here's how it works:

You fax in your medical records that state your condition, a physical, and photo ID.

The OCS arranges for a phone consultation with a doctor or physician's assistant (PA). IF they review your records, talk to you about your condition, and deem a script is necessary, they'll write one (or two, if necessary). The script then goes back to the OCS and then to a pharmacy for filling and shipment.

Over the last couple of years, the "Rules" have gotten much stricter regarding what a valid "Doctor-Patient" relationship is. It's a gray area that the DEA is trying to define. Lately, most sites are requiring records be less than one year old, and some have required that you have a previous prescription from a doctor that YOU'VE PHYSICALLY SEEN in order to scribe the same med.

Unfortunately, the days of the mediocre records and 30 second consults are over. The doctors will have their licences taken away if they don't establish that relationship in the eyes of the DEA. And pharmacies that fill for OCS's will be shut down if they fill too many controlled substances without verifying the authenticity of the doctor, patient, and script.

It's very unfortunate that we Chronic Pain (CP) patients have to suffer the consequenses of the aforementioned, more stringent Rules. But it's something that can and will be done if the patient does his/her due diligence.

Hope this helps.

At the moment you don't need a prescription from your doctor, but you do need to have medical records (which you are legally entitled to have a copy of) that prove that you have a chronic, ongoing pain condition (examples: bulging discs, torn rotator cuff; chronic headache, etc.) You must also have records, for most of these sites, who act as middlemen connecting you the patient to a Medical Professional who can legally prescribe medication, that prove that you have been prescribed narcotic pain relievers before. Your medical records must be up-to-date (no older than 1 year.) The consulting doctor does not call your doctor, and, if he feel that your records warrant it, after talking to you by phone, he will prescribe hydrocodone (NO sched 2 meds) with 3 total fills.

I am in a situation where I have had 2 epidural injections with no results. The doctor tells me to take over the counter medication which is crazy considering I have 2 bulging discs, stenosis, and 2 chipped discs in my back. I am probably headed for surgery but due to no health insurance, have to put it off for a while. I have my primary care doctor notes showing months of back pain and percocet given and i have my MRI results. Do you think this is enough to get an online prescription?

Yes I do but of course it is up to the Dr.
Contact a service and start the process. Some take forever from start to the prescription/meds are in hand.
At this time since the RHA act (new law stating each patient has to see the Dr. at least once every 2 years for a face to face visit)is going into effect on the 15th you have to decide if you trust the OCS (online prescription service provider) using their pharmacy choice which sends you the refill each month or going with a Direct Script. At least with a DS it's in your personal pharmacy and you will not be charged the monthly OCS fee to get the refill. Some refills this way will cost upwards of 240 to 300 dollars. Yup that's the truth. The refills in your pharmacy just costs whatever the actual meds cost or what your insurance copay is if you get insurance.
Most OCS will give two refills but after the 15th the law gets a little blurry if a pharmacy the OCS is using can still honor the refills.
Read the last 2 pages of each service you might go with to get a feel for who you wish to use. You might need to go back more than 2 page but that's up to you. ChatCp right now seems to be having problems while others listed on the US list are just gone since they all used the same Dr. who seems to be having his scripting rights limited or revoked.
I hope this helped.
K

Hi, I could really use some help.
I recently had back surgery in Jan 09, and it has started hurting me again. My last visit with the surgeon, he said it was the hardware bothering me because I'm thin. However, since that last visit, I have been laid off and lost my insurance. So the surgery to have the hardware removed is gonna have to wait for a while.
I'm currently on Tramadol, and I filled out the medical questionaire for TopMedicineShop.net to order some. All they said is that it was denied, but didn't tell me why, and this was after it was supposedly reviewed by one of their doctors. What did I say wrong for them to have denied it? I sent them an email asking why it was denied, but never got a response.

Please help.

what sites or services do you know of who can help me with some filling some pain med scripts? I was in a major car accident may 2008 and i was ejected out of my suv suffering brain/head trauma, femurs exposed, kneecaps shattered, carotid artery damage and now iam blind in my right eye as well. anyway my ortho. dr. has taken me off my lortab treatment but i still have significant pain very often. what do i do? iam sure i can get medical records to back my case but who offers a good service that is patient friendly?

Sorry to hear about your accident. You survived, right? That's a good thing.. Gather your records, MRI's, X-Rays, anything related to the fact you could be suffering chronic pain due to your injuries. Once you have your records in hand, go to this part of DB and research the F2F ROPS that are still in business, and start posting to those threads.

http://drugbuyers.com/freeboard/ubbthreads.php/forums/80/1/Face_to_Face_Consultations

Good luck to you..

wof..

Titans - its is just a crime that your cannot get proper pain management from you local doc with all the injuries you have endured. Someone please help me to understand why.

Titan, get all your records together (as another said) -you should have these anyway. Find a good service (I am really in no position to recommend - but maybe DOD or NNCIP?) follow their Rules, fax your records and make the appt).

Your records will need to document your issues, the meds you have taken, etc. Most likely not a problem for you.

It will be expensive. Know this. But many have found satisfaction with these services.

Research all the services and choose the one that makes most sense to you.

Until then, I wish you only the best. It can be difficult to find happiness, much less joy when you are suffering, but one must try.

get a new doc---my brother in law gets 120 7.5 vikes a months for a sore knee plus 120 Soma plus 30 valium i get 60 vikes 90 Soma and 60 2mg xanax a month---u need a new doc is all some are just afraid to prescribe meds----which is all there good for anyway--btw we both use different docs

That is one hell of a doctor!!

Well I just guess it depends on where you live!! ....Because in My neck of the Woods It is Basically Impossible to get Scripted Those Meds in Those Quantity's!....Let me Guess ....Would you live in Florida?

Yes, Stevo, the poster must live in an area that is very "liberal" with meds. Because that is NOT the experience of most on this board. I did not get meds until many years of surgeries, chemo, etc. Yes, it's true. While I suffered. I did not ask, just one day Dr Dave gave me a script.

Why is the poster asking for requirements when he/she is already receiving meds? I would like to know that. No need to tell me, but I wonder. Apparently they have already met the requirements.

Oh well. Things are as they are.

Damn Titans I feel for you I don't understand this country anymore,you would think living in a free country we should live free??I am 29 with a very very bad drug history and I was just prescribed 120 30 mg's oxycodone and 90 30 mg's morphine a month for almost 4 years until they stopped excepting my medicaid. if you live in VA I'll tell ya where,they write very good.They only take good insurance now So now I am on the hunt again.My injuries is just a disc herniation and chronic lower back pain.I have be forced to buy from the local thug's just to hold me over its been 8 month's now but I just got in again to a place that will supposedly write.If worse comes to worse just buy local and get into a clinic LOL it works!!! pretty sad HUH that legit chronic pain ppl cant get scrip's, but alcoholic's and drug addict's will.That a fact.

Wait a minute. You've had a very very bad drug history and still were getting 210 30mg opiates every month for 4 years for just a herniated disc and lower back pain and you're complaing about living in a free country?
On top of that all of this was covered by Medicaid?
That's really a tragic story, DarkSparrow, in many ways.

Geeze...

I only thought that I knew what hardship was....




Is this for real?