Federal and state guidelines concerning prescriptions for “controlled substances”:

– effective October 1st, 2014

These are the legal requirements in how prescriptions AND refills for controlled substances must be handled.

This includes:
* almost all pain medications
* most medications for sleep
* most ADD medications
* many anti-anxiety medications

First time prescriptions for these medications always required a face-to-face visit. Starting October 1st, 2014 all refills will also require regularly scheduled face-to-face visits.  The frequency of refill/follow up appointments (generally every 4 to 12 weeks) will be determined by the patient and the provider.

Refills and prescriptions for controlled substances cannot be mailed.

This will require planning and effort on everyone’s part: patients, clinic staff and providers. It is consistent with standards of care throughout the state and country. It promotes accountability and accuracy. Most importantly, these changes will improve patient care.

Most Common Controlled Medications (not a complete list)

Medicines for Pain

hydrocodone (Vicodin, Norco)

codeine (Tylenol 3, Robitussin AC, Promethazine with codeine)

oxycodone (Percocet, Oxycontin)

tramadol (Ultram)

morphine (MS Contin, Roxanol)

fentanyl (Duragesic)

methadone

hydromorphone (Dilaudid)

Anxiety                                                      Sleep

alprazolam (Xanax)                                    temazepam (Restoril)

clonazepam (Klonopin)                               zolpidem (Ambien)

diazapam (Valium)                                     zaleplon (Sonata)

lorazepam (Ativan)                                     eszopiclone (Lunesta)

Stimulants

methylphenidate (Ritalin, Concerta, Methylin)

amphetamine (Adderall)

(Strattera)

(Vyvanse)

(Provigil)

Miscellaneous

chlordiazepoxide (Librium)

buprenorphine and naloxone (Suboxone)

carisprodol (Soma)

phenobarbitol (Donnatol)

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