Pediatric Coding Alert
Look to State Guidelines for 90-Day Supplies
Question: We have patients who have instructions from their employers to get a 90-day drug supply to save the employer and the patient money. My pediatricians want to help our patients in this regard, but we aren’t sure if there are restrictions against giving out more than a 30-day supply of ADHD medications. Can you advise?
Codify Subscriber
Answer: Schedule II drugs have a high potential for abuse and are considered dangerous by the Drug Enforcement Agency, so they have certain restrictions under the law. Certain ADD and ADHD medications fall under the category of Schedule II drugs, including Adderall and Ritalin. The Federal government says in its DEA Diversion Control Program Practitioner’s Manual, “While some states and many insurance carriers limit the quantity of controlled substance dispensed to a 30-day supply, there are no specific federal limits to quantities of drugs dispensed via prescription.”
The Federal government does, however, limit oral orders for Schedule II drugs to emergency situations only—all other instances require a written prescription.
You should check with both the patient’s insurer and your state’s Drug Enforcement Agency to ensure that the90-day supply meets their guidelines before you complete the prescription.
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