02-28-2009, 01:33 PM
Status: Surrounded by Sadness
Join Date: Nov 2003
Location: Milwaukee, WI (BDSM sadist, Libertarian)
The Controlled Substances Act of 1970 states that prescriptions for C-II drugs (that includes amphetamines such as Adderal) must be in WRITING (can't be phoned in like all other legal drugs can) and can NOT have any refills. A new WRITTEN prescription would be required for every fill.
This doesn't mean that a doctor has to see you every single time before giving you a prescription.
Back before my mother got a knee replacement she was on methadone for her severe arthritis pain. That would be another C-II drug. The doc who wrote those prescriptions saw her twice a year. Since her insurance plan at the time had the prescriptions filled by a pharmacy in Texas she was able to get a 90-day supply at once (270 pills in her case). Federal law doesn't put any limit on how much of a C-II drug can be dispensed at a time -- and obviously Texas law didn't limit it or the limit was as high or higher than what she got.
States are free to be more restrictive than federal law if they wish. New Jersey, for example, limits C-II drugs to a 30 day supply or 120 dosage units, which ever is less. This presented a real problem to chronic pain patients for whom 120 5 mg tablets of oxycodone may be only a 3 day supply. Such dosage unit limits are nonsensical -- since it counts a 5 mg tablet of oxycodone the same as an 80 mg OxyContin, even though one contains 16 times as much of the same drug!
I've heard of cases where doctors give chronic pain patients multiple prescriptions that are post dated -- one for today, one dated a month from now, and another dated 2 months from now so the doc doesn't have to play this idiotic monthly game.
I wonder what reason I have to live
Desperately I have searched for a meaning
Is it now time for me to let go of the world