Frequently Asked Questions | Florida Department of Health
Such prescriptions must contain the date of the oral authorization. Q: . we will notify all approved vendors and post information online. Posted in Latest News on April 17, Effective Date: July 1, It limits opioid prescriptions for the treatment of acute pain to a specified period under. Official Internet Site of the Florida Legislature (b) The written prescription must be dated and signed by the prescribing of 6 months after the date on which the prescription was written unless the prescription is renewed by a practitioner.
Pertinent laws and rules that apply to dispensing practitioners include: The fee is charged initially and again at renewal. Dispensing practitioners must comply with all laws and rules applicable to pharmacists and pharmacies including undergoing inspections. It is important to understand that the practitioner is still required to give the patient a written prescription and the option to fill that prescription in the practitioner's office or at a pharmacy of the patient's choice.
If the practitioner is dispensing complimentary packages of medicinal drugs, the practitioner is not required to register. However, there are requirements for dispensing complimentary packages.
These requirements include dispensing the medicinal drugs in the manufacturer's labeled package with the practitioner's name, patient's name, and date dispensed. If complimentary medicinal drugs are not in the manufacturer's packaging, they must be dispensed in a container which bears the following information: No registration is required for PA's to dispense.
PA's may prescribe under his or her supervising physician; however, PA's cannot prescribe controlled substances. Each PA and supervising physician must enter into and keep on file a written agreement outlining which medicinal drugs, not prohibited by the PA Formulary discussed in the next sectionthe supervising physician has specifically authorized the PA to prescribe.
Before commencing to prescribe or dispense, PA's must complete at least three 3 hours of continuing education in prescriptive practices. The PA must also, at renewal, provide documentation of completion of ten 10 hours continuing education in the specialty area in which the PA has prescriptive privileges.
The prescription signed by a PA must contain the following information in addition to those items required by the legible prescription law: During the Legislative Session, HB passed which allows pharmacists to give the flu shot to patients under the supervision of a physician. Many practitioners may not be aware that pharmacists may prescribe certain medications and that pharmacists may order medicinal drugs. These rules set forth which medicinal drug products may be ordered and dispensed by pharmacists and the terms and conditions under which said drugs may be ordered and dispensed.
If the practitioner is prescribing a medication which is not on the list, but does not want the pharmacist to change the medication, the practitioner should write "medically necessary" on the prescription. The rule is subject to change, and in fact, a change is in the rulemaking process now, so it is important to periodically review the rule for updates. In addition to the laws and rules directly related to the prescription and prescribing, there are other standards which should be followed as well.
All physicians should become knowledgeable about effective methods for the treatment of pain and the requirements for prescribing controlled substances which are outlined in the rule. The rule on telemedicine makes it explicitly clear that practitioners may not prescribe based solely on electronic medical questionnaires and that a history and physical must be taken prior to prescribing medications to a patient.
The Board of Medicine is often asked if physicians may prescribe to themselves.
New Legislation Impacting Your Profession
Although there is no law prohibiting the prescribing of medications by physicians to themselves, it is not recommended. Furthermore, physicians cannot prescribe controlled substances to themselves at all. We are also often asked if a physician may prescribe for family members, friends or employees. Is there a limit on the number of schedule II dosage units a practitioner can prescribe to a patient?
Issuance of Multiple Prescriptions for Schedule II Controlled Substances
There is no federal limit as to the amount of controlled substances a practitioner can legitimately prescribe. Is there a limit on the number of separate prescriptions per schedule II controlled substance that may be issued for the day supply? The rule does not stipulate how many separate prescriptions per schedule II controlled substance may be issued for the day supply.
It is up to the practitioner to determine how many separate prescriptions to be filled sequentially are needed to provide adequate medical care. How is the issuance of multiple schedule II prescriptions different than issuing a refill of a schedule II prescription? The issuance of refills for a schedule II controlled substance is prohibited by law.
The use of multiple prescriptions for the dispensing of schedule II controlled substances, under the conditions set forth in the Final Rule, ensures that the prescriptions are treated as separate dispensing documents, not refills of an original prescription. Each separate prescription must be written for a legitimate medical purpose by a practitioner acting in the usual course of professional practice.
Prescribing in Florida
Each separate prescription must contain written instructions indicating the earliest date on which a pharmacy may fill each prescription. Is post-dating of multiple prescriptions allowed?
Federal regulations have always required that all prescriptions for controlled substances "be dated as of, and signed on, the day when issued.