View Full Version : How does this law change monthly add'ers


Addywhack
12-04-07, 12:00 PM
I was surfing the web and ran across an article that says the fda just approved Schedule II medications to be written for up to 3 months worth in the same visit. It says in the article that this rule change was specifically for moms of ADD kids who cant afford monthly trips to the doc. Says a doc can write you 3 different scripts with a months worth on each. And should say not to be filled untill..... I'll try and link the web page.http://www.ncbop.org/
Is this a state regulation or Fed. Anyways, it didnt work for me. I showed my doc the article this a.m. and he told me the Government couldn't force doctors to follow this rule, but it allowed them if they saw fit to write 3 scripts at once. My particular doc won't buying it. Guess he likes the $$. Meanwhile I may have to locate a Dr. who is willing to live by this new rule.

this thread may belong elsewhere.

Tara
12-04-07, 12:07 PM
Have you actually spoken to your doctor about the new law? I would think that somebody you have been seeing for while would be more likely to follow it than a brand new doctor.

philly2000
12-04-07, 01:34 PM
My doc writes me 3 scripts anyways and post dates them. All he says is dont hand it in before the date on the script.Also my doc from years ago when I was in HS did the same thing to.Your doctor probbaly does like the mony.

philly2000
12-04-07, 01:41 PM
I just read it its a fedral law but Its up to the state if they want to allow it.I was surfing the web and ran across an article that says the fda just approved Schedule II medications to be written for up to 3 months worth in the same visit. It says in the article that this rule change was specifically for moms of ADD kids who cant afford monthly trips to the doc. Says a doc can write you 3 different scripts with a months worth on each. And should say not to be filled untill..... I'll try and link the web page.http://www.ncbop.org/
Is this a state regulation or Fed. Anyways, it didnt work for me. I showed my doc the article this a.m. and he told me the Government couldn't force doctors to follow this rule, but it allowed them if they saw fit to write 3 scripts at once. My particular doc won't buying it. Guess he likes the $$. Meanwhile I may have to locate a Dr. who is willing to live by this new rule.

this thread may belong elsewhere.

starry
12-04-07, 09:46 PM
Oh thank God for the law change. I'm so sick of having to pay $80 each month to see my doc plus the cost of the med. I haven't showed him this article, but I will next time. Hope he's cool with it.
Thanks for the info!!! :)

Addywhack
12-05-07, 09:52 AM
My doc wasnt. But maybe he really does feel more comfortable seeing me every 30 days of my life. Especially since our visit consists of him walking in the room as he is writing out my new script and asking "how is everything". OK BYE BYE. Thats it. 5 minutes total at the doc's office. 35$ copay, 30 minute drive. Not a lot of aggrivation, but it would really be nice to carry home 3 months of paper.

~boots~
12-05-07, 10:00 AM
I was surfing the web and ran across an article that says the fda just approved Schedule II medications to be written for up to 3 months worth in the same visit. It says in the article that this rule change was specifically for moms of ADD kids who cant afford monthly trips to the doc. Says a doc can write you 3 different scripts with a months worth on each. And should say not to be filled untill..... I'll try and link the web page.http://www.ncbop.org/
Is this a state regulation or Fed. Anyways, it didnt work for me. I showed my doc the article this a.m. and he told me the Government couldn't force doctors to follow this rule, but it allowed them if they saw fit to write 3 scripts at once. My particular doc won't buying it. Guess he likes the $$. Meanwhile I may have to locate a Dr. who is willing to live by this new rule.

this thread may belong elsewhere.In Australia, I can get a script for 6 months at a time. I have to leave it in the pharmacy though, and each repeat has to come from there :p It makes it easy...my pharmasist writes me out a reminder for when the next lot is due..28 day cycles I think, cos if I miss the last repeat (which I have a few times) you lose it if it is ONE day over 6 months..
I can now get the script from my GP...since the shrink gave him authority to write for the schedule meds..That makes it less hassel

starry
12-06-07, 09:33 PM
In Australia, I can get a script for 6 months at a time. I have to leave it in the pharmacy though, and each repeat has to come from there :p It makes it easy...my pharmasist writes me out a reminder for when the next lot is due..28 day cycles I think, cos if I miss the last repeat (which I have a few times) you lose it if it is ONE day over 6 months..
I can now get the script from my GP...since the shrink gave him authority to write for the schedule meds..That makes it less hassel

That's a great idea. It should be like that here in the States too.

meriellyn
12-06-07, 10:17 PM
I wish I could just get refills on my ADD meds like I do everything else. :P

I'm lucky though. My doc allows me to just call in and ask for a new prescription then pick it up without charging me for a visit or anything. I just see him when I need to and get bloodwork done annually.
I still hate having to pick up a physical prescription monthly. Pain in the butt.

Joseph Merrick
12-08-07, 10:29 AM
Will your doc write scripts and post date them? That's what mine does-saves actually having to go in.

QueensU_girl
12-08-07, 12:26 PM
Why is it always viewed that Docs are $$$ hungry?

That is hysterical.

The only ADD Doctors (MD/Psychiatrists) with 'no waiting lists' and who are "always taking patients" are the ones who have been "fired by their patients". e.g. they've 'voted with their feet' and don't go back.

Sorry, but most {GOOD} ADD Psychiatrists have waiting lists !!


In short: they don't NEED YOUR business.

---

re: regular visits & Legal Liability regarding Safety

The Doc is the member of the healthcare team who has the biggest portion of LIABILITY.

So if you go kill yourself and your Doc says "uh, yeah, i haven't seem him in 3 months", and "Gee, I didn't know he became suicidal", it is the Doc's butt on the line.

Among patients who CAN easily pay (and have no distance to travel), why should the Doc take the risks b/c of the patient's 'decision' not to come in monthly?

Monthly monitoring is about YOUR HEALTH and Safety too.

Aren't you WORTH IT?

(N.B. In cases of low-income people, I think this law is wise (and kind), however. If they cannot afford montly visits, and would otherwise do w/o care, then it is a compassionate law.)

This logic really reminds me of the cheap-@$$ logic of my extended family. They buy $10 running shoes and then complain that they have heel spurs and shin splints. Cheap gets what cheap pays for, i guess. ;)

ben72227
12-10-07, 02:49 AM
Eh - I just call my doc every month and have him mail my Rx to me and then I take it to the pharmacy. I only actually see the doctor about every six months for a checkup.

Valhala Knight
12-19-07, 05:09 PM
I always have gotten a three month supply with no problem, I wonder what this is all about?

ImAwhiner
12-22-07, 02:50 AM
My doctor has post dated my script on two different occasions. Every month I just go in and pick up the prescription at the receptionist desk and don't get charged for it.

There are a lot of prescriptions that can cause suicide thoughts that get prescribed on a regular basis, with up to 3 refills, so I don't see the difference with this other suicidal medications and Adderall. I think it's crazy the crap I have to go through to get it some times. It's ridiculous.

DeloresMelon
12-22-07, 10:53 AM
Ditto for me. My doctor lets me just run in and get my script from the receptionist, no charge for visit. I have been with my doctor for nearly 10 years too. I think some of it may be a trust relationship too. Not to say your doctor doesn't trust you, i'm just musing at this point.

WVUPharm2007
12-22-07, 08:43 PM
Don't necessarily get your hopes up. When your pharmacist tries to submit it to the insurance, there is a good chance your insurance company won't pay for the entire 90 days.

Nocturnal
12-23-07, 07:09 PM
My doc and my insurance already has a thing where I can mail in the script and get 3 months worth of the Adderall.

The screwed up thing for myself is sometimes I need more than what I am prescribed therefore I take two when I should only be taking one etc. This leaves me in a bind, especially if I run out a month before I'm supposed to get a refill. I no longer do the three month script. I go in to the doc once a month. My insurance covers it so I'm not too bad off.

Addywhack
12-24-07, 09:36 AM
Glad for all who can get months worths at the time without the visit. However as i explained in the post, my doc wants me back every month for my 1 minute, 1 question visit. And for the poster who said they aren't money hungry, you cant speak for all doc's neither can I, but this one is pretty new on the block and is struggling for business. I can call in almost any day for an appointment and go in immediately or sometime that day. Its that slow.

jennyjay
12-24-07, 12:03 PM
What!? With my doc, all I do is call his nurse and tell her I need to get my refill, and I can either pick it up or she will mail it to me, no Doctors visit required. Since I am without insurance, I definatly would not put up with a doc that said I had to come in for a "medication management" visit every time I needed a refill. Even if I did have insurance, no way. That is part of the reason why this country's health care system is sooo screwed up! ITS ALL ABOUT THE MONEY.
Not to mention the cost of a month supply of generic Adderall.....:faint: :eyebrow:

jennyjay
12-24-07, 12:10 PM
Glad for all who can get months worths at the time without the visit. However as i explained in the post, my doc wants me back every month for my 1 minute, 1 question visit. And for the poster who said they aren't money hungry, you cant speak for all doc's neither can I, but this one is pretty new on the block and is struggling for business. I can call in almost any day for an appointment and go in immediately or sometime that day. Its that slow.

I work in a medical billing office, and you want to know what they call that 1 minute visit....."medication management" and the billing code for it is 90862. The guidlines are supposed to be 15 to 20 minutes for that to by the way. I would find a new doc if I was you. Even if you are there for 2 minutes, they charge the insurance (assuming you have some) for the full "medication management" visit.

And another thing about "medication management" visits....WTF. I am sorry but 15 -20 minutes is not enough time for that. I have NEVER had one of those with my doctor, its always a "medication management with face to face psycho therapy" and that code is 90807 for 30 to 45 minutes. These codes are used nation wide. Like the dx code for ADD (or one of them anyway) is 31401....