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Old 03-27-12, 07:08 AM
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Question Early Refill Question

Hi there, I'm new to this group. I've had ADD for as long as I can remember, and have been on Adderall since I was 16 or 17 years old. I take 4x 20mg a day.

I got my Adderall filled this month already on March 7th- but because of the Adderall shortage and my having to call around to about 8 different pharmacies until I can find one near me who has it in stock- (a very time consuming and frustrating process)- my Psych wrote me a fresh new script dated March 23rd, to assure I'd have plenty to time to get it filled, and to give me a window incase I had any trouble.

Well, on the 23rd (which was also the date of my last appointment) I crossed the street from my Psych's office to go to Rite-Aid because I figured I better get it out of the way and see if my Rx was available there. Transportation is an issue for me, and I was right there, so I gave it a shot! The pharmacist was SO RUDE, and said very loudly in front of other people in line that I just filled my Rx on the 7th and they wouldn't be able to fill until the 4th of April. It freaked me out so much I haven't tried to fill it anywhere else yet, but I am wondering what you all think, and if I should try to fill it elsewhere? The date on the Rx is the 23rd so I really don't see how days after that date they can still turn me away? I'm just hesitant because the Rite-Aid incident was extremely embarrassing. The more I think about it, though, the Rx was written for me early for a reason so maybe if I explain that when I drop it off it would be okay???

Any help/advice would be much appreciated! Thanks so much.



Bailey
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Old 03-27-12, 09:25 AM
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Re: Early Refill Question

For me here in NJ most pharmacists will not fill a c2 prescription more than 3 days early. My insurance won't cover it either. On 1 occasion my pharmacist let me fill it 1 week early and pay cash because I was going away but they risk their license by altering the rules they have to abide by. You can try explaining that you want to fill it at the right time and wanted to give the pharmacy the heads up due to the shortage. Some nice guys will sort of "pre order " your meds and hold them but some just plain won't do sh*t.
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Old 03-27-12, 09:42 AM
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Re: Early Refill Question

In many states, you won't be able to fill it ahead of schedule. Sometimes you can get it a day or two early, but there aren't many pharmacies - if any, that would refill it 2 weeks early. The 30 day rule is fairly strict.

A different pharmacy may not check or notice that you've already filled it this month, but I'm not sure that it is the greatest of ideas. However, one thing to consider? Find an independent pharmacy, or at the very least a pharmacy willing to work with you. They may be willing to set something up where you drop off a post-dated script (you can't post date schedule II scripts in all states though, so double check on this one) in advance, or barring that they know to expect you every 30 days for your script - they can then ensure that they have it in stock and order it if need be, and you can pick it up at the 30 day mark.

Again, you can't legally do this in all states, and a lot of pharmacies won't even entertain this type of arrangement, so double check on the laws regarding post-dating schedule II scripts before you try.
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Old 03-27-12, 11:24 AM
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Re: Early Refill Question

Quote:
Originally Posted by baybay View Post
Hi there, I'm new to this group. I've had ADD for as long as I can remember, and have been on Adderall since I was 16 or 17 years old. I take 4x 20mg a day.

I got my Adderall filled this month already on March 7th- but because of the Adderall shortage and my having to call around to about 8 different pharmacies until I can find one near me who has it in stock- (a very time consuming and frustrating process)- my Psych wrote me a fresh new script dated March 23rd, to assure I'd have plenty to time to get it filled, and to give me a window incase I had any trouble.

Well, on the 23rd (which was also the date of my last appointment) I crossed the street from my Psych's office to go to Rite-Aid because I figured I better get it out of the way and see if my Rx was available there. Transportation is an issue for me, and I was right there, so I gave it a shot! The pharmacist was SO RUDE, and said very loudly in front of other people in line that I just filled my Rx on the 7th and they wouldn't be able to fill until the 4th of April. It freaked me out so much I haven't tried to fill it anywhere else yet, but I am wondering what you all think, and if I should try to fill it elsewhere? The date on the Rx is the 23rd so I really don't see how days after that date they can still turn me away? I'm just hesitant because the Rite-Aid incident was extremely embarrassing. The more I think about it, though, the Rx was written for me early for a reason so maybe if I explain that when I drop it off it would be okay???

Any help/advice would be much appreciated! Thanks so much.



Bailey
Every hear of the Controlled Substances Act? and Richard Nixson, you know, the whole 'war on drugs' thing in 1970. Amphetamine (adderall) is a schedule 2(Cll) controlled drug which means it carries the governments most stringent warnings for abuse and/or dependence. All drugs with medicinal value are classified as schedule Cll-CV with Cll being your opioids, amphetamines, even cocaine. They are the most dependent, addictive, and abusable drugs stored in the safe at a pharmacy. A written prescription is always required for Cll's, all others can be phoned in with a maximum of 5 refills.
The date the prescription was written obviously is of concern when dealing with Cll's because they are normally given in 30 day supply.Now if the new script was written different than the original (e.g. 30mg Adderall tid instead of 20mg Adderall quid), they (insurance company and pharmacy) look at that as a 'change of therapy' and will usually refill. This is my experience and most in my state, also. Pharmacist report to the F.D.A. when it comes to how they handle or mis-handle Cll's. They are the last line to speak of when it comes to drug diversion and are quick to snap if that date isn't exactly 30 days. Some will fill it a couple early-all depends. When i get my pain meds filled, I have to wait 31 calender days and go to a 24/hr pharmacy @12:30a.m. to get script filled.
Just because your Dr. wrote the date he examined you on the script rather than post-dating for 30-day supply, doesn't mean you should do anything 'shady' because pharmacy records are all linked (most states)as well as insurance. unless the script was written differently e.g. less count but higher dose pill etc.
Also, if you have been on 80mg adderall for yrs., you know about Cll's, common..
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Old 03-27-12, 06:23 PM
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Re: Early Refill Question

If you're using insurance to pay for your meds, most insurance companies will block any attempt to process early refills for scheduled meds. So it wouldn't matter what pharmacy you went to in that case.. Also 42 of the 50 states have prescription monitoring programs that require pharmacies to use interoperable systems in order to curb misuse of scheduled items. So if you're in one of those states an attempt to do an early re-fill for a scheduled item would set off a flag, but ultimately it's still up to the pharmacist since they can choose to ignore or override any flags as they see fit.
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Old 03-27-12, 08:40 PM
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Re: Early Refill Question

U.S. Rules: http://www.deadiversion.usdoj.gov/faq/mult_rx_faq.htm

I'm having trouble interpreting whether the rules that allow a doctor discretion to issue multiple prescriptions up to a total of 90 days' supply, allow the doctor to write a second prescription with a fill date such that a patient could have more than 30 days supply at a given time. In my opinion, it doesn't say the doctor can't, but I'm not too confident about that.

Also, the OP's State law/rulesmay be more restrictive.

It'd be good to get clarification from the pharmacist (not a pharmacy tech, and preferably the head pharmacist) on whether the problem with filling the new scrip (not a refill, to be accurate) before your previous supply was up is due to insurance not paying for it, or due to a federal or state law/rule, and specify the applicable rule.

There is also the possibility that it is due to pharmacy policy or pharmacist discretion, not a legal reason at all, which in itself may or may not be legal depending on state pharmacist "conscience clauses." Sometimes they just say it's the law to avoid having an argument about it.

If anyone knows of specific federal rules or state law that prohibits the dispensing of schedule-II controlled substances before a previous Rx has run out, could you link to it here? (Or should I start a new thread? The info could be helpful to the OP so I'm not sure.).
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Old 03-27-12, 10:07 PM
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Re: Early Refill Question

My pharmacy will let me refill no more than 5 days early, and I'm pretty sure it's only for the next refill as I'm going to be out of town... but class 2 drugs are very strictly regulated. It's a pain, but what can ya do...?
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Old 03-28-12, 10:29 PM
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Thumbs up Re: Early Refill Question

Hey guys, I got my Rx filled today- after traveling to 4 different pharmacies who all advised me they had been "out for months" and/or that its "on back-order, sorry"! Finally, the 5th pharmacy I went to had it (thank you, CVS)! They didn't ask me anything about the date when I got it filled, either. I guess I should have stated before- I pay out of pocket for my Rx now since I'm actually in between insurance providers. Also, my old insurance provider didn't cover my medication anyway due to the fact that the dosage I take is higher than that which is "suggested by the manufacturer".

Anyway, what a relief- and a total time-consuming hassle! Thank Goodness I was able to do this today as I work the rest of the week and w/ public transportation I wouldn't have time to take hours to get this done again before my Rx runs out.

Thank you all for the feedback! I'm really glad I found an ADD support group/forum!
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Old 03-29-12, 11:24 AM
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Re: Early Refill Question

Quote:
Originally Posted by baybay View Post
Hi there, I'm new to this group. I've had ADD for as long as I can remember, and have been on Adderall since I was 16 or 17 years old. I take 4x 20mg a day.

I got my Adderall filled this month already on March 7th- but because of the Adderall shortage and my having to call around to about 8 different pharmacies until I can find one near me who has it in stock- (a very time consuming and frustrating process)- my Psych wrote me a fresh new script dated March 23rd, to assure I'd have plenty to time to get it filled, and to give me a window incase I had any trouble.

Well, on the 23rd (which was also the date of my last appointment) I crossed the street from my Psych's office to go to Rite-Aid because I figured I better get it out of the way and see if my Rx was available there. Transportation is an issue for me, and I was right there, so I gave it a shot! The pharmacist was SO RUDE, and said very loudly in front of other people in line that I just filled my Rx on the 7th and they wouldn't be able to fill until the 4th of April. It freaked me out so much I haven't tried to fill it anywhere else yet, but I am wondering what you all think, and if I should try to fill it elsewhere? The date on the Rx is the 23rd so I really don't see how days after that date they can still turn me away? I'm just hesitant because the Rite-Aid incident was extremely embarrassing. The more I think about it, though, the Rx was written for me early for a reason so maybe if I explain that when I drop it off it would be okay???

Any help/advice would be much appreciated! Thanks so much.



Bailey
Adderall is a controlled substance, you cannot pick it up early for whatever reason. You should have told the guy to set the medicine aside for you and ask him when you can come and pick it. Same happened to me, this was the dialogue:

- My database sais you are picking up your medication 1 month early, is there a particular reason?
- Oh, ok. When can I pick up my medication?
- Would be about 23 days from now...on june 3rd
- Ok, are you going to save these for me to ensure availability?
- yes
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Old 04-14-12, 06:27 PM
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Re: Early Refill Question

I'm on 30 XR twice a day. My doctor gives me 4 months worth of scripts at a time. My next appt is usually set up for 3 and a half months later which causes the refill date of my next 4 scripts to be earlier than the last. My pharmacist never says anything if I refill early. She said as long as it's from the same doctor and I'm filling it on the date of or after the script says than it's fine. And that I would only have a problem if I was using my insurance. My insurance stopped covering it years ago because it's more than the their recommended daily dose. I try to stick with the same pharmacy as much as possible and even the same pharmacist because you develop a relationship. I've used others before just out of convenience and I always have problems. One pharmacist refused to fill it because she said she couldn't read it, one refused because the date of the script fell on a Saturday and the pharmacist said he knows my doctor is open on Saturdays. I started to explain he gives me 4 mths at a time but what's the point, his mind was made up.
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Old 04-14-12, 07:36 PM
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Re: Early Refill Question

Quote:
Originally Posted by baybay View Post
I crossed the street from my Psych's office to go to Rite-Aid... The pharmacist was SO RUDE, and said very loudly in front of other people in line that I just filled my Rx on the 7th and they wouldn't be able to fill until the 4th of April... I'm just hesitant because the Rite-Aid incident was extremely embarrassing.
I'd write a letter to the district office or the corporate main office, that's eff'd up! Such an insensitive person has no right holding such a job when there are plenty of equally qualified pharm techs that are probably looking for work.
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Old 04-16-12, 05:03 PM
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Re: Early Refill Question

Rules and regulations vary from state-to-state. If you get your prescription filled before the 30th date I recommend using a different pharmacy than the one you last filled it at to avoid the having the pharmacist giving you a hard time; however, I would advise against refilling it before the 28th day (you technically can but it looks bad). Most insurance companies will not pay for the prescription if filled to early (regardless of the pharmacy you use). The only exception to this might be if your doctor changes your dosage or type of medication (I.E: IR vs XR, Vyvanse vs Adderall, 20mg BID vs 20mg TID, etc)

Also if the prescription is dated something like 10/20/12 you CANNOT get it filled anywhere until the date is actually 10/20/12.
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