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Childrens Medical Office
of North Andover, P.C. |
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Prescribing Policies & Procedures
- NEW
Prescriptions:
In general,
we do not prescribe new medications or make medication changes over the
phone. With just a few exceptions, this is a dangerous and bad medical
practice. New prescriptions and changes to medication regimens will therefore usually
require an office visit. If you have a sick child, please call the office for an
appointment. It is always preferable to provide
a pharmacy a WRITTEN prescription, as it is the best way to assure accuracy
and prevent errors.
Prescription
REFILL Authorizations/Requests:
We are happy to phone in
prescription refills to pharmacies if they are needed for ongoing treatment at a time when
a followup office visit is not necessary. Particularly, long-term medications for chronic
conditions may need frequent re-prescribing with certain insurance companies.
Prescription
refill requests may take our office up to 24 hours to "process",
although we try
to (and usually do) have them phoned in the same day!
Please understand that calling in
prescriptions is very time consuming for both our office and the pharmacy: First, all
prescription refill requests generate a record review in our office and are confirmed with
the prescriber's signature. Second, we are frequently on "hold" five minutes or
more with the pharmacy when calling it in. Third, any questions from the pharmacist for
the clinical staff means making the pharmacy "hold" even longer.
You can help by following these
guidelines:
- Don't wait until the last
minute... call in your request several days before you run out of medicine.
- Please have the following
information available when you call:
- Prescription name, form (pills or
liquid?) strength and dosage (how much? how many times a day?)
- How many days/week/months do you
need?
- Pharmacy name, location (street and
town), and phone number
- Who prescribed the original drug?
When? And why?
- The approximate date of your child's
last visit for this problem.
- The date of your child's next
appointment for this problem. Understand almost all long term medications require periodic
follow up visits and we may ask you to schedule an appointment prior to refilling a
prescription.
- Finally, can this drug be
"called in", or does it require a WRITTEN prescription? If so, plan extra time for the script to
be mailed.
- Call the pharmacy to check if the
prescription is ready BEFORE you go to pick it up.
- Check and double check the
prescription when you pick it up. Note any discrepancies immediately to the
pharmacist, and call the office if you are still not certain.
- Exceptions to no-telephone
prescribing rule:
- Fluoride
- Pinworm or Head Lice treatment
- Family contacts of Giardia,
or Scabies.
- Certain other situations in which
prophylactic treatment due to contact with a contagious illness is needed but the patient
is not exhibiting signs of illness..
- Drugs that require a written
prescription (no telephone refills):
- Ritalin, Dexedrine, Adderall,
Metadate, Concerta
- Codeine & other narcotics
- Valium, Phenobarbital,
Klonopin,
Ativan
- certain others as determined by your
insurance company
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