Emergency prescriptions

Occasionally a patient is unable to obtain a prescription due to non availability of their provider.

Patients should not have an interruption in their treatment or they will suffer withdrawal symptoms, and are at a risk of relapse. If I am available in my clinic then I will write a “one time” prescription for such patients.

The energency prescription is intended to cover emergencies and prevent disruption in treatment.
Missing an appointment is not an emergency.
Lost medications is not an emergency.

This is very rare. I have had to write these only once or twice in a year.

Examples are:

  • Patient from out of state, came for an emergency and had to prolong their stay, and the provider was unable to help them. Some pharmacies will not honor a prescription from out of state.
  • A practice has closed, and the patient has not been able to get into another practice. If the patient has waited till the last moment to look for another doctor then I am not willing to help.
  • Patient is changing doctors. Patient has an appointment, but will run out of medications before the appointment, … or the appointment has been rescheduled, or the patient could not keep the appointment for some reason.
  • I may not provide a prescription for patients who have been discharged for violation of clinic policy. Mostly these are patients who are not serious about treatment, have missed appointment without a good cause, or tested positive for opioids without voluntarily disclosing a relapse, or have not met counseling requirements, etc.

Procedure

  1. You must make an appointment, present an ID, Provide your prescriber’s contact information.
  2. I will need to contact your provider. If your provider can not be contacted then you may not receive the prescription. Usually there is some one in the office to confirm the non-availability of the physician.
  3. Answer the Suboxone follow-up questionnaire, and submit to a urine drug screen, and have a brief medical examination.
  4. Present your most recent prescription container. (Must be within the last 60days)
  5. The total discounted fees payable at the time of service is $195.
  6. Prescription is provided for 30 days.
  7. You will receive a prescription of 8mg/day or your previous prescription whichever is less.
  8. You will receive a one time prescription only, and will not be enrolled in my practice.
  9. You must check with your provider first about their policy. Most providers will discharge you from their practice if you obtained a prescription elsewhere.

Always have a plan B. These medications are controlled substances. There are no refills.
Very few doctors have obtained the waiver from DEA to prescribe this, and you may not be able to enroll in another practice at a short notice.