Emergency prescriptions

You can only get a prescription from a provider who is licensed in the state that you are currently located in.

You can locate a provider by state, city, or zip code at https://findtreatment.gov

Occasionally a patient is unable to obtain a prescription due to non availability of their provider, or being stranded out of state, or following natural calamities like hurricanes, floods, etc.

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 subject to the following conditions.

  1. I do not provide emergency prescriptions to patients who are outside of Texas.
  2. And in Texas … they must be located in Dallas Fort Worth area.
  3. Prescription will be sent only to a pharmacy in Dallas Fort Worth area.
  4. I do not prescribe anything other than Suboxone, Zubsolv, or Bunavail.
  5. I will prescribe a maximum of 8mg or equivalent dose per day, or the current prescribed dose, whichever is lower.
  6. I will not prescribe any benzodiazepines (xanax, ativan, diazepam, etc.) or psychiatric medications.
  7. Emergency prescription still requires an application, medical history, and evaluation.
  8. Due to Covid-19 health emergency evaluation is done over zoom, or similar audio video platform.
  9. It is almost never a same day process. Appointments are given for the day after documentation is completed and service payment is received.

The emergency prescription is intended to cover emergencies and prevent disruption in treatment, and is limited in duration to the time it would take you to get back to your provider.

Missing an appointment is not an emergency. It is best that you contact your provider. Most providers will provide you a few days of prescription till you are followed up in the clinic.

Lost medications may be an emergency for you … but it should be replaced by your existing provider. Lost medications if replaced are only replaced for one week, and requires proof of prescription. Your prescription package is a good proof, and your state controlled substance database if accessible through state of Texas is required. Due to reasons of confidentiality sometimes it is difficult to get this information quickly from your provider or pharmacy.

I provide medications for a maximum of 30 days if patient provides proof that the patient is due for a prescription and patient’s provider is able to confirm it and does not have an objection. It is important that you follow the policy of the program you are enrolled with. Some providers will discharge you from their practice if you obtained this medication from another provider without their knowledge.

Emergency prescription 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 a maximum of 30 days.
  7. You will receive a prescription of 8mg/day or your previous prescription dose whichever is lower.
  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.

When traveling always split and store your medications in two different places. If you lose one half you will still have the other half and you will only be half as miserable. Take that dose in the evening so that you can still get some sleep.