New electronic signatures for triplicates

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1 day at a time
Regular Member


Date Joined Nov 2012
Total Posts : 304
   Posted 9/7/2018 3:08 PM (GMT -6)   
Has anyone had their doc use this option before? I was told that I don't have to go in to pick up triplicates anymore as there's a new system in place that allows for an electronic signature. I'm curious how pharmacies are dealing with it since it sounds like many patients are getting lectured.

Chutz
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Date Joined Jan 2005
Total Posts : 9258
   Posted 9/7/2018 10:42 PM (GMT -6)   
Good question!

I did some reading on this and triplicate prescriptions. Wow, what an eye opener.

Can controlled substance prescriptions be sent electronically? Here's an NIH site that gives fairly clear information. There is a lot of confusion from site to site so take a bit and read it.

Basically, yes they 'can' but they don't 'have to'. Most doctors aren't using it. I don't know if it differs from state to state but supposedly it's OK nation wide. Plus there's a push to do away with the entire idea. Don't you just love how government works? <my opinion only>

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3715357/

Warmly,
Chutz
Moderator: Chronic Pain, Chronic Fatigue Syndrome, Fibromyalgia
Conditions: Fibromyalgia, Chronic pain, IDDM (diabetes). Ulcerative Colitis, Osteoarthritis, Degenerative Disk Disease, Depression, Chronic Fatigue Syndrome, PTSD and others trying to mess up life.
~~~~~
The microwave oven is the consolation prize in our struggle to understand physics. ~Jason Love

straydog
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Date Joined Feb 2003
Total Posts : 16804
   Posted 9/8/2018 6:06 AM (GMT -6)   
I haven’t heard of this, it will be interesting to see how it plays out. I say this because of the CDC recommendations the drs have been following. Meaning appointments every month & UA’s, among other things to keep tabs on patients.

Please let us know how this works out for you or if you encounter any problems.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Darla
Regular Member


Date Joined Jun 2018
Total Posts : 150
   Posted 9/8/2018 8:53 AM (GMT -6)   
My prescriptions were done by electronic signature for a while. The PM place insisted on it as the scripts did not get in the wrong hands. And were not changed or altered. The new place I am at is setting that up but has not yet put it in place.

ReadingTeacher
New Member


Date Joined May 2010
Total Posts : 15
   Posted 9/8/2018 11:06 AM (GMT -6)   
I live in Oregon. My prescriptions are done by electronic signature and go directly to the pharmacy electronically. The system is set up with a fingerprint reader, so my doctor has to put her finger on the fingerprint reader on the computer before the system will accept and transfer the prescription.

1 day at a time
Regular Member


Date Joined Nov 2012
Total Posts : 304
   Posted 9/8/2018 5:50 PM (GMT -6)   
My doc had a similar procedure where she had to input a verification code sent by the pharmacy to her mobile phone then had to enter the code from that device only. I was told I won't have to go in to pick up scripts anymore. The medical group my doc is with just upgraded all of their software and I guess this was part of it. Since the past few months have been a royal pain to get triplicates within 72-96 hours making me call ahead and worry that it looked like I was asking for an early refill it'll be interesting to see how this works on the next refill. They were really slow at an appointment last week blaming it on the new system. I have no problem complying with UAs & the unkind looks from a substitute pharmacist (I'm on good friendly terms with the primary ones). But the current demonizing of legitimate use is growing every day and it concerns me when I think back to the early 80s and saw a family member denied morphine even though she was dying in horrible pain yet it wasn't technically "cancer". Is it really that big of a deal if the person is not going to live much longer? It's not like becoming "addicted" to it is really an issue anyway since they'll be gone soon as it is. I never understood that logic. As it is, hospice now uses methadone for 24 hour coverage with liquid morphine for breakthrough pain. That stuff is poison in my opinion but that's a discussion for another thread...

Darla
Regular Member


Date Joined Jun 2018
Total Posts : 150
   Posted 9/11/2018 6:09 AM (GMT -6)   
Hi 1DAAT, I am really shocked you can get the prescriptions without an office visit if I understand correctly. From a business standpoint I am surprised they do the work without collecting anything for a visit. Really that is pretty good for a patient...The visits monthly really wear me down as much as my diseases do. I agree with you, I will take dirty looks etc. as long as they don't interfere with care but then again they are part of the miserable aura that surrounds chronic pain disorders. Why are we punished for a disorder?

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 893
   Posted 9/11/2018 10:14 AM (GMT -6)   
Before we, as chronic pain patients, feel that we are the only group marginalized . . .

Look at how how those with mental illness are treated by the medical community. People with mental illness face inordinate obstacles to compassionate care. Their plight is truly disheartening.
- Karen -

Mercy&Grace
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Date Joined Jun 2013
Total Posts : 1729
   Posted 9/11/2018 11:10 AM (GMT -6)   
As long as state laws allow it. And the doctors office,and pharmacy have approved software. It is legal. Many doctors prefer it because it reduces the risk of prescriptions being tampered with.

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 893
   Posted 9/12/2018 12:55 PM (GMT -6)   
I receive my narcotic prescriptions through Palliative Care which is provided through a large hospital affiliation. The providers recently transitioned to electronic prescriptions that also includes narcotic prescriptions through a select number of pharmacies. They mentioned that the software upgrade was a fairly expensive investment, so associated costs may limit small physician practices.

As astutely mentioned by Mercy and Grace, electronic prescriptions for narcotics have the benefit of lessening the risk of fraudulent tampering. It has also proved beneficial for my providers in altering/changing dosing as needed, without having to print a revised script that normally would require a trip to the provider’s office or courier delivery to obtain the revised written prescription.

As with any change, there are benefits and downsides to consider. But as with almost all aspect of life, electronic mediums of communication are becoming the norm. Electronic books, newspapers, paying utility bills online, et. al.
Karen
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

Alcie
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Date Joined Oct 2009
Total Posts : 5029
   Posted 9/12/2018 6:53 PM (GMT -6)   
I'm in Pa. I don't know if it's state regulation or not. but my pain doc still has everyone come in every three months and asks how we're doing, pain status, occasionally a pee test, and he gives paper scripts. I'm happy he cares enough to want to know how we're doing and if there are any changes.

Today I complained it was harder to get out of bed in the morning. Pain level for this visit was 7, seriously my usual. He suggested trying a heating pad before getting up, since I don't have to hit the bathroom urgently when I wake up. OK, no change in meds for now, which was what I was for. He's right. Shots (steroids and other spinal procedures) quit working a couple of years ago. I guess, since I haven't had any new testing or procedures, I'm getting paliative care? At least he had something new for me to try.

I don't like the idea of docs just sending e-scripts, unless patients have had a visit.

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 893
   Posted 9/12/2018 9:14 PM (GMT -6)   
Alice:
At least for me, the availability of electronic scripts does NOT negate or do away with regular 1:1 physician appointments. Rather, the electronic script removes the need for an actual paper prescription and the extra step of taking said prescription to the pharmacy.
Karen
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

Mercy&Grace
Veteran Member


Date Joined Jun 2013
Total Posts : 1729
   Posted 9/12/2018 9:49 PM (GMT -6)   
Alice, doctors are not increasing doses like they use to. Some states have laws dictating how frequently chronic pain patients must be seen. Some states do not. Most pain management doctors see patients every 30 days. Some see them every 60-90 days.

I am going to guess you are Not receiving Palliative Care. If you were you would know it. It is not something a patient can just ask for. Nor is it something a doctor can do because the max allowed amount of opiates are prescribed and the patient still complains of pain. There is much more to Palliative Care than prescribing opiates without restrictions.

1 day at a time
Regular Member


Date Joined Nov 2012
Total Posts : 304
   Posted 9/15/2018 6:59 PM (GMT -6)   
Looks like we will still be randomly told to pick up a written Rx and do a UA. I have an HMO in a certain group of PC & specialists so it looks like this is yet another cost saving measure. I noticed the response time was much faster this time, much like it was before the last 2 months where it could take up to 5 days to get a triplicate. As for billing I'm sure they bill the insurance for time spent to either write or electronically process the scripts. I see a potential problem with the random triplicate pickup bc I work full time and used to have a family member pick up my scripts. It isn't easy to just take off from work so not sure how this will pan out. Time will tell.
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