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There are several options available to issue a subsequent prescription after the initial 5-day supply.The regulations require you to assess the patient prior to issuing any subsequent prescriptions, but this does not require a physical exam or office visit:1.PRIOR TO ISSUING AN INTIAL PRESCRIPTION FOR ACUTE OR CHRONIC PAINIn cases of acute or chronic pain a practitioner is required to:shall be the lowest effective dose of immediate-release opioid drug.An initial prescription means that the patient has not had a prescription for that medication (or pharmaceutical equivalent) in the last year.Talking to the patient, looking at their medical record and checking the PMP is necessary to determine whether your prescription would be the patient’s “initial” prescription.ISSUING SUBSEQUENT PRESCRIPTIONS FOR ACUTE PAINNo less than four days after the initial 5-day prescription, an authorized prescribers may issue a prescription for no more than a 30 day-supply, if necessary.Design Open, pragmatic, parallel group, factorial, randomised controlled trial. Patients 889 patients aged 3 years and over with acute respiratory tract infection, recruited between 3 March 2010 and 28 March 2012 by 53 health professionals in 25 practices.Interventions Patients judged not to need immediate antibiotics were randomised to undergo four strategies of delayed prescription: recontact for a prescription, post-dated prescription, collection of the prescription, and be given the prescription (patient led).

(b) A written prescription for a controlled substance in Schedule II shall not be refilled and shall be kept in a separate file.NEW LAWWHAT YOU NEED TO KNOW ABOUT NEW PRESCRIBING LAW FOR TREATMENT OF ACUTE AND CHRONIC PAINWHAT PROVIDERS DOES THIS NEW LAW APPLY TO?Physicians, dentists, optometrists, podiatrists, physician assistants, certified nurse midwives, or advanced practice nurses authorized to prescribe controlled substances. The law does not apply to a prescription for a patient who is currently in active treatment for cancer, receiving hospice care from a licensed hospice or palliative care, or is a resident of a long term care facility, or to any medications that prescribed in the treatment of substance abuse or opioid dependence (medication assisted treatment).There's a difference between a script that says "do not fill until 12/20" and someone getting a new prescription from the ER after midnight.Most 24 hour Walgreens have policies to not fill the "do not fill until" scripts until the next morning.