To request a transfer of your prescription, you can either call or go in person to the new pharmacy. Provide the new pharmacy with the names of all the drugs, together with the dose information and Rx numbers, that you wish to transfer. Please include the contact information for your existing pharmacy.
Can you refill Xanax 2 days early?
Community pharmacists work in an environment that presents challenges unlike any other. Although we provide treatment for patients who suffer from life-threatening illnesses and persistent disorders, we also, in a way, act as a barrier between them and the medication they need.
- It would be irresponsible to treat such a privilege and duty with flippancy.
- Community pharmacists have a moral and humane obligation to make use of any and all resources at their disposal in order to assist patients in any manner that we are able.
- However, we frequently go against people who are interested in misusing drugs or smuggling them out of the country.
I’m not referring to the occasional reasonable request for an early refill on your prescription. I am referring to requests that come in repeatedly, month after month, usually from a variety of different prescribers and occasionally at a variety of different pharmacies.
These so-called “patients” could be inflicting harm on themselves or on others, perpetuating a cycle of addiction that could, in the end, result in an overdose and death. How can a pharmacist tell the difference between requests for a legal early narcotic refill and those that are not legitimate? It is not always a simple process.
When patients often request early narcotic prescription renewals, this might be a warning sign that something could be wrong. It’s not about the odd occurrence that may happen to anyone; I’m not talking about that. It should be possible to tell whether this is an isolated incident or a recurring problem with only a quick glance at the patient’s medical history and any other notes that have been taken on the individual.
In the latter scenario, it is the obligation of the pharmacist to respond with a “no” when they are frequently asked for early refills on prescriptions. Even if doing so will not definitely put an end to the abuse of prescription drugs, at least we will be doing all we can to put a brake on its progression.
Those who choose to disregard this issue and frequently fill drugs too soon are, in my opinion, acting irresponsibly with both their license and the reputation of the profession as a whole. How should pharmacists behave when “patients” who are plainly not following instructions repeatedly ask for early refills of their prescriptions? Those of you who are just starting out in the retail pharmacy industry, please allow me to share with you how I usually respond: 1) “Since the physician wrote it, then it’s my responsibility to receive it.” You’d be shocked at how many people believe that they can get it filled early as long as the doctor’s office provides it to them early in the day.
Although there are various reasons why a doctor could give the patient the prescription ahead of schedule, it does not always indicate that it should be filled early on a regular basis. When a doctor found out that a pharmacist had filled a prescription ahead of schedule, despite the fact that the prescription contained no notation indicating when it should have been filled, the doctor became quite furious.
To prevent this from happening, I will frequently put the date that the prescription is “due to be filled” on the back of the prescription for the patient’s convenience.2) “Someone took it from inside my house.” Unfortunately, theft of prescription drugs does occur.
When patients experience it for the first time, I make sure they understand that it is their duty to take whatever precautions they can to ensure that it does not occur again. They have to get a lock box and carry the key with them at all times. In addition to this, they should always report activities of this nature to the police and obtain a documented report from the authorities.
When I am presented with this rationale, I will typically ask to see the police record, and I will not fill the prescription early without first viewing this and informing the prescriber of my decision.3) “They stole from me.” This is very much like the second possible outcome.
- This is a terrible situation, and I would never want to add to the anguish that a patient has already been through by assisting them in any way.
- However, if this is only one of several attempts that have been made in recent times to get an early refill, I insist once more on reading the police report and informing the prescriber about it.4) “Another person removed my medications after picking them up and doing so.” The real person who can pick up a restricted drug prescription for another person is determined differently by each state’s law.
The individual is required to present a valid picture identification card in almost all states. In the event that it is revealed that an unauthorized individual picked up the prescription, the situation warrants the involvement of law enforcement. In addition, the patient’s profile should be highlighted, so that in the future, no one else will be able to obtain the drug that the patient requires.5) “I’m going to be traveling outside of the state.” People travel.
- It is inevitable and unavoidable in life.
- But if traveling is becoming a regular reason to get an early refill, then we need to remind the patient that getting it filled early one month should mean that it can be filled later the following month.
- This is because getting it filled early one month should mean that it is possible to get it filled later the following month.
Additionally, the pharmacist is able to research the legal requirements of the patient’s destination state. It’s possible that the patient can fill the prescription there at the right time rather than here, where they would have to do it too early.6) “The pharmacy failed to account for the day’s supplies in their tally.” In one instance that I was privy to, a different pharmacy made the mistake of wrongly entering a prescription as a 30-day supply when it should have actually been a 15-day supply.
It is possible that an error occurred, but there is a straightforward solution to this problem, and that solution is to phone the other drugstore. After the issue has been identified, the pharmacy will be able to amend the initial claim and, as a result, resolve the issue.7) “The insurance company will let us start five days earlier.” It is astonishing how many people believe that this implies they are permitted to finish the prescription 5 days earlier than they should because most insurance companies permit a patient to acquire a 30-day supply around 5 days (give or take) earlier than they should.
Again, the pharmacist is searching for patterns of early requests for refills and must handle any circumstance in which it looks that the drug is not being taken as intended. Again, the pharmacist is looking for patterns of early refill requests. The only exception we make is that a restricted drug prescription can be filled two days earlier than normal.
- The only exemptions are made for perfectly reasonable circumstances and reasons once in a while.8) “I’ll simply pay cash,” the customer said.
- Some patients have the mistaken belief that our difficulty with their recurrent early refill requests is only an insurance worry, and as a result, they assume that the problem can be solved by offering to pay for it with cash instead of using their insurance.
The true issue at hand is either the abuse of prescription drugs or their illegal resale that is going on somewhere. In addition, several state Medicaid programs do not let pharmacies to take “cash” payments as a method of sidestepping the need to bill the patient’s insurance company.
No matter what the circumstances are, I always explain to patients that the problem is not truly their insurance but rather their failure to comply with the written directives.9) “The other pharmacist has given their approval.” Sadly, there are some pharmacists who find it simpler to merely turn a blind eye to the problem.
They just fill the prescription and ignore the problem, as opposed to addressing the patient or the physician about it. What is my input? Don’t turn out to be that druggist.10) “I’m taking this for the discomfort in my leg.” Patients have brought me distinct, overlapping prescriptions for short-acting narcotics from multiple doctors, stating that one is treating their back while the other is treating their leg.
This is something that I have seen many times. It’s possible that’s the case, but the pharmacist could introduce these two physicians to one other and encourage them to collaborate on a pain management strategy. Without getting too deep into the pharmacology of it all, we need to let patients know that their medications don’t quite function in that manner, and that they will thus need to see just one doctor for all of their pain management needs.11) “Since the other one wasn’t working, I had to flush it.” However, flushing is not a method that is suggested for disposal of most substances, with the exception of fentanyl.
This may be acceptable as a one-time event. In spite of this, when this assertion is included in a history of early requests for refills, it raises quite a few red flags due to the fact that it cannot be proven. Before having it filled, I would make certain that each prescriber who was involved was aware of the situation.12) “You didn’t give me enough medicines.” Many of our patients are unaware of the stringent controls we have in place and the meticulous counting that goes into our narcotics supply.
- Since most pharmacies quadruple count all prescriptions for narcotics, the likelihood of receiving an incorrect number of tablets is quite low.13) “I lost them, dropped them, forgot them at a friend’s home, dog ate them, cleaned them.
- ” “I lost them, dropped them, left them at a friend’s house, dog ate them, washed them.
Some patients come up with a whole new justification each month for why their prescription for a prohibited medication needs to be filled ahead of schedule. Pharmacists who genuinely care about their patients learn to respond to patients’ persistent requests for prescription refills with refusals that are strong yet empathetic.
The reality of the matter is that these individuals frequently have the greatest need for assistance. They could be unhappy with their addiction or the way of life they’ve chosen, but we can express care for them without adding to the problem by encouraging or enabling their behavior. There is nothing in this piece that should be seen as an assault on patients who have a valid need for their restricted drug prescriptions and who may on occasion find themselves in a circumstance where they need to be filled early.
We, as pharmacists, are here to assist these patients, and we do everything we can within the confines of the law to provide them with the necessary medication.
How do I transfer a prescription from CVS to Walmart?
Make contact with your newly chosen drugstore. It is important that you communicate your desire to transfer your medications from your old pharmacy to your new pharmacy as soon as possible. In addition to the name, dosage, and prescription number of each medication, they will also want the contact information for your previous pharmacy, including their location and phone number.