 Prescription Refills |
Refill
Authorization Clinic |
| Directions |
Quantities |
| Dismissal Prescriptions |
Telephone Prescription
Orders |
| Controlled Substances |
Restricted Drugs |
Prescriptions filled in the KUMC Pharmacy must be written only on a KUMC prescription blank, by the KUMC Medical Staff and the patient must be a patient of the Medical Center. Prescriptions for KUMC employees must also comply with these requirements. Prescriptions written by medical students must be countersigned by a staff physician. The Physician's name must be printed or stamped on the prescription in addition to the signature. The outpatient pharmacy is open 8:00am - 7:30pm Monday thru Friday and 9:00am - 3:00pm Saturday and Sunday and Holidays.
Prescriptions may not be refilled unless the physician specifies the number of refills to be permitted in the lower left hand corner of the prescription blank, where the following is printed: "Refill _____ times". Prescriptions written at the Medical Center may be refilled in the Hospital Pharmacy for not longer than one year for non-controlled drugs and 6 months or 5 refills for schedule III, IV and V Controlled Substances per Kansas State Law. Schedule II medications are not refillable and require a new written prescription for each dispensing.
The medical staff authorizes the outpatient pharmacy to provide an additional 30-day supply of medications to patients who have no remaining refills. The medications that have been approved for this service include the following: antihypertensives, insulin, hormones, diabetic medications, asthma medications to include inhalers, nonsteroidal anti-inflammatory medications, seizure medications, DDI, Retrovir®, immunosuppressant medications, and OTC drugs. The outpatient pharmacist mails a Refill Clinic Notification Form to the prescribing physician. The physician may phone in a new prescription to the pharmacy, mail a new prescription to the patient, or document the need for medication evaluation in the patient's chart for the next clinic visit.
Prescriptions written for outpatients must include adequate directions for the patient. The use of "Take as Directed" does not provide these patients with adequate directions on the prescription label to insure proper dosage. All prescriptions filled by the Pharmacy will be labeled with the name and strength of the medication.
Outpatient prescription quantities are limited to a one year supply if so authorized. The medical staff authorizes the KUMC Pharmacy to dispense lesser quantities of medication than prescribed per patient request and / or third party payer limitations. The medical staff also authorizes the KUMC Pharmacy to provide equivalent dose and quantity adjustments of an identified drug on the prescription if required. Such changes shall be documented on the prescription.
Prescriptions for dismissal medications should be written on the Take Home Medication Form. Keep in mind that the patient may already have sufficient quantities of maintenance medications at home and additional quantities will not be reimbursed by prescription plans. The physician must print the patient information, diagnosis, and physician's name. A signature is required for each prescription and the DEA number must be included on any prescriptions for controlled substances. As a convenience, patients may have take home medications filled in the KUMC Pharmacy by faxing the order to the Outpatient Pharmacy at 2385. Patients will be expected to provide any prescription insurance information, co-payments required by their prescription plan, or the full prescription amount at the time of service. The pink copy of the form will stay in the patient's chart and the white copy is exchanged for the medications at the KUMC Pharmacy or taken by the patient to their pharmacy of choice. Writing prescriptions 24 hours prior to discharge prevents a long wait for patients ready to go home and allows time to resolve financial issues that may arise.
The Department of Pharmacy will accept phone-in prescriptions for KU patients and employees where federal and state law allows. The pharmacy cannot accept telephoned orders for Schedule II drugs due to the Drug Enforcement Administration regulations restricting such activity. Phone-in prescriptions will not be accepted for routine dismissal prescriptions.
Schedule II prescriptions must be written on green blanks. All other prescriptions, including Schedule III, IV, and V are to be written on KUMC buff colored prescription blanks labeled "Not Valid for Schedule II Prescriptions." All prescriptions written for controlled Substances (Schedule II - Schedule V) MUST be written by a physician possessing a Drug Enforcement Administration (DEA) registration number. All new staff must sign a signature card to be maintained in the outpatient pharmacy. All prescriptions written for Controlled Substances must bear the name and address of the patient, the current date and the DEA number. Refills on Schedule II prescriptions are not permitted.
Restricted drugs are those that have been admitted to the formulary (a stock item that does not have to be special ordered), but require the approval of an authorized physician or medical service. Such approval may be required in writing in that the approving physician must write the order, or verbally by phone if such a system is established by the P&T Committee.
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