Pharmacies rejecting dentist prescription forms

CDA reminds dentists who write controlled substance prescriptions that they must ensure their tamper-resistant forms are up-to-date.

CDA has learned prescriptions are being rejected by pharmacies because the forms do not include all of the required elements.

One of those required elements is that tamper-resistant forms used for controlled substance prescriptions must have the prescriber’s address preprinted on them. This requirement was put into law in January 2012, although the old prescription forms could be accepted through June 30, 2012.

If it has been some time since ordering new prescription forms, dentists should make sure the following is preprinted on the forms they are currently using:

• Prescriber’s name and address.
• Category of licensure and license number.
• Federal controlled substance registration number (DEA number).
• The statement, “Prescription is void if the number of drugs prescribed is not noted.”
• Six quantity check-off boxes next to the following numbers: 1-24; 25-49; 50-74; 75-100; 101-150; 151 and over.
• A space next to the quantity boxes for the prescriber to designate the units referenced in the quantity boxes when the drug is not in tablet or capsule form.
• Check boxes for the prescriber to indicate the number of refills ordered.
• A place to indicate the prescription’s date of origin, which must be hand written.
• A check box indicating the prescriber’s order not to substitute.
• An identifying number assigned to the approved security printer by the Department of Justice.
• A check box by the name of each prescriber when the form lists multiple prescribers (the prescriber signing the form must check the box next to his or her name).
• A number for each batch of forms, with each form in a batch numbered sequentially beginning with the number one.

Dentists can purchase tamper-resistant prescription forms only from state-approved printers. A list of approved printers is on the Department of Justice’s website. Printers require photo identification from a customer who personally picks up the forms, and only established customers may pick up the forms in person. If mailing the forms to a prescriber, the printer must use certified mail or other means that requires the recipient’s signature, and must send the forms to the prescriber’s address that is on file with the DEA.

More information on applicable state and federal laws is available in the “Controlled Substances Prescribing and Dispensing” resource on cda.org.

Related Items

Prescribing, dispensing, and administering controlled substances requires registration with the DEA and compliance with state and federal laws. Read this article to learn more about reporting lost/stolen drugs and prescription forms, disposing of controlled substances, and the state Prescription Drug Monitoring Program.