Fw: [Pharmwaste] [Provider] 15-day limit on first-time prescriptionsfor certaindrugs

[Michele Wisniewski]

Containers are paper (bingo card) and the bubbles are PET. We use a foil seal on the bubbles with wax ink. 
Yes they can be recycled as all components can be separated after use.  AND the cards are designed to promote patient compliance.
 
Michele Wisniewski
Purchasing Agent
Mediserv Pharmacy
941-927-2811



----- Forwarded Message ----
From: Matthew Mccarron <mmccarro at dtsc.ca.gov>
To: mediservrx at yahoo.com
Sent: Wednesday, August 5, 2009 3:57:48 PM
Subject: Re: [Pharmwaste] [Provider] 15-day limit on first-time prescriptionsfor certaindrugs

Can containers be recycled?

Matt McCarron
Dept. of Toxic Substances Control
Pollution Prevention - Green Business
700 Heinz Ave. Suite 300
Berkeley, CA 94710

510-540-3828

Your purchasing decisions affect the sucess or failure of our future on
this planet!!
>>> Michele Wisniewski <mediservrx at yahoo.com> 08/05/09 12:34 PM >>>
We are already using a 15 day fill on our CII and in some cases a 3 or 5
day fill.  We are long term care and that makes it easier for us but, we
do have a rehab unit we supply to and those are 3 days only.  The
decrease in our waste from a 15 day to a 3 day fill is significant not
only in waste but also  it alleviates the extra destruction work for the
nurse.  It's more work for the doctor to provide a new rx every time but
I feel that makes them more aware of who and what they're writing for
and maybe (in my perfect world) we can prevent misuse before it starts.

Michele Wisniewski
Mediserv Pharmacy
Sarasota, Fl


From:provider-bounces at informe.org [mailto:provider-bounces at informe.org]
On Behalf Of Provider Notification
Sent: Friday, July 31, 2009 3:59 PM
To: List Serve 
Subject: [Provider] 15-day limit on first-time prescriptions for
certaindrugs

MaineCare has begun instituting measures to ensure cost effectiveness
through the use of Drug Benefit Management, Drug-Drug editing to ensure
education and patient safety, recent PPI limitations and Intensive
Benefit Management with controlled substances. 

For a number of years in Maine, research from the Maine Benzodiazepine
Study Group, The University of Maine Center on Aging, and in part funded
by the only Federal Grant in the US on unused drug return mail back
programming has suggested that adherence to medication and other
variables may lead to large amounts of unused and discarded medication.
Closer evaluation of side effects and efficacy may lead to better
patient outcome and better safety for patients with closer evaluation of
initial response.

With that, MaineCare will institute new 15 day limits on initial
prescriptions for various medication that have been identified with high
side effect profiles, high discontinuation rates, or frequent dose
adjustments to ensure cost effectiveness without “wasting” or
“discarding” of used medications.  Effective 8/6/09 MaineCare will
begin limiting initial prescriptions on the following medications,
Suboxone, Subutex, Chantix and Nicotine replacement products to 15 day
supplies. Initial prescriptions for preferred products over the initial
15 day supply will require prior authorization. Subsequent refills of
these products will be allowed at the usual MaineCare allowable days
supply.


      
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