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

[Michele Wisniewski]

Catherine,
Yes I was referring to controlled substances.  Actually we use that method for all controls and the days supply is determined by the nursing home preference.  There is usually a house doctor and they are there every day.  With the e-script it's easier to get the doctors to go along then the hard copy is aquired at delivery.

Michele Wisniewski
Purchasing Agent
Mediserv Pharmacy
941-927-2811



----- Forwarded Message ----
From: Catherine Zimmer <zimme053 at umn.edu>
To: Michele Wisniewski <mediservrx at yahoo.com>; SETH ROBERT THOMPSON <seththompson at oakhillsnewulm.com>
Sent: Wednesday, August 5, 2009 5:06:13 PM
Subject: Re: Fw: [Pharmwaste] [Provider] 15-day limit on first-time prescriptionsfor certaindrugs

Hi Michelle,
Was the "CII" in your first message referring to Controlled substances II?  
Also, how did you get the doctors to go along with repeated scrips?  

Catherine Zimmer
Health Care Specialist

Minnesota Technical Assistance Program
University of Minnesota
612.624.4635, 800.247.0015
http://www.mntap.umn.edu

Helping Minnesota businesses maximize resource efficiency, increase energy efficiency, reduce costs, and prevent pollution

Michele Wisniewski wrote: 
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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