The Drug Enforcement Administration (DEA) is making it more difficult for physicians to prescribe opioids, and in doing so, has necessitated changes to e-prescribing.
The issue stems from titles II and III of the Comprehensive Substance Act (CSA), under which controlled substances are classified into one of five schedules based on potential for abuse and likelihood of dependence. The DEA has rescheduled hydrocodone-combination products (HCPs) from schedule III to schedule II in an attempt to curtail abuse and dependence.
But, the regulations around schedule II drugs are much more restrictive than those around schedule III drugs. There will be only two ways to prescribe HCPs after the rule change becomes effective October 6: with a paper-based prescription handed to the patient or e-prescribing. Any other means of prescribing, such as phone calls or faxes, are not allowed.
For e-prescribing, some changes may be necessary at the electronic medical record (EMR) level and at medical practices as well as at pharmacies. EMR vendors and practices will have to implement the security that's required by the DEA in regards to identity management and factor authentication. As for pharmacies, currently only about two-thirds are ready to receive electronic prescriptions of controlled substances; the others will have to make some changes.
If you are one of the practices that needs to make these changes in order to meet DEA requirements, contact us today to see how our systems can help.