I do not respond to requests for prescription refills from pharmacies because I always want to talk to the patient first. Asking pharmacy staff to fax or call in refill requests only wastes your time and theirs.
When patients call in for refills out of session I see it as a red flag that something has gone wrong. I believe that anytime people call for refills out of session that a medication error has occurred, and I want to be proactive about preventing medication errors, which can lead to serious harm. I feel that whatever problem which led to the medication error needs to be addressed and fixed, not ignored or swept under the rug.
Like most physicians, I DO NOT REPLACE ANY LOST, STOLEN OR PREMATURELY FINISHED PRESCRIPTIONS FOR SCHEDULE II DRUGS SUCH AS STIMULANTS OR PAIN MEDICATIONS.
I want to do all prescriptions refills during your session. There are six good reasons for this policy:
If you need me to fill prescriptions outside your session, I consider this service to be emergency paperwork and my minimum fee for this service is the charge for 15 minutes of my time.
If you are out of a prescription because of changes I made between one of your sessions and the next, I will refill medications outside your session without charge. However, if you have run out of medication because you missed or rescheduled your appointment, you will need to pay the emergency paperwork fees.