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Medical Forum / General / Pharmacy / October 2003

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Special License Requirement/Subuxone?

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JuanValdez - 25 Oct 2003 04:50 GMT
          I was just curious about the class of Opioids that act full
agonist/antagonist,requirements for physicians....I cant recall if the
newer prescription
is subutex or subuxone(bupenorphine)?Anyways,does anyone here know if
the dr. who
prescribes the above mentioned opioids needs a special dispensing
license?
      Oh by the way if anyone here knows of any good webpages or even
books
available on the subject of Opioid's(IN the US),it would be greatly
appreciated,a big thanks
in advance for any info on this subject.

             Thanks
(please forgive any typos my first language is russian,I am still
learning english),thanks again.................................Sincerely
Juan Valdez(everyones favorite morning companion
<G
Brad - 25 Oct 2003 15:28 GMT
Its CIII so requires that the prescriber has DEA priveledges.

>            I was just curious about the class of Opioids that act full
> agonist/antagonist,requirements for physicians....I cant recall if the
[quoted text clipped - 14 lines]
> Juan Valdez(everyones favorite morning companion
> <G
dogmom - 25 Oct 2003 17:59 GMT
> I was just curious about the class of Opioids that act full
> agonist/antagonist,requirements for physicians....I cant recall if the
[quoted text clipped - 3 lines]
> prescribes the above mentioned opioids needs a special dispensing
> license?





Who is qualified to prescribe SUBOXONE or SUBUTEX?


Physicians who:
Meet one or more of the following training requirements

•  Hold a subspecialty board certification in addiction psychiatry
from the American Board of medical Specialties

•  Hold an addiction certification from the American Society of
Addiction Medicine

•  Hold a subspecialty board certification in Addiction Medicine from
the American Osteopathic Association

•  Have completed not less than 8 hours of authorized training on the
treatment or management of opioid-dependent patients. This training
may include classroom situations, seminars at professional society
meetings, electronic communications, or other media. The American
Society of Addiction Medicine, The American Academy of Addiction
Psychiatry, the American Medical Association, the American Osteopathic
Association, and the American Psychiatric Association are all
authorized to provide this training. Details and website addresses can
be found in the section below.


AND meet both of the following criteria:

•  Have the capacity to provide or to refer patients for necessary
ancillary services, such as psychosocial therapy.

•  Agree to treat no more than 30 patients at any one time in their
individual or group practice

AND:

How can I be sure a physician is qualified to prescribe
SUBOXONE and SUBUTEX?
Physicians who meet the qualification criteria listed in the previous
section
must also notify the Secretary of Health & Human Services of their
intent to
prescribe SUBOXONE and SUBUTEX before doing so. Once all relevant
criteria are verified, DEA will issue the physician a unique
identification
number indicating that he or she is a qualifying physician under the
DATA.

AND:
What if I get a prescription from a doctor who does not have a special
DEA identification number?
Call that physician for clarification that the physician has made the
appropriate notification to DHHS. DEA is developing regulations that
will require this number along with the physician's existing DEA
registration number to be included on all prescriptions issued for the
treatment of opioid dependence; therefore physicians are being
strongly
urged to include this number on prescriptions.
Paul Trusten - 25 Oct 2003 19:04 GMT
AND.....pardon me, but this is a reality check, so it may offend.....try
checking into all these details during a 900-rx day with an angry recovering
addict waiting.  Very often the combo will be prescribed by someone who may
be qualified to follow the patient (psychiatrist), but doesn't have the
aforementioned specific qualifications to permit your filling the Rx, yet
goes ahead and writes the Rx anyway and leaves it to us, the Registered
Phallguys, to fight it out with both patient and prescriber. If I'm wrong
about this scenario, then, groovy.

This is why I left retail and am glad I have no plans to return. What was
once just a regulatory minefield is now a regulatory war zone.

> > I was just curious about the class of Opioids that act full
> > agonist/antagonist,requirements for physicians....I cant recall if the
[quoted text clipped - 60 lines]
> strongly
> urged to include this number on prescriptions.
P T - 27 Oct 2003 11:59 GMT
JuanValdez <JuanValdez121@newmail.net> wrote \

>...Who is qualified to prescribe
>SUBOXONE or SUBUTEX?

"dogmom" <parisxoxoxo@yahoo.com> wrote

>Physicians who:

>Meet one or more of the following training
>requirements

>. Hold a subspecialty board certification
>...[etc]

ptrusten@cox.net (Paul Trusten) responded:

>AND.....pardon me, but this is a reality
>check, so it may offend.....try checking
>into all these details during a 900-rx day
>with an angry recovering addict waiting ...
>What was once just a regulatory minefield
>is now a regulatory war zone.

And what do you do on a Sunday morning if you get discharge orders thus:

"Withdrawal:
Rx Methadone
0.1mg po qd x 7d"

and the patient is 14 days old?

(My future mailing address:
Federal Prison Facililty
Anytown, USA)
 
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