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eligible to receive our Pharmacy Community Assistance Program (P-CAP).  These patients can receive maintenance medications from our formulary at $3.75 per prescription per month.  Patients may also get a two or three month supply at a single visit to assist with patients living some distance from our facilities.  A second tier of medications will also be available at a cost of below $12.00 per month.  Pharmacy Services will continue to order brand name medications through the manufacturers’ patient assistance programs for the administrative fee of $15.00 for a 3 month supply.  

Formularies for all of these programs can be accessed at

www.ecu.edu/cs-hs/grouppractice/customcf/formulary.pdf.  

The assistance of BSOM staff in educating patients about these programs is greatly appreciated.  

Best Prescribing Guidelines:

Providers and Clinical Staff are reminded and cautioned that:

NO provider may write prescriptions for a patient that has not been medically evaluated.

All prescribing activity must be documented in the electronic medical record.

NO provider should write prescriptions for themselves or family members, except in the case of acute, minor illness or medical emergency.

NO clinical staff should phone in or authorize prescriptions without the express authority of the provider, and such authorization should be documented in the EMR.  Failure to follow this rule of law may result in dismissal from the university and/or criminal prosecution.

Providers may designate representatives to phone in or authorize prescriptions but are encouraged to limit this to skilled clinical staff, preferably RNs and LPNs.

Pharmacists both at ECU and at private pharmacies have the right and the responsibility to refuse to fill prescriptions that they feel are in violation of any of these standards.

North Carolina law limits prescription refills to one year from the date written and six months on any controlled substances.  The number of prescription refills is limited on controlled substances with no refills allowed for CII meds and a limit of 5 refills on III, IV, and V drugs.  

Please note that these reminders are intended to assist our clinicians in providing our patients with the highest quality of patient care and are based, in part, on the established policies of the North Carolina Medical Board and the Professional Practice Guidelines and Expectations of the Brody School of Medicine.

Any questions regarding these guidelines should be directed to Dr. Nicholas Benson, Acting Medical Director.

Pharmacy and Therapeutics Committee:

Dr. Susan Gerkin, Chair

It is the goal of this committee to establish guidelines and monitor all pharmaceutical use at ECU Physicians.  The goals for the committee include:

Adopt a uniform best practices prescribing policy

March 17, 2009

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