DEA rules and regs

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hmmm...i wonder how one in such a situation would approach one's attorney, requesting help to defend against a virtual prosecution.sheepish, no doubt.read the rules and follow them, to a T.don't even think about messing with this one.i won't even bother attempting to be tactful-- please take this with the best of intent--if you do this, you are stupid.LL I think this would be a great situation for virtual visits. If

the patient is stable on a given dose of Adderall, you could use IMH, or even a screening template of your own design to ask the questions you want to ask. I personally would require that the patient get their blood pressure and weight checked monthly, wherever they are, and send them to you as well as fill out a virtual visit form every month. I would then have the parents pick up the prescription every month, after I had reviewed the virtual visit form. This does not address the issues of sending amphetamines to a foreign country (which the parents would be doing), or the other important issue of not facilitating the patient’s avoidance getting appropriate medical care in the UK, but I am sure that if you used either IMH or your own form

emailed to the patient , you would be providing a better quality of care and documentation than most providers. dts From: [mailto: ] On Behalf Of Annie Skaggs Sent: Wednesday, January 02, 2008 4:10 PM To: Subject: DEA

question Lovely young lady in today, new patient, but daughter of established patients. She is 20, self pay and home on vacation from England. She just graduated with an MA from some school in London, and took a job there. Did her undergrad at Xavier in Cincinnati, and while there, got started on Adderall. Once she went to the UK, she says they don’t have Adderall available, so her parents have been

buying it here and mailing it to her. They have been getting the prescriptions from the same doc who prescribed it in Cinci. She did not bring records, but brought the most recent Rx, which Kentucky pharmacies have started refusing to fill because they are not written on the special controlled substance Rx paper required in KY. I don’t doubt her story, or that she finds it beneficial. Her mom would probably do well on something for ADD too. My question is about the legal implications. The DEA says no refills on Adderall, we’re supposed to follow her monthly. We can no longer write “do not fill before___” on the Rx because the DEA says no. Obviously she can’t come in monthly. How much trouble can I get into by

handing her folks a year’s worth of post-dated scripts? I recommended she speak to a UK pharmacy when she goes back about what IS available there, but if there is no option, what can I do to help her and not get myself into trouble? Thanks, Annie

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