Prescribing

Get information and resources on e-prescribing requirements, hardship waivers, dispensing drugs, prescribing controlled substances, delegation of duties and more.
What You Need to Know About Mandatory E-Prescribing of Controlled Substances

As you’re probably already aware, all physicians are required to electronically prescribe controlled substances under state and federal laws.
View the FAQs
You Don't Have to Use an EHR to E-Prescribe

Standalone E-Prescribing

PHYSICIANS DO NOT need to have an electronic health record system to prescribe electronically. Several standalone e-prescribing systems exist that can handle regular e-prescribing as well as e-prescribing of controlled substances. If you have questions about seeking a standalone e-prescribing system, contact TMA’s Knowledge Center at (800) 880-7955 or email.
Dispensing

Quick Reference Guide: Prescriptions Which May Be Dispensed In Texas (Texas State Board of Pharmacy)

Dispensing With Reason? Overturning State Ban on Providing Drugs From Physician Offices

Dispensing Drugs From a Medical Practice
Prescribing Controlled Substances

Electronic Prescriptions for Controlled Substances (DEA)

Schedule II Stimulant Medications Are Subject to the Same Prescribing Limitation as Opioids

DEA Extends Controlled Substance Prescribing via Telemedicine Through 2025

FAQs on E-Prescribing Controlled Substances (DEA)

Sample Opioid Treatment Agreement (Texas Pain Society)
An informed consent and opioid treatment agreement is a contract between a doctor and a patient. The goal of the agreement is to ensure that patients who are taking opioid drugs do so exactly as their doctor has prescribed. This sample agreement can be used as a template for your practice. Once it is signed, be sure to incorporate it into the patient’s record in the EHR. Thank you to the Texas Pain Society for allowing TMA to link to the sample agreement.

Training to Focus on Opioid Prescribing Guidelines (CDC)

Read Opioid Articles
How to Renew Your Electronic Prescribing Hardship Waiver

Physicians and other prescribers in Texas must now electronically prescribe controlled substances (EPCS). However, prescribers who demonstrate financial or technical hardships, or other exceptional circumstances, are eligible for a waiver from the Texas Medical Board (TMB) that, if approved, grants a one-year delay. If the hardship persists, prescribers must renew that waiver annually.
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Texas Official Schedule II Prescription Forms Update

If you are not yet e-prescribing controlled substances (EPCS), you can still use official Schedule II prescription forms in Texas. Since Sept. 1, 2018 the official forms include additional security features to prevent fraud. Even if you are using EPCS, consider keeping a supply of paper forms as a contingency if your system is unavailable.

ALL official prescription forms ordered prior to Sept. 1, 2018, are no longer valid.

Order prescription forms early to avoid running out.

The following information must be accurate and included with your order:

Current DEA Registration (To update a DEA registration address, contact the DEA at https://www.deadiversion.usdoj.gov/drugreg/)

State License Information

Office Phone Number

Texas Driver License (If shipping to a Texas driver license (DL) address, send a copy of the DL to texaspmp[at]pharmacy[dot]texas[dot]gov)

E-mail Address

Shipping Address (Orders require a signature at delivery)

Be sure to e-mail a copy of your driver's license to texaspmp[at]pharmacy[dot]texas[dot]gov as soon as you submit your order!

Due to the volume of orders, fulfillment for orders for new Schedule II prescription pads can exceed 8 weeks for delivery by the Texas State Board of Pharmacy.

Consider EPCS

Check with your electronic health record (EHR) vendor to see how you can get set up to e-prescribe controlled substances (EPCS). Sometimes the EPCS functionality can be set up within a day (depending on the vendor).

See FAQs About Prescription Pad Orders
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Prescribing

Get information and resources on e-prescribing requirements, hardship waivers, dispensing drugs, prescribing controlled substances, delegation of duties and more.

What You Need to Know About Mandatory E-Prescribing of Controlled Substances

You Don't Have to Use an EHR to E-Prescribe

Dispensing

Prescribing Controlled Substances

How to Renew Your Electronic Prescribing Hardship Waiver

Texas Official Schedule II Prescription Forms Update

Consider EPCS

TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state.

What could a TMA membership mean for you, your practice, and your patients?

Ask the TMA Knowledge Center

(800) 880-7955

E-Prescribing Requirements

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