As you’re probably already aware, all physicians are required to electronically prescribe controlled substances under state and federal laws.
PHYSICIANS DO NOT need to have an electronic health record system to prescribe electronically. A number of standalone e-prescribing systems exist. Physicians can search e-prescribing software on the Surescripts website, available at tma.tips/surescripts, and focus their search to “Standalone eRx.” If you have questions about seeking a standalone e-prescribing system, contact TMA’s Knowledge Center at (800) 880-7955 or e-mail firstname.lastname@example.org.
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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.
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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.
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ALL official prescription forms ordered prior to Sept. 1, 2018, are no longer valid.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:
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.
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).
If you don't have an EHR vendor, search for standalone e-prescribing software. The vendor can assist you with EPCS setup.
See FAQs About Prescription Pad Orders
Have prescribing questions? Call or email the Knowledge Center.
Check the Texas PMP
E-Prescribe Controlled Substances
Go to the PMP Resource Center
See the TMA courses that are available on prescribing and controlled substances.
Access CME Courses
This article provides general information regarding those acts a physician may “delegate” to nonphysicians, including information on the delegation of prescriptive authority.
View the White Paper
Four Tips To Improve Your Practice’s E-Prescribing
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