As you’re probably already aware, all physicians are required to electronically prescribe controlled substances under state and federal laws that took effect Jan. 1.
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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ALL official prescription forms ordered prior to Sept. 1, 2018, are no longer valid.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
TMA members are now eligible to receive 15 percent off of tamper-resistant prescription pads and forms from Rx Security. Pads can be used for schedule III, IV, and V controlled substances as well as non-controlled substances. Remember, orders for schedule II prescription forms must go through the Texas State Board of Pharmacy.
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.
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