At the discretion of the pharmacist, he/she can give the patient 3 days worth of a non-controlled/narcotic prescription while we wait for a PA or a new script. You are probably thinking of an emergency supply. in your world, he'd pretty much have to walk it off right? Called the doctor last week to follow up. I got a patient that's been waiting on a PA since January. then he started asking the prices of each medication and ended up just picking the cheapest one and told us to tell the patient to pay out of pocket. he tried changing the medication 3 times to other medications of the same class. I remember calling a doctor about getting a PA once. I don't really know what the process for the physician PA's are but it's enough of a hassle where they exhaust every other option before they do it. I average about 30-40 PA rejections per day and i can count on my fingers how many times a doctor ever actually went through with the process of a PA. Been a retail pharmacist for nearly 2 years.
wait for the doctor to authorize the PA? what a joke.
You sure don't sound like you practice retail pharmacy. I'm not sure if you were asking as a medicaid recipient or a pharmacist dealing with this situation. it may prompt an investigation from medicaid to see if the person should really be on medicaid(although highly unlikely). When it comes to legality for the pharmacy, no it is not.
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