April 2020
This month's featured article is: When Less is More: Psychiatric Perspectives on 90 day Prescriptions
by Shannon Suo, MD, DFAPA
How many of you have received a fax from a pharmacy or a letter from an insurance company requesting/requiring that you change a prescription you wrote for a 30 day supply of medication to a 90 day quantity? In some cases, maybe you said, “okay, that seems reasonable—the patient has been stable on this medication for several years, the dose is unlikely to change, the patient is reliable, and it’s not a controlled substance.” But in psychiatry, the very nature of the disorders that we treat in patients often results in an unpredictable and unstable course, intermittent crises, and use of medications with narrow therapeutic indices that make the usage of medications simultaneously critical and dangerous, especially when available in large quantities.
Please read Dr. Suo's complete article beginning on Page 7
