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Comment by omgwtfbyobbq | Hacker News Reader

That's odd that you can't get a 90-day supply. I'm also on a Schedule 2 drug for ADHD in California and have gotten a 90-day supply with Kaiser.

Granted, when I was seeing an individual psychiatrist prior to having Kaiser, she said I could only get a 30-day supply as well and would just send 3 at a time too. I feel like there is a way to do a 90-day supply that many providers either don't want to do or don't know about.

Edit - It might be something that's possible with electronic scripts and not possible with paper.

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With Kaiser at least, if a doctor sends an Rx to the pharmacy the pharmacy can likely see the history. If the doctor sends a 90 day Rx and the last fill date was around 90 days prior, it's plain from that data the abuse is unlikely. They can also easily ping the doctor to verify the Rx and after so many Rx'es would flat the Rx as ok for 90 day supplies. But that's just me spitballing.

Some random pharmacy can't see the fulfillment history from other pharmacies. They only way they could see abuse would be after the fact. They don't want to set themselves up for a lawsuit or criminal investigation so they just limit their Rx amounts.

It can also be related to your insurance and employer's choices when setting up the benefits.

I don't think insurance will allow you to triple fill something and don't prescriptions for controlled substances expire?

You don't triple fill all at once. The doctor calls in one prescription for, say January, then one prescription for February, then one for March. You have to go to the pharmacy each month, but the doctor only 4 times a year. Basically the doctor can prescribe a prescription that doesn't start until a certain time. So the start time on the three prescriptions differs.

That's how it's done in FL for non-opioid schedule II. None of our Dr's can call or transmit Schedule II Rx, they have to be hand carried paper scripts.

Opioids are limited to a 3 day supply tho (with some tight exceptions, for those patients that can afford a PM Dr).

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