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Triplicate prescriptions in Washington State

D H Williams1

  • 1Washington State Board of Pharmacy, Olympia 98504.

NIDA Research Monograph
|January 1, 1993
PubMed
Summary
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This program effectively controlled inappropriate controlled substance prescribing by targeting high-risk prescribers. Future enhancements aim to establish prescribing norms for more objective evaluations.

Area of Science:

  • Public Health
  • Pharmacology
  • Health Policy

Background:

  • Inappropriate prescribing of controlled substances poses a significant public health challenge.
  • Existing monitoring programs may face limitations in scope and impact.

Purpose of the Study:

  • To evaluate the effectiveness of a targeted program for controlling inappropriate controlled substance prescribing.
  • To identify areas for program improvement and expansion.

Main Methods:

  • The program selectively targets prescribers identified with drug use or prescribing issues.
  • Monitoring encompasses prescribed, office-administered, and dispensed drugs.
  • Compliance responsibility is placed on prescribers.

Main Results:

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  • The targeted approach avoids the "intimidation factor" associated with broader programs.
  • The program demonstrates flexibility in the scope of controlled substances monitored.
  • The program has shown value in controlling inappropriate prescribing practices.

Conclusions:

  • The limited, targeted program is effective in controlling inappropriate controlled substance prescribing.
  • Program enhancements could include broader prescriber sampling to establish prescribing norms.
  • Establishing prescribing norms would aid disciplinary boards in objective overprescribing determinations.