Texas Prescription Program FAQs


Prescription Pad Ordering

   How do I order prescription pads?

The Texas Department of Public Safety will no longer accept orders for the official prescription pads effective August 21, 2016. However, official prescription forms issued by the Texas Department of Public Safety prior to September 1, 2016 will be considered valid prescription forms. For questions or to place a Schedule II prescription pad order, please contact the Texas State Board of Pharmacy at (512) 305-8050 or via email at texaspmp@pharmacy.texas.gov.

Prescription Form Questions

   What should I do with triplicate forms?

The triplicate prescription form is still a valid official prescription for Schedule II controlled substances. However, if the pre-printed DPS Registration Number is no longer valid, then the unused and voided forms should be returned to DPS – Texas Prescription Program. Unused copies (pink) can be destroyed.

   Can I use another doctor’s prescription pads?

No. The forms are not transferable.

    What are the new laws regarding faxed prescription forms?

A pharmacist may dispense a Schedule II controlled substance pursuant to a facsimile copy of an official prescription completed in the manner required by Texas Health and Safety Code §481.074 (0) and transmitted by the practitioner or the practitioner's agent to the pharmacy if:

  1. The prescription is written for:
    1. a Schedule II narcotic or nonnarcotic substance for a patient in a long-term care facility (LTCF), and the practitioner notes on the prescription "LTCF patient";
    2. a Schedule II narcotic product to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion; or
    3. a Schedule II narcotic substance for a patient with a medical diagnosis documenting a terminal illness or a patient enrolled in a hospice care program certified or paid for by Medicare under Title XVIII, Social Security Act (42 U.S.C. Section 1395 et seq.), as amended, by Medicaid, or by a hospice program that is licensed under Chapter 142, and the practitioner or the practitioner's agent notes on the prescription "terminally ill" or "hospice patient"; and
  2. After transmitting the prescription, the prescribing practitioner or the practitioner's agent:
    1. writes across the face of the official prescription "VOID--sent by fax to (name and telephone number of receiving pharmacy)"; and
    2. files the official prescription in the patient's medical records instead of delivering it to the patient.
      On receipt of the prescription, the dispensing pharmacy shall file the facsimile copy of the prescription and shall send information to the director as required by Texas Health and Safety Code §481.075.

   How long does a patient have to fill a prescription?

An official prescription, written for a Schedule II controlled substance, must be filled within 21 days after the date the prescription was issued.  If the practitioner issued multiple official prescriptions to a patient, in compliance with Texas Health and Safety Code §481.074 (d)(1), then the prescription must be filled within 21 days after the earliest fill date indicated.

   Can the prescription form be used for all controlled substances?

   Am I required to report thefts or losses of prescription forms?

Yes, Texas law requires a registrant to report any theft or loss of an Official Prescription form.  The details of the theft or loss must be provided to the Texas Prescription Program.

Yes, Both Texas and Federal law require a registrant to report any theft or loss of a controlled substance. The report can be made on Theft/Loss Form or on the DEA website.  If the report is created on the DEA website, a copy must be sent to the Texas Prescription Program.

    How can a pharmacy obtain a waiver from electronic reporting?

Under some circumstances, a pharmacy may obtain a waiver from electronic reporting of controlled substance prescription information. When a waiver is granted, the pharmacy is not exempted from complying with the law, but is required to report by an alternate method, approved by DPS.

Waivers must be requested from the Texas Prescription Program annually and in writing. The following circumstances have been identified as qualifications for waivers:

  • Minimum prescription threshold
  • Inadequate technology in the pharmacy

If pharmacists identify other issues, they may request a waiver by fully explaining the circumstances.

   Can controlled substance prescriptions be prescribed electronically?

Both Texas and Federal law allow controlled substance medications to be prescribed electronically provided the Federal requirements have been met.  For additional information on the federal law and electronic requirements, see DEA Diversion.

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