As a result of the current Federal government funding situation, the information on this website may not be up to date or acted upon. Updates regarding government operating status and resumption of normal operations can be found at www.opm.gov . Despite the lapse in appropriations, IHS will continue to provide direct clinical health care services as well as referrals for contracted services that cannot be provided through IHS clinics. For more information on how IHS is impacted, visit: HHS Contingency Plan
Multiple Prescriptions of Schedule II Drugs
Drug Enforcement Administration regulations allow practitioners to provide individual patients with multiple prescriptions, to be filled sequentially, for the same Schedule II controlled substance, with such multiple prescriptions having the combined effect of allowing a patient to receive over time up to a 90-day supply of that controlled substance. (21 C.F.R. Part 1306) Among the requirements are that each prescription issued have a “legitimate medical purpose” and that doctors include written instructions on each prescription. For questions and answers about the multiple prescription rule, visit the Office of Diversion Control .
Indian Health Service. Office of Management Services. Indian Health Manual. Rockville, MD: US Department of Health and Human Services, 2009.
Drug Enforcement Administration. Office of Diversion Control. Practitioner’s Manual: An Informational Outline of the Controlled Substances Act (2006 Edition). By Joseph T. Rannazzisi and Mark W. Caverly. Washington, DC: US Department of Justice, 2006.
“Dispensing Controlled Substances for the Treatment of Pain; Policy Statement,” [PDF - 140KB] Federal Register, Vol. 71, No. 172 (September 6, 2006), pp. 52,716–52,723.
Office of Diversion Control. Drug Enforcement Administration.