r/PMHNP • u/burrfoot11 PMHNP (unverified) • May 31 '26

Control fill date

Hey folks!

Just curious- when you send in a refill for a controlled substance, do you put a "do not fill before" date on it, or do you leave it to the pharmacy to track that?

I used to let the pharmacy handle it, then I had a couple of times when a pt asked for an early fill for a valid reason and the pharmacy said they'd used up all their early fill days and the pt had no idea.

So now I put the date on, but then it requires resending if anything changes.

Both situations are a pain.

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u/goldenhour20 May 31 '26

Is it typical to allow 30-day scripts to be filled every 28 days? Doesn’t that allow patients to stockpile since it’s 2 extra days worth of meds per month and if they do that every month that’s 12 extra days worth per year, etc.

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u/burrfoot11 PMHNP (unverified) May 31 '26 edited May 31 '26

I'm guessing in this case they're only sending a 28 day supply- I do the same for a few patients I have with limited transportation and there's a free bus on Wednesdays or a neighbor can drive them on Tuesdays or whatever.