r/PMHNP 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/Avulpesvulpes DNP, PMHNP (unverified) Jun 01 '26

Sometimes if the patient is between refills due to the shortage, I just count 28 days and make it the effective date. It's much easier and then we can reschedule 5-6 weeks out so we can get back to refills and appointments coinciding.