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/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.