APhA, ASHP ask for delay of tamper-resistant pads

July 23, 2007

Congress inserted a little-noticed provision into the Iraq war supplemental spending bill, mandating the use of tamper-resistant Rx pads for Medicaid prescriptions not submitted electronically.

Two more pharmacy organizations expressed concern over the impending Medicaid requirement for tamper-resistant prescription pads. Both APhA and ASHP issued statements asking CMS to delay the projected Oct. 1 implementation. In an effort to reduce fraud, Congress inserted a little-noticed provision into the Iraq war supplemental spending bill, mandating the use of tamper-resistant Rx pads for Medicaid prescriptions not submitted electronically. CMS has yet to issue a rule defining what would qualify as a tamper-resistant pad, and critics worry that too few prescribers know about the new requirement. A number of states including California, New York, and Texas already require the use of special prescription pads designed to prevent copying and other fraud.

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