Narcotic Prescription Policy

Due to the alarming rate of narcotic pain medication abuse/dependence, it has become necessary for physician practices to closely manage patient use of prescription narcotic pain relievers, such as Vicodin, Vicoprofen, Hydrocodone, Tylenol #3 w/codeine, Percocet, Percodan, Lorcet, Lortab and Morphine products.

The Narcotic Prescription Policy of Orthopaedic Specialists of Austin is as follows:

No narcotic pain relievers will be prescribed at the time of initial consultation. The referring physician should manage all pain medication until the time that a final treatment plan has been recommended by this office. It is unlikely that a final treatment plan can be recommended at the initial visit since most patients will not have had all of the necessary diagnostic test required to form an accurate diagnosis (i.e., MRI, X-rays, EMG, CT scan, etc.).

Once the final diagnosis has been made, this office will recommend a treatment plan that may or may not include the short-term use of narcotic pain medication.

In the event surgery has been recommended, this office will render the post-operative pain management. Narcotic pain management in the post-operative period may not exceed 45 days.

In the event a non-operative treatment plan has been recommended, pain management can be rendered by either the primary care physician (PCP) or by the non-surgical specialist to who the patient is referred for further care.

Regional pharmacies monitor patient use of narcotic pain medications and contact the prescribing physician(s) if a patient is receiving narcotic pain medication from more than one physician. If this office receives notification, from any source, that a patient is receiving narcotic pain medication from more than one physician, prescribing of such medication by this office will be immediately suspended.

Under no circumstances will narcotic pain medication be prescribed beyond a 90-day period. If narcotic pain management is required beyond 90 days, then a referral to a Chronic Pain Specialist will be made.

In the event of suspected narcotic abuse, further prescriptions of narcotic pain medications will not be made.

In the event of documented narcotic abuse, further prescriptions will not be made and the patient may be discharged from care.

In the event of suspected narcotic dependence, a referral to a Dependency Treatment Specialist can be made, at the patient's request.

If a patient has not been seen in this office during the preceding 3 months, no prescriptions will be "called-in" to the pharmacy without re-assessment of the patient. 

IF A REQUEST FOR A PRESCRIPTION REFILL HAS BEEN MADE BY TELEPHONE, THE PHYSICIAN MUST REVIEW YOUR CHART PRIOR TO CONTACTING THE PHARMACIST.  THEREFORE, YOUR REQUEST MAY NOT BE PROCESSED IMMEDIATELY.  IT IS THE POLICY OF THIS OFFICE TO COMPLETE ALL LEGITIMATE REQUESTS WITHIN 48 BUSINESS HOURS.  THEREFORE, REQUESTS MADE ON FRIDAY MAY NOT BE COMPLETED UNTIL THE FOLLOWING WEEK.