Effective October 1, CMS Requires Use of Tamper-Resistant Prescription Pads

September 17, 2007

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The Centers for Medicare and Medicaid Services (CMS) will mandate the use of tamper-resistant prescription pads beginning October 1, 2007. Section 7002(b) of the U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007, which was signed into law in May, requires pharmacists to reject paper prescriptions for Medicaid beneficiaries not written on tamper-resistant paper.

Several groups, including the AAN, have requested that CMS delay implementation of the provision based on the fact that the rule may limit access to medications and force pharmacies to return reimbursements when they fill prescriptions improperly. CMS maintains that the rule should help prevent overdoses and other problems caused by fraudulent prescriptions.