The April 1, 2008, deadline to begin use of tamper-proof prescription pads for Medicaid prescriptions is drawing closer. In 2007, Congress passed a law requiring physicians to use the pads for most Medicaid prescriptions (there are exceptions for Medicaid managed care and institutionalized patients). The American Medical Association, along with state medical societies and other advocacy efforts, were able to pushed back the implementation date to April 1. As supply orders may take up to four weeks to process, physicians are encouraged to place their orders now.
CMS has issued guidance on the new federal law. For state Medicaid programs, there is not a single national regulation. States are individually implementing their own requirements regarding which tamper-resistant features will be required in that state.