Medical prescription

“ But it is objected that "a medical prescription" "should contain some recognition of the medicinal properties of the several ingredients" "and the part they perform in the compound:" or, as it is elsewhere expressed, such a mixture should not receive the sanction of this department "unless perhaps a satisfactory rationale should be given for the use of each of the ingredients in the proportions named."
If the medical faculty were always satisfied themselves as to the operation of the various remedies they employ, there might be more reason in the objection. ”

“ Humourous from [21] one point of view but quite perturbing for a physician was the innocent disregard for the directions left with medicines; indeed the doctor could never tell whether the failure of a prescription was due to the ineffectiveness of the drugs or to the failure of the patient to take the medicine as prescribed, for he found that the patient was liable to take the whole potion at once or just as liable to have another member of the family take the remedy vicariously. ”

“ The honesty of each being presupposed, such a charge as the substitution of an inferior article for some ingredient in a prescription, or the false insinuation that a mistake in the medicine is due to the compounder’s carelessness need not be raised. Let us consider the grievances of each against the other.
The physician complains that the apothecary exceeds his function by prescribing for the sick. A person applies to the pharmacist for a remedy for a specified disease. ”

“ As used in this subsection: ` (A) The term `valid prescription' means a prescription that is issued for a legitimate medical purpose in the usual course of professional practice by-- ` (i) a practitioner who has conducted at least 1 in-person medical evaluation of the patient; or ` (ii) a covering practitioner. ` (B) (i) The term `in-person medical evaluation' means a medical evaluation that is conducted with the patient in the physical presence of the practitioner, without regard to whether portions of the evaluation are conducted by other health professionals. ”

“ These are surely alternatives well worthy your attention, being admirably11 calculated for the promotion of your patient’s cure and your own reputation.
Having written your long prescription, and learnt from Mr. Emetic every necessary information, you return to the room of your patient, to prove your attention, and renew your admonitions of punctuality and submission;—then receiving your fee with a consequential air of indifference, you take your leave; not omitting to drop an additional assurance, that “you shall not be remiss in your attendance.” ”

“ That means seniors can save more and get the coverage they want -- not a "one size fits all" plan that does not meet their needs. Every prescription drug plan will offer a broad choice of generic and brand-name drugs, and seniors will be able to select any Medicare prescription drug plan in their area that fits their needs and their medical history. ”

“ Conforming Amendments.— (1) Section 422 (b) (2) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) , as amended by section 1501 (c) , is amended by striking `` (7) and ́ ́ and inserting `` (4) (H) (vi) , (7) , and ́ ́. ”

“ It is extremely hazardous for a second or third person to change the doses of a physician's medicine, either by the omission or addition of an ingredient. It would be safer—very much safer—to omit every thing, and leave the disease wholly to nature. The true course, however, in all cases, is to follow the prescription of the physician, to the best of our abilities, or else dismiss him. ”

“ Such term does not include a pharmacy that dispenses prescription medications to patients primarily through the mail, nursing home pharmacies, long-term care facility pharmacies, hospital pharmacies, clinics, charitable or not-for-profit pharmacies, government pharmacies, or pharmacy benefit managers. ”

“ With some 500 inhabitants in our settlement with quite a number of cases, some of them very serious, there has never been a physician called to prescribe one single prescription to any of these people, and I have an idea that if we were to look at them to-day we would find them equally healthy with those of the adjacent town where there are several physicians with two drug stores to draw their supplies from. ”

“ The Centers for Medicare and Medicaid Services shall establish a process for determining the units and the allocated price for purposes of this section for those branded prescription drugs that are not separately payable or for which National Drug Codes are not reported. ”

“ Helping can be as simple as showing an older neighbor how to fill out a form, or making a call for your mom or dad. You can get information 24 hours a day by calling 1-800-MEDICARE, or by visiting the official Medicare website at Medicare.gov.
In the 21st century, preventing and treating illness often require prescription drugs. In the coming months, we will help every Medicare recipient make a confident choice about their prescription drug coverage. By expanding drug coverage for our nation's seniors, we will help all Americans on Medicare receive the modern health care they deserve. ”

“ Two men scarcely ever write the same prescription for the same disease or the same symptom. I have watched the art of prescribing for fifty years, and I am quite sure that divergence of treatment is at this moment far greater than it ever was in the course of that long period. ”

“ As a general rule, we believe, Physicians have no objection to their patients knowing the remedies they prescribe, particularly when the patients themselves are people of sense and information, but in many instances, of what use would it be to the sick man and his conclave of friends to be able to spell {63} out the ingredients of a prescription? ”

“ The Pharmacopeia of the United States and the National Formulary are now recognized by federal and state laws as standards for drugs and their preparations. Physicians who prescribe Pharmacopeial or National Formulary drugs or preparations, therefore, are more likely to obtain a good and constant quality than if they prescribe unofficial articles, i.e., articles that have no legalized standard. Hence medical men are interested in knowing what drugs and preparations are included in these two books of standards. ”

“ The assertion that an ex­tem­por­aneous compound prescription even if identical in composition with the Chichester pill is often inert, is absurd and a reprehensible attack by suggestion of the ideal that the physician shall write his prescription to meet the individual needs of his patient and that the pharmacist shall compound the prescriptions of the physician as they are required. ”

“ EXCEPTIONS- The Secretary may establish exceptions that permit a PDP sponsor offering a prescription drug plan to exclude from its formulary a particular covered part D drug in a category or class that is otherwise required to be included in the formulary under subclause (I) (or to otherwise limit access to such a drug, including through prior authorization or utilization management) . ”

“ The term `filling new prescriptions for controlled substances in schedule III, IV, or V' means filling a prescription for an individual for a controlled substance in schedule III, IV, or V, if-- ` (A) the pharmacy dispensing that prescription has previously dispensed to the patient a controlled substance other than by means of the Internet and pursuant to the valid prescription of a practitioner that meets the applicable requirements of subsections (b) and (c) of section 309 (in this paragraph referred to as the `original prescription') ”

“ There’s the combination for safety, results and satisfaction.—Rose Drug Co., St. Joseph, Mo.
Recovery Is Doubtful if the quality of the Drugs and Medicines given a patient is not above doubt.
We spare no effort in obtaining the purest and most reliable goods. Efficiency is dependent upon freshness in almost all Drugs, and all Prescriptions are compounded from Drugs which have not deteriorated through age.
Accuracy is the strong feature of our Prescription Department.—The White Cross Pharmacy, Rutland, Vt. ”

“ By the adoption of the Pure Food and Drugs Act both the responsibility and the obligation of the pharmacist are increased and added importance must attach to his position. He should take as much pride in his ability to pronounce upon the quality of an article guaranteed by the manufacturer, or in making a preparation which he himself guarantees, as he has heretofore taken in his ability to decide upon the compatibility, or to question the dosage, of a prescription. He must stand between the manufacturer and the physician as he has stood between the physician and the public. ”

“ Prescriptions may be filled but once, and no copy may be given, except to an officer of the law, and the drug must be delivered in a container labeled with the serial number of the prescription, with the date when filled and the name of the person for whose use the medicine is intended, the name of the physician, and the name and address of the dispenser. ”

“ A patient comes to the city for the purpose of consulting some experienced physician for a certain complaint. Probably he gets a prescription, with instructions to go to a certain respectable druggist or apothecary in town to have the [Pg 73] necessary medicines put up. Of course a respectable physician knows of a reliable apothecary. The patient, in nine cases out of ten, desires to retain the prescription, and often does so. He goes to another drug store, more convenient, for a second quantity of the same ”

“ Pharmacy cures sickness by drugs, surgery heals by the use of knife and cautery, the species concerned with diet prescribes a regimen for the removal of disease, that concerned with diagnosis proceeds by determining the nature of the ailment, that concerned with remedies by prescribing for the immediate removal of the pain. The species of medicine, then, are pharmacy, surgery, diet and regimen, diagnosis, prescription of remedies. ”

“ In reference to the patronage on the part of Physicians of particular apothecaries, we are of opinion, as a general rule, that Graduates in Pharmacy should be encouraged in preference to others of the same date of business, and whilst admitting the abstract right of the physician to send his prescription where he pleases, we think that justice should dictate the propriety of his encouraging the nearest apothecary deserving of his confidence and that of the patient. ”

“ Some family physicians, who are nothing more than diagnosing agents for the specialists, and who, when called in to see the sick, immediately consult a specialist, with the result that in about 50 per cent. of the cases the subject generally finds his or her way into the hospital. The great number of dispensaries in our community, with their indiscriminate service and consequent unbridled abuse, is another cause for the falling off in the prescription business. ”

“ The physician knows well that the opportunities which are presented to him of intervening effectually to cut short the processes of disease by the use of specific cures are not very numerous, and that often enough the justification Page 164 for his prescription is the soothing effect which it may exercise upon the mind of the patient, who, believing either in the physician or in his remedy, finds confidence and patience till recovery ensues. ”

“ A specialist sometimes receives fifty to one hundred dollars for prescribing in a case, for which another physician, in ordinary practice, would charge but an office fee of two to ten dollars. A quack specialist—and an impostor—in the latter city makes his brags that he has received twelve hundred dollars for one prescription. ”

“ The Doctors employed differ so essentially in opinion, that, as it frequently falls out on many other consultations, they may lose their patient while debating on the prescription:—in truth, I don’t see how the Doctors can ever agree, as the prescribers must necessarily take the assay ”

“ A gentleman afflicted with rheumatism consulted a physician, who immediately wrote him a prescription. As the patient was going away the doctor called him back. "By the way, sir, should my prescription happen to afford you any relief, please to let me know, as I am myself suffering from a similar affection, and have tried in vain to cure it." ”

“ They are equally unanimous in prescribing the remedy, by which this happy effect is to be produced. The prescription is no sooner made known, however, than a number of persons interpose, and, without denying the reality or danger of the disorder, assure the patient that the prescription will be poison to his constitution, and forbid him, under pain of certain death, to make use of it. Might not the patient reasonably demand, before he ventured to follow this advice, that the authors of it should at least agree among themselves on some other remedy to be substituted? ”

“ This November, enrollment begins under the new Medicare prescription drug benefit, which offers more affordable access to prescription drugs, better health care choices, and extra help to low-income seniors and beneficiaries with disabilities. ”

“ Not all proprietary medicine men take the newspaper route—they don’t have to. The catspaw doctor does his work too well. Witness the “little joker” anti-pain tablet already mentioned. Probably ten times as much of this preparation is self-prescribed as is prescribed by physicians. It unquestionably contains drugs that should be taken only under medical advice, and yet physicians prescribe it in a manner which leads directly to self-prescribing by the laity. ”

“ Because one particular drug or medicine benefits a certain person should not be considered as evidence that it will aid another. The habit of borrowing prescriptions is dangerous. The intelligent physician writes a prescription, which will benefit his patient, and the same prescription would be of no benefit, and might be of positive injury, to another. Many of the testimonials given to patent medicines are genuine and are written by honest persons. ”