PRESCRIPTIONS & REFILLS

We no longer re-fill prescriptions without an appointment. Dr. Miller provides you with enough medications and/or refills until your next appointment. Please check the number of refills you have with your pharmacy.

If for some reason you run out of medications before your next appointment please call (410) 535-6520 and speak slowly and clearly state your name, date of birth, contact phone number, medication you are requesting, and pharmacy name and phone number. The situation will be evaluated and it may take 48-72 hours until the electronic prescriptions will be issued. Medication requests are not filled after hours (after 4:30 p.m. during weekdays) or on weekends (closed Friday, Saturday, and Sunday) and holidays, so please plan accordingly. It is wise to schedule your appointment in advance to avoid running out of important medications.

If you require prior authorization for the prescribed medication, your pharmacy should fax us the Prior Authorization Form at (410) 535-6523, and it will be your responsibility to make sure that we receive that form. We need 48-72 hrs. to complete the prior authorization process. If you are requesting the prior authorization on Thursday, we may not be able to complete the process until the following Monday.

If you have not been seen by the physician for more than 6 months you will not be given refills on any medications (scheduled or non-scheduled). You must schedule a follow-up appointment and be re-evaluated for the effectiveness of the current medication regimen and possible side effects or complications.

If you have not been seen in an office for more than 3 months you will not be given refills on any Anxiolytic Medications (Benzodiazepines: Xanax, Ativan, Valium, Klonopin, and others) as well as ADHD medications (Stimulants: Adderall, Ritalin, Vyvanse, Concerta, Dexedrine and other). Make sure you allow sufficient time to have your appointment scheduled to be re-evaluated for the necessity of currently prescribed controlled medication and to avoid possible withdrawal symptoms due to the abrupt discontinuation of Benzodiazepines.

If you lose a scheduled medication prescription for Stimulants (Methylphenidate, Dextroamphetamine, Amphetamine, Vyvanse, Dexedrine, Adderall, Ritalin, and others), Opioid Dependence medications (Suboxone/Subutex/Buprenorphine, Zubsolv, Bunavil), Benzodiazepines (Xanax, Ativan, Klonopin, Valium and other) and Sleep Medications ( Ambien, Sonata, Lunesta and other) you will not be given another prescription until it's time for a scheduled routine refill and you will be required to provide detailed information about the incident and copy of the police report. Based on circumstances and physician determination, you may or may not be prescribed this specific medication again.

ADHD medications are Schedule II controlled substances and will be prescribed electronically by a physician during the appointment only. The office staff will also not be calling pharmacies to check the availability of medication. The patient may want to call the pharmacy prior to requesting a new prescription to ensure the pharmacy has the requested medication.

Please note that pharmacies were instructed not to provide any automatic refills for any patients. At the end of every follow-up appointment, the patients will receive the date and time of their next appointment based on Dr. Miller's recommendations. The frequency of the follow-up appointments with Dr. Miller ranges from 1 week to 3 months, depending on the patient's stability and the type of appointment. If you are running out of medications, you need to schedule an appointment with Dr. Miller if you don't have one. Sometimes, patients cancel the appointment and ask for refills. Please be aware that we are not granting those refills in our psychiatric practice. Dr. Miller only provides a specific number of refills that are safe and therapeutic until the patient's next appointment. Any extension of the patient's visit, other than recommended by the physician, could compromise the patient's psychiatric stability and possibly lead to safety concerns.