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 Post subject: Buprenorphine Question
PostPosted: Wed May 07, 2014 8:30 pm 
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Is this a correct understanding or am I mistaken? We all know that for a Doc to be able to prescribe Suboxone or a generic, or generic buprenorphine for opioid addiction treatment, the doc must have the 8 hours Sub training, but any ole doc can prescribe buprenorphine for pain management or other off-label purposes, is this correct, any doc can prescribe bupe so long as it isn't for addiction treatment? The BuTrans patch being an example.


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PostPosted: Wed May 07, 2014 9:50 pm 
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yes, that is correct, to my knowledge. the waiver is only needed to rx bupe for opiate addiction, but not for pain. any doctor can prescribe it off label for pain. the patch cannot be prescribed for addiction, however as it is not approved under DATA 2000 for the treatment of addiction. as far as I know Suboxone,zubsolv, and generic buprenorphine, formerly called subutex tablets are the only meds allowed under DATA 2000. someone jump in and correct me if anything has changed and im incorrect


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PostPosted: Wed May 07, 2014 11:04 pm 
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Thank you for the reply. So when I pick up my prescription for generic buprenorphine (no naloxone) from the pharmacy, does the pharmacist know whether its been prescribed to me for addiction, or for pain management or some other condition? There doesn't appear to be any notations or codes of any kind of the prescription slip the doc gives me.
Thanks again.


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PostPosted: Wed May 07, 2014 11:19 pm 
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You are correct Liz. If used for pain suboxone can be prescribed by anyone with a DEA registration (including PA's and NP's). Same for methadone. Butrans can only be used for chronic pain.
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Terryx, When suboxone is for addiction we use a special DEA # that starts with an X. When I use it for pain I use my regular DEA (starts with a B) and put on the prescription for pain.


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