Doctors & Prescription Renewals

SauRoNZA said:
That's technically illegal.

Even though I do the same.
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At the pharmacy I frequent I can get my chronic medication with no prescription at all. What they're doing is definitely illegal.

I do however call the specialist around the same time as he's sharp to pick up that he did not give me prescription for the preceding 6 months when I go for my annual checkup.
 
It's quite standard for Doctors to charge a full consultation for writing out a repeat prescription. As this is the practice, I encourage my family members and friends on Chronic Meds to at least have a 5 minute telephonic conversation with the doctor when they get a new repeatable prescription.

If you're just getting a repeat, they should only charge a third to half of the full consultation fee (writing out a script takes 5 mins tops and most consultations are ~15 mins)

The whole point of only allowing up to a repeatable prescription of only once +5 repeats is so that you have consulted with your doctor with regard to your condition fairly recently.
 
You need to find a more flexible pharmacist.
 
Mike Hoxbig said:
As in buy 2-3 months supply when you go there, then stock up when you go again...
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You cannot. You can only buy what is on the prescription, and only the amount of meds the doctor prescribed per period. A six months precription for Prexum, as in 1 box of 30 per month, you can only buy one box in one month, and if you skip a month, you cannot buy two the next month.
 
LazyLion said:
I do that with my repeats, but then he still charges me for a consultation.
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Also phone for a repeat on chronic meds and get charged for a consultation.

Doctor is 35 minute drive away and I'd change doctors if he wouldn't give repeats without a visit.
 
Slootvreter said:
You cannot. You can only buy what is on the prescription, and only the amount of meds the doctor prescribed per period. A six months precription for Prexum, as in 1 box of 30 per month, you can only buy one box in one month, and if you skip a month, you cannot buy two the next month.
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He's referring to knowing a pharmacy where he can get it without prescription. Why would they care how many he buys in a month?
 
A 5 minute job for a plumber to unscrew my cistern inlet pipe lock nuts (I did not have a large spanner) and fit a float that I purchased cost me R650.00. All he used was some thread seal tape.

By the way, my wife got all her contraceptive pills for free at the local clinic. They even offer the 3 month injection for free.
 
maumau said:
Also phone for a repeat on chronic meds and get charged for a consultation.

Doctor is 35 minute drive away and I'd change doctors if he wouldn't give repeats without a visit.
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You shouldn't be charged for a consultation on chronic.

That comes off your chronic benefit.
 
OP If cost is an issue, please note that contraception is free at any local clinic run by the government. Granted some clinics are busy, some are not. Find one that suits your needs.

Avoid unscrupulous pharmacists who dispense scheduled medication without a prescription. Should anything go wrong that pharmacist will lose their license but at what cost to you or your partner's health?

The Dr in question is wrong. There are some things that the Dr needs to assess before repeating your wife's script and two minutes is hardly enough. To name a few:

1. A urine or blood pregnancy test must be negative and documented in her file.

2. Current weight should be charted to establish a trend

3. Blood pressure is checked and recorded.

4. A lipogram ( cholesterol, LDL, HDL) must be done at least every 6 months. Every 3 months in high risk patients.

5. A proper cardiovascular examination ie listen to the heart , time the pulse and so on

Number 1 is obvious. 2,3,4 and 5 essentially monitor and assess the cardiovascular risk for an incident occuring. By incident I mean a stroke, an embolus or infarct. Contraceptives increase the likelihood of you developing one of those so monitoring is important.

Having said that you can see why contraceptives are scheduled medication and need a prescription. It would amount to negligence for the Dr to just write the script and not examine/assess your wife. Likewise the pharmacist can be charged with malpractice and negligence for dispensing the contraceptives without a script.

So who do we blame if your wife has a stroke and feeds through a straw for the rest of her life?

I would rather not let it get to that point. Just find a Dr whose consultation is thorough and that you deem to have reasonable rates or go to your local clinic.
 
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