Important Information about your Medication

Medication Requests

Requesting Medications:

• Email us at support@kegecenter.com
• Use the Support button in your Patient Portal

Please note: Requests typically require 24-48 hours for review and response during business hours. Adjustments to dosages necessitate an in-person appointment with your provider.

Understanding Refills:

Refilling stimulant medications can be tricky since they are classified as controlled substances. Due to this, your prescription bottle will always show no Refills as the DEA requires providers to send scripts individually:

• Regulation: Each month’s prescription must be sent separately due to DEA regulations.
• Process: If multiple months' prescriptions are provided (up to three), each will be dated for future filling and shown as “no refills” on the bottle.
• Action Needed: Contact your pharmacy 2-3 days before your current supply runs out to request the next script of your medication is filled.

Scheduled Follow-Ups:

• Routine Check-ins: Follow-up appointments are required every three months for stable patients, or sooner if changes in medication are needed.
• Legal Requirement: Due to DEA regulations, a maximum of three months of medication may be prescribed at one time. Providers must see patients in-person every three months before issuing further prescriptions.

If Issues Arise:

• Prescription Not Found: Sometimes pharmacies may inadvertently delete advance electronic prescriptions. If you’re informed that no scripts are on file, please contact us immediately so we can resolve the issue.

Medication at School

If your child will be taking medication during school hours, follow these steps to ensure safety and compliance:

1. Request the Medication Administration Form: Contact the school and ask them to send you the medication administration. Complete the parent section and email the form to support@kegecenter.com. 

2. Email the Completed Form: Once filled, email the form to support@kegecenter.com for the provider to finalize. Your provider will fill out the prescriber section, which includes prescription details, medication purpose, diagnosis, and potential side effects. 

3. Transportation of Medication:, All medication, including prescriptions must be brought to school by an adult and handed directly to another adult. Ensure medications come in their original labeled containers.

4. Pharmacy Instructions: When picking up medications, request the pharmacist to split the prescription into two labeled bottles—one for home and one for school.

5. Special Regulations: Be aware of specific rules for controlled medications, like ADHD drugs, which are regulated by the DEA and cannot be refilled without a new prescription. Coordinate with your provider to manage your child's medication needs effectively.

By following these guidelines, you ensure that your child's medication is administered correctly and safely at school.

Lost or Stolen Medication

We understand that losing medication can be frustrating, but unfortunately, we cannot replace lost or stolen medication. This class of medication is classified by the DEA (Drug Enforcement Administration) and has special restrictions imposed on it, which prevent prescribers and pharmacists from being able to send scripts until the majority of the medication taken as prescribed is gone. Pharmacists also have restrictions that prevent them from filling this class of medication until 80-90% of the medication taken as directed should be gone. These measures are in place to prevent abuse, addiction, and diversion.

It's important to note that both the prescriber and pharmacist are required to view medication histories for all patients using the Prescription Monitoring Program (PMP). The PMP is a statewide database that tracks controlled substance prescriptions and helps identify potential misuse or abuse of these medications. This allows prescribers and pharmacists to work together to ensure that patients receive appropriate care and treatment while minimizing the risks associated with these medications.

We encourage all of our patients to exercise extreme caution with their medication and ensure that it is properly and securely stored. By taking these precautions, you can help prevent the loss or theft of your medication and ensure that you receive the full benefit of your treatment plan.

Proper Storage of Medication

Proper medication storage is critical to maintaining the safety and effectiveness of your medication. Here are some additional tips to help you properly store your medication:

• Follow the storage instructions on the medication label. Some medications require refrigeration, while others should be kept at room temperature. Be sure to follow the instructions on the label to ensure the medication remains effective.
• Store medications in a cool, dry place. Exposure to heat and moisture can cause the medication to break down and lose effectiveness. Avoid storing medication in the bathroom, near a window, or in a car.
• Keep medications out of reach of children and pets. It is recommended to keep your medication locked up or stored it in a high cabinet that is difficult for children or pets to access.
• Do not store medication past its expiration date. Expired medication may not work as well and can even be dangerous to take. Check the expiration date on your medication regularly and dispose of any expired medication properly.
• If you are traveling with medication, keep it in its original container and pack it in your carry-on luggage. This will help prevent the loss or theft of your medication during travel. If you are traveling out of the country, verify medication laws and communicate with the Embassy or Consulate to understand the requirements for travel. 

Safe Medication Disposal with DisposeRx

Proper disposal of medications is crucial. DisposeRx offers a simple and effective solution for disposing of unused or expired medications, turning them into a biodegradable gel when mixed with water in a medication bottle. This method is not only safe but also convenient, allowing medications to be discarded safely at home.

Where to Obtain DisposeRx:

DisposeRx packets are available at no cost at CVS and Walgreens. These packets are designed to deactivate drugs effectively and are part of the pharmacies' commitment.

• CVS Pharmacy: CVS provides DisposeRx packets for certain prescriptions, particularly those that are prone to misuse. They also offer in-store medication disposal kiosks at many locations. These kiosks accept various forms of medications, including pills, liquids, and creams, providing a year-round option for safely disposing of medications that do not require the use of DisposeRx packets.

• Walgreens: Similar to CVS, Walgreens provides safe medication disposal kiosks across many of its stores. They support the proper disposal of medications, including controlled substances and over-the-counter treatments, with the aid of DisposeRx for safe at-home disposal.

Using DisposeRx:

1. Add water to the medication vial until it's about two-thirds full.
2. Empty the DisposeRx packet into the vial.
3. Replace the cap and shake the vial for about 30 seconds.
4. The mixture forms a gel, encapsulating the medication and making it safe to dispose of in your household trash.

DisposeRx packets contain ingredients that are FDA-approved for oral medications, ensuring they are safe and effective for medication disposal. This method is supported by CVS and Walgreens as part of their efforts to combat prescription medication misuse and to provide their customers with convenient, responsible disposal options.

For more detailed guidance or to obtain DisposeRx packets, visit your local CVS or Walgreens pharmacy.

If you have any questions or concerns about proper medication storage, talk to your provider or pharmacist.