Are there any restrictions or limitations on the use of telemedicine to obtain prescription drugs?
In Texas, there are both restraints and limitations on the use of telemedicine to acquire prescription drugs. Physicians must first obtain proper consent from their patients before obtaining a prescription controlled substance. In addition, a physician must have an appropriate relationship with the patient before being allowed to prescribe controlled substances. This relationship includes having conducted an appropriate medical evaluation in person or by alternative means such as telemedicine. Physicians also may not prescribe controlled substances through telemedicine to fill prescriptions for more than a 72-hour supply. There are additional safety protocols that must be followed when physicians prescribe controlled substances through telemedicine. These include using a technology that ensures the transmission of audio and visual information, along with the ability to confirm the identity of the patient. When a physician prescribes a controlled substance such as an opioid through telemedicine, the prescribing physician is responsible for monitoring the patient’s progress after the prescription is given. The physician must also be able to intervene if symptoms of opioid use disorder develop. In addition, a physician can only prescribe a controlled substance through telemedicine if approved by the Texas State Board of Medical Examiners. The board may impose additional restrictions as it sees fit. Ultimately, these restrictions and limitations are intended to ensure that when a physician prescribes a controlled substance such as an opioid through telemedicine, they do so in a safe and responsible manner. This is to protect the health and safety of the patient and to ensure that the patient receives the most appropriate care.
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