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Baltimore Psychiatry takes pride in ensuring prescriptions are reliably sent to a pharmacy in a timely manner. Our policy is to send in all prescriptions before an appointment ends and verify receipt, so they are never forgotten. Most of our patients never have issues with missing prescriptions. It is rare for an electronic prescription to get misfiled or lost on the pharmacy side. We're happy to quickly intervene if we make a mistake or if the pharmacy genuinely loses or misfiles an electronic prescription. However, we have never failed to send in a prescription in our practice history and less than 5% of missing prescription reports actually need our assistance. When we do occasionally receive these reports we find they nearly always result from miscommunication between pharmacy staff and patients. Therefore we put together these guidelines to help prevent these scenarios. Before reporting a prescription missing please review and follow these guidelines. Here are the most common reasons they are reported missing and the solution:

"The pharmacy said they never received the prescription."

We get this report in 3 scenarios:
I) The prescription was received but the medication is not in stock.
II) A patient calls the automated line to see if a prescription is ready for pickup, simply asks staff if a prescription is ready for pickup, or the pharmacy staff member incorrectly assumes the patient is only asking about medications ready to be picked up.
III) The prescription was sent in more than a couple of days ago and the pharmacy staff is not aware. These can get overlooked, particularly by inexperienced techs, as they are further back in your history.

Solution: In all 3 cases it is very important to speak to a live staff member and ask about the availability of the prescription itself rather than the medication. In other words, if the pharmacy states "they don't have it, " clarify that they are referring to the prescription itself and not just the medication stock. Providing staff with the date the prescription was written (appointment date) can help them locate the prescription and may be necessary for prescriptions that were not written recently.

"I went to pick up my two prescriptions today but they only had one ready. Did you send in the second prescription too?" or "The pharmacy usually texts me when they fill my medications and I never got a text this week, did you send in the prescriptions?"

Solution: Your pharmacy may not automatically fill your prescription for numerous reasons (or may fail to properly notify you when they have) and this is very common. However, missing prescriptions are extremely rare, so please always ask the pharmacy first. If you are on-site make sure they check the computer for the original prescription and not just the bin for filled medications.

If the pharmacy still cannot find the prescription:

Following these guidelines will quickly solve over 95% of the reports we receive. If you follow these guidelines and the pharmacy still reports they do not have the prescription in their system, please either leave us a voicemail or send us an email. Mention that you have already followed these guidelines and we will prioritize your request. When contacting us please include your full name, date of birth, pharmacy name and address, medication(s) name and dosage, and any other pertinent information.

Other tips:

If you continue to have issues with a pharmacy, we generally recommend switching to a different pharmacy. Local independent pharmacies often offer a better quality service and less hassle and frustration than large chains. Additionally, you may want to consider creating a pharmacy account as you will often be able to view the prescriptions online to know they are on file with the pharmacy.

This almost always means that the prescription you are trying to fill is outdated and we have issued a new prescription. While we often issue refills on an initial prescription, we never add additional refills once those have been used. Instead, we issue a new prescription during your appointment. Please request that the new prescription be filled in its place.

While the pharmacy should contact us to let us know, they usually do not. Therefore, please contact us and let us know, so we can expedite this process. Even if the pharmacy claims they have contacted us already to let us know, we recommend contacting us to be sure.

If this is an emergency, including any severe allergic reaction to medication, please dial 911 as we do not provide any emergency services or urgent care. If you have an important *medical* need that cannot wait until your next appointment, please call us and leave a voicemail with your full name, date of birth, and any other pertinent information and your healthcare provider will respond. Note that while your healthcare provider may discontinue a medication if you are experiencing adverse or intolerable side effects, it is not safe or appropriate to otherwise adjust or add medications over the phone. If you believe you need medication changes or additions please reschedule your appointment for an earlier date.

You may send us an email or ask your provider during your next scheduled appointment.