Can You Have Two Of The Same Medication On Your Pharmacy Profile?

In our latest question and answer, our pharmacist discusses having the same two medications on your pharmacy medication profile.

Dec 14, 2017

Rochelle asked

My doctor prescribed me clonazepam .5mg 3 times a day for years, so without it I really suffer. I ended up running short for a week. I had to call my doctor and let him know I am out of my med. He wrote me a script for clonazepam .5mg quantity 21 with 2 refills. Well when I went to call my refill in the pharmacist told me he had to cancel out my med because they can't have 2 similar medications in my profile. Is that the correct information? My Doctor, knowingly, put 2 refills of my #21 to reserve just in case. Can you please let me know

Answer

You can have two of the same medications on your pharmacy profile. In your case, this seems to be an issue with the pharmacy identifying a duplicate therapy and cancelling the prescription. Whether or not this was the correct thing to do, I'm not sure based on the information provided.

When a prescription comes into a pharmacy system, it very rarely can be just deleted and in most cases should not be.  If it can't be filled for whatever reason (e.g. too early, drug interaction, duplicate therapy), it simply would be "kept on profile" for later filling or simply for reference. In addition, in no situation should a pharmacist simply cancel a prescription without talking to the prescribing doctor. Perhaps there was just a communication error.

It's very common to have two different prescriptions for the same thing on a pharmacy profile. They could be different dosages for different situations for example. Things get a little more complicated when controlled substances are involved, but still, is relatively common. There must be other factors in your situation.

Lastly, it's difficult to ascertain from your question, but perhaps the pharmacy simply cancelled the refills of the prescription on the clonazepam? If this is the case, this may be accurate depending on the state you live in. In New York for example, clonazepam, which is classified a benzodiazepine drug, cannot legally have any refills. It requires a new prescription every time. If you are in a state that does not allow refills, you need to make your doctor aware of this and request a new prescription every time you are due.

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