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Can I get my prescriptions and renewals at Gotodoctor.ca virtual care services?
Yes, online doctors at Gotodoctor.ca may provide you with prescriptions based on your consultation. Patient history is obtained like in an on-site walk-in clinic. Renewals can be obtained through our virtual care services as well. All the prescriptions will be sent to a pharmacy that you choose.
- How do the online prescriptions work?
Our online doctor will diagnose your medical condition after taking a history and symptom analysis. Life threatening conditions are excluded first, and patients with rapidly deteriorating signs will be directed to a clinic. The prescriptions can be sent to your preferred pharmacy directly through application. If you don’t require a delivery service you can pick up your medicine at the pharmacy.
- Can an online doctor prescribe medications?
Yes, online doctors at Gotodoctor.ca may provide prescriptions for medical conditions after diagnosis. The process is similar to the sequence in an on-site clinic. But online doctors do not provide prescriptions for controlled drugs like narcotics.
- What kind of conditions is an online doctor able to provide with prescriptions?
An online doctor can provide prescriptions for many the medical conditions. The doctor will take a comprehensive history and analyze your symptoms, and then may provide you with prescriptions. The process is similar to an on-site walk-in clinic. If the condition needs immediate attention, the patient will be directed to a clinic.
Health care stakeholders across the industry are keeping close tabs on whether the current COVID-19 public health emergency declaration will be extended past October 13, 2022 and whether the various non-permanent flexibilities around telehealth services will correspondingly be extended. However, earlier this summer, increased oversight of medications prescribed via telehealth visits came to the surface as a consideration against the numerous benefits of the increased availability of telehealth services during the COVID-19 public health emergency.
In particular, the concept of prescribing controlled substances following telehealth visits has drawn recent scrutiny from the Department of Justice (DOJ). In response to government inquiries into certain digital health companies with platforms that connect individuals with health professionals who could evaluate them and write prescriptions following telehealth visits, some pharmacies have announced they would stop filling prescriptions. Other pharmacies have blocked or delayed prescriptions for controlled substances ordered by clinicians working for these companies.
The federal government’s respective inquiries into digital health companies and pharmacies’ ensuing reactions to those investigations should serve as a reminder for these various stakeholders to ensure they are complying with federal and state law regarding prescribing controlled substances. The Drug Enforcement Administration (DEA) has published a helpful chart titled “How to Prescribe Controlled Substances to Patients During the COVID-19 Public Health Emergency”. The DEA’s chart includes a decision tree based on whether the prescriber has previously examined the patient in person and accounts for whether the patient has experienced a substance use disorder. Specific to prescribing through telemedicine, it offers a reminder that pursuant to evaluating patients via telemedicine prior to prescribing, the practitioner “must use his/her sound judgment to determine that s/he has sufficient information to conclude that the issuance of the prescription is for a bona fide medical purpose.” How digital health companies move forward and potentially revamp their online prescribing practices based on government interest and enforcement activity will be worth watching.
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