- Next Steps: Get Started Prescribing Buprenorphine!
- How to Assess and Treat Patients with Comorbid Health Issues
- How to Conduct Buprenorphine Induction
- How to Establish and Manage a Buprenorphine Practice
- How to Manage Challenging Patients
- How to Comply with Rules, Regulations, and Recordkeeping
- Federal (DEA) Recordkeeping Requirements for Buprenorphine Treatment
- Federal Guidelines for Dispensing Buprenorphine Tablets in the Office
- Guidelines for Writing a Prescription for Buprenorphine
- DEA Oversight and Audits of Buprenorphine Treatment Programs
- Patient Privacy Issues for Buprenorphine Treatment
- Medical Recordkeeping Guidelines for Substance Abuse Patients
- How to Understand Insurance and Billing Issues
- How to Screen for Substance Abuse
- How to Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?
The U.S. Drug Enforcement Administration (DEA) and state DEA oversee office-based buprenorphine treatment and have the right to inspect physicians' buprenorphine practices at any time. Audits are random and usually unscheduled; a minority of buprenorphine practices are visited by the DEA annually. Physicians who comply with federal recordkeeping and treatment guidelines have no need for concern.
According to a 2006 presentation by Denise Curry, Deputy Director from the DEA's Office of Diversion Control, most inspections are uneventful and the majority of practices are found to be in compliance with federal guidelines. When problems are cited, they generally involve administrative issues and require physicians to make changes to their recordkeeping practices. However, if more serious violations are found then the DEA can revoke a physician's right to prescribe buprenorphine and take further legal action when necessary.
In case of a DEA audit, you may be asked to present the following information:
- documentation of your waiver to prescribe buprenorphine
- treatment logs, including information on how many patients are currently in treatment
- documentation of prescriptions given
- dispensing practices, for physicians who are dispensing buprenorphine tablets from their offices
There are some exceptions to the disclosure laws, such as in case of medical emergencies or legal situations.
This log can be used to keep track of office inventories of buprenorphine medication.
California Society of Addiction Medicine (CSAM)
This is the full text of Title 21, Chapter 13 of the US Code, which deals with drug abuse prevention and control.
Drug Enforcement Administration (DEA)