On Saturday, September 29, 2007, President George W. Bush signed the “Extenders Law,” delaying the implementation date for all paper Medicaid prescriptions to be written on tamper-resistant paper.
Under the new law, all written Medicaid prescriptions must be on tamper-resistant prescription pads as of April 1, 2008.
CMS will issue additional guidance on this implementation delay as it becomes available.
Section 7002(b) - U.S. Troop Readiness, Veterans’ Care, Katrina Recovery, and Iraq Accountability Appropriations Act, 2007 signed into law on May 25, 2007.
Section 7002(b) of the Social Security Act states that payment shall not be made for “--- amounts expended for medical assistant for covered outpatient drugs (as defined in section 1972(k)(2)) for which the prescription was executed in written (and non-electronic) form unless the prescription was executed on a tamper-resistant pad.” This provision becomes effective on October 1, 2007 and applies to all outpatient drugs, including over-the-counter drugs. The law is applicable regardless of whether Medicaid is the primary or secondary payor of the prescription being filled.
See attached letter for more information.
Vendors that supply Tamper Resistant Pads:
| Name | Description | Date |
|---|---|---|
| Tamper Resistant Prescriptions Provider Compliance Referral Form 71.12 KB | 2010/08/24 | |
| Tamper Resistant Letter 213 KB | 2008/09/23 | |
| Response to Audit Notification 61 KB | 2008/04/01 | |
| TRPP Audit Notification Letter 64.5 KB | 2008/03/21 | |
| Rx Provisions 2.56 MB | 2008/03/18 | |
| Tamper Resistant Letter 28.38 KB | 2008/02/25 | |
| Tamper Resistant Letter 28.46 KB | 2007/08/29 |