ALARACT 062/2011 23 February 2011
This Message Has Been Sent By The Pentagon Telecommunications Center On Behalf Of DA Washington DC
This ALARACT Message Is Being Sent On Behalf Of The Surgeon General
Subject: ALARACT Changes To Length Of Authorized Duration Of Controlled Substance Prescriptions In
MEDCOM Regulation 40-51 Ref/a/controlled Substance Act Of 1970// Ref/b/ MEDCOM Regulation 40-51/medical
Review Officers And Review Of Positive Urinalysis Drug Testing Results// Ref/c/otsg/medcom Policy Memo
10-076/prevention And Management Of Polypharmacy/09Nov10//
1. (U) Purpose: To Inform Medical Providers, Commanders, And Soldiers Of Changes In MEDCOM Regulation
40-51, Which Will Identify New Requirements For Authorized Duration Of Use Of Controlled Substance
Prescriptions.
2. (U) Background: 2.a. (U) The Army Health Promotion, Risk Reduction, Suicide Prevention Report
Recommended Limiting The Period Of Time For Appropriate Use Of Any Prescription To One Year.
2.b. (U) Federal Regulations Limit The Duration Of Controlled Substance Prescriptions To Six-Months (E.g., A
Prescription Must Be Filled Within Six-Months Of The Date The Prescription Is Written).
3. (U) Execution: 3.a. (U) MEDCOM Regulation 40-51 Will Be Revised Limiting The Duration Of Authorized Use Of
Controlled Substance Prescriptions. 3.b. (U) Prescriptions For Controlled Substances (Schedules Ii-V) Will
Have An Authorized Use Of Six-Months From Date Of Dispensing.
4. (U) Responsibilities: 4.a. (U) Medical Providers Will Prescribe Only The Minimum Quantity Of Controlled
Substances Necessary To Treat An Acute Illness Or Injury. Quantities Of Controlled Substances Used To Treat
Acute Conditions Will Not Exceed A 30-Day Supply. Providers Will Routinely Assess The Patient For Medication
Effectiveness And Adverse Events. 4.b. (U) Providers Using Controlled Substance Medications To Treat Chronic
Conditions May Prescribe A 30-Day Supply Of Medication With Up To 5-Refills. Providers Should Schedule
Frequent, Brief Clinical Visits With The Patient To Assess Medication Compliance, Patient Behaviors, The
Potential For Over-medication, And Drug Diversion Or Abuse. 4.c. (U) Military Treatment Facility Or Clinic Staff
Will Educate Soldiers On The Limitations For Authorized Use Of Controlled Substances. 4.d. (U) Soldiers Will
Understand That Controlled Substance Prescriptions Will Have An Expiration Date And That A Positive
Urinalysis After The Prescription Expiration Date May Result In A "no Legitimate Use" Finding.
5. (U) Pocs: 5.a. (U) Otsg/medcom: Col Carol Labadie, Pharmacy Consultant, Com: 703-681-5959, Dsn:
761-5959, Email: Carol.labadie@us.army.mil.
5.b. (U) Otsg/medcom: Col John Stasinos, Addiction Consultant, Com: 703-681-3765, DSN: 761-3765, Email:
John.j.stasinos@us.army.mil.
5.c. (U) HQDA Aoc-Cat: Surgeon Action Officer, Com: 703-693-4821, DSN: 223-4821, Email:
Otsg.aoccat@conus.army.mil.
6. (U) Expiration Date: 60-Days After Revised MEDCOM Regulation 40-51 Is Published.
See Also prescription drug story >
This Message Has Been Sent By The Pentagon Telecommunications Center On Behalf Of DA Washington DC
This ALARACT Message Is Being Sent On Behalf Of The Surgeon General
Subject: ALARACT Changes To Length Of Authorized Duration Of Controlled Substance Prescriptions In
MEDCOM Regulation 40-51 Ref/a/controlled Substance Act Of 1970// Ref/b/ MEDCOM Regulation 40-51/medical
Review Officers And Review Of Positive Urinalysis Drug Testing Results// Ref/c/otsg/medcom Policy Memo
10-076/prevention And Management Of Polypharmacy/09Nov10//
1. (U) Purpose: To Inform Medical Providers, Commanders, And Soldiers Of Changes In MEDCOM Regulation
40-51, Which Will Identify New Requirements For Authorized Duration Of Use Of Controlled Substance
Prescriptions.
2. (U) Background: 2.a. (U) The Army Health Promotion, Risk Reduction, Suicide Prevention Report
Recommended Limiting The Period Of Time For Appropriate Use Of Any Prescription To One Year.
2.b. (U) Federal Regulations Limit The Duration Of Controlled Substance Prescriptions To Six-Months (E.g., A
Prescription Must Be Filled Within Six-Months Of The Date The Prescription Is Written).
3. (U) Execution: 3.a. (U) MEDCOM Regulation 40-51 Will Be Revised Limiting The Duration Of Authorized Use Of
Controlled Substance Prescriptions. 3.b. (U) Prescriptions For Controlled Substances (Schedules Ii-V) Will
Have An Authorized Use Of Six-Months From Date Of Dispensing.
4. (U) Responsibilities: 4.a. (U) Medical Providers Will Prescribe Only The Minimum Quantity Of Controlled
Substances Necessary To Treat An Acute Illness Or Injury. Quantities Of Controlled Substances Used To Treat
Acute Conditions Will Not Exceed A 30-Day Supply. Providers Will Routinely Assess The Patient For Medication
Effectiveness And Adverse Events. 4.b. (U) Providers Using Controlled Substance Medications To Treat Chronic
Conditions May Prescribe A 30-Day Supply Of Medication With Up To 5-Refills. Providers Should Schedule
Frequent, Brief Clinical Visits With The Patient To Assess Medication Compliance, Patient Behaviors, The
Potential For Over-medication, And Drug Diversion Or Abuse. 4.c. (U) Military Treatment Facility Or Clinic Staff
Will Educate Soldiers On The Limitations For Authorized Use Of Controlled Substances. 4.d. (U) Soldiers Will
Understand That Controlled Substance Prescriptions Will Have An Expiration Date And That A Positive
Urinalysis After The Prescription Expiration Date May Result In A "no Legitimate Use" Finding.
5. (U) Pocs: 5.a. (U) Otsg/medcom: Col Carol Labadie, Pharmacy Consultant, Com: 703-681-5959, Dsn:
761-5959, Email: Carol.labadie@us.army.mil.
5.b. (U) Otsg/medcom: Col John Stasinos, Addiction Consultant, Com: 703-681-3765, DSN: 761-3765, Email:
John.j.stasinos@us.army.mil.
5.c. (U) HQDA Aoc-Cat: Surgeon Action Officer, Com: 703-693-4821, DSN: 223-4821, Email:
Otsg.aoccat@conus.army.mil.
6. (U) Expiration Date: 60-Days After Revised MEDCOM Regulation 40-51 Is Published.
See Also prescription drug story >
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