Department of Health and Human Services Release New Buprenorphine Guidelines
Reuben Strayer, MD
SAMHSA - Become a Buprenorphine Waivered Practitioner
Related Material
EM:RAP 2015 September: Buprenorphine
EM:RAP 2020 June: Strayerisms: Opiate Use Disorder Part 1
EM:RAP 2020 June: Strayerisms: Opiate Use Disorder Part 1
tom f. - June 15, 2021 5:44 AM
Hi Reuben!
it's good to hear you again. (it's tom fiero from merced).
thank you for this
I took the 8 hour course.
our problem in Merced, ca is largely methamphetamines
Reuben Strayer (@emupdates) - June 15, 2021 7:39 AM
great, Tom!
amphetamine addiction is super challenging.
Nicholas F. - July 21, 2021 1:19 PM
I submitted my paperwork from the SAMHSA site the same night this was released. Took a few weeks to get my X-Waiver. I was very happy and have tried twice to prescribe now (Opiates/Opiods are not as frequent of an issue in Hawaii).
Both times my scripts have been declined. Apparantly, as I am not associated with any substance abuse clinics, I am only listed as being able to prescribe for "pain control" not for substance abuse prevention. Is this a mistake or the way the new X-Waiver guidelines are written?
Is there anyone else with this issue? I am going to contact the SAMHSA to se how I can fix this.
Reuben Strayer (@emupdates) - July 21, 2021 1:37 PM
If you are submitting the prescription with your DEA-X number (it starts with the letter X), and you are getting that feedback from your pharmacy, the problem is the pharmacy.
Any DEA-registered provider can prescribe buprenorphine for pain control; X-waivered docs are able to prescribe for OUD. You do not need to be affiliated with any clinic.