H.R. 4599 — what changed

added “(f) Partial fills of schedule II controlled substances

added “(1) Partial fills

removed Section 309(a) of the Controlled Substances Act (21 U.S.C. 829(a)) is amended—

removed “(2) Partial filling of prescriptions

“(A) In general—A prescription for a controlled substance in schedule II may be partially filled if—

added “(i) it is not prohibited by State law;

added “(ii) the prescription is written and filled in accordance with the Controlled Substances Act (21 U.S.C. 801 et seq.), regulations prescribed by the Attorney General, and State law;

added “(iii) the partial fill is requested by the patient or the practitioner that wrote the prescription; and

added “(iv) the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.

added “(B) Other circumstances—A prescription for a controlled substance in schedule II may be partially filled in accordance with section 1306.13 of title 21, Code of Federal Regulations (as in effect on the date of enactment of the Reducing Unused Medications Act of 2016).

added “(2) Remaining portions

added “(A) In general—Except as provided in subparagraph (B), remaining portions of a partially filled prescription for a controlled substance in schedule II—

removed “(i) it is requested by—

removed “(I) the practitioner that wrote the prescription by making a notation on the face of the written prescription, written record of the emergency oral prescription, or in the electronic prescription record; or

removed “(II) the patient;

removed “(ii) the pharmacist partially filling the prescription records the partial filling in the same manner as a filling of the prescription;

removed “(iii) the pharmacist partially filling the prescription updates the record each time the prescription is partially filled;

removed “(iv) the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed; and

removed “(v) the pharmacist notifies the practitioner that wrote the prescription of each partial fill.

removed “(B) Remaining portions—Remaining portions of a partially filled prescription—

“(i) may be filled; and

added “(ii) shall be filled not later than 30 days after the date on which the prescription is written.

added “(B) Emergency situations—In emergency situations, as described in subsection (a), the remaining portions of a partially filled prescription for a controlled substance in schedule II—

added “(i) may be filled; and

added “(ii) shall be filled not later than 72 hours after the prescription is issued.”

removed “(ii) must be exhausted prior to, or on the same date that such prescription, if fully filled, would have been exhausted.”