What is the 28 day prescription rule?

Asked by: Mr. Brown Wisoky  |  Last update: November 4, 2025
Score: 4.3/5 (26 votes)

It refers to the number of days you may need to wait between refills of 30-day prescriptions that are considered controlled substances. If you have a medication that follows the 28-day rule on a 30-day supply, it means you can get a refill no earlier than 2 days before the 30 days are up.

What's the earliest you can refill a controlled substance?

The answer to this question varies depending on many factors. But common rules seen at many pharmacies are 7 days early for non-controlled substances, and 2 days early for controlled substances. Insurance plans often require a certain amount of time to pass since your last fill.

What is the 28 day prescribing policy?

If you are being prescribed a “repeat medicine” your doctor will now start to prescribe enough of each medicine to last you for 28 days. For example, if you are taking 2 tablets a day you will receive 56 tablets, 3 tablets a day 84 tablets, 4 tablets a day 112 tablets etc.

Can Adderall be filled every 28 days?

Prescriptions for stimulant medications can be filled every 28 days; you should set a calendar reminder every 28 days to reach out to your pharmacy to request your next prescription.

Are refills based on fill date or pick up date?

We look at the prescriptions selected for enrollment and choose a date based on your past prescription fill history. We determine the date based on last pickup dates and when you may require refills.

How many days early can I refill a prescription?

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Do you count the day you got your prescription?

Obtained date is the last dose of your medication. The next refill period should begin the day after this date (+30 days).

What may cause a refill too soon rejection?

“Refill too soon” rejections happen because a person is trying to get their medication before the payer thinks it's due. In some cases, the pharmacist can obtain a “refill too soon override” for these rejections.

What is the 28 day rule for prescriptions?

It refers to the number of days you may need to wait between refills of 30-day prescriptions that are considered controlled substances. If you have a medication that follows the 28-day rule on a 30-day supply, it means you can get a refill no earlier than 2 days before the 30 days are up.

Can I refill Adderall 4 days early?

Also with adderall you cannot pickup the medication early. You usually have to wait around 30 days before refilling it again UNLESS your dosage has changed. Even with change in dosage, the pharmacist still may not fill it unless they have spoken with your doctor and received proper verification.

Why do I need to see my doctor every three months for refills?

Oftentimes doctors will want to schedule periodic appointments to look over lab tests and assess how well the medication is treating your condition before renewing your prescription. This is particularly common when starting a new maintenance medication like blood pressure or diabetic medications.

How do you calculate days supply for prescriptions?

To find the days' supply first determine how many units will be taken in 1 day. Next, to determine the amount of days this medication will last, divide the total quantity dis- pensed by the daily quantity taken.

Can I get more than 1 month prescription?

Pharmacies can give you ongoing prescriptions

Yes, if your doctor prescribes you a six-month prescription. Again, yes, depending on what your doctor prescribes you and for how long. A medication may be required to be taken four times a day spread out over the hours of the day that you're awake.

How long do you have to wait between prescriptions?

For non-controlled 30-day prescriptions, most pharmacies will allow you to refill at least day 28 (or 2 days before you should run out of medication). Your refill date can also depend on your prescription insurance.

Why do I have to see my doctor every 3 months for Adderall?

Due to regulations for prescribing controlled substances, a new prescription with a prescriber visit is required each month. At first, your prescriber will meet with you monthly to check on your symptoms and adjust your Adderall dosage.

Can a pharmacist override a doctor's prescription?

Can a pharmacist change prescriptions? In most cases, a pharmacist must follow the doctor's exact prescription, but there are a few exceptions. If the pharmacist finds interactions, dosing instructions, or other factors preventing the medication from working, a change may be necessary.

Is gabapentin a controlled substance in 2024?

As of June 2024, gabapentin remains a non-controlled substance under the U.S. federal government.

What is the 28 day rule for Adderall?

Use 72 hours as a general rule. You're marking the 28th day as earliest pick-up because most pharmacies and insurances allow controlled substances to be re-filled up to two days early, for convenience. Be aware that this is considered a privilege which can be taken away at the discretion of your doctor or pharmacist.

What is the best Adderall alternative?

Prescription Medication Alternatives to Adderall
  • Strattera (atomoxetine) Strattera (atomoxetine) is a non-stimulant ADHD medication. ...
  • Intuniv ER (guanfacine) ...
  • Ritalin (methylphenidate) ...
  • Provigil (modafinil) ...
  • Focalin (dexmethylphenidate) ...
  • Vyvanse (amphetamine/dextroamphetamine)

How early can ADHD meds be filled?

The remaining portion may be filled within 72 hours of the partial filling for prescriptions initially filled later than 30 days after the date on which the prescription is written. Pharmacist must notify the prescribing physician if remaining portion cannot be filled within a 72 hour period.

What is the 28 day prescribing guidance?

With 28-day prescribing you should finish your medicines all at the same time, meaning you will only have to visit the surgery once a month to collect your repeat medicines. It will also reduce the likelihood of needing to make an emergency request if you run out of medicine.

What schedule is hydrocodone?

Hydrocodone is a Schedule II narcotic that is marketed in multi-ingredient Schedule III products. The Schedule III drug products have accepted medical use in treatment and have a moderate to low physical dependence or high psychological dependence.

How to get an emergency prescription refill?

To get an emergency prescription refill, you can:
  1. Talk to a pharmacist: They can provide a 3-day emergency supply of certain medications.
  2. Visit an urgent care clinic: Clinics can issue short-term emergency prescriptions, but availability might be limited.

Why would insurance deny Adderall?

Your insurer may deny the claim because the form was improperly filled out or incomplete. This is usually easy to fix, and the claim can be resubmitted. In some cases, a claim could be denied because the treatment or medication is specifically excluded, or prior authorization was not sought.

What is a pharmacy override?

A prescription override is a request to have a prescription filled for more than a 30 day supply. Who is eligible for the override? Overrides can be requested by a student traveling outside of the United States for more than a 30 day period.

Can pharmacies refuse to accept GoodRx?

Are pharmacies required to accept GoodRx coupons? Participating pharmacies are required to accept GoodRx through contracts with their pharmacy benefit managers (PBMs). An exception is for controlled medications. Accepting a GoodRx coupon for a controlled medication is always at the discretion of the pharmacist.