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Is a Medical Review Officer (MRO) permitted to accept an employee’s prescription for medication obtained over the Internet?

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  • Is a Medical Review Officer (MRO) permitted to acc…

• An MRO is authorized to accept an employee’s prescription for medication
obtained over the Internet only if there is proof that a legitimate doctor-patient
relationship had been established.
• The following four elements generally serve as an indication that a legitimate
doctor-patient relationship has been established:
— A patient has a medical complaint;
— A medical history has been taken;
— A physical examination has been performed; and
— Some logical connection exists between the complaint, the medical
history, the physical examination, and the drug prescribed.
• Standing alone, the completion of an online questionnaire reviewed later by a
pharmacy-employed doctor fails to establish a proper doctor-patient relationship.
• The MRO should, at a minimum, consider the following items when verifying
the test result:
— The name, physical location, and state(s) of licensure of the prescribing
practitioner;
— Whether the employee was professionally evaluated for the current
medical complaint by the prescribing practitioner, and the last time the
employee was in direct contact with the prescribing practitioner;
— Whether the employee initiated the request to the pharmacy for a
particular medication; and
— Whether a proper doctor-patient relationship existed.
• It is the employee’s responsibility to provide sufficient documentation to address
MRO inquiries as to whether there was a legitimate doctor-patient relationship.

 

7/2006

ABOUT ALCOPRO

Since 1982, AlcoPro has supplied and manufactured the most accurate drug and alcohol testing instruments, kits, and supplies for professional use. We take pride in maintaining our industry-wide reputation for accuracy and quality as we help you—our top priority—perform alcohol and drug screenings and tests with greater precision and confidence.

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