What must be included along with a prescription for a hydrocodone-only extended release medication that is not in an abuse deterrent form?

When prescribing a hydrocodone-only extended release medication that is not in an abuse deterrent form, it is essential to include a new letter of medical necessity. This requirement is in place to ensure that the prescribing physician can justify the need for such a powerful opioid medication, particularly given the potential for misuse and abuse associated with opioids. A letter of medical necessity provides the pharmacy with the necessary clinical rationale, documenting the patient's condition and explaining why this specific medication is appropriate and essential for their treatment.

This requirement helps promote responsible prescribing practices and safeguards patient health by ensuring that potent medications are only prescribed when absolutely necessary and justified. In the case of hydrocodone, which has a high risk for dependency and abuse, additional documentation serves as a protective measure for both the patient and the healthcare system.

The other options do not meet the specific regulatory requirements associated with prescribing this category of medication. A recent lab test result, family history, or an old prescription do not provide the necessary justification that a letter of medical necessity does, making this option critical in the context of prescribing hydrocodone without abuse deterrent features.