Prescribing policy
How we prescribe
What we do, what we do not do, and what happens before and after a change.
This is Arc's policy for every patient and every prescriber. If something here does not fit your situation, ask. We would rather explain it than have you guess.
Evaluation first
Nothing is prescribed before an evaluation, and nothing is prescribed from a message alone. At the first visit your prescriber may start something, hold off, or suggest other kinds of care. You decide.
One change at a time
When something changes, one thing changes: a start, a new dose, or a stop. That way you and your prescriber can tell what the change did. Every change has a date to review it, set at the visit and written in your summary.
Stopping or lowering a medicine
Never on your own. Some medicines need to be lowered slowly. Call us first, and we will make a plan for it.
Labs and pharmacy
Some medicines need blood tests before or during treatment, and your prescriber will say so at the visit. Prescriptions go to the pharmacy you choose. Pharmacy and lab charges come from the pharmacy and the lab, not from Arc.
Refills
Ask a week ahead. A refill is checked against your last visit and your plan. If you have missed visits, we may ask you to come in before a refill.
Our policy on controlled medication
A controlled medication is never started at a first visit, and never because a patient asked for a particular one. State law and federal law decide when it can be prescribed after a video visit (we are licensed in Florida, so video visits are for patients in Florida), and the rules change, so your prescriber tells you what applies to you. A controlled medication, if one is right for you, has its own written agreement, and we ask for an in-person visit when the rules or your prescriber require one.
Process
How a change is made
- 01
Step 1: Talk it through
Your prescriber explains the options, what each can and cannot do, and what to watch for.
- 02
Step 2: Agree one thing
You choose what to try. You can say no, or ask to wait.
- 03
Step 3: Set a review date
The date goes on your calendar and in your summary.
- 04
Step 4: Review it together
At that visit you decide whether to keep going, adjust, or stop.
Questions
Questions about prescribing
Will I need lab work?
Some medicines call for blood tests. If yours does, your prescriber tells you which tests and when, and you can have them done at the lab you prefer.
Can you prescribe without seeing me?
No. Nothing is prescribed before an evaluation, and nothing is prescribed from a message alone.
What if I already take a medicine?
Bring the bottles or a list. At the evaluation your prescriber reviews each one with you before suggesting any change.
Questions about the policy?
Write to us. A clinician answers anything about a medicine.