Do the new regulations allow programs to dispense tablets or diskettes?
Under the new regulations (42 CFR Part 8.12.h (3) (I)), programs must continue to dispense or administer methadone in oral form only, and it must be formulated in a way as to reduce the possibility of parenteral (IV) abuse. This means that the programs may continue to use liquid medication at the window and for general take-home purposes. However, in cases of stable patients permitted to receive extended take-home doses (14 to 31 doses), 40mg. diskettes may be used to prevent spoilage, and reduce the bulk of take-home bottles. Tablets may be used in cases where increments of 5mgs are necessary and the program does not feel comfortable trimming 5ml. from a 40mg. diskette. Tablets may be used but are not recommended as the total dose either at the window or as the take-home medication.
