This question is about controlled substance mediation (specially controlled by DEA when prescribed in the U.S.) -- either getting filled from a U.S. doctor prescription or prescribed and filled for the continuous coverage while on the extended trip in Germany.A competent neurology/mental health/addiction medicine health and/or pharmacy
professional familiar particularly with procedures for this medication abroad, in EU, or specifically in Germany, please answer.I am taking medication called Saboxone (combination of buprenophrine 8mg and naloxone 2 mg, generic sublingual tablet, twice daily) prescribed to me for off-label use for migraine prevention, as nothing else except harsh opioids would works. I am under regular care of a U.S. -licensed physician who prescribes it to me and who is specially trained and certified via D.E.A.'s DATA-2000 program to prescribe this medication, which is normally used and indicated by FDA
for opioid addiction treatment, but is not prohibited for the off-label use.
But this medication can only be prescribed and dispensed 1 month at a time. And my doctor is OK to give me two prescriptions to take with me.I am planning to be in Germany, Berlin, for 2 to 3 month, and, depending on circumstances ,will need to fill it at least ones, could be twice.My question:Will a pharmacy in Germany dispense this medication on the prescription from the U.S. Doctor? (Never mind insurance, I will pay for it out if pocket and will reimburse when I am back in the states.
If so, are there any specific prescribing requirements that my doctor has to uphold -- i.e. certain additional things specified on the prescription, like diagnosis code, procedure code, treatment code. (Of course his U.S Universal Prescriber ID and DEA a number will be on the Rx form with various security features.If not, what is the procedure for me to see a local doctor who may prescribe it for me. I see that in Germany this medication is prescribed in primary practice. Should I just find a concierge internal medicine office to have it prescribed? What kind of documentation would they be needing from my doctor? A letter and his prescription? Anything else? (like history of my prescriptions from my pharmacy here)And recommendations for the pharmacies or concierge travel doctor practices that deal with this type of medication, would be greatly appreciated.Thanks a lot.