Methadone Maintenance Treatment Update 2

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Update - Methadone Maintenance Treatment (MMT) Controlled Prescription Form

If you have taken the live or online MMT training you should be aware that the MMT program is transitioning to only one prescription form. As of February 1, 2014 pharmacists and pharmacy technicians may only accept prescriptions written on the new MMT Controlled Prescription form. 

What's new? 

  • The drug strength is pre-printed on the prescription pad.
  • Alterations are only permitted on the sections of the form that the prescriber completes, provided that the prescriber has initialed the alteration.
    • Alterations while at the pharmacy - Pharmacists do not have independent authority to make any alteration or change.
    • Alterations to the prescription form is the exception to the rule and not normal practice.
  • Declaration section
    • Under extraordinary circumstances, if the patient has severe restrictions in mobility and if the prescribing physician has provided written authorization on the prescription by signing the declaration, pharmacists may provide home delivery of MMT. This practice is the exception to the rule and not normal practice. PPP-71 Delivery of Methadone Maintenance Treatment.
  • Special instructions section
    • Prescribers have been given a larger area to indicate any special instructions for the prescription.

What you should be aware of:

  • The initial package of new MMT Controlled Prescription forms will only include the prescriber's name and College I.D., but there will be no pre-printed address.
  • Prescribers have been instructed that any alteration to the pre-printed areas of the prescription form will not be accepted.
  • If the prescriber does not want to authorize home delivery they have been authorized to cross out the declaration. This will help prevent the risk of forgery.


Pharmacists are reminded to counsel patients about the concentration change of methadone and the importance of safely storing any carries, so that children or persons for whom it was not prescribed cannot access it.

Methadone for Pain

PharmaCare has announced that the new commercially available 10 mg/ml oral preparation of methadone is now covered for pain. If you have questions or concerns related to methadone for pain please contact the pharmacist HIBC HelpDesk number: 


Jan 21, 2014