Frequently Asked Questions
• Is pill splitting legal?
Yes. Pill splitting has been a long standing and widespread medical practice for decades. These days, some pills on the market even come pre-scored with the intent to be cut. Handheld pill-cutters are sold nationwide and several states already have pill splitting programs. Many courts have ruled in favor of this practice and there are numerous doctors and websites that promote the benefits of pill splitting.
See [link] California Supreme Court gave it the final coup de grace.
• Is pill splitting safe?
Yes, and even more so when using our patented computerized pill splitting technology (also known as tablet splitting). A trained Pharmacist-In-Charge and pharmacy technicians will oversee all the pills cut. Using our precision machinery, each dose that we split from whole pills meets the guidelines established by the U.S. Pharmacopeia. Also, unlike store bought pill-splitters that repeatedly house various pills in the same cavity, we dedicate each medication to its own splitting devise to avoid any chance of cross-contamination.
See [link] Initial results of the use of prescription order change forms to achieve dose form optimization (consolidation and tablet splitting).
Can any pill be split?
No. There are thousands of pills on the market, and while some do not spilt well simply due to their composition, others are not recommended for splitting for a wide range of reasons, especially those that have a time-release formula, as cutting them will change their surface area to volume ratio and therefore alter their intended release rate. At PrecisionMeds.com, we study and test tablets that have been identified by multiple industry resources as pills that are safe to split.
See [link] by Pharmaceutical Technologies, Inc.
• Is it government approved?
Yes! Many states are having mandated or voluntary tablet splitting programs for Medicaid.
See [link] Division of Medicaid requires tablet splitting for prescriptions of Abilify®
• Can I call PrecisionMeds.com and speak with a representative for more information?
Absolutely! We would love to hear from you.
ADDITIONAL CITATIONS FOR TABLET SPLITTING
Initial results of the use of prescription order change forms to achieve dose form optimization (consolidation and tablet splitting). [link]
US National Library of Medicine National Institutes of Health
Reducing Pharmaceutical Costs Opportunities & Challenges for MassHealth [link]
While MassHealth has instituted numerous initiatives to control its pharmaceutical costs, new policy solutions are necessary to curb the continued rise in the cost of medications while ensuring broad access to treatment.
Effective February 22, 2013, the Division of Medicaid (DOM) requires tablet splitting for prescriptions of Abilify® at doses that can be achieved by splitting a higher strength tablet. [link]
MISSISSIPPI DIVISION OF MEDICAID Evidence-Based DUR Initiative
CMS approved an additional fee to be paid to pharmacies when tablets on an approved list are split per the physician’s instructions, and 90-day supply dispensing for certain drugs to save millions of dollars. A study revealed Alabama’s mandatory Preferred Drug List had already saved the state more than $275 million over a six-year period. [link]
Alabama Medicaid Agency FY 2011
Medical Services Division North Dakota Department of Human Services [link]
TABLET SPLITTING: Pharmacies may receive an additional payment of $0.15 per pill as an incentive to split the following tablets.
Impact of Abilify Pill Splitting on Cost and Adherence:
Results from Two State Medicaid Program Interventions [link]
Jeffrey S. Barkin, MD, DFAPA Associate Medical Director
Split tablets in 6 Veterans Affairs medical centers were retrospectively evaluated in 3,787 patients... [link]
American Society of Health-System Pharmacists
FDA Guidances (Drugs):
"Guidance documents represent the Agency's current thinking on a particular subject. They do not create or confer any rights for or on any person and do not operate to bind FDA or the public." [link]
U.S. Food and Drug Administration
"FDA notes that tablet scoring is useful because it allows the patient to split a pill when the desired dose would be less than a full tablet".... [link]
National Association of Boards of Pharmacy (NABP®)
California Supreme Court gave it the final coup de grace. Kaiser not the only ones who try to save money this way: many HMOs implement the same policy. [link]
Consumers Union, the publisher of Consumer Reports and prominent member of the Litigation Lobby
“When properly implemented, pill-splitting can be a safe, viable cost-saving strategy,” noted Dr. Randall Stafford, a researcher at the Stanford Center for Research in Disease Prevention [link]
Stanford University, Stanford Report
Brand Name Medications That May Be Split [link]
©Copyrighted by Pharmaceutical Technologies, Inc. 2008.