How to Prescribe Diazepam / Baclofen Suppositories

Learn how to prescribe Diazepam / Baclofen Suppositories as a controlled compound.

Effective January 2, 2020, Rhode Island prescribers must sign and transmit electronic prescriptions in schedules II, III, IV, and V to comply with RI Law §21-28-3.18 section 3.

How to Electronically Prescribe Diazepam / Baclofen (Suppositories)

  1. Select Diazepam (bulk) powder as the drug.  The drug selected : needs to be a controlled substance
  2. In the instructions, directions, or notes field, please indicate:
    a. The concentration of the preparation (Diazepam 10mg and Baclofen 10mg)
    b. The directions (ex. Insert 1 suppository intravaginally once daily)
    c. An ICD-10 diagnosis code
    d. A quantity of dose units dispensed. Federal law prohibits more than 100 dosage units
    e. Refills (maximum of 5)
  3. Do not use the name brand (Valium ® ) when prescribing Diazepam

The prescription needs to be sent by the prescriber with the controlled substance selected as the active drug for the Electronic Prescriptions for Controlled Substances (EPCS) signature to be validated.

Most Common Formulations

Here are the most requested formulations of this controlled compound:

  • Baclofen/Diazepam 10-2.5mg Suppository
  • Baclofen/Diazepam 10-5mg Suppository
  • Baclofen/Diazepam 10-10mg Suppository
  • Baclofen/Diazepam 20-2.5mg Suppository
  • Baclofen/Diazepam 20-5mg Suppository
  • Baclofen/Diazepam 20-10mg Suppository

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