Prescription Refills

To ensure quality medication management, it is RCBM policy that treatment plans are reviewed on a regular basis. For this reason, patients are required to be seen by their prescribing clinician every three months.

We recommend that you review your prescriptions before accepting them from your pharmacist and paying your co-pay. Ensure each prescription is for the exact medications we prescribed. This is a very effective way to avoid medication errors.

In addition:

• Please allow 48 hours for your refill to be completed.
• If you are wondering if your pharmacy has received your prescription, please contact them directly.
• If your pharmacy is out of stock, please email the new pharmacy address and phone number to prescriptions@rcbm.net
• Patient can transfer non-controlled medications by contacting their pharmacy. The pharmacy can directly transfer to another pharmacy.
• Only a prescriber can make changes to current prescriptions.
• Please note that all prescription refills should be submitted through the patient portal.

Didi Nuculaj coordinates all prescription refill requests. In this video, she discusses the process for requesting and refilling prescriptions. Didi reminds patients that the best and most efficient way to request refills is through the patient portal. Please take time to listen to her important message so that you understand the steps involved in refilling your prescriptions.

-Patient’s date of birth must be entered in the following format:

June 1, 1965 would be 06/01/1965

-Patient must register for the portal using the e-mail address on file

-When signing up, the patient’s name must match what RCBM has on file for the patient

-A parent can sign up for more than one account (self and child, two children, etc.) as long as they are using the email that is on file in the child/children’s charts

Keeping unused or expired medications in your home can create unnecessary risks. Medications that are no longer part of your treatment plan may be taken accidentally, used incorrectly, or confused with medications you are currently taking.

If a medication has been discontinued, replaced, or is no longer needed, dispose of the remaining medication promptly unless your healthcare provider has specifically instructed you otherwise. Do not save old prescription medications for possible future use, and never share prescription medication with another person.

How to Safely Dispose of Medication

Use a medication take-back option whenever possible. The FDA recommends medication take-back locations or mail-back programs as the preferred way to dispose of most unused or expired medications. Many pharmacies, hospitals, and law enforcement agencies offer permanent medication disposal locations.

For Michigan residents, Michigan OPEN provides information about medication disposal options and permanent take-back locations:

Michigan OPEN: Safe Storage & Disposal

If a Take-Back Option Is Not Available

For most medications, the FDA provides instructions for safe disposal in household trash:

1. Remove the medication from its original container.
2. Mix it with an undesirable substance such as used coffee grounds, dirt, or cat litter. Do not crush tablets or capsules.
3. Place the mixture in a sealed bag or other closed container.
4. Place the container in your household trash.
5. Remove or scratch out personal information on the prescription label before disposing of or recycling the empty medication container.

Do not routinely flush medications down the toilet or sink. A limited number of medications are on the FDA's "Flush List" because they can pose an especially serious risk if accidentally or intentionally taken by someone for whom they were not prescribed. If a take-back option is not readily available, follow the FDA's specific disposal instructions for these medications.

Medication Safety Is Part of Your Care

Keep an up-to-date list of the medications you currently take and let your RCBM provider know about medications prescribed by other healthcare professionals. This includes prescription medications, over-the-counter medications, vitamins, and supplements.

If you are unsure whether you should continue taking a medication or how to dispose of it safely, contact your prescriber or pharmacist before making changes to your medication regimen.

Never stop a prescribed medication solely because you have leftover medication or believe you no longer need it. Some medications need to be reduced gradually or discontinued under medical supervision.

Cymbalta Recall:"The U.S. Food and Drug Administration (FDA) classified a massive nationwide recall of nearly 400,000 bottles of generic duloxetine delayed-release capsules (the generic equivalent of Cymbalta) due to elevated levels of N-nitroso-duloxetine, a nitrosamine impurity that may increase cancer risk with long-term exposure.⚠️ 

Affected Products & Lot CodesThis Class II recall (initiated in June) applies specifically to 30 mg and 60 mg capsules manufactured by Towa Pharmaceutical Europe and distributed by Breckenridge Pharmaceutical Inc. 

30 mg Capsules Lot Code: 241180C (Expiration: April 2027) Packaged in 1,000-count bottles 

60 mg Capsules Packaged in 90-count and 1,000-count bottles. Expiration Date - November 2026: Lot 232311. 

Expiration Date - January 2027: Lot 240316. 

Expiration Date - February 2027: Lots 240317, 240318, 240315C, 240373C, 240370C, 240375C, 240413C. 

Expiration Date - April 2027: Lots 240978C, 241052C. 

Expiration Date - May 2027: Lot 241074C

(Note: Brand-name Cymbalta is manufactured by Eli Lilly and is not impacted by this recall.)

Patients, check your medication by looking at the lot number and expiration date printed on the prescription bottle. Do not stop taking the medication suddenly. Abruptly discontinuing duloxetine can lead to severe withdrawal symptoms (e.g., dizziness, nausea, vivid nightmares, and mood changes).

Contact your pharmacist or doctor to verify if your specific batch is affected and to obtain a safe, unaffected replacement. The manufacturer name, lot number, and expiration date on your bottle.