Dr. Lucido’s Marinol Prescription Policy
Dronabinol (brand name Marinol) is a synthetic form of THC, the main psychoactive cannabinoid in cannabis. Marinol is a legal pharmaceutical pill. I have prescribed it on several occasions but I hold it to a higher standard of care than medical cannabis evaluations since I am actually prescribing a drug. This is different than simply making a recommendation; by writing a Marinol prescription I am causing the patient to use the drug in the eyes of the Medical Board and the Law. For that reason I’ve chosen to implement the following policy at my office.
The initial annual fee for Marinol maintenance is $675, and $650 annually after the first year. This includes an extensive annual evaluation, and three quarterly follow-up visits. My authorization to use Marinol automatically expires if the patient fails to make and keep these quarterly appointments, no exceptions.
Patients are required to have ongoing care with their physician for the serious illness or symptom they are treating with Marinol, and are required to bring in records from the past 12 months documenting this. Patients must have a valid state-issued ID or driver’s license and must be 21 years of age or have written parental consent. Any exceptions to these requirements must be discussed with me before making an appointment.
Some valid reasons for which I might prescribe Marinol include use when a patient travels to a state where medical cannabis is not yet be legal, for patients who can’t use cannabis for employment or legal reasons, or for patients who’s insurance will pay for Marinol, making it a more affordable option.
– A physician may not legally prescribe Marinol for the express purpose of covering cannabis use in drug testing, because this would be aiding and abetting a patient in breaking the law.
– We do not accept insurance for Marinol evaluations or maintenance.
– Marinol maintenance does not constitute primary care. If you do not already have a primary care practitioner, you are advised to obtain one. You may see Dr. Lucido and Maria Mangini PhD, FNP for primary care by completing a primary care intake and physical.
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