Medications and Prescription Refills

Narcotics Prescription Policy

As a result of the increasing awareness of narcotic dependence and abuse, Nebraska Orthopaedic and Sports Medicine (NOASM) closely manages it’s patients’ use of prescription opioid medications.

  1. For patients referred by a medical practitioner outside of NOASM: The referring provider is responsible for managing all pain medications until a final treatment plan has been recommended by a NOASM provider.  The final treatment plan is dependent on many factors, including having all diagnostic tests available for his/her review in order to make a diagnosis and recommend a treatment plan.  Opioid medications are rarely a part of the initial treatment plan, nor are they a normal part of the treatment plan pre-operatively.
  2. For patients who are self-referred: As a general policy, narcotic pain relievers will not be prescribed pre-operatively.
  3. For post-surgical patients: In the event surgery has been performed by an NOASM physician, postoperative narcotic pain medications will be for a limited time period.  Careful reassessment will take place for further prescription needs.
  4. If the patient has a pain management provider outside of NOASM: Your NOASM provider will coordinate postoperative pain management with your treating provider.
  5. For patients who have current management contract with an outside provider: NOASM will not assume prescribing or refilling narcotics for those patients who are on opiates for chronic pain or under the care of a pain management physician.
  6. Requests for prescription refills: Please see policy below.


Prescription Refills

To have a prescription refilled, you or your pharmacist will need to contact our office during the hours noted below.

  • Monday – Thursday: 8:30am – 5:00pm
  • Friday: 8:30am – 12:00pm


When you call, please provide us with your name, the medicine to be refilled, and the date of the last refill.

Please note that by law, certain medications cannot be called or faxed into your pharmacy.  As a result we will need to issue you a physical prescription by mail or in-person.

To prevent an emergency, please contact our office at least 24 hours before your prescription(s) run out so that your pharmacy has time to fill your medication(s).

Evening and Weekend Prescription Refill Notice

  • No routine medication pharmacy refills are given on weekends or evenings.
  • No narcotic refills are given on weekends or evenings.
  • Only post-operative medication refills can be filled by our On-Call Physician