Old meds can lead to trouble
As most drivers should know, old prescriptions can lead to headaches.
A federal court in Indiana recently dismissed a truck driver’s claim that he was wrongly terminated after failing a drug test due to use of an opioid that was prescribed four years earlier.
Missing documentation
The driver was able to provide the old prescription to the medical review officer (MRO) who reviewed his drug test result, but he had less luck producing something else that both the MRO and his employer demanded to see: a letter from the prescribing physician.
According to 49 CFR 392.4, a driver may only possess or use a narcotic if it was administered “by or under the instructions of a licensed medical practitioner … who has advised the driver that the substance will not affect the driver’s ability to safely operate a motor vehicle.”
The driver’s employer asked him to produce a Safety Concern Letter from the physician showing that his current use of the opioid was still safe.
However, by the time the driver tried to obtain the letter, it was too late. The prescribing physician had already retired, and current staff at the doctor’s office were unwilling to make a safety determination about narcotics prescribed four years earlier.
Failure to disclose
The driver also made the mistake of failing to disclose his use of the medication on the Medical Examination Report Forms used during his DOT physical exams.
After his termination, the driver filed a lawsuit alleging retaliation, disability discrimination, and failure to accommodate under the Americans with Disabilities Act. The court disagreed, however, noting that the driver violated the employer’s policy and FMCSA regulations by failing to provide the needed documentation.
Remind your drivers
The case serves as a good reminder that old prescriptions can lead to trouble. As an employer, you have the right and obligation to see current documentation showing that your drivers’ medications are safe to use while driving.
Drivers should also be reminded of their obligation to:
- Disclose all medication use to their DOT medical examiner on the Health History portion of the Medical Examination Report Form.
- Avoid using expired prescriptions for new problems.
- Never share prescriptions with anyone else or take someone else’s prescription. Not only is it dangerous, but sharing certain controlled substances can be illegal.
- Never drive while possessing or using any Schedule I drug (see 21 CFR 1308.11, which includes marijuana), any amphetamine, any narcotic, or any other substance that impairs safe driving. The only exception is if the driver has a current, valid prescription and approval from a licensed medical practitioner.
Key to remember: The use of expired prescription drugs can lead to repercussions for a driver’s career. Be sure your drivers know their obligations when it comes to legal drug use.