2026-07-20 Sherlette Smith - Adderall Renewal Prep

Context

Optum flagged both scripts due for renewal on 2026-07-13 (Sherlette Smith is prescriber; scripts go to Optum Home Delivery via ePrescribe)
Last fill delivered 2026-06-22 → ~30-day supply runs out ~2026-07-20, so renewal is time-sensitive
Current regimen: 40mg XR AM (2× ADDERALL XR CAP 20MG) + ADDERALL TAB 10MG PM

Send renewals for both scripts to Optum Home Delivery (ePrescribe — Optum only accepts controlled substances electronically)
Ask about the 3-script sequence: DEA permits issuing up to three prescriptions on the same day (90-day supply total), each annotated with a “do not fill until” date. NY permits this too. Optum holds each script and releases it on its earliest-fill date.
- This was the arrangement at Harmony Bay with Henrietta Udeh (3 × 30-day scripts per appointment)
- Avoids the monthly renewal scramble — would only need an appointment quarterly
- Note: this is prescriber’s discretion; some clinics prefer monthly renewals for stimulants

Confirm Optum (not a retail pharmacy) is the destination in Mount Sinai’s system
June had an out-of-stock hiccup on one medication (Optum email 2026-06-17) — if it recurs, ask about alternatives (e.g., generic manufacturer flexibility on the script)

Requested brand-name Adderall — last renewal came through as generic
Raised the 3-script sequence with post-dated fill dates; Sherlette confirmed she sent it

Verify Optum received brand-name scripts (not generic) — check Optum portal/app or the new-prescription confirmation email
Verify Optum’s system respects the post-dated fill dates (holds scripts #2 and #3, releases each on its earliest-fill date) — call Optum, number on member card
Brand-name may trigger a DAW (dispense-as-written) / coverage check — confirm copay difference and whether prior authorization is needed