Most community health initiatives are now encouraging physicians to prescribe no more than 10 fentanyl patches per fill.
The prescription should direct the pharmacy to collect used (or unused) patches before dispensing any more patches.
Specifying a particular pharmacy, and faxing your prescription to that pharmacy, will also help prevent prescription duplication and altering of the prescription by the patient.
If a patient does not return any of their used patches, the pharmacy will normally dispense one patch, then contact you to determine the best course of action.