2014 New Pain Medication Laws Dictating To Doctors That They Cannot Prescribe Anything Equivalent 120 Mg Of Morphine Or Higher A Day Per Patient (Page 10)

Updated

I was told Friday by my Pain Management Doctor at my monthly appointment that the DEA was implementing a new law dictating to doctors on how much pain medication they could prescribe per patient per day. It could be equal to no more than 120 mg of Morphine per day per patient and they had to comply within 3 months for all of their patients. I am trying to find out as much information on this as possible. I don't know if my Pain Management Doctor is stating fact or if he is just running scared and if he is stating fact, I don't know if this is federal or state (Alabama) mandated. I spoke directly with the Southeastern division of the DEA in Atlanta this morning and they are not aware of any law of this nature coming into effect and I also contacted another pain clinic locally that has never heard of it either. So I have been trying to reach my Pain Management Clinic and get a copy of the law itself so I will know if it's federal or state and if it is an actual law or just a state regulation and if it's even true but so far no one has called me back so I thought I'd try my luck here and see if anyone has heard of this. This really has me bothered. It looks like either way, true or not, to get adequate pain care I am at least going to have to move out of state if not the entire country. I will ask my questions about that in a different post. But if this is in any way true, and it seems my pain doctor is going to be going by these guidelines whether it is or is not true, it is going to cut my pain meds by almost half. I am on 120 mg of Oxycodone and 8 mg of Dilaudid per day which I was told equals 212 mg of Morphine per day. And before someone decides to tell me that I don't need that much pain medication, I will go ahead and say to you, you don't know me, you don't know what conditions I have that cause me Daily Severe Chronic Pain and other Daily Severe Pain to warrant that much medication, you don't know my tolerance for pain meds, I do NOT take any pain medication to feel high, I ONLY take pain medication to relieve some of the pain as what I am on doesn't even relieve all of my pain, I do NOT drink, I do NOT do street drugs, I see my doctor every 28 days just as I am supposed to, I take my medication as prescribed and the way I am supposed to take it except when I had extreme oral surgery a month ago and I did have to break up my tablets for about a week but they were put on my tongue and NOT up my nose and they were IR tablets so I was fine doing that as I had checked with my pharmacist prior, and you don't feel what I feel or see me lying in bed 24/7 crying from the pain because it is so excruciating and unrelenting so please before anyone starts telling me that I don't need that much pain medicine just stop now before you even start. Those of you that have to live with daily pain will surely understand where I am coming from being this defensive as I'm sure you know you are treated as a drug addict by most doctors even. Thanks in advance for any help with my question.

725 Replies (37 Pages)

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181

Yes that is true (suggestions) From State Board of Health and state Medicaid system forcing by not covering. And doctors under threat of constant audit and scared. Last message in review however the pain clinic will not prescribe it have to use neurologist and tenncare won't cover it if using any type of opioid found under tenncare preferred/non preferred prescription lists. Luckily I was able to get patient assistance.. can't wait to get back on my feet figures timing of this was right after lost work after many years at that rotten company. Mentally messes me up not being able to function at all right now getting to where not able to list feet over obstacles scares me not ready to loose mobility permanently yet...

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182

http:/­/­www.capitol.tn.gov/­Bills/­108/­Bill/­HB2229.pdf

Take notice section 3.. "This act shall take effect upon becoming law, THE PUBLIC WELFARE REQUIRING"

From shall to may inform patient relative to the Intractable pain treatment act..

a word that was outdated 15 years ago to describe chronic pain...

https:/­/­www.questdiagnostics.com/­dms/­Documents/­State-Monitors/­TN_State_Monitor_External.pdf

Many more links currently reading my head hurts now due to the ignorant language and excuses being used. They need to talk to us not some shrink that has no common sense and what the word individual means how pathetic. Sorry rant off head hurts and I never get headaches!

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183

Any doctor can write there is no.stae or federal law preventing it.. only guidelines by insurance companies.

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184

Bart Simpson, the insurance companies won't pay for the meds, but the person can. The insurance still pays for the dr. Medicaid is allowed to get away with a lot of things that other insurance companies can't because Medicaid is funded by the taxpayers and the government.

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185

Jenny, put, state of Tennessee tenncare preferred drug list, in Google. The PDL that went into effect Dec 1, 2015 will come up.

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186

Jenny I'm glad you were able to get it! TN back in 83 I think, through the Compassionate Care act even legalize marijuana. Silly politicians couldn't figure out where to get it or how to dispense it! LOL so if we know where to get it and how to take it, we should be allowed that as well.

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187

Does anyone know if patient assistance program is bound to the 120 mg rule or is it just medicaid right now?

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188

Jenny, the FDA Guidelines for not exceeding 120 mg Morphine/Morphine Equivelent Daily is for all drs. But, it is a Guideline, not a law, although most drs are going by it.

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189

Thank you,, my doctor keeps telling me if I get a different insurance I wouldn't be restricted.... wonder what I will be told =(

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190

Jenny, I agree with your dr. Medicaid Programs have a variety of restrictions and limitations that other insurance companies can't get away with.

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191

I don't blame doctor at all. It's bs his job is threatened to treat ligitimate patients. Insurance, state health department and governor. I hate government in my life can't wait to get away from it.

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192

Jenny, beginning Dec 1, 2015 the restriction with TennCare for Amphetamines include more than just receiving an opiate. I'm not sure if the restrictions are new or not. I wonder if a Medicaid patient paid for both meds if the dr would write the prescriptions. But, with the cost of the prescriptions that is more than most Medicaid patients can afford.

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193

The documentation for the edict for a Dr not to prescribe adhd & opiates is under the pre-authorization form of adderal XR on the Magellan website. I too suffer from adhd & chronic pain and am getting tired of government agencies dictating my quality of life. Without adhd meds I can't get anything accomplished and without pain mess I am in so much pain I can barely walk. We need someone to advocate for our health not make it more difficult for us to receive the treatment we need.

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194

Patient Assistance for my pain meds has not yet been held to Guidelines-however Purdue 's Patient Assistance dropped my dr. so I had to switch from oxycontin to opana er (different companies & different programs). Back when I had Purdue they did allow beyond Guidelines but didn't allow my dr. Go figure....
I was getting well over dosage of Guidelines , but now have new dr. who is writing me ONLY 90mg/day. Needless to say am on coach unable to function constant pain. Even tho been pain patient since 1998 new dr. thinks this amount will help me? He flat out said he will not sway from Guidelines no matter what condition of patient-so I suffer just above withdrawals in constant pain.
Chris

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195

grace crusoe , you can also put State of Tennessee TennCare Preferred Drug List in google and the list will come up with the restrictions and limits.

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196

Dr. Told me even though patient assistance would pay tenncare regulation trump even when they are not paying for it.. and not allowed to take me without insurance since I am eligible for it like it or not. Told to get job with insurance.. easier said than done when even if you get hired will be let go since pain levels will trump productivity and they will let you go before insurance starts. I need someone to hire me and know once they give me insurance I am loyal good worker... (lol although true about my work I can't blame anyone not to trust that statement!! And who would want to wait 3-6 months for me?? Depending when they started insurance..) And when I look up short term insurance plans they have Pre existing clause.

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197

Jenny, if I remember correctly, you can't buy insurance if you're eligible for Medicaid. And even if you could with the monthly premium and the deductibles and co/pays, I don't see how anyone with income low enough for Medicaid could afford to pay for the insurance. If someone had the money I guess they could go to a dr that didn't accept Medicaid and be a self pay patients and also pay for their meds, but that gets expensive. I know people in Louisiana that are receiving SSI for painful disabilities and since Louisiana Medicaid won't pay for Pain Management Drs, they either have to pay out of their pocket or not have their pain managed.

Embeda Extended Release Capsules have morphine with naltrexone to discourage drug abuse.

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198

I hate that crap! I was taking 15-20 39mgs a day oxycodone due to hyper metabolizing from taking phenytoin with oxycodone-I stopped the phenytoin and my dose dropped to 12 then 19, then 8, and I have a hard time taking less than 6 a day--I had a nurse practitioner had the gall to tell me if I took 1 extra pill a day, I would die! Seriously? 450mg had my life as if there was nothing wrong with me, my quality of life was the best few years in my entire 55 years but 1 extra pill would kill me? I'm sick of their lying and with marijuana you really can be compliant and not go over but they won't allow you to do it. Wouldn't it be easier if they stopped with the pill counts, UA's etc unless you lie to pharmacist and try to scam, doctors shouldn't evaluate or question anything.

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199

Some people like me stuck on medicaid temporarily untill new job would start hAve family to help temporarily should not be forced to take insurance they don't want if willing to pay temporarily because getting real help to get on feet sooner would be worth the temporary cost crunch along with patient assistance programs and sliding scales you can get help uninsured. However was told they are not legally allowed to take cash if you are eligible for medicaid whether have it or not which is bs. Why should tax payer have to pay when I can find ways to fund?. And why should the people that worked their whole life and through no fault of own that get sick or hurt be told now that you can't work and afford it die?

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200

Why give Embeda to patients that need the opioid relief? I don't buy that blocker passes through especially for ones that really need the pain relief be ok for someone that was in mild pain but severe I doubt.

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