Dilemma With 2 Narcotic Scripts From 2 Doctors (Page 6)

Hi all. I have intractable pelvic RSD, peripheral neuropathy, lumbar facet spondylosis. I live in California and am about to have to change insurances at the end of this month. The new insurance has ridiculously high Rx prices. I go to a PM for all my pain meds, but my primary dr has in the past managed them for me. My question is if anyone knows if I get an Rx for the 60mg Oxycontin twice a day like usual from my PM and then my primary to write a script for 40mg 3 times a day and then I can go to 2 totally different pharmacies and fill one with my insurance and the other at another pharmacy and pay with cash, will that flag the DEA and cause my PM to get a notification of "Doctor shopping"? I am just trying to have enough meds to get me through an extra month until my husbands new job let's us get medical coverage?

I had to do this one other time a year ago when the same thing happened with me loosing my job because I could no longer work and I wasn't married yet to get my husbands insurance. The first 2 months I had no problem, but the third and LAST month I was needing to do it to get me enough meds to last me the 3 month waiting period, my husband forgot and filled both scripts under the same insurance but just at 2 different pharmacies instead of paying cash at the second one. My pain doctor found this out and thank God I was able to explain my way out of it and he didn't discharge me as a patient, but now in this situation again, I'm afraid to try it one last time til we are settled with yet another health insurance. I would really appreciate anyone's advise or experience they could share regarding my situation. I truly am not a doctor shopper, I am just afraid to run out of meds and be in massive pain and / or risk getting into trouble.

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Question: Do drug 'contracts' (i.e. my doc gave me three months' worth of Rx for clonazapam, separate pieces of paper) come up in the computer systems at pharmacies, or only if you've attempted to fill the Rx at that pharmacy? Thanks so much.

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Zeph, state monitoring programs for controlled substances will show on any pharmacy computer within said state exactly what you have had filled regarding controlled substances. You don't want to gamble with getting caught and having a felony on your record, it's not worth it...

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Thanks. But I mean, I didn't fill this month's Rx because I lost it. If I ask a new doc to give me an Rx for this month, is there anything in the system that suggests I had an Rx for that med, for this month, if I haven't filled it? Thanks...

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Zeph there's only a record in state monitoring programs of what you actually fill. If you lost a prescription from a doctor and it wasn't filled you can fill one from another doctor, but if your doctor checks the fill records from the state monitoring program he will see the filled prescription from a different doctor. You should be ok since you don't have a double fill. The original doctor my ask why you didn't go back to him and tell him you lost the prescription and didn't get a new one from him. The original doctor my think your going behind his back to obtain additional controlled substances. It's kind of a sticky situation these days, Doctors are paranoid as heck because alot of states are breathing down their necks to fire patients who even remotely appear to be abusing controlled substances. I would get out in front of this and let both doctors know what's going on, because if they see fills from different doctors for the same thing even though they don't overlap it makes you kind of look like a doctor shopper and they both might refuse to see you anymore. In my state alot of doctors will fire you just for using different pharmacies filling controlled substances. This is how ridiculous it has become. The politicians are pretty stupid to think all these pills on the street are coming from patients. Their coming from Mexico and Canada, but their taking it out on us because we're an easy target to blame and Obama has opened both borders like a flood gate. So it's not very hard to figure out where the majority of pharmaceuticals are coming from if you have any sense or intelligence in your brain! Obama will crap on us and let other countries people get away with what ever they want...

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Hi everyone, I have a question. I recently moved from Texas to North Dakota and I've been seeing a pain doctor in Texas for the last two years and I currently get a script for oxycodone. This week I kept my appointment with my doctor in Texas and I have to fly down to go to it but I figured it would be a great excuse to go visit family and friends as well. I want to eventually find a pain doctor here in North Dakota so I don't have to fly down to Texas every month considering that is absolutely ridiculous and nobody can afford that on a regular basis! My question is, if I fill my oxycodone script this week in Texas and I happen to actually find a new doctor here in North Dakota, would I be able to fill a new oxycodone script here in North Dakota this same week or is that something that would be flagged to the DEA? I Know usually something like that would but considering it's in two different states I wasn't sure! Thanks to anyone who can help!

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Nicole I'm not aware of a federal monitoring program, just state monitoring programs. The states don't talk to each other, but you never know what our sneaky federal government is doing wasting our tax dollars on stuff that makes them feel good, but solves almost nothing... I live in Texas and Texas is one of the most anal states when it comes to control substances, but they don't talk to other states unless the federal government monitors their data base. Like I said before, I've never heard of a federal monitoring program, but who knows what their wasting money on these days. With Obama spending money like it was his personal back account anything is possible...

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Ok, thank you so much for your help Mark!!!

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Many of the states have the Prescription Monitoring Programs linked together now. This is not the same as a federal PMP. The states that are linked together are linked to states they are next to. For example, Texas and Louisiana are linked together.

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Can I get 2 diffrent scrips pain meds from two different pain mangment doctors one is pre existing condison after my on the job injury I'm being sent to another pain mangment docter this would make number two this one under workers comp

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Workman's Comp may or may not allow it. If you signed a pain contract with either pain or both drs you are risking not being able to find a dr who will manage your pain because you broke the contract.

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Greetings.I hope this message finds you well. Check to see if it's under formulary med and if not ask pm to write special permission.

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They will fill it. I'm in illinois but seems same out there. U can get a script of the 5s n use insurance n they don't work so you go back n they can give u tens n they should fill it Cuz itsa. New script n didn't mg. That's wut matter as long as the dose is changed the. Has to be filled Cuz there was a reason it changed.

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I had a situation today and was really confused and frustrated with the pharmacy. Now my usual pharmacist was not there and there was a new lady. I'm on several medications for blood pressure, anxiety, mild depression, high triglyceride levels which is temporary, and amoxicillen, and just had an MRI on a very painful knee. The report showed a torn ligament and torn cartilage. Last week I was prescribed 5mg's of hydrocodone and told them it wasn't helping a lot with the pain, a week and a half later. So today they prescribed 5mg's of percocet for 2 weeks. The pharmacist accused me of doctor shopping and wanted to know how it was justified to switch from 5mg of hydro to 5mg's of oxycodone. I said to her, these meds are prescribed for 2 weeks only and I have my mri results, which frankly, is none of your business. So she said, "well I'm calling your doctor!!!" I said go ahead. So she gets off the phone and says, "well your doctor claims you're very responsible and everything is justified. But I'm only going to fill half of it, because I think it's wrong." Ummm, isn't that illegal??? This is in Delaware. I left a message for my doctor and reported her. I think that's outrageous!!!

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Devin, It is outrageous and she should be reprimanded, but I've seen signs in chain pharmacies that say they can refuse to fill a prescription for any reason in my State(TX.) She's definitely an A-hole and one of those busy body holier-than-thou types who look down their noses at everyone. According to her probably anyone on narcotic pain relievers is a drug addict! I would definitely move all my prescriptions to a different pharmacy Pronto! The chain pharmacies like CVS, Walgreens, Walmart, etc... Have some of the worst pharmacists on earth, it's like their on an anal crusade to stop narcotic usage via their pharmacy and most of them don't carry what I take(80mg oxycontin and 30mg Roxicodone)because that's drug addict drugs. That's why I use a non-chain pharmacy that caters to cancer and chronic pain patients. You should find one where you live and ditch that Nazi pharmacy! Next she'll be diagnosing your medical condition and calling your doctor stupid for what their prescribing you...

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That defines doctor shopping. Be weary friend."

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Under Federal Law, each Pharmacist is to use their Professional Judgement when filling all prescriptions. If they have doubts they don't have to fill it at all, even after talking to the dr.

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Well years ago when I had severe back issues, I used to take 80mg oxycontin and 30mg roxi's, so I can relate. But I haven't been on anything in 6 years and for 5mg tablets, I thought she was out of her mind. My doctor returned my call today, because I left her a message and she told me the pharmacist was within her right to notify her (the doctor), but that her attitude could be an issue, and that I could report her to her manager. But I'm going to transfer to another pharmacy. I've never seen her before. I normally dealt with an Indian pharmacist at the same pharmacy who was always nice to me. She even knew me by name. But this one day I went in, I noticed the new pharmacist and that's when I had the issue. I just think that when it comes to opiates, the government is really beginning to overstep there bounds with rules and regulations. I even heard a congressman claim that he signed a bill to make it more difficult for patients to obtain them. But when he had a family member dying of cancer a year later and they couldn't get pain meds, he felt horrible about it, and finally understood why people needed them. But by then it was too late.

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Well actually it wasn't doctor shopping. It was with the same doctor and she changed the original prescription to a stronger dose. That was it. I didn't seek out another doctor or a different medication. If I went to another doctor, then it would've been seen as doctor shopping. I'm very familiar with the law. I wouldn't dare. Far too risky.....Not worth it.

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If they're on top of there game, then yes, they would flag you. Each pharmacy will have a record of your prescriptions once they type in your name, date of birth, and address. So it wouldn't be difficult for the DEA to catch you if they were monitoring it. The pharmacist is more likely to notice before the DEA and they could report you. Be careful. It's not worth a felony charge, which could potentially land you in jail. I slowly weened my way off enough of the meds to save me from having to do that. But of course it will unfortunately entail some withdrawls. So it's your call ultimately. But I wouldn't recommend taking that chance.

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Devin, this time of year a lot of new Pharmacists have just graduated and are working as Pharmacist for the first time. So it is better to try and go when a Pharmacist you know is working. Call and ask to speak to Jane Doe. Tell her you wanted to come in and get your rx filled and wanted to be sure she would be there.

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