Fill Oxycodone Prescription (Page 47)

Cannot fill them anywhere in Bradenton or Sarasota. Please help I have a real doctor and the pharmacy I have been going to the past year in my city says they will no longer fill out of county. Does anyone know of a pharmacy in Bradenton or Sarasota that can help a patient fill qty 180 oxycodone 30mg? Please help. On the verge of getting deathly ill w/out meds! Thank you.

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If I were you I would change to another pharmacy.

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For Debra; your pharmacist is playing "Dr." which is not in his purview and has nothing to do with the standard of care your prescribing Dr. has control over. The pharmacist is practicing illegally and could and should be reported. His interference should be limited to drug interactions; possible mistakes written by your Dr.;any allergies he has listed for you and things of that nature. He/she cannot tell an M.D. what medication to prescribe to you or the amount. (unless the prescription was written for an outrageous amount-in which case he may call your Doctor if he suspects malfeasance or an error. Pulling those ridiculous restrictions on your medications are illegal. Report him. Believe me unless there is more to this story this alleged pharmacist is quite out of line. Good Luck.

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Under Federal Law a pharmacist doesnt have to fill a rx he isn't comfortable with.

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From Steven R. Ariens, PD, article

"If a patient is denied a medication upon presentation of a valid/on-time prescription for a controlled substance, that patient may be eligible to file an ADA complaint.

If the patient is disabled, as determined by coverage under Social Security, Medicare, or private disability insurance, that patient is covered under the Americans with Disabilities Act (ADA). Many chronic pain patients meet this criterion.

The ADA parallels the Civil Rights Act of 1964. People who are disabled cannot be discriminated against because of their disabilities.

Causes

Legitimate refusal: A pharmacist can refuse to fill a valid/on-time prescription for a controlled substance if doing so would harm the patient, such as when the patient is allergic to the medication, the medication would adversely interact with other medications that the patient is taking, or the prescribed dose is above the recommended dosage, although some specialists can and do prescribed above normal doses for a patient and the practice is perfectly legal.

Civil rights violation: The failure of the pharmacy or pharmacist to fill a valid/on-time prescription for a controlled medication is a violation of the patient’s civil rights under the ADA. This may happen because of the pharmacy’s policies, the pharmacist’s “professional discretion,” or rationing by the wholesaler of the amount of controlled medications available for pharmacy purchase.

Rationing: Three major drug wholesalers have elected to establish arbitrary monthly rations, limiting the amounts of controlled medications that each pharmacy can purchase. This may prevent a number of patients from obtaining necessary medications upon which they rely.

Options

Patient action: Only the patient can help rectify these issues, by filing complaints with appropriate governmental agencies. The patient does not need an attorney. Individuals can go to the websites listed below and complete a complaint form.

Boards of Pharmacy: The permit holder/store owner, the pharmacist in charge, the pharmacist who refuses to fill a prescription, and the wholesaler are all licensed by their state’s Board of Pharmacy. A complaint for unprofessional conduct can be filed against each with the appropriate Board of Pharmacy.

Medical Licensing Board: Some believe that persons who refuse to fill valid/on-time prescriptions are in essence “practicing medicine.” In that case, a complaint to the state Medical Licensing Board may be appropriate.

HIPAA: If the prescription department staff has disclosed a patient’s private health information (PHI) in a manner that someone else could overhear, the patient may be able to file a HIPAA complaint."

Links

State Boards of Pharmacy: nabp.net/boards-of-pharmacy

ADA/HIPAA complaint form: hhs.gov/ocr/privacy/hipaa/complaints/index.html

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Anyone can file a complaint. But don't expect anything to come from this type of complaint. If the patient really needed a particular Med or quantity, the St would have called the pharmacist.

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BL got any info on why the price of generics has skyrocketed? Might as well get the name brand. thanks Karen

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For BL; you are confused as to the law. As a Registered Nurse I understand what you are trying to say-However a medical professional cannot willy-nilly decide to do what he/she does or doesn't believe in doing without getting another pharmacist to take care of the pt. Analogous would be an O.R. nurse who does not wish to participate in an abortion procedure-there must be a policy in place so the pt.'s legal desires are met. I wrote something similar to this recently which has been verified by Mr. Steve Ariens-take a look at his post-quite informative. Thanks.

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Cooresponding Authority under federal law doesn't state anything regarding another pharmacist filling a rx is one has refused. The situation in a clinic setting is not the same thing. Read the federal laws.

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Andy I am a nurse as well, and spent most of my career at a very large county facility with a med school. It was very culturally diverse, and I know of instances where due to cultural or religious beliefs staff members were not assigned a certain patient, or were excused from certain procedures. In this day and age of being culturally aware things are changing. As far as the pharmacist he has a right to refuse to fill any prescription he is uncomfortable with. Just like if a patient was ordered an injection and was already sedated you wouldnt give them another injection and over sedate them. Things are crazy out there, and there are lots of changes going on, medicine isnt what it was when I first went to school 35 years ago..

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Thank you for writing me back. Where would I report him?
Yes, he certainly is playing doctor, which as I said upsets my doctor as he has had to put in many years to become a doctor and spends time with the patient in order to know what is best for that patient. Thee pharmacist does not.

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Hi there-we certainly shouldn't be squabbling among ourselves; I understand about individual practitioners refusing to do certain things they have a personal belief about-however it has to be rational. Even religious beliefs are not always respected as in the last hospital I worked in certain persons who refused to work on particular days due to their beliefs were simply told they could not be employed and were told that it would be unfair to other personnel who would always have to work those days all the time for them. One woman threatened litigation based upon religious persecution and discrimination-she couldn't get a lawyer to take her case. The hospital covered itself by stating in it's employee policy book that every person in the nursing staff HAD to work every other weekend. The lawyers told her more nursing personnel would be discriminated against if this policy were not in place. I realize there are a lot of legalities in legal flux at present. Try reading Steve Arien's discussion #924-it is enlightening and gives links for complaints. As I said of course a pharmacist can refuse to fill a prescription based upon certain factors but not because you may be missing teeth or haven't showered in a few days-(maybe you showed up disheveled because your pain was too extreme to allow you to take care of ADL's and driving around for days trying to find a pharmacy to fill your scrip.)

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You van report Pharmacists to your State Board Of Pharmacy. But don't expect anything to come of it. The pharmacists are following the law as it is written not what you think it says or means

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This information is great. I was involved in a near death car accident in 2006. After 5 surgeries, dozens of diagnostics and inj's. my Orthopedic Dr. Recommended to do pain mangt rather than getting cut open again with unknown results. I have been on the same pain medication for over 6 years now with little changes to doses or mg. he has just made minor adjustments due to tolerance. I am a officer in a large company and both myself and my Dr. know that I have to be at work everyday, and I also need to have my wits about me.

I have never abused my meds, came up with excuses to get a refill early etc so in my own opinion I do not have "drug seeking behavior" the bottom line is I need this to sleep, and take during the day during very wet damp weather. I understand what pill mills, people selling their meds and forged scripts have done to cause this epidemic, but here I am going into a pharmacy that I have dealt with for years and they treat me like a junkie. Before they process my script and check inventory they say "we are out of it and we don't know when we will get it back in" and even worse, when I have to go to a different pharmacy I even get treated worse.

My Dr. Has spent a lot more time being educated that a Pharmacist, but I feel that they are playing God with people who really need this medication to help with daily pain.... Who are they to have this power to do this? Rather than fill out forms and make complaints that will probably fall on deaf ears I would wish nothing more than for one of these Pharmacists to live in my body for 1 day, see what I have been experiencing for the past 9+ years and I bet they would have a different outlook on making judgement on people. Again, I understand a lot of people have caused this problem, but the ones truly suffering are those who legitimately need the medications prescribed.

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Patrick, this time of year there are a lot of new phramacists that just graduated. They don't have enough experience to have good judgement so they go by the book and what those over them tell them. It is always a good idea to try and deal with just one pharmacist that knows you. If you call a few days before hand and if the pharmacist can put a face with the name, they might tell you when they will be there on the day you nedd to get your rx filled.

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You can no longer fill #180, and with insurance you can only fill #120. Without insurance only #90 - you can fill any benzodiazepines with them, and they will know if you try to fill at another pharmacy (they will see in the computer also you can't fill multiple narcotics anymore). Most pharmacies won't carry oxy 30 anymore and there's a jurisdiction issue also you cant fill no more than 10 miles. Best thing you can do is switch or get off oxycodone - it isn't the only medication out there....I was taking it 30mg ir, now I take morphine. But if you refuse to change it just sounds like you're wanting it for abuse and not pain because if you were in pain you would take anything.

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Knowledge, there are no laws stating what you are saying. It is up to each pharmacist and pharmacy the conditions, if any, they put on filling rxs.

If someone told you these things are Laws, you need to ask them for the Federal and/or State Statute reference numbers. They will give you an excuse as to why they don't know them or tell you to look it up yourself. If these were actual laws the person telling you would have no problem with giving you the reference numbers.

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BL, any pharmacist that denies a valid on time script for a person who is on SSID, Medicare or Workman's comp is violating the Americans Within Disabilities Act of 1964, and is a violation of their Civil Rights. It is a shame that people who have abused narcotics are making it near impossible for those who truly need them to get the pain relief they need and they are the true victims. As far as laws, patients should contact Government and State offices to file complaints on Pharmacies and Pharmacists who do abuse their power.

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They don't care about reporting it to the board of pharmcies because it thes pharmacies that make the decision

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Patrick, if that were true, chronic pain patients who receive those benefits wouldn't have some of the problems they have. None of this is new. But no successful legal cases have been filed because lay people don't fully comprehend what the law says and that federal law gives each pharmacist the legal right to refuse to fill a rx using their professional judgement.

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Hi I saw yuor article and Honestly my Doctor Retired and I'm urgently searching for a Doctor who will prescribe me which is Oxycodone 30mg! Can you PLEASE tell me the Doctor that your going to or any Doctor that you know would HELP me in anyway? I would so APPRECIATE it! And I also can HELP you as well with your Problem :) Take Care Steve

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