Fill Oxycodone Prescription (Page 9)

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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Rain,

My heart is warmed to find someone that seems to understand the point I am trying to convey. If you have a pharmacist that will drive somewhere to get meds for you, you have found one of the few that will do that. I have done the same and gone as far as delivering them to my patients if needed. I’ve come back an hour after closing to get a person their meds as well (and that’s something to be said because I work for a larger chain type pharmacy). Most pharmacists care about you... a few go above and beyond like yours does. To answer your question about Florida pharmacists and if they have changed in the past year, I truly do not know. I’ve lived in this state for only 4 years and it is just in the past year or so that I’ve settled down to call it home. I’ve never changed the way I practice (maybe a little nicer as I have gotten older). What I can tell you is that pharmacists are under a huge amount of pressure with the oxycodone situation. We have a license just like a doctor does.

Let me give you an example. The DEA has stated in documents outlining how a pharmacist is to act that a pharmacist does not have to fill any “questionable†prescription.†The state of Florida also in the regulation of pharmacists dictates that a pharmacist MUST call into question any prescription that falls into specific categories. Of these, cash only patients asking or brand name drugs, patients getting only narcotics, or patients coming in as groups with the same meds are just some of the categories we are to watch for. So when a customer brings in Oxycodone 30mg, Alprazolam 2mg, and Soma 325mg and that’s it... I’m required by the state of Florida to call that prescription into question. If I do not, I risk my license and with the laws in Florida the way they are, I risk criminal charges for filling any prescription that is not a legitimate prescription. That said, a pill mill doc writes the above three prescriptions and eventually he is arrested because his prescribing habits were not legitimate. The state can come after me because I filled those same prescriptions. When they shut down some of the pill mills, some pharmacies near by those clinics were closed as well. So to answer your question, we are under pressure to not break the law. Some pharmacists choose to avoid filling the high risk drug altogether because it reduces the chance to get in trouble. You can’t blame a person for not risking their profession and livelihood.

That sad, we have E-Force now. E-Force is the state system that logs every narcotic you receive (cash or insurance). When you come into my pharmacy, I check E-Force every single month, even for regulars. It tells me what you got, how much you got, when you got it, where you got it, what pharmacy filled it, and what doctor prescribed it. Hope around to multiple pharmacies and multiple doctors and you have no chance of convincing me to fill any narcotic for you. This tool helps me comply with the law and I feel 100% NO RISK to my license anymore. Many pharmacists may not use this tool yet though, so they are still hesitant. I hope I answered your questions.... If I missed anything, let me know.

To Jeremy: My price for oxycodone 30mg ranges between $250-280 (guessing off the top of my head because I really don’t set the prices in a chain environment). I have had customers come in and tell me that they were charged up to $1000 by some independent pharmacies. I think this is crazy. It is taking advantage of people. Don’t worry though. Those pharmacies charging those prices tend to prefer the cash customers and the way they dispense, many are under investigation currently or will be. I know of one that had to dump almost half his customers because his supplier told him if he fills for a specific doctor any longer (a doctor with a past history or crimes) the supplier would cut him off totally.

This is a good time to point out a misconception that was mentioned in another post. Cash vs insurance. I make more money on a cash prescription period. All pharmacies do, no matter if it is a narcotic, a blood pressure medicine or an antibiotic. I’d love for them to all be cash. From a pharmacist’s point of view, we are more comfortable with dispensing to people with insurance because for the longest time, that was the only way we could check on the customers that shop around. Insurance companies tell us your last dispensing dates of a prescription. Now, E-Force does this for me so I don’t really care how you pay anymore. I would worry if any pharmacy tells you cash only though because they are in it for the money at that point.

And Jeremy, you are correct. A pharmacist can refuse to fill a prescription for any patient for any reason. Think of it this way. You want to force a pharmacist to dispense a medication, but would you think you have the right to force a doctor to see you and prescribe a medication for you? Both doctors and pharmacists have a license to protect. You have the right to go to a different doctor if one will not see you just like you can go to a different pharmacy if one will not give you what you want. The only time this becomes an issue is in rural areas where you may have to drive an hour to the nearest pharmacy and another hour to the next one. With Walgreens and CVS on every corner, even in the middle of nowhere, I don’t foresee this being an issue these days. Now not being obligated to accept insurance.... thats a different story. If I want to bill Medicare for Aunt Gertrude’s blood pressure medication, I cannot deny service to a Medicaid customer just because they have medicaid. I don’t have to ill their prescription, but I can’t say I’ll fill it for cash only and not accept their Medicaid. If you participate in one government program, you participate in them all. Failure to do so risks you not being able to bill for any of them. That’s not a risk many pharmacists are willing to take.

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I so very much want to reply but I was just told on the day of my appointment that my Board Certified Pain Management Specialist is no longer seeing his pain patients. Because of the stress of having to suddenly find another doctor and the fact that I only have a very limited supply of pain medication left I've found it all but impossible to be able to concentrate in order to respond in a cohesive way and to add to the conversation. But I am reading and thank everyone for writing. My heart goes out to Rain. I can't stop thinking about her aunt. I will write when I am able.

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ANON i would like to say that you are very smart and i can tell you put a lot of time in your study and you have masterd your degree wow i wish i could write like you and word things like you i have spent over 700 hundred hours on the computer searching about the oxycodone problem in florida and the big mess there is and just from your post i have learned everything i need to know in 5 min .it is so sexy to know that your so smart lol . im just saying wow you worded that like you didnt have to think for a sec all love from ARAB MONEY

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Donna,
I have tried to get to the FB address but no luck.
I had the same pharmacy for 2 years and now they pulled their ability to dispense Controllled Substance, I found another Pharm, it cost $1400 to fill, My whole savings acct. this month I get a different more ACCEPTABLE Script and have been denied everywhere I go...UNREAL...Florida needs help! The goverment needs to come clean and tell the truth

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Anon,
I have, in past tense, been critical of you. This is the most infornmative thing you have posted. You are not seen as heavy handied or a bully but more informative. In this way you are able to convey to people the scrutiny you are under.
There are only 3 points of contention. First, if you use e force and notice I have gone to different phamarcies you would not fill my prescription. I have no other options when I am turned down at the same pharmacy I filled in last month.
Secondly, many people are mistaken when they say that you are innocent until proven guilty. That only applies to criminal law. In other cases prepoderance of evidence of evidence etc are used. You speak about doctors who have been investigation or accused of nefarious activity. However, anyone can be accused of wrong doing. An accusation should not tarnish a person for life similuarly a doctor, having no disciplinary history should not be "blacklisted," based on accusations. Many are high oxycodone prescribers. That may be true, but who can tell what type of ailments their patients have.
Finally, both you and I have one extreme fault. We both quote the law but have no education or training in this field. Has any patient ever asked the opinion of a law firm who has people qualified to render an opinion. Since I am under a prepaid legal system through work i might just avail myself of that ability to find out what rights I have and what authority you have over me. I will not, in the future, come into a pharamcy telling you how to fill prescriptions if you will stop quoting the law to us.

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David: I’m glad you you find my posts informative, and I hope I am at least doing more good than not for everyone that is reading these posts. To your three posts. When it comes to E-Forcse, it is a tool. I use it to look at more than just where you go. I can see what doctors you have been to, and not only what pharmacies you go to, but also where those pharmacies are at. If you have been to 5 different pharmacies in a 2-3 square mile area, that is different than if you have driven 100+ miles to 5 different pharmacies all over the state. It is reasonable in once case, but more suspicious in another. If I look to see that you have been at the same pharmacy but have multiple fills that have been quite early (like a 30 days supply lasting 20 days before you go for your next refill), that is equally suspicious compared to someone whose 30 day supply last 30 days, even though you go to one pharmacy and see one doctor. A pharmacist uses many different factors in determining how to proceed with filling a prescription, not just one piece of information.

Your second point about being innocent until proven guilty, I am not quite following you on this and maybe you have misinterpreted something I have said before. I currently fill Rx’s for a doctor that had his license once revoked by the DEA. He currently has the right to prescribe, so I am ok with that. If the DEA gave him his license back, that is good enough or me. I still may watch him closer and his prescribing habits, but that is to be expected. I have never blacklisted a doctor. I know some pharmacies in the news have been accused of doing so. I cannot speak for them because I am not familiar enough with those cases (I have no inside knowledge of what doctors, for what reason, etc...). Often times, the decisions you hear about blacklisted doctors are being made above the pharmacists pay grade. At the pharmacy level, the computer may be set up to prohibit a pharmacist from filling for that doctor. The pharmacist at a retail establishment like that cannot override that. It is a corporate driven policy that they cannot change. Is it right or wrong? I’m not going to get into that discussion because there are cases that can be made for and against it. To those people affected by it I say, go to another pharmacy. Is there a big difference between a pharmacy that tells you they can’t fill for that doctor and the one that just tells you no without an explanation? Either way, you have no medication when you leave, plain and simple.

Finally, to your concern regarding law. Speak for yourself when talking about not having education or training in the field of law. Every pharmacist has taken at least one course in law as it pertains to the profession of pharmacy. You cannot get a degree without it. In addition to that, I have a particular passion for the topic. I am a clinical professor with the pharmacy school and have participated in teaching pharmacy law at that school (a top ranked pharmacy school). I know the law as it pertains to the field of pharmacy. You can get legal counsel if you wish, however I can give you the easy answer. I have no authority over you. Also, I have no obligation to fill your medication. This is just the same as a retail grocery store or a clothing store that has no obligation to let you buy their goods or services. In general, no retail business turns away business if they don’t have to but it doesn’t mean they can’t. Don’t think you will find a legal standing that says any retail establishment MUST help you. You always have the right to go somewhere else. Many feel they are owed a service much like with the hospital system which must help a person in medical need whether or not they can pay. The pharmacy system has no such requirement. If you want to come into my pharmacy and quote the law to me, go right ahead. I’ll tell you if you are right or wrong. I have no illusions about what I do or don’t know. Come into my pharmacy and tell me how to do my job, well don’t plan on coming to my pharmacy much longer after that. I know and love my job dearly. I look forward to going to work because I feel it is one of the greatest jobs. My passion for my work compels me to go above and beyond for my patients. When someone wants to tell me how to do my job, it is disrespectful and is not tolerated. Just as I have said to others, would you go to your doctor and tell them how to do their job? You come to a professional to ask their opinion or for their help, not to dictate to them what they must do for you. If you want to dictate what you want, go somewhere else.

In general, I think people would get better help from pharmacies if they avoided coming to the pharmacy and demanding or acting like they know more than the person they want to dispense their medication. Just the other day I refused a person a prescription..... for an antibiotic..... because they wanted me to “guess†as to what part of the prescription said (bad doctor handwriting). This customer was upset to find out that as a pharmacist I refused to guess at anything. We don’t guess! We make informed decisions and get the facts when needed. This person could have waited for me to call the doctor and get the information. Instead they felt it wiser to tell me how to do my job. This person was allowed to exercise their right to go somewhere else without me helping them.

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Hi all me again I decided to try the CVS mail away to fill my Dilaudid 8mg script so I hope they dont lose it in the mail or that they dont take medicaid for payment cuz my fiance will kill me since I gave them his bank card to pay what I hope is just express shipping. :-\ Anyone have any experience in this please tell me quick before I put this in the mail tomorrow. I just have to make it to my daughters graduation on June 8th at the Tropicana field and I know I wont be able to if im atill in this much pain. I am so proud she is mentally handicapped and almost 21 but never gave up shes just like her mom! Wish me luck everyone I just have to make it or I will die teying I swear! Tks for all your support :-)

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As always very well stated. I don't always read post on here so I may have missed the answer to this. You told me to come to your pharmacy. Where is the pharmacy where you work. You have attracked a following and many people may bring prescriptions you can fill.

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I don't have any experience with mail in Bridgette but just wanted to say best of luck to you. I know how bad it makes one feel when you're simply in no condition pain wise to do something so important to you. This is especially true when you know the situation can be rectified simply by having your meds. It seems so unfair that things have come to be so difficult. I think the focus needs to be put on monitoring DR's prescribing habits and practices in general to make sure everything is legitimate on that end. Instead it seems the focus is on patients after the fact, when they already have a prescription in hand. Also Anon I'd like to add to others praise of your knowledge and willingness to share the information. As you are well aware, you are right about being able to refuse service with or without a valid reason. Obviously you are seem to be very scrupulous and would not do so unjustly. I know you don't need your statement validated especially as you stated you have no illusions about what you do or don't know. I just wanted to back up you what you said about not being obligated to provide service as I'm a paralegal. As you said it's disrespectful to tell someone how to do their job. Also it's of my opinion your chances of success in such endeavors increases exponentially with the amount of politeness and respect you display to the person you are asking for assistance.

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ANON: I also enjoy reading your posts.. My husband has been going to a chain Pharmacy every month with no problems filling his scripts, until his Pharmacist went on the "6 month off" vacation. Well she had said not to worry about the next month she had put a notation under his name in the computer *SAFE*..
Of course the "floater" was young and was nervous and wouldn't touch the oxy script and proceeded as others saying "oh we can't get those in".. so instead of explaining we HAD to drive to almost every RX in the area for 4 days until we ended up at a Kmart paying $100 more(didn't accept his discount card)

So what do you say to that? Even the chain store mgr knew hubby had been there every month with no problems of getting the order in monthly.. I understand the fear of being robbed or getting a scrupulous Dr/script etc. but when the "normal pharmacist" says hey this guy is ok, fill his script until I get back. What are we suppose to do? what recourse can we take then?

Sane Dr. same Pharmacy chain for over 6 years (and hubby is over 50 yrs old)

It's very frustrating..

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Well I was too late to read my email and after I already mailed out the script cvs told me they dont fill cII mail order and will send it back ups. ugh I give up.

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David: I did mention this is previous posts, but it bears repeating. I post anonymously because I want to provide people with information. Unfortunately I am maxed out on patients at my pharmacy. I am currently unable to fill for any additional people. This was the basis of my first post. I wanted people to understand that simply because I cannot fill your prescription doesn’t make me the bad guy. There are more reasons and pressures on my end that prevent me from adding new patients. As an anonymous pharmacist, I have said it is possible you are one of my customers and will never know it. If you have met me and spoken to me in person however, and you read all of my posts then you may be able to put 1 and 1 together because what you see is what you get. I am no different in person.

Jeremy: Thanks for your kind words

Donna: I know what you are saying. In my pharmacy I have a one page document directing other pharmacists on my procedures with oxycodone. When they look at where the drug is stored, there is another large note that says to go read that paper. That said, even with my best laid plans, some people will be denied. The reason for this is simple. As I have said before, no one can make a pharmacist dispense you a medication, not even another pharmacist. I promise you that if I refused to dispense a medication for a valid reason, the president of my company could show up in person and demand I dispense it or i’ll be fired and at that point, I’ll pack up my things. A pharmacist’s license is his or her own. No one can force someone to dispense a medication. It is for this reason, when we have substitute pharmacists in our stores, we get a disruption in our normal procedures. Should it be this way? No. I’ll tell you that I often am frustrated by these fill in pharmacists myself. I care about my store and my patients. They do care about patient care, but also about making it though the day in a pharmacy that is not theirs and that they are not comfortable in. It is a tough job being that fill in pharmacist because every pharmacy has their own rules for oxycodone and not all are written down like mine are. So they rely on what they are comfortable with.

That said, my customers are told this; if you are told no, be polite and just come back the next day or another day when I am working. Now If your pharmacist was off for 6 months, that may be difficult. All pharmacies generally have at least 2 pharmacists on staff though. So if the 6 month fill in says no, be polite and come back when the other pharmacist is there. Staying polite can go along way. Offer to leave the Rx there and come back later. It shows the pharmacist that you’re willing to wait for your medication and gives us time to evaluate your prescription further.

Finally: A few things that I want to mention today that came to mind while writing this.

#1: Please don’t assume that an entire chain of pharmacies will all be the same. You expect Mcdonalds food to all taste the same, but in the pharmacy, the staff dictates how it operates. A crabby staff will create a pharmacy you hate going to and a great staff will have you coming back month after month. Just because one pharmacy angers you, it doesn’t mean the company is bad... maybe just that employee is the one making it bad.

#2: Drive Thru pharmacies. If you have a narcotic and you have never been to a pharmacy, go into the store/pharmacy. If you bring an oxycodone Rx to the drive thru your first time at the pharmacy, you will more than likely be rejected. For that matter, if you are a new patient, come inside as well. The drive through is for quick drop off and quick pick up only. (We are not fast food). Also as an addition to this, don’t call around looking for your medication. In past years, and in pharmacies close to me, people would call and ask if we had a narcotic in stock. Pharmacies that answered yes were mysteriously robbed within the next hour or so. As such, many pharmacies as well as my own will pretend we are looking then come back to the phone and tell you no. This is an unfortunate response to the robberies. It is the same reason we lock our doors to our houses. At one time you left the front door open at night. Then people started helping themselves to your stuff. Now everyone locks their doors.

#3: New trend in narcotic prescribing. I have noticed some doctors are taking my advice and prescribing a longer acting narcotic for pain such as MS Contin. This would be good if it was being done for the right reasons. It was overheard that the doctor had added this because appropriate pain therapy should have a long acting pain medication (per the DEA). The DEA has no such regulation. While true, the doctor also failed to decrease the immediate release pain medications and left the oxycodone at the same high dosing, potentially leading to overdosing. This doctor is trying to make his practice appear more legitimate to snyone looking at his records by adding the long acting medication but is not carrying though with changing the immediate acting pain medications. Worse yet, the patients now coming in with these new prescriptions are not aware of the changes. Some thought the extended release medication was for “just in case†when in reality, the oxycodone should have now been the just in case medication. My point is that this is a dangerous new trend that I am seeing. The right idea, but the wrong execution. If you have a doctor like this, you should expect at some point for your pharmacist to start questioning your prescriptions. If he or she doesn’t, they are missing an opportunity to optimize your pain therapy and increase your ability to access the medication you need.

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Anon-My opinion of you has certainly changed. I find you to be very informative and presenting some information. However, you invited me to come to your pharmacy and I took you up on that. Why would you be afraid? I am of no threat to anyone. i have a name which is common unlike anonymous and if I invite someone I have nothing to hide. Why are you hiding your name. Obviously, you are confident in your job and well versed. You invited me so where do you work? If you do not tell then I submit to this forum that you are a coward hiding behind a veil. i am not name calling just stating a fact. We do not need to hear from anonymous people who are bold enough to invite me to their work and retract that when I ask. You have my name and so does everyone else. You should step forward and give yours.

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ANON in response to you answering my post:
The fill in/floater would not keep/hold the script for the other pharmcist to fill in a couple of days.... she said she was not going to be responsible for it since they they had none on the shelves anyway.

the pass 7 months hubby has had no problem getting the scripts filled there at that location.(regular Pharm on vacation until Aug)

No matter how polite and respectful you are.. with "some" Pharmacist there is a good chance you will be talked to with an attitude.no matter what you look like

It is just ridculous having to drive around and be rejected and talked to in a condesending manner like we are dirt on their shoes just because a person takes a narcotic that has a lot of attention now.. few yrs back it was Vicodan..sigh...

i just don't know what we are going to do next month.. Hubby has to take a 1/2 day off work just to find a Pharmacy...
I was told of a RX that will fill the script off of 22nd (st.pete/largo) I'm not saying which cross street..
Anon.. do you know the cross street I am talking of?

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David, I am not sure if you are mistaken or if something I wrote previously was construed to be an invitation to my pharmacy. I have said to everyone that you may very well be a customer of mine. That said, I am not here to gather business, never was. I am here only to provide information. I am not afraid of you nor am I trying to avoid you. If you read my posts and are an oxycodone customer, you would realize I do not have the ability to take in any new customers for oxycodone anymore. I'm maxed out on what I can get in supply. That means that even one extra prescription filled means that someone I promised meds to will come in and get denied. I also made the point that I feel I am doing much petter for my patients if I ensure a few a consistant place to obtain their medication rather then dispense on a first come, first serve basis. I will not rehash this point. Please review all of my past points.

Second, I with hold my name to stay anonymous because my intention is not to have everyone on this board come visit me and ask for help. I would rather educate you and help you learn to develop a relationship with your pharmacist. The bigger picture is what I want you to understand. I want you to understand where we are coming from. There are plenty of posts that are misconceptions that I have tried to dispel. I also do not post my name because I am a licensed individual. You can look that licence up on the state website and find out not only where I work, but where I live. That is not something I care to have out there. More so, once you know where I work, it can be construed that I am speaking on behalf of my company, for which I do not. I'm sure you have heard of people posting on Facebook about their jobs and then getting fired. This way, my company an work life have no connection to this forum.

So no, I am not a coward. Much the opposite in fact. I am an trying to be helpful while protecting myself personally and professionally. And to make it clear to you and others, I am not and have never invited anyone to my pharmacy. That said, if you are lucky enough to stop into my pharmacy, you will have found a pharmacist that will work to help you as much as possible, even if I cannot fill your oxycodone prescription. I will talk with your doctor to help you get on the path to a better pain regimin.

The next time I post, I plan on sharing with you all something put out there by the DEA regarding what is deemed an illegitimate prescription and what pharmacists must do with them.

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The RX store on fort harrison in clw would have filled my script but it was out of county. Also Trinity is a good place even took my info to let me know when dilaudid would be in they may have the oxycodone they are on seminole blvd and park. Also Susan at ASAP pharmacy shes the pharmacist there very nice she will do what she can. I only tell you all this because I trust and believe your husband needs a new pharmacy abd quick and I am from Pinellas county ao I know almost every place out there also all that I mentioned take medicaid. :) Any ptoblems I can try St Marys and tell them for you I just cant drive tqo hours out there again and try to gwt my med filled until cvs sends it back lol. my # two three nine eight two three nine five two nine. I will try and help any way I can but St Marys doesnt take medicaid but I have tons of discount cards and can tell you where to get them online. Good Luck.

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Everyone posts alot of nonsense on here I know we are all in pain I get the point I am too and can't fill my prescription. 1. Try Medco pharmacy online pharmacy that will take prescriptions even if you have a pain management doctor but you have to have mail order or prescription coverage with your health insurance plan or medco will not take you. 2. Walgreens has a mailorder service as well as plenty others that are through chain pharmacies. 3. Ask your doctor/practitioner about insurance through their own office. As mine has an insurance adjuster that provides insurance plans that are through "guaranteed" mailorder service. There are options just look into some of those.

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sir, that is not correct. medco will only fill a schedule 2 narcotic if you have insurance from a group plan. They will not fill for cash even if you buy a year membership. They stopped this a few months ago. i have a mail order service with my insurance and they will ship oxycodone but they want a 90 day supply only and either my doctor cannot by law or will not write an oxycodone prescription for 90 days.

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Anon has gathered some attention and slight fame. He has offered some information and qualifications no one can check out. He has this attention because we give it to him. I ask that we no longer give attention to anyone who post under anonymous. Do no read his post. Ignore him. I ask for your help., He is not helping people. if he replies i will not read it. i strongly believe he is not here to help but a person in need of attention and fame. We gave it to him. Anything he says can be false or you can learn it elsewhere. I ask you to ignore anyone who must hide behind a fake name.

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Wow I no longer thought I could be shocked by nonsense I read on the internet. All the reasons he/she stated for remaining anonymous are sound. All the information he/she has provided is rock solid. As was stated, this could put their job in jeopardy as large corporations take every precaution necessary and unnecessary to limit any legal liability. Secondly is the reason that was stated outright and should also be obvious (no offense meant). If this person is already at capacity what purpose would giving all their personal information out in a public forum. Not only would it be of no help getting your prescription filled, but it would put them in danger. Danger from deranged, disgruntled readers that could then direct all their anger, frustration, and rage over this situation at them as if they are responsible for the whole mess. I am by no means stating that's the average person or anyone's mindset that posts on this forum. However the possibility is out there. We all know what a weird place the world can be, especially the internet. Anon is just one small cog in a huge machine. A cog that is at least trying to not only do a good job, but go above and beyond to provide information. I don't see anyone else with any knowledge trying to inform. I personally told my DR I was fed up with the situation. I could no longer deal with the stress and problems of being associated with this medication. I now treat my pain with 2x30mg Morphine Sulfate and 4x10/325 Percocet. Both of these medications are tamper proof and are free of the stigmas of Roxicodone. If you are legitimate why cling to staying on a medication that has been highly publicized as being crushed to snort/inject by abusers. I know the answer to my own question. It was more effective than what I take now. Unfortunately I can't turn back time. Junkies have ruined that medication for legitimate people. I would rather get relief that is steady and of ease to acquire even if slightly less effective. Hopefully my body will adjust, my tolerance will go down or whatever the reason for the less effectiveness will diminish. Good luck to everyone.

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