Getting Prescriptions From 2 Different Doctors For Pain Meds But There Are Conditions (Page 18) (Top voted first)

Well I just really need to know if what I am doing is considered doctor shopping. I fell at at department store and injured my knee. Now I have to go to the doctor the lawyer sent me to. He prescribes pain meds for me but the only thing he can treat is my knee. I started having back problems. My primary care doctor sent me to a different doctor and he also gives me meds. But the pharmacy said they would call the doctors and tell on me. So I went and ahead and told the doctors myself so that it would not look as bad. What do you think will happen to me? The pharmacy refused to give me back my prescription. Can they do that?

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Sdowell, if two drs are writting the same patient pain meds and the two drs communicate directly, that is different. If a patient signs a pain contract and the patient talks to their pain dr Before another dr prescribes a pain med and the pain dr oks it, that is different than just going to another dr and getting a prescription for pain meds for any reason. There are a lot of people that have lost their pain management and can't find another dr to manage their pain because they didn't talk to their pain dr first before having pain meds prescribed and filled. It is not the responsibility of another dr to be sure you go by your pain contract.

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Ian, you may or may not be able to find a dr that will prescribe you the same med at the same dose that your previous dr was. A lot may depend on how many mgs a day you were taking. Do you have a copy of your medical record from the dr that died ? No dr has to prescribe you the same med at the same dosage.

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I actually have a similar question. I have metastatic cancer for which I have a pain dr and meds for. I'm at the end of the month and if I take more for breakthrough pain, I'll be short at the end of the month. I phoned my Dr. but its the weekend so having no choice I went to the ER and was treated. The ER Dr. offered to write me for 10 pills, same kind but different MG. I filled it without a problem but I'll be going in about 5 days to fill my regular prescription. I asked the ER Dr. if thats considered DR shopping and she said just a long as I bring documentation that I have cancer, if the pharmacist should inquire why your filling it you should be fine. Now I'm concerned. Can someone advise please. I'm not in a place to have trouble with this right now.

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Hello "C", I have a question which will help us assist you with your concern. Is the physician prescribing your monthly supply of meds a pain specialist with whom you signed a contract promising not to accept narcotics from other Drs? Or is the doc prescribing your meds your oncologist? I'm thinking in your case, you'll probably be ok. Let us know about the specialist or pcp prescriber of your regular pain meds.

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Hi Ian, how long have you been with your new pain dr with the 3 offices? I'm not at all surprised the hospital wouldn't "help" you. By hospital do you mean the Emergency Dept?

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Cancer, forgive me, I see the answer to one of my questions in your post.

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I don't recall ever signing anything like that. I've been seeing him for awhile. He's the director of cancer rehab and its not a pain clinic nor is he a oncologist. Why would the ER Dr say that to me then. I never would have taken it I would have just came back to the ER if I had to. I'm so upset.

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Cancer, the only question I have is whether you signed the contract. As I said, I really think you'll be ok, unless of course there's a contract.

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Cancer, you'll be fine. Your case is very unique & totally understandable. Plus the ED doc was well informed add to your background.

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P.S. Cancer, I'm changing your name to Survivor.

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I live in Louisiana and take norco from my bone dr for DDD and knee replacement on a regular basis. I'm having dental work done and they also gave norco can I get them filled and pay cash since I'm out early due to taking for dental issue?

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Cesarwesar, if you get the Norco filled, be prepared for your dr to no longer prescribe you Norco for your bone and knee pain. If you didn't sign a pain contract, the dr may or may not stop prescribing it. It doesn't matter if you pay cash. All prescriptions that a patient gets filled are reported to the Louisiana Prescription Monitoring Program. All of your drs, dentist and all pharmacists can see what you have gotten filled, who wrote it, how long it was to last, how you paid for it, who the dr was that prescribed it, etc.

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You need to talk to your doctor that you get your monthly medication from and ask him what to do when you have dental work. You also need to make sure that the dentist know that you are on pain medication and that that is in your dental records also. I have found that many times Motrin especially if taken before you see the dentist is probably one of the best painkillers for dental surgery and I've had three implants put in and about 5 root canals.

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The term “doctor shopping” has traditionally referred to a patient obtaining controlled substances from multiple healthcare practitioners without the prescribers’ knowledge of the other prescriptions. A law was included in this resource if it prohibits doctor shopping, either generally through an anti-fraud statute or specifically through a mandatory disclosure law.

Source: cdc.gov/phlp/docs/menu-shoppinglaws.pdf

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Cesarwesar, you may not be able to find a pharmacist that will fill the Norco from your dentist until your other prescription runs out. If you get the Norco filled from the dentist when your other Norco runs out, you won't be able to get your regular Norco filled until the one form the dentist runs out.

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What if I accepted the script but didn't fill it?

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I got a 30 day prescription for oxycodone through the VA. The week after i filled it, i went to a military hospital(not VA) for surgery, I was in patient for a week and was discharged with some more oxycodone, and hydromorphone as well. I had informed them before hand what meds I was on so I was a bit perplexed as to why I got more but i wasnt going to complain because I had just had a major surgery and it was painful. I ran out of the first prescription from the hospital and it was filled again by the doctor who did the surgery. Then my VA prescription ran out and instead of fillng that one i just kept filling the prescription from the hospital because obviously filling both is pointless. However they did overlap quite a bit. Is that considered doctor shopping? I definately don't want to get in trouble for this crap.

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If you were using a outside sources instead of the military and VA you would possibly be in trouble. However I find the military and VA to be more understanding in your circumstances. It is important that in the future you go with one doctor. If your surgeon no longer will prescribe the medication and you still need them you can go to your VA doctor for the refill but make sure it is not until it is about time for your refill. BTW the VA has gotten much stricter on prescribing opiate medications so I would stay with the military doctor as long as you NEED them/possible. Ps I am a Vet.

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I just medically retired less than 6 months ago and I got a VA doc pretty soon after i got out. I signed their s*** pain management agreement, but now I just enrolled in TRICARE because everyone says TRICARE is better. Can i cancel my pain contract with the VA and just use my TRICARE doc for all my meds and everything? Because the VA is one huge joke that thinks if you are on pain meds, you're basically a drug dealer/addict.

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AugustusForm, do you have a copy of the pain contract that you signed ? If not, you can call the dr that you signed the contract with and tell them that you are going to change drs or just not go back to VA for any pain meds. The pain contracts are basically all alike. Using TRICARE to see a pain management dr is the private sector is much better than going to VA for pain management.

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