Oxymorphone Er Generic By Global Pharmacy (Page 9)
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Hi,

Since I heard that Impax finally got the green light to distribute Oxymorphone ER (Opana ER) generic through Global Pharmacy. I didn't hesitate to rush to my PM doc and he instantly had me switch to this new drug. He prescribed me 40 mg twice per day to treat my busted back & fibromyalgia.

I noticed the pill is round in shape with G74 on one side with nothing on the other. The color for the 40 mg ER tablet is an orangy/gold color. Ever since Endo ruined their product with the new TRF formulation. I promised myself to jump back on the bandwagon as soon as the generics were released.

Today is a great day for all who suffer chronic pain. Yay! 8-)

Moon

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I don't know if you already had this answered but yes it was discovered in Germany in 1955 and went onto the market in 1959. It had a different name back then it was called Numorphan so maybe the pharmacist would recognize that name. I learned about it in pharmacy school as Numorphan but the name Opana is new. It was reformulated and the name was changed. I don't think they prescribed Numorphan very much and then when the addiction resistant Opana name came out they started prescribing it again. So just for your knowledge and your pharmacist's knowedge here it is. But I went to pharmacy school in 2005 so your pharmacist should know.
Amy

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I fully agree with you. The Actavis brand is far more superior than the Global brand. I too was in love with the Actavis. I was getting the 20mg ER's but got bumped up to the 30mg and ever since only got the Global's. And as I said before it's easily a 3 to 1 ratio. I have to take 3 30mg ER's to get the same effect as a 20mg ER from Actavis. Maybe they knew that Actavis was stronger and to cover it up they just stopped making them. Who knows? I really wish I could get my hands on the Actavis again but since that's not gonna happen... I would never go to the brand name made by Endo. I've tried them about 3-4 years ago and they were horrible. They were the 15mg ER's of a hexagon shape. I believe they were green in color (it's been 4yrs don't hold me to the color) but those sucked. So what's left to choose from? Nobody else makes generic oxymorphone and dilaudids suck. And the next step is Fentanyl and once you go there there's no going back and a lot of doctors won't even up you to it. Hope I've been some kind of assistance to you.

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I'm curious if anyone else has had issues with the Impax generic, oxymorphone ER, not working well. For the past year I've been taking the Actavis generic and it worked the best, much better then the brand name or the Impax generic.

Endo Pharmaceuticals decided to be greedy and forced Actavis to quit making their generic, because supposedly their sales dropped for the name brand, by a whole 10%. Something like 100 million in sales to 90million. Greedy jerks! Why they aren't forcing Impax to quit, I'm not sure. Unless it's because they know the Impax brand doesn't work as well, and many of us will still have to go with the brand name from Endo.

Sad part is, that for some, the generic is the only way these meds can be affordable and approved by insurance, since generics on many plans are required, or the cost difference in which tier the medication on the insurance formulary is so large, you have to go generic to keep copays down.

So anyone else have these issues with the Impax version not working as well? I've seen a few comments that others have had issues, but many of those were also from people who are modifying the pill somehow before taking it. I would like to know if anyone is in the same situation I'm having, where we take the pills as prescribed.

For me, I would say the best was the Actavis generic, it worked the most often, and was the best for pain reduction. The Endo brand name comes in next and is maybe 60-65% as effective as the Actavis one. The Impax generic works closer to 30% (or less) as effective as the Actavis brand or half as well as the Endo brand name Opana ER.

It's so sad that a company as big as Endo Pharmaceuticals, is so greedy, that they pick and choose companies they allow to have generic substitutes. Why stop Actavis, but then allow Impax to make their generic? Unless they know it doesn't work as well, or they have some form of kickback deal happening.

Much of this could be fixed, if they got rid of that stupid 'Time Release Formulation' or 'abuse-resistant formulation', that they claim is an abuse deterrent. Many studies have happened that show that the TRF doesn't work like they expected and in reality just causes the medication to not work as well, so the patient has to up their doses in the hopes of receiving the same benefit. It's also not much of a deterrent for those that want to abuse the medication. I've read multiple threads on sites about people who have found ways around the coating by doing some bizarre chemical experimentation.

For those of us who take our meds as prescribed, the pharmaceutical companies and laws governing generics are hurting us considerably. I understand greed and they want to make their money on a product, but fighting over that 10% sales dip, when they've already had years of high dollar income, before generics are allowed to be made, just seems wrong.

Well thanks for letting me rant on here. I would really like to hear though if anyone else has had the same issues about the different brands not working as well, even if it's totally different then my experience. Maybe it will give me some ideas to how my doctor could change my medication dosages.

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Hey RAWDOG (REFERENCE 08/06/16 POST), so I was curious about something. I know this is from months ago, but I still think it could apply to others. In your situation, you were going in a few days to a week early in order to make sure they could order your script. Pretend your original fill date was January 1st, you adjusted to going early, but for easy understanding let's pretend you went 5 days early (December 26th) and planned to pick up when ready. That means that every month you dropped off your prescription on the 25th or so right? Then you went back on the first of every month to actually full the med? I had a friend with the same issue you are citing and he was going a few days earlier every month. Like the 25 of jan then the 22 of feb and then the 18 of March etc. I asked him why and he cited the issue you did about ordering the meds. It took him awhile to have his epiphany but you should only ever need to go in early once. Then when you go in to drop your script it should be exactly 1 month after the previous time and same goes for when you actually get the meds.

Some insurance will allow for prescriptions to be picked up 3 days early without an issue. However, if you do three days early then next month you should do 3 days late. If you are early every month you are just asking to get flagged as a trouble patient.

I have no reason to think you abuse your meds, I am sure you dont. When it comes to the current state of life for pharmacists and doctors, it is easy to see why a patient getting meds early could be a cause for concern. If they have months worth or records about you that wasn't ignored in choosing to no longer fill. That doesn't mean there wasn't good reason, like on your end, but new or unfamiliar pharmacists will have to make judgement calls.

Just fyi, I take 2x 40mg oxymorphone er and 6x 10mg oxymorphone ir everyday. I also take miralax, omneporazole, a fiber supplement, lyrica and daily vitamins. If a doctor or pharmacist ever asks me what I take I always say all of it. It is dumb but people who take opioids tend to have constipation and messed up bowels and usually having a nerve med also gives credence to your pain and attempt to fix it. Always be dressed well. Always speak with kindness and honesty. Ask for help even when you don't need it. Making someone feel special is a sure way to guarantee they will be on your side. You need them, you need their insights and knowledge.

Just some insights from a CPP of over 7 years.

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Bertman, I've been trying to get Activas. But pharmacy said it's a litagation problem and will be unavailable for a period of time. Have you been able to still get them? Thanks Widhearts

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Thank you us in pain that don't abuse., really don't want to read that we are reading for help. I was taking the activis now finally seeing why I'm getting these other pills ecpains it,they give me migranes and I have not felt good in months doctor even done blood work I figured out it's the change in my pill.

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RAWDOG, that is a bunch of Bulls***, i go to a pharmacy that is in a hospital, cos one month CVS would have it next month they didn't then few months in a row they have it so i got tired of that and i go to a hospital pharmacy and they have it every month. I called up a CVS in target to see one month if they had it and he told me your best bet is to go to a pharmacy around the hospital and i called them and the woman said yes we can fill it for you no problem...only bad thing is they are closed on weekends but i don't have any problems cos i still had 12 pills left even on my fill day so when i got it filled i still had 10 pills left...i love Oxymorphone ER 10MG cos i take it 1 every 8 hours which helps me for my back pain...The doctor where i go to for pain management told me they weren't going to give it to me anymore cos he thought when i got my cat scan for my back there wouldn't be anything wrong. To his surprise a doctor backed up my 2006 cat scan and said my back was worse than before...Good Luck RAWDOG! I hope it all works out for you..

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CVS should not know what walgreens has done or said. The computer systems of different pharmacies are all different. If one chain store won't fill it usually you can't just go to a different store in thay chain because they can see what another store did. A pharmacist is 100 times more likely to call their other stores about a prescription for a class 2 medication. There are laws that protect pharmacists and it is pretty vague so it gives them a little more room to refuse patients. Basically it just states that if the pharmacist feels uncomfortable filling a prescription (and sometimes they don't even have to explain why) they don't have to fill it. The only instance where this has been successfully fought is the selling of the morning after pill. Many pharmacists wouldn't fill the scripts because they didn't believe in it. But most were forced in the end to fill the prescriptions because they were mixing their own moral values with the business of health care. Even with this though there is still a loop hole. A pharmacist can still refuse as long as they tell the patient where they can purchase the pill, but now you don't need a script for that anymore so problem solved except for the problems with us in the pain management community. I doubt you will get very far with an attorney. These companies have huge extremely large law firms protecting them and their pharmacists. If it was free I would say go for it. You may not win but it will annoy them. But lawyers and court costs are expensive. It is a hard thing to deal with for patients because there is rarely a chance of getting the medicine you need once they have decided you are some kind of addict. The can and will ban you from all stores and there is nothing you can do about it. I worked for CVS and if we put a note in someone's file every other CVS could see it as well. The only way you can remain unrestricted is to pay cash and not use insurance, but that isn't an option for most because as you have said these medicines can be very expensive. All you can do is find a chain that treats you right and stick with them and try never to give them any cause to doubt you. If this happens again I would definitely pin them down for a specific reason which might prove difficult but it is hard to fix what you don't know about. All I can think of is a couple possibilities, the pharmacist has reviewed your whole profile and found something they felt was a possible red flag for abuse behavior or the pharmacist does not personally want to fill medications that are so strong, or they have made a judgement they are technically not supposed to which is that you aren't in enough pain to need it (some pharmacists enjoy overriding doctors decisions), or the last possibility is that they have an issue with the doctor you see. They could have decided that the doctor is over prescribing high level narcotics and have decided to turn away all that doctors patients. Those are the only possibilities I can think of. And keep in mind I do not have their computer monitor in front of me. I can't see whatever it is they are seeing. Follow through with the best of your ability to get an answer on why they won't fill your prescriptions anymore. Heck call their corporate office and irritate them into checking into the answer for you. I am very sorry you are having to go through this. I have had a hiccup here and there but I have mainly had no problems with my prescriptions. I am under contract so I can only use one pharmacy so the pain clinic can always check on my scripts and how I am filling them. Please do report back on anything you may find out. It could potentially help someone else.

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So I thought I'd share this with you Curious 80 I went to my regular walgreens and of course there was a new women pharmacist. She looks at my scripts goes to the computer and comes over to me a couple mins later and say" Sorry but I don't feel comfortable filling this prescription" I said I don't understand I've been coming here for 7 months why all of a sudden can't you fill for me. ALL'S she said was I'm sorry and handed back my scripts. I asked to speak to a pharmacy manager and wouldn't you know they weren't there. So I asked for the store manager she gave me a number I could call and the name of the pharmacist that denied me. So I went to the other walgreens that filled for me once before they told me to come back in an hour. On my way back I get a phone call from walgreens and the lady says I see you tried to fill at the other store and she didn't feel comfortable filling so we can't fill for you either. So she said I was banned from ALL WALGREENS. I just don't get it how can one pharmacist ruin me for life. I haven't called the number the manager gave me yet and I thought about contacting a lawyer but I'm sure walgreens has their ass covered for stuff like this. So I had to go back to the mom and pop spot that is charging me 800 bucks to fill oxycodone 30's cause they don't take insurance. And they have no problems getting my oxymorphone either the next day.
So any advice on what I should do or just do and say nothing? I'm thinking of trying CVS next month but who's to say I won't run into the same problems there? And will they be able to find out what walgreens did to me??
Any and all help n suggestions are welcome

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My advice would be if you want to remain a patient of this pharmacy pick a pharmacist you like and who doesn't give you any trouble. The week you drop off your script ask that pharmacist what days he/she works and go on that day. Otherwise switching pharmacies is your only safe bet. I normally fill at Kroger but once or twice I have needed to use walgreens when my pharmacy didn't have the drug, my script was 6 days early and they have no problem holding it that long. So whoever told you they cannot keep the script is lying. The pharmacist is trying to cover up the pharmacies incompetence. Basically they are saying things are such a disaster here we WILL lose your prescription if we keep it. There is no law or rule stating they can't keep it. Both my kroger and walgreens both hold mine all the time. If you have another choice I suggest trying somewhere else. That walgreens sounds like a hot mess. There is no advice for intolerance. If they give you any more trouble call them out on it. Let them know you feel they are treating you badly because you are a pain patient, and that you are not a fool. Little secret....most pharmacists assume patients are dumb or have no understanding of the medication or policies. That is why I let them know up front that I am a pharmacist and I fully understand what is happening. You sound intelligent use that to your advantage. Also there are no real red flags and even if they did come up with some stupid flag system that would have nothing to do with you and your doctor. As long as you follow the doctors rules that is all that matter. The pharmacist used the term red flag to scare you into doing what they wanted. From your post I didn't understand why they had to contact the doctor in the first place. Why? I know more than anyone the problems with filling pain medication and being on the other side. Most of the chronic pain patients came to me with their problems and questions and I loved helping them. Pharmacists take an oath as well to treat their patients with integrity without bias and of course do no harm. Well it is harmful for a pain patient to be out of medication. That is all the info I can think of right now but let me know why they needed to call the doctor and feel free to ask any questions you may have.

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Thank you so much for your inside info on the BULLS*** these pharmacist's pull!!! It makes me feel better knowing I'm not just imagining these people playing GOD. I'm sorry to hear you can no longer work due to your pain I hope I can continue working long from now just as long as I don't run into anymore problems. And you are exactly right about FL having super strict and new laws about these narcotics. As far as taking my script somewhere else the only problem with that is I can just see myself running into the same situation at other places. That's why I stay at this s***ty walgreens I thought them seeing that I've been going there for 7 months in a row, would give me some kind of upper hand as far as not having a problem I guess I'll see 10 days from now if their still gonna mistreat me. If they do I will try a different walgreens down the road from me. Thank you again for your valuable insight. I'll be posting again in 11 days.

P.S. is their anything that can be said to the pharmacist cause when I told the one "what's going on here what's the protocol in this situation I've been waiting 3 days now to no avail if I don't fill these today I'm going to be sick" ten minutes later they were filled, just a little weird is all, thought I'd share that bit of info with ya...

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I heard from a good friend who lived in Florida and is in chronic pain like me. She was always complaining about one problem or another. I think Florida has passed some pretty strict new rules about narcotic prescriptions after they shut down all those pill mills. But I think your issue is exactly like you said a pharmacist playing God and abusing their power because they have a personal opinion about people who use narcotics. I was a pharmacist in Georgia and we filled narcotic scripts all the time no big deal. We kept pretty much every drug that could be prescribed even if we had no patients on it just in case someone was going to need it. We didn't care what you were prescribed we were pharmacists and we did our job filling medications, period simple as that. But the company hired a new pharmacist that had a really bad opinion about people who were given narcotics. We always clashed because she was actually cruel to patients. Holding their prescriptions, not answering their questions, making them wait a ridiculous amount of time. We argued constantly, but the company we worked for refused to do anything because a pharmacist is considered an asset that is too expensive to replace. You rarely see a pharmacist fired unless they do something completely terrible. I'm sorry to say this behavior exists so everyone out there thinking they must be imagining it don't second guess yourself. Some pharmacists really do believe everyone on narcotics is abusing them and are treating you badly because they can. Immediately take your prescription somewhere else. She hated me too not just because we had different viewpoints on everything, but because I too have chronic pain and I was filling my oxycodone prescription at the pharmacy we both worked at so she could see that. I can no longer work because of my chronic illness but I still know all the same information including inside info. I moved to Tennessee, but I let pharmacies know that I know what crap they are pulling and either they fill my script without giving me issues or I take my script back. And give them an ass chewing letting them know I am a pharmacist and I know they are lying. This is just a story about behind the scenes to help pain patients. Pharmacists are not Gods by a long shot and you deserve to be treated with dignity. Screw the ones who won't do their jobs unbiasedly!!!!

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A second generic oxymorphone ER maker available
I was using the Impax\Global version and then a month ago the pharmacy I use get the Actavis generic for Opana\oxymorphone ER. Just letting everyone know its essentially the same as the original Opana (preplastic tamper-proof additives) & by my estimation just as effective as the Global generic...so hopefully that will help in availability..where 1 pharmacy having issue with getting the Global brand can now order it from Actavis...with the same efficacy\effectiveness as the Impax\Global variety
Thank goodness for competition

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Sorry to hear your in a lot of pain that really has,to suck. I would seriously consider suing your doctor this sounds long term and costly. But that's just me.

Now why are you only taking perc 10's I would switch to oxycodone 30mg and try the Fentanyl 75 or 100 microgram patches and yes Fentanyl is the strongest thing out there for pain it's 50 to 100x's stronger than morphine and they say it lasts for 72 hours or 3 days I find in reality it only lasts for 2 days,maybe 2 n a half. But be aware Fentanyl is a b**** to come off of - I mean the worst withdrawal you'll ever experience. And second you can't go up to anything stronger that's it!!

I currently take the oxymorphone 30mg ER'S 2 a day and the oxycodone 30mg 4 a day I am gonna try and get bumped up to 90 which is 3 oxymorphone a day witch I find myself needing more often than not. Good luck, do your research and post again after you make up your mind I'm instrested on what you decide to do and would like to know how you like the Fentanal

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I am so sick of walgreens I've been going there for 6 months now filling the same scripts at the same walgreens. The two narcotics are oxycodone 30mg 112# @ 30mg oxymorphone 60# among other non - narcotics I have great insurance that I pay a lot for every month. Since day one the oxymorphone was on back order or so they said. So I was told to drop my script off 5 days before so in case they had to order them I would get them on time. So 2weeks after I dropped it off the very first time I finally got them. Second month only waited 5 days after I dropped it off, 3rd month waited 3 days thought everything was getting better. Then I started seeing all new pharmacist's 4th & 5th month now my 6th month there I go to drop it off and I was a week early cause of 4th of July they told me they could not take my script until the 10th cause that's when I can fill again. I explained to them they have had trouble in the past getting them so I want to leave it with them in case they have to order them and I don't run into a problem. The lady tells me they can no longer take my script early they don't want to b responsible in case they loose it (?) Plus she said they had them in Stock just come back on the 10th I said o.k. I go in the 10th witch is a Sunday and there's a new pharmacist he said "today's Sunday and the doctor isen't in so if I call today and no one answers I'll have to red flag you"???? I was like what red flag for what? So I take my script back n go back the next day Monday the same a-hole guy is there I tell him I spoke to my pain Office and everything is all set. I wait all day he says he can't reach the doctor so no filling that day. I go back Tuesday now there's a different pharmacist and I say I'm here to pick up my script the guy says I still haven't spoken to the doctor!!! Well now PISSED I said what is protocol here in this situation I've been coming here 6 months now and I'm gonna start being sick if I don't get these I'm 3 days late now!!! He tells me to hold on a min, 15min later he filled my script and he never did speak to the doctor now can someone please explain to me why this is happening, besides that the other pharmacist was playing GOD and abusing his power as a pharmacist and had a personal venedda against me and the meds I was getting!! This shouldn't be happening by the way I live in Florida

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I live in Texarkana, Texas. Right on the Texas- Arkansas state line. Also only 30 mins from La state line. After going to my current Pain Management doctor for almost 7 years, he came to my appt in March saying there are new rules that will be coming down in the near future, so he is letting go any patients w red flags and cutting everyone back on their meds. He works for a pain management office whose owners own 3-4 more offices in Arkansas. The next appt the doctor told me if he didn't cut everyone back, the government could eventually close their doors and that's not something the owners will tolerate. Whether we are in pain or not, we were going to continue to be cut back. Each appt since then, he has continually cut back my pain medicine. My pain level has gone sky high and quality of life is pretty much non existent at this point. I am 48 and have a young son who requires my involvement w/ him at all times. I can't just check out..I have gone to this doctor for so many years. He was vital in helping me find the right meds that worked for me without over medicating. I had come to him after going to a different pain management doctor (it was the first one I had ever gone to) who was over medicating me on methadone. My current doctor worked w me and after months of trying different things, finally found something that worked without it being TOO MUCH. He was the one who helped me so very much when I applied for disability and his testimony was the final factor that allowed it to be approved. I have sang his praises for years and have done exactly like he's said to do and have referred him to many, many people. Now, to my utter amazement and horror, he has started telling me that it's all in my head! I have been totally flabbergasted and feel betrayed. I have been cut back 3 tabs of oxycodone 30 and hydrocodone 10/325 within the last 4 months. After being such a kind, compassionate doctor who believed in me. Fought for me, supported me, and KNEW I WAS IN PAIN...he has turned into a hardened doctor overnight who was at first acting like his bosses would not tolerate any audits that would lead to them losing a business to just telling me that my pain is all in my head. I HAVE to find another Pain Management doctor within an hours drive from my home in Texarkana, Tx. If anyone can point me in the right direction of a caring, compassionate doctor who is willing to help someone w/ legitimate pain and desperately needs help, please, PLEASE write to me and point me in the direction I need to go. I've got to find a new doctor right away. I'm pretty much a creature of habit and not the type of patient who is always on the lookout for a newer or better doctor. As long as I can find a good doctor who will help me, I will be forever loyal to him....

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I was prescribed Opana 30mg er about 5 years ago. Supposedly there were no generic. I found Oxymorphone 15mg er but the pharmacies wouldn't fill the scrip unless it was written exactly as Oxymorphone 15mg er and not Opana. I'm currently in a physical therapy rehab and they have been giving me round orange colored pills marked 30. I am assuming that theses are generic as the 30mg Opana er were a hexagon shape

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Sorry to hear your in a lot of pain. That really has to suck. I would seriously consider suing your doctor as this sounds long term and costly. But that's just me. Now why are you only taking perc 10's? I would switch to oxycodone 30mg and try the Fentanyl 75 or 100 microgram patches and yes Fentanyl is the strongest thing out there for pain. It's 50 to 100x's stronger than morphine and they say it lasts for 72 hours or 3 days. I find in reality it only lasts for 2 days, maybe 2 n a half. But be aware Fentanyl is a b**** to come off of. I mean the worst withdrawal you'll ever experience. And second you can't go up to anything stronger, that's it!! I currently take the oxymorphone 30mg ER'S 2 a day and the oxycodone 30mg 4 a day. I am gonna try and get bumped up to 90 which is 3 oxymorphone a day which I find myself needing more often than not. Good luck, do your research and post again after you make up your mind. I'm instrested on what you decide to take and would like to know how you like the Fentanyl.

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I'm been on Opana ER for 4 years and when I was on my wife insurance plan they covered the generic Opana ER but when my SSDI kicked in and got on Medicare they only cover the name brand not the generic which sucks. I first started on 20 mg but I would have to take 30 mg when I went to name brand and now I take 60 mg. My pharmacy said it cost my insurance $600 more than the generic per month. I was taking OxyContin before I went on Opana ER because Medicare didn't cover OxyContin so I switch me 4 months before my Medicare kicked in and it help the pain so much better. It sucked I would have to take double the mg of Opana ER compared to the generic form of it. He said that I could try fentanyl since the Opana ER isn't working that well anymore. I also take Percocet 10/325 2 tablets 4 times a day for breakthrough pain which is constant so I take it every day as directed but it's not enough so I'm in pain 24/7 365. The only time the pain is not too bad is when I get my injections but they only help the pain in that particular area. My doctor will not give me anymore injections because he didn't properly clean a injection site in my hip that caused a severe infection that caused me to have a surgery and 12 days in the hospital and the infection came back three times after getting out of the hospital I went back in for another 9 more days in the hospital because of the infection and then being on the antibiotics caused major diarrhea which my prescription medications didn't touch it and my potassium dropped so low my heart almost stop on a couple occasion. So I spent 45 days in the hospital all because of these injections this year so far. I'm only 38 years old and I take 38 prescription medications I have a long list of health issues. My PM doctor admitted he was the cause of the infection and he called me at 4 or 5 times in the hospital and even on weekends plus he stopped by and visited plus follow my care and gave me his cell phone number. So I didn't sue him but I can still do it because it been 6 months and my hip is still extremely painful and I can sleep on either hip and I sleep on my side so now I can't sleep that well laying on my back. So is fentanyl better than Opana ER. I know it's a patch instead of a pill and I know it's one on the strongest pain medications on the market from what I have read.

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How many Oxymorphone 10 mg IR's would be equivalent to an Oxymorphone 30mg ER?

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