This guy at our pharmacy has been getting percocet 10/650 3tab tid for the last 4-5 years. I got the rx to verify today and called the Md to try and change it since he's getting 5850mg of tylenol a day. The doctor wouldn't budge. He said the guy's been getting that forever and then asked why someone didn't complain about this 4 years ago. I asked the md if his liver profile is normal and he said it is fine. I asked the Md to switch to 10/325 and that he could still give 3 more tabs/day if it didn't work as well as the 10/650 and he'd still be ok for the tylenol dose. He didn't seem to care that he's giving almost 2gms over the 4gm/day limit. So i documented and wrote a note on the rx to the patient about how the tylenol dose is too high. Is there anything else i could do? If i didn't verify it one of the other pharmacists just would've like they had been before, we had 2 other pharmacists on that day.