Pain clinic Abuse

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A lion in a cat's den. Wrong section sir 😳
 
Farmacist2011 said:
I just watched a documentary I found on hulu.

http://www.hulu.com/watch/100279/vanguard-the-oxycontin-express

The top 50 doctors that prescribe pain meds are all in FL and 30 in Brevard county. Why isn't anyone putting a stop to this? It's bullsh*t. 😱
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What do you purpose be done? Limit the amount of pain meds a doctor can write for? How would you purpose we divide legitimate pain management from pill mills? Should hospice patients "suck it up"? It's not as easy as you might think to put a stop to this. I would love to hear your thoughts about how to actually fix the problem.
 
I think there should be a mandatory computer system that tracks everything that is prescribed to patients and by what doctor. No paper trail clinics? How convienent...
 
Farmacist2011 said:
I think there should be a mandatory computer system that tracks everything that is prescribed to patients and by what doctor. No paper trail clinics? How convienent...
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Yeah, we definitely need more big government running our lives.

People abuse pain medication. People abuse caffeine. People abuse speed limits. People abuse their wives/husbands. People abuse everything and trying to stop it at once naive and assumptive.

I've had enough government. No back scatter technology in my pharmacy please.
 
Farmacist2011 said:
I think there should be a mandatory computer system that tracks everything that is prescribed to patients and by what doctor. No paper trail clinics? How convienent...
Click to expand...

Alright so you track them. Then what?
 
Passion4Sci said:
People abuse pain medication. People abuse caffeine. People abuse speed limits. People abuse their wives/husbands. People abuse everything and trying to stop it at once naive and assumptive.
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owlegrad said:
Alright so you track them. Then what?
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We abuse them. Physically.

Or if an addict has 12 scripts from 12 different doctors, a doctor could have his license suspended for writing said patient another script.
 
@Farmacist2011: I've seen that movie as well. It focused on a group of Eastern KY individuals. Anyways, KY has a program called KASPER... http://chfs.ky.gov/os/oig/KASPER.htm ...via social security numbers we can produce a patient's complete prescription profile. Ethics, education and professionalism are the best way to fight drug abuse.


"The only real drug problem is scoring real good drugs" - Fat Mike, NOFX
PS The previous qoute is not professional.
 
We abuse them. Physically.
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:laugh:

Or if an addict has 12 scripts from 12 different doctors, a doctor could have his license suspended for writing said patient another script.
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Alright, is that the number? 11 prescriptions from 11 doctors is ok but the 12th one is too far? 8 from 8? 2 from 2? What time frame are we looking at in terms of multiple scripts being ok? Is this hypothetical tracking system state or federal level?

What if said patient lies about his/her identity to the doctor (e.g., ER doctor), how liable is the doctor in this case? I think this is a fine idea, but how far do you take it?
 
chakapow said:
@Farmacist2011: I've seen that movie as well. It focused on a group of Eastern KY individuals. Anyways, KY has a program called KASPER... http://chfs.ky.gov/os/oig/KASPER.htm ...via social security numbers we can produce a patient's complete prescription profile. Ethics, education and professionalism are the best way to fight drug abuse.


"The only real drug problem is scoring real good drugs" - Fat Mike, NOFX
PS The previous qoute is not professional.
Click to expand...

Better than guns?
 
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What kind of doctor doesn't accept insurance? Everything is cash at these clinics. Why are FL residents getting oxycodone so much more than the rest of the country? It's clear that this is an abuse of the complete lack of regulation.

Yes, tracking these patients will prevent abuse. A pharmacist filling the second prescription for oxy in a short time can note this and call the physician. Second physician says don't fill it if the patient is doctor shopping. Problem solved.
 
eagles22 said:
What kind of doctor doesn't accept insurance? Everything is cash at these clinics. Why are FL residents getting oxycodone so much more than the rest of the country? It's clear that this is an abuse of the complete lack of regulation.
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That's what I'm saying! FL has the most lax regulations on this, all 50 doctors who prescrbe these drugs at the highest rate are all from FL and FL has the most pain med addicts! I wonder if there is a FREAKING CORRELATION somewhere here? Hippocrates is rolling in his grave. Maybe the rules in any other state should be applied to FL... It used to be cali with all the weirdos, but FL is starting to become the most effed up state.
 
If you truly care that much, then do what everyone else does that really, really wants to change law or impose some sort of legislation to restrict whatever- either get enough signatures for a proposition or get your representative to submit a bill and then lobby the hell out of the other reps.

But, pharmacists shouldn't be the police for every oxy script unless you have some overwhelming evidence to prove that some doc is a total crook.
 
Sparda29 said:
Don't fight it, it's more profitable to join them.
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I thought about joining. But they normally dispense their own meds so can't the doctor do it himself or do they need a pharmacist on staff? I just don't want to have to be the sweaty guy in the parking lot telling the addict where the new location is at after we keep getting our officies shut down. If you watch the video they drew the addicts maps that looked like 5 year olds drew. 😀
 
owlegrad said:
What do you purpose be done? Limit the amount of pain meds a doctor can write for? How would you purpose we divide legitimate pain management from pill mills? Should hospice patients "suck it up"? It's not as easy as you might think to put a stop to this. I would love to hear your thoughts about how to actually fix the problem.
Click to expand...

Why would it be so hard to find ways to control this problem? Isn't it mostly just Broward County, FL that has this problem anyway? Why can't Broward County just copy another county or state's regulations regarding the issue and set those laws into motion? 😕
 
Dave4468 said:
Why would it be so hard to find ways to control this problem? Isn't it mostly just Broward County, FL that has this problem anyway? Why can't Broward County just copy another county or state's regulations regarding the issue and set those laws into motion? 😕
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That's exactly what I thought. Find a state with stricter laws and implement. I say that and other people b*tch of big brother and saying nothing can be done. Watch that short documentary and if you think nothing can be done your an *****hole. The one legitimate doctor said he wouldn't give those amounts of pain meds to someone with a arm amputee, yet the guy with lower back "pain" (it says on his scan it's inconsequential) and his fug GF can score over 1,000 pills in one month! O and this was before the GF died- OF AN OVERDOSE! o and the BF got high after he called 911 waiting for the ambulance. 😱
 
Okay, I have had enough of the finger pointing. I have lived in Broward County for the past 4 years and I can tell you guys that the problem has nothing to do with the pharmacies or the pharmacist. It all comes down to the doctors. I have worked in an independent pharmacy and every time there is an oxy script we call the doctor to verify that it's original. Also, if someone walks into our pharmacy with a legit script and they are under 25, we do not fill it (no exceptions). The real problem is with the doctors, some of them have no soul (and these are the guys they let into med school because they have good grades), no soul whatsoever. The drug trade is so bad that doctors are leaving their specialties to become pain management doctor (i.e., Pablo Escobar, MD). You want real change? Then start arresting some of the doctors. These are peoples' lives they are destroying. And in closing I would like to add, "What would it profit a man to gain the whole world and lose his soul."
 
PharmDlife said:
Okay, I have had enough of the finger pointing. I have lived in Broward County for the past 4 years and I can tell you guys that the problem has nothing to do with the pharmacies or the pharmacist. It all comes down to the doctors. I have worked in an independent pharmacy and every time there is an oxy script we call the doctor to verify that it’s original. Also, if someone walks into our pharmacy with a legit script and they are under 25, we do not fill it (no exceptions). The real problem is with the doctors, some of them have no soul (and these are the guys they let into med school because they have good grades), no soul whatsoever. The drug trade is so bad that doctors are leaving their specialties to become pain management doctor (i.e., Pablo Escobar, MD). You want real change? Then start arresting some of the doctors. These are peoples’ lives they are destroying. And in closing I would like to add, “What would it profit a man to gain the whole world and lose his soul.”
Click to expand...

A few things.....How can the pharmacist negate an RX if the patient is under 25 with a legit RX? I understand that dispensing does require approval of a pharmacist, but many situations could require the need of CIIs regardless of age. Pharmacist do play second fiddle to doctors...and I am okay with that role. I'm not okay with profit motivated individuals. Whether it's a corporation or a pain doc. So, I concur with your position. It is super lame that drugs can eliminate an individual. Once again, better education could prevent drug abuse.
 
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PharmDlife: Who is pointing the finger at pharmacists? I think its apparent that the problem is irresponsible doctors and lack of firm laws/regulation in Broward County.

Though a pharmacists role in all this is controversial. Technically, I think pharmacists are supposed to fill the prescriptions if their legal. But morally.. I don't know?
 
Farmacist2011 said:
That's exactly what I thought. Find a state with stricter laws and implement. I say that and other people b*tch of big brother and saying nothing can be done. Watch that short documentary and if you think nothing can be done your an *****hole. The one legitimate doctor said he wouldn't give those amounts of pain meds to someone with a arm amputee, yet the guy with lower back "pain" (it says on his scan it's inconsequential) and his fug GF can score over 1,000 pills in one month! O and this was before the GF died- OF AN OVERDOSE! o and the BF got high after he called 911 waiting for the ambulance. 😱
Click to expand...

LOL!! This is a harsher way to put exactly what I was thinking after reading some of the comments posted. I knew nothing about the problem before your post but I watched the documentary and did some research, the numbers are pretty compelling. There's something about Florida's prescription drug regulations that is different from regulations in other state. This needs to change.
 
PharmDlife said:
Okay, I have had enough of the finger pointing. I have lived in Broward County for the past 4 years and I can tell you guys that the problem has nothing to do with the pharmacies or the pharmacist. It all comes down to the doctors. I have worked in an independent pharmacy and every time there is an oxy script we call the doctor to verify that it’s original. Also, if someone walks into our pharmacy with a legit script and they are under 25, we do not fill it (no exceptions). The real problem is with the doctors, some of them have no soul (and these are the guys they let into med school because they have good grades), no soul whatsoever. The drug trade is so bad that doctors are leaving their specialties to become pain management doctor (i.e., Pablo Escobar, MD). You want real change? Then start arresting some of the doctors. These are peoples’ lives they are destroying. And in closing I would like to add, “What would it profit a man to gain the whole world and lose his soul.”
Click to expand...

I never pointed a finger at pharmacists. My whole reaction to the video was pointing the finger at these greedy ***** doctors that are legal drug dealers.
 
Smiles425 said:
LOL!! This is a harsher way to put exactly what I was thinking after reading some of the comments posted. I knew nothing about the problem before your post but I watched the documentary and did some research, the numbers are pretty compelling. There's something about Florida's prescription drug regulations that is different from regulations in other state. This needs to change.
Click to expand...

The difference being...?
 
I think implementing a database tracking system is the way to go. If you have insurance and try to fill a script multiple times, it will be decline. The same kind of system should be in place for all CIIs. This is necessary to curb this epidemic....
 
Chakapow, in the State of Florida, a pharmacist does have the right to not fill a legit prescription (please do your homework before posting).


Dave4468, have you ever seen a drug addict (in real life, not on tv or the internet)? When I arrive at my place of work (independent pharmacy) at 8:00 am and I realize that there are over 40 people standing outside the door waiting to get oxy's since 6:00 am. When I take a look at some of the faces and realize the harm these drugs are doing, if you have any heart you will decide not to fill some of those "legal" prescriptions. All pharmacy schools should give a class in bioethics.

Farmacist2011, I am not saying that you are pointing a finger at anyone, and I am glad that you actually brought up the issue of pain management. Pharmacist can play a very important role in the curbing of this pharmacoepidemic. Pharmacists in the State of Florida still have the right to not fill a prescription.

For those of us who live in the Sunshine State (Florida), you know that you will almost always never see a person that looks like a drug addict going to a walgreens or CVS trying to get an oxy prescription filled. Hell no! Never! Why? Because these pharmacist know better. Drug addicts go to independent pharmacies (the little mom and pop pharmacy) to get their oxy's filled. Trust me I know because I live and work in a South Florida independent pharmacy.
As a matter of fact, the DEA is doing something about the epidemic, they have reducing the number of applications they approve for each year, especially in Broward and Miami-Dade.
 
MathDebate said:
The difference being...?
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Ok, I guess I have to spell it out. My point is that everyone was so quick to say that "there is no problem with regulations in Florida" or "there is nothing that can be done" but simple research indicates that there IS a problem and something as simple making people aware of the issue is required before any real change can happen.
 
erin0522 said:
I'm watching this now and it's quite interesting.

Just one correction: It's Broward, not Brevard 🙂. Big difference haha.
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lol i was going to say the same thing...

it doesn't really affect most pharmacy practices anyway being that most of these places require you to purchase the meds in house. most pharmacists in south Florida recognize the pain clinics and won't fill them either. if they do then it's because they just don't care. so unless you want to actually lobby and get something done regarding the laws i'm not really sure what else is to be done. the places are getting shut down, but there is such a huge market in south florida AND the south east in general (pain meds are being trafficked into other states from here) that it's hard to stop new ones from popping up.

fyi a lot of the people going to these places and shelling out hundreds for the MRI, hundreds for the Rx payment (no insurance), gas to drive to ftl from out of town, etc are dealers and not addicts.
 
The problem with not filling scripts is that there are patients who are in pain, regardless of whether they're addicted or not.

Purdue Pharma, the maker of OxyContin was fined over $600 million for misleading people on its addictive qualities in the most aggressive marketing campaign in the industry. Why not get them involved in cleaning up the epidemic addiction problem?

Professional ethics dictates that patients be taken care of, not abandoned. It is cold to hear how pharmacists shut out a person. Professional ethics dictates the patient gets treated and not abandoned. There's gotta be a better solution.
 
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d2rx said:
I think implementing a database tracking system is the way to go. If you have insurance and try to fill a script multiple times, it will be decline. The same kind of system should be in place for all CIIs. This is necessary to curb this epidemic....
Click to expand...

I think legislation was passed a couple of years ago that is allowing for an rx tracking database in Florida. Not sure exactly what the details were though.

Smiles425 said:
Ok, I guess I have to spell it out. My point is that everyone was so quick to say that "there is no problem with regulations in Florida" or "there is nothing that can be done" but simple research indicates that there IS a problem and something as simple making people aware of the issue is required before any real change can happen.
Click to expand...

I'm not saying the regulations are or are not different, but I can tell you that the oxy drug trade and overall culture of drug abuse in south Florida has a lot to do with it being concentrated in that area, and not just any regulatory loops holes causing the problem solely on its own. I haven't noticed much difference in the regulations in Georgia (on the pharmacy end anyway), so maybe it is something to do with the clinics and physician regulation.
 
I think legislation was passed a couple of years ago that is allowing for an rx tracking database in Florida. Not sure exactly what the details were though.
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It was, I don't know what the hold up is. I ave heard about it sense before I started pharmacy school, maybe by the time I graduate it will be implemented? I heard at the last BOP meeting I attended that it would be up before 2011, didn't happen. This would help, but I doubt it will be the silver bullet that people seem to think it will be.

I'm not saying the regulations are or are not different, but I can tell you that the oxy drug trade and overall culture of drug abuse in south Florida has a lot to do with it being concentrated in that area, and not just any regulatory loops holes causing the problem solely on its own. I haven't noticed much difference in the regulations in Georgia (on the pharmacy end anyway), so maybe it is something to do with the clinics and physician regulation.
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Well said Tink. 👍 It is much easier to just blame Florida than to actually try to understand the problem. It is easy to forget about all the legitimate pain management needs our population has as well, such as hospice.
 
Dave4468 said:
First of all, I think you either misread my post, or you need more perspective on the issue. I would suggest reading through this topic: http://forums.studentdoctor.net/showthread.php?t=777273

Secondly, you seem to judge others WAY too quickly, I hope this doesn't reflect how you act professionally. You think just because you are in Florida, you have "seen it all" and know more than others about drug addicts? Yes, I have experience with drug addicts BEYOND just "seeing 40 drug addicts outside your pharmacy in the morning." My younger brother is addicted to crystal meth for over 5 years now. He has gone in and out rehab, sober living, and jail on more than one occasion and even got me arrested at one point after he belligerently attacked me while coming off of drugs (http://forums.studentdoctor.net/showthread.php?p=8480811#post8480811). His drug problem is the reason why I want to go into pharmacy.

Lastly, are you having a bad day or something? Your tone is unnecessarily aggressive and condescending and it seems like you completely missed the whole point of this thread. "I'm sick of people pointing the finger at pharmacists"? Who actually was pointing the finger at pharmacists? The original poster said "DOCTORS" and "PRESCRIBING" and you assume pharmacists? Straight out of left field man... like I said before, it's pretty obvious that the problem is with irresponsible doctors and lack of regulations, and not so much with pharmacists, although they are caught up in the mess of it all.
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Dave,
Sorry to hear about your brother, I lost a brother to Mary Jane. After reading your post I realize that we are both saying the same thing just in a different manner. But you, just like me, can make a difference. And the finger pointing I was referring to is other states saying that it's all Florida's fault.
 
erin0522 said:
I'm watching this now and it's quite interesting.

Just one correction: It's Broward, not Brevard 🙂. Big difference haha.
Click to expand...

My entire extended family lives in Brevard county. The Broward/Brevard mixup bothers me for some reason haha- I've seen it more than once.

I went and talked to the pharmacist I used to work for while home over Thanksgiving break and she said it's gotten bad enough in NC that she won't fill any prescriptions for CII drugs written in Florida. That's after two checks bounced for a significant amount of money each.
 
PharmDlife said:
Dave,
Sorry to hear about your brother, I lost a brother to Mary Jane. After reading your post I realize that we are both saying the same thing just in a different manner. But you, just like me, can make a difference. And the finger pointing I was referring to is other states saying that it’s all Florida’s fault.
Click to expand...

I'm sorry too man. Misunderstanding I guess.
 
nrsair said:
My entire extended family lives in Brevard county. The Broward/Brevard mixup bothers me for some reason haha- I've seen it more than once.

I went and talked to the pharmacist I used to work for while home over Thanksgiving break and she said it's gotten bad enough in NC that she won't fill any prescriptions for CII drugs written in Florida. That's after two checks bounced for a significant amount of money each.
Click to expand...

Yeah, the mix up happens all the time! I would rather not be associated with Broward - especially now 🙂 haha.

And at the store I work, we don't fill CII scripts from anywhere out of town at all.
 
chakapow said:
A few things.....How can the pharmacist negate an RX if the patient is under 25 with a legit RX? I understand that dispensing does require approval of a pharmacist, but many situations could require the need of CIIs regardless of age. Pharmacist do play second fiddle to doctors...and I am okay with that role. I'm not okay with profit motivated individuals. Whether it's a corporation or a pain doc. So, I concur with your position. It is super lame that drugs can eliminate an individual. Once again, better education could prevent drug abuse.
Click to expand...

@pharmdlife.... Here is my homework. Don't be presumptuous and learn how to read.
 
Why hasn't anyone mentioned the change in manufacturing from oc oxycontin to op oxycontin? This has been a critical change to disrupt addiction.
 
nrsair said:
My entire extended family lives in Brevard county. The Broward/Brevard mixup bothers me for some reason haha- I've seen it more than once.

I went and talked to the pharmacist I used to work for while home over Thanksgiving break and she said it's gotten bad enough in NC that she won't fill any prescriptions for CII drugs written in Florida. That's after two checks bounced for a significant amount of money each.
Click to expand...

lol yeah... my favorite uncle and his wife live in Brevard... it's a lot different than Broward. I lived in Broward for a little while after I graduated college in Miami and it was not exactly my ideal location. It's okay (I lived in Plantation), but I ended up leaving.

When I worked in the Keys we would get shady rx's from places like "South Florida Pain Specialists" or "Palm Beach Pain Management" and we wouldn't fill them. One of them was brought in by a girl that looked to be about 16 years old. 😱 My dad has essentially no connective tissue in either of his knees and he takes motrin. It's pretty obvious that these doctors have very little to absolutely no reason to be writing for stuff like #270 15mg - 30mg (or more) oxycodone to these young kids.

Sure everyone has different tolerance for pain, but that's just absurd. I personally know more than 1 or 2 people I grew up with who have overdosed on prescription drugs and I have been to their funerals. It is pretty bad down there.
 
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Tinkerbell22 said:
lol yeah... my favorite uncle and his wife live in Brevard... it's a lot different than Broward. I lived in Broward for a little while after I graduated college in Miami and it was not exactly my ideal location. It's okay (I lived in Plantation), but I ended up leaving.

When I worked in the Keys we would get shady rx's from places like "South Florida Pain Specialists" or "Palm Beach Pain Management" and we wouldn't fill them. One of them was brought in by a girl that looked to be about 16 years old. 😱 My dad has essentially no connective tissue in either of his knees and he takes motrin. It's pretty obvious that these doctors have very little to absolutely no reason to be writing for stuff like #270 15mg - 30mg (or more) oxycodone to these young kids.

Sure everyone has different tolerance for pain, but that's just absurd. I personally know more than 1 or 2 people I grew up with who have overdosed on prescription drugs and I have been to their funerals. It is pretty bad down there.
Click to expand...

Yeah I had no idea how bad it was until I watched this documentary. It gave me a sour taste in my mouth towards the physicians down there (at least the bad ones; I know there are good ones out there).
 
erin0522 said:
Yeah I had no idea how bad it was until I watched this documentary. It gave me a sour taste in my mouth towards the physicians down there (at least the bad ones; I know there are good ones out there).
Click to expand...

yeah i mean there are TONS of great doctors in south Florida... the UM health system puts out a lot of good ones working at Jackson Memorial, Ryder Trauma, the Sylvester Cancer Institute, The Miami Cure for Paralysis, Bauscom Palmer, Baptist Health is a really nice health system... but then again there are the dysfunctional ones too who open pain clinics.

South Florida has a drug problem that goes way above and beyond oxy clinics though... that is just a more complicated area that has implications for our career field.
 
PharmDlife said:
Okay, I have had enough of the finger pointing. I have lived in Broward County for the past 4 years and I can tell you guys that the problem has nothing to do with the pharmacies or the pharmacist. It all comes down to the doctors. I have worked in an independent pharmacy and every time there is an oxy script we call the doctor to verify that it’s original. Also, if someone walks into our pharmacy with a legit script and they are under 25, we do not fill it (no exceptions). The real problem is with the doctors, some of them have no soul (and these are the guys they let into med school because they have good grades), no soul whatsoever. The drug trade is so bad that doctors are leaving their specialties to become pain management doctor (i.e., Pablo Escobar, MD). You want real change? Then start arresting some of the doctors. These are peoples’ lives they are destroying. And in closing I would like to add, “What would it profit a man to gain the whole world and lose his soul.”
Click to expand...

I agree it is important to verify that a prescription is legal and for a legitimate medical purpose. (In my pharm law class, we were taught that CT pharmacists are required to evaluate the validity of a prescription beyond being legally written.)

I completely disagree with rejecting all patients under 25. There are young patients with real pain conditions. Would you refuse to fill for a 20 year old cancer patient? What about someone who was in a car accident/had some other trauma in the past and is left with a chronic pain condition? Someone with a neurological condition? Or someone with a prescription for a small amount of vicodin for a chronic joint condition? Lupus?

tl;dr: There are a lot of legitimate reasons for young patients to have a prescription for pain medications in small or large quantities. This is where a pharmacist's clinical judgment should come into play.
 
Tinkerbell22 said:
lol yeah... my favorite uncle and his wife live in Brevard... it's a lot different than Broward. I lived in Broward for a little while after I graduated college in Miami and it was not exactly my ideal location. It's okay (I lived in Plantation), but I ended up leaving.

When I worked in the Keys we would get shady rx's from places like "South Florida Pain Specialists" or "Palm Beach Pain Management" and we wouldn't fill them. One of them was brought in by a girl that looked to be about 16 years old. 😱 My dad has essentially no connective tissue in either of his knees and he takes motrin. It's pretty obvious that these doctors have very little to absolutely no reason to be writing for stuff like #270 15mg - 30mg (or more) oxycodone to these young kids.

Sure everyone has different tolerance for pain, but that's just absurd. I personally know more than 1 or 2 people I grew up with who have overdosed on prescription drugs and I have been to their funerals. It is pretty bad down there.
Click to expand...

I have an 18 year old cousin with reactive/rheumatoid arthritis. He's gone from NSAIDs to steroids + narcotics. It's gotten to the point where the only effective drug is morphine. When the drugs are working, you have no idea that there's anything wrong.

What grinds my gears is, let's say he comes over from Penn. He forgets his drugs, but his doctor gives him scripts for emergencies such as that. Since he's supposed to have some of the drugs, he is gonna pay cash. He goes to the pharmacy near my house, it's a script from Penn, he's paying cash, they assume that it's a fake and tell him they're out of stock.

So he comes back to the house, gives me the scripts, I take them to the same store literally 10 minutes after he brought them there, and oh ****, magically the drugs are there. (I worked as a tech there and they know me.)
 
Sparda29 said:
I have an 18 year old cousin with reactive/rheumatoid arthritis. He's gone from NSAIDs to steroids + narcotics. It's gotten to the point where the only effective drug is morphine. When the drugs are working, you have no idea that there's anything wrong.

What grinds my gears is, let's say he comes over from Penn. He forgets his drugs, but his doctor gives him scripts for emergencies such as that. Since he's supposed to have some of the drugs, he is gonna pay cash. He goes to the pharmacy near my house, it's a script from Penn, he's paying cash, they assume that it's a fake and tell him they're out of stock.

So he comes back to the house, gives me the scripts, I take them to the same store literally 10 minutes after he brought them there, and oh ****, magically the drugs are there. (I worked as a tech there and they know me.)
Click to expand...

Unfortunately the bad people ruin it for everyone. It just has to be done this way.
 
erin0522 said:
Unfortunately the bad people ruin it for everyone. It just has to be done this way.
Click to expand...

Or just stop trying to control it. Fill whatever scripts you get even if its from a pain clinic.

Pain management MD makes money --> You make money --> Drug Wholesalers Make Money --> Drug Manufacturers Make Money --> Junkies are happy and legit patients are happy. **** the DEA and **** the lawmakers who come up with policies like these.
 
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