you mean 300 oxycodone a month or 300 oxycontin? b/c I think jail is unavoidable if you dispense 300 oxycontin a month for one person...
I really want to be more concerned about giving the right drug at the right dose for the right patients, than about what the oxy addicts do to get around the system. If they are addicts, however, I believe taking oxys probably won't even make them high, it just helps avoiding withdrawal syndrome.
But I do agree that 180 tablet (1 po q 4-6 hours) every month is B/S in most cases, and so I want to know if any pharmacists feel otherwise?
I believe pharmacy is the only business whereby selling more of something does make you feel uncomfortable.
All of the likely fake scripts that come to our drop off window or drive-thru for opioid painkillers are for 30mg OxyCONTIN or 30mg Roxicodone, and all in quantities of #180+. Most common are #240, 270, or 300.
*Yes, it's typed on the script as OxyCONTIN, similar to the way a script might be typed as hyDROXYzine or hyDRALAzine in order to avoid confusion between sound-alike drugs.
My Pharmacist-In-Charge has 15+ years of experience, and I have learned a lot working with him. He does not pre-judge, but he does have a sharp eye out for fakes, and is hip to most scams.
Example: Just the other day, a lady dropped off a Vicodin script. She told me she no longer had rx insurance, so when I went to deactivate the insurance in her profile, my PIC said, "Try to run it with the insurance first. Sometimes, people will say they don't have insurance and offer to pay cash so that they can get early refills." As it turns out, she really
didn't have insurance, and she was right on schedule for her refill. (As in, her last fill was a 5 day supply, and this was the 6th day).
Just as an experienced bank teller can tell a fake bill just by the feel of the paper because they handle money all day, my PIC can usually spot a fake script just because the paper or the printing don't seem right.
Another real issue in our store is inventory control. We are a small store with a fairly small narcotics safe. We can only maintain enough inventory for our regulars who get #30 and #60 of (usually 15mg oxycontin). If we were to actually FILL all those scripts for #300 oxy 30mg, (regardless of legality) we'd run out of our weekly supply on the first day.
I do wonder, though, why all the pain clinics prescribe the xanax/oxy/soma cocktail, and nothing else?
And it's always the 2mg xanax. And it HAS to be the bars, not the round ones. (So they can break the bars up in pieces and sell some off).
I went to a legit pain management doctor (trained as an anesthesiologist, his office was in a hospital) and he did a nerve block injection on me, and suggested that he might give me a rx for gabapentin in the future if the injection didn't bring me enough relief. At no point were opioids mentioned.
