Question about drug refills

Shugardrawers

<font color=teal><b>Ovarian Cancer Survivor!<br><f
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Aug 12, 2003
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Does this make any sense to you? Because they lost me on the logic here.

Dr S. gives me pain meds (Darvocet) for a shoulder injury. He can't get me in for surgery until next month so they are just to keep me comfortable until then. The dosage is 1 or 2 every 6 hours as needed-MAX 6 per day. So at minimum a bottle of 30 lasts 5 or more days. So when you write a script for 1 bottle of 30 plus 2 refills you think you'd be eligible for a refill anytime after those 15 days pass right? Wrong apparently. Yesterday I called for a refill (it had actually been 22 days since the original rx was written and I'll be out tomorrow so 24 days will have passed). Simple math says I'm taking an average of 3-4 per day which is under the max stated on the rx.

The receptionist looks at my chart and tells me I'm not eligible for a refill for 4 more days. I tell her I'm not taking more than is prescribed so that can't be. She argues with me a little bit then says that Dr S is on vacation and Dr M's nurse will have to call me back. First, why is the receptionist even making this judgement? It's between me and my Dr. Shortly thereafter, the nurse calls. She says that office policy is that the Dr. on call will only refill pain meds for recent post op patients. Any others have to wait for their dr. to return. Coincidentally, it's 4 days until he gets back (remember the receptionist said I wasn't eligible for 4 days). Had I known this was the policy I'd have told him I would be needing a refill around now at my last visit but I didn't. When I asked the nurse what Dr. M suggested I do for pain relief between now and Tuesday when Dr. S. returns she said if it was that bad to go to the ER.

If I were to go to the ER for pain meds I'd not only be wasting the ER's time (they have more important things to do) I'd be wasting $1000's of dollars of the insurance company's money. Yes, it hurts, no, not enough for me to justify such waste. Besides, if their goal is to keep from over prescribing and preventing abuse, wouldn't it be best to keep it all in the same practice where the right hand knows what the left hand is doing? If I were truly just after the buzz I could go to the doc down the street and start all over. And then to the doc next door to him. But since I didn't feel the need to beg for a refill until I actually needed it I screwed myself.

In what universe does this make sense? Isn't this just benefitting the people who know how to work the system and leaving those of us who aren't trying to out in the cold??
 
The script should have been dispensed in a 30 day supply NOT 30 tablets. I would check with the pharmacy and see if they gave you the correct amount of pills (which they did not). You should have at least 180 pills for the month, not 30 (at 6 pills/day).
 
I agree. There are many "safe guards" against pain med abuse but in your case it is clear that you are awaiting surgery. The doctor can increase the amount of pills to cover you. Sorry for your pain, hope your surgery goes well. (I would make sure that your doctor is aware of the snafu...and If it got really, really bad I would insist on talking to the oncall doctor anyway. You have a legitimate reason to get a callback and I bet if you explained the problem and he/she looked at your chart they would call in the prescription.) Feel better.
 
I have a copy of the original rx. (I'm anal that way ;) ) It says "1-2 tablets every 6 hours as needed for pain -MAX 6 PER DAY Quantity:30 Refills: 2". While Doc may have mixed up quantity with #of days supply, the pharmacy did dispense as written. Unfortunately, the doc isn't in until Tues to fix it and in the meantime, everyone else in the office is making me feel like a druggie for even asking for the refill even though I'm taking 1/2 the prescribed max. I've been told absolutely not end of story. Why do some people think anyone on a narcotic is an addict??
 

Your original doc should have prescribed a 40 or 50 tab supply with no refills, esp. when he knew(if he remembered) he was going on vacation. The office assistant was probably trained to look at this stuff with a 30 day supply thing,esp narcotics control meds. The associate docs probably didn't want to mess with the script, maybe because Darvocet is a Type lV (4) control substance. Found in my Nursing 2002 Drug Handbook. Maybe the associate docs don't know you that well, so they figure you should wait until your original doc comes back. Maybe your original doc underestimated how many Darvocets you would be taking per day? Maybe he thought you would take 1 tab per day, which is 30 tabs/month as needed. So I think your original doc underestimated the tabs, not taking in consideration that he would be on vacation.
What does it say on your prescription bottle as of refills, does it say to call in for the refill or just to go to the pharmacy and pick up the refill? I'm guessing your original doc wanted you to call in theoffice for the refill or the pharmacy told you to call in the docs office for the refill?
Hope you aren't hurting too bad.


Rosemarie
 
Tammy, if you talked to one of your other doctors, do you think he could call in a small amount for you until this doctor comes back?

Lauri gets all kinds of headaches with her prescriptions too. You can't carry refills on Morphine so she needs a new script every month. Most pharmacies don't stock Morphine so they special order it, but won't order it of course without the script - then it takes a week to come in. She can only get a new script the last week. Doing the math, that means that she will be without pain meds for some time which - well, can't happen. Luckily we FINALLY found a pharmacy willing to stock Morphine just for her. Thank God for Ukrops. Target, CVS, Walgreens.. none of them would stock it.

Hope you find a solution soon.
 
Do you have access to a walk-in clinic with a doc who might hook you up with enough till your doc returns from vacation? You are definitely in a lousy sitch.
 
Obi-Wan Pinobi said:
Tammy, if you talked to one of your other doctors, do you think he could call in a small amount for you until this doctor comes back?

Lauri gets all kinds of headaches with her prescriptions too. You can't carry refills on Morphine so she needs a new script every month. Most pharmacies don't stock Morphine so they special order it, but won't order it of course without the script - then it takes a week to come in. She can only get a new script the last week. Doing the math, that means that she will be without pain meds for some time which - well, can't happen. Luckily we FINALLY found a pharmacy willing to stock Morphine just for her. Thank God for Ukrops. Target, CVS, Walgreens.. none of them would stock it.

Hope you find a solution soon.

Update: My family dr is open Sat mornings. I called and talked to his nurse and explained the problem. They both think the policy is a bit extreme but he was happy to call me in 15 pills, plenty to get by until Dr. S. comes in Tues and can get me a regular refill.

My family doc said that the fact that it's a narcotic and I'm asking for a refill is all some people need to assume I'm an addict. Unfortunately, there are people out there who become dependant and wind up making life hard for everyone. His biggest concern was that I have to wait over a month for surgery. It's going to be a loooooooooooooong month.
 
Glad to hear you found a solution!

I know what you are talking about with the narcotics though. Lauri gets "the look" a lot and it's frustrating. Now that she is getting everything from one pharmacy it's gotten better though. She'll never go back to a certain Target pharmacy after getting the most rude attitude and "you must be a druggie" look for trying to fill her Morphine and .. crud, I forget what the other drug was but it was an amphetamine scripts. You've seen Lauri. Does she look like a druggie to you?
 
golfgal said:
The script should have been dispensed in a 30 day supply NOT 30 tablets. I would check with the pharmacy and see if they gave you the correct amount of pills (which they did not). You should have at least 180 pills for the month, not 30 (at 6 pills/day).

Not every prescription is written for a 30 day supply! I am a pharmacist and you would not believe the extremes that people will go to get more of their drugs. People run out of Oxycontin, which is a heavy duty narcotic that gets a lot of press due to its abuse on the street, and they ask me to give them a few to hold them over til their Doc writes a new prescription! I wouldn't even do that for my Mom! Now I would never deny a customer their blood pressure or diabetic medicine if they ran out. I'd spot them a few, but controlled substances... no way. We can lose our licenses.
To the OP, glad you got some relief from your pain. Good luck with your surgery!
 
Heck if you "were" an addict, Darvocet would not be the drug of choice!! It's very mild. I'm glad you got it straightened out.
 
I have been through this, too....it makes you feel awful, like some kind of creep!
I'm not clear, though, *were* you able to get 2 refills and then use 90 pills in the 22 days or did you just get 30? 30 wouldn't cut it for that long!!!! Glad you did get some help, though! Good luck with your surgery.
 
As usual, the "good" people are punished for what the "bad" ones have one. SO glad you got your medication. I used to take Darvocet for my bad sinus headaches.
 
luvwinnie said:
As usual, the "good" people are punished for what the "bad" ones have one. SO glad you got your medication. I used to take Darvocet for my bad sinus headaches.
You're not kidding.. have you tried to buy Advil Cold and Sinus? I felt like a criminal!!
 
MinnieM3 said:
I have been through this, too....it makes you feel awful, like some kind of creep!
I'm not clear, though, *were* you able to get 2 refills and then use 90 pills in the 22 days or did you just get 30? 30 wouldn't cut it for that long!!!! Glad you did get some help, though! Good luck with your surgery.

Yes, I've had 90 over the past 22 days, well, as of tomorrow afternoon I'll have gone through 90. The original rx was for 30 with authorization for 2 refills of 30. No probs filling any of those, just this one because the on call doc seems to think I'm an addict. :rolleyes:

And I agree, if I'm gonna be a druggie, I want the really hard stuff. My family doc said the same thing. I don't really get a buzz off the darvocet anymore anyway. Geez, to get good and stoned I'd have to take 8 or 10 at a time! Can you say coma? :scared1: :faint:
 
Shugardrawers said:
And I agree, if I'm gonna be a druggie, I want the really hard stuff. My family doc said the same thing.
Exactly!! I've been told in pain management meetings that Darcovet is equal to three extra strength Tylenol in pain relief. Hope that surgery comes quick so you don't have to deal with this anymore.
 
Tammy, if you want to be a druggie, you need to come play in Lauri's medicine cabinet. :rotfl2:
 
I understand. One of my kids has asthma and when school started, I tried to get TWO inhalers. One to leave at home and one to leave at school.

You would have thought I had asked someone to move heaven and earth.......

No, you can't have TWO..........and for a child.........NO............. :confused3
 
So here's an interesting update. Got a call today from Dr. S nurse (the original prescribing doc who was supposed to be out until tomorrow). She said he was back today and had never planned on being off today. She said Dr. had ok'd 3 more refills and she was calling them in right then. We talked a few minutes about the whole saga and she said she didn't know where anyone got the idea I wasn't eligible for a refill yet. She said actually he would have authorized it as early as last Weds so she doesn't know where the 4 day thing came from. She did say the docs don't do refills for each other except for recent post surgical patients so at least the receptionist got that much right. She said she'd look into what happened. About 20 minutes later she called back. She said she wanted to clarify that neither she nor Dr. S. thought I was taking too many. She said there were no notes in my chart about "drug seeking behavior". She also said "the problem has been rectified". Hmmmmm.
 


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