scripts for pain medcine

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kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 4/17/2009 6:47 AM (GMT -7)   
i have a question about scripts for pain medcine . I have a pain dr appt  on monday and am out of pain medcine now. I was wondering is it legal for a dr to write two scripts for percocet one that is for a few days and another one for the remainder supply for the month. I am asking because I only can afford enough pills for a few days on monday  when i have my appt with the pain dr .and get the rest of them on thursday . Otherwise I will have to go without pain meds until thursday and suffer from withdrawls. I dont know if my dr will do it but will explain the situation that i would be without pain meds til thursday and see what he says. I am in the USA.
Percocet,ambien,elavil,reglan , neurontin,zyrtec and soma.
 
spinal conditions: Scolosis,herniated discs,spinal blockage,Spinal stenosis,bursitis ,Fibro,and arthritis


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/17/2009 6:55 AM (GMT -7)   
Usually this would be more of an issue with an insurance company, but you don't use insurance so...

I can only base my particular response on what I've had happen to me personally.

I've had even opioids prescribed in various amounts (# pills) and even overriding periods, to cover just the kind of thing you are talking about. But my issue was what the insurance company would allow, not what the state would allow.

I think your doctor should be ok with writing the scripts as long as he understands the issue is when you will be able to afford how much.
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/17/2009 7:08 AM (GMT -7)   
If he post dates one it will work.

me
 
We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
60 mg. MS Contin 2Xdaily/15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 850 mg. twice daily (so far)
ME. (Rhonda)                                                                    

 


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/17/2009 8:14 AM (GMT -7)   
At times I only get half my script. I realize some controlled narcotics you can not. But my percs are not on that list. My insuance company only pays for 180 pills a month if I get anymore then that I have to cover it. You should be fine. One call to your pharmacy should get you all your questions answered.
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD


Pamela Neckpain
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Date Joined May 2008
Total Posts : 1821
   Posted 4/17/2009 8:21 AM (GMT -7)   
LLPLUV:

YES, I agree with you. Being friends with your pharmacists is sooo important.
Kara, call and find out.
I think your doctor will do whatever he can to help you.
Pamela

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/17/2009 8:25 AM (GMT -7)   
Pamela yes being friends with your pharmacy is a WONDERFUL idea. I love my pharmacist. We live in a little down named Symrna-LaVerge and theres one drug store that has grown so much in the last 10 yrs but they still stay close to there customers. Jerry the pharmacist is so great. You call him and hell know your family by name. He remembers everything. He found me some wonderful doctors over the years. Only drawback is hes closed on the weekends but thats ok hes got three little boys so he doesn't open on the weekends.

So kara become best friends with you pharmacy. I even get mine to fill my scripts and charge me on payday.....lol He'll give me enough to get me through until the next friday hes GREAT!
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/17/2009 10:53 AM (GMT -7)   
Kara,
I agree that it's probably legal for your doctor, but your insurance may not permit it, although if your doctor and pharmacist advocate for you, you may be able to get that overriden. But I'm not sure if you're using insurance either. If not, it should be legal. Maybe explain to both your doctor and your pharmacist.

PaLady

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 4/17/2009 11:10 AM (GMT -7)   
uniquelyme said...
If he post dates one it will work.

me


Please note that post-dating scripts is illegal under U.S. law. I have even seen people get red-flagged by their PM just for asking about that. Here's the statement from the DEA:
"The DEA regulations require that all prescriptions for controlled substances "be dated as of, and signed on, the day when issued.'' 21 CFR 1306.05(a)."

For more information, here's the link where this came from: http://www.deadiversion.usdoj.gov/fed_regs/rules/2007/fr1119.htm

You can check your state law to see how long scripts are valid for. My doc will write me for a one-week prescription & a 3-week prescription. They are both dated the day of my visit & in IL C2 scripts are valid for 7 days, so it works out okay for me. Otherwise, you might try seeing if your doc will either mail you a 2nd script or let you come in and pick one up.

Good luck!
frances

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 4/17/2009 11:34 AM (GMT -7)   
Kara if you don't have ins and are paying on your own, your pharmacist should let you have what you can pay for, then tell him/her on payday you will be picking up the rest of the script. Alot of pharmacies do this, I have never seen a sign posted anywhere saying they would not fill a half of a script or anything like that....Susie


kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 4/17/2009 1:12 PM (GMT -7)   
you cant do that here they cant fill partial script for percocet at the pharmacy . if you just get some of it you cant get the rest later.
Percocet,ambien,elavil,reglan , neurontin,zyrtec and soma.
 
spinal conditions: Scolosis,herniated discs,spinal blockage,Spinal stenosis,bursitis ,Fibro,and arthritis


kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 4/17/2009 1:28 PM (GMT -7)   
frances,my dr usually give me a script for 2 months in advance one script for the day of my appt and one for the next month.
Percocet,ambien,elavil,reglan , neurontin,zyrtec and soma.
 
spinal conditions: Scolosis,herniated discs,spinal blockage,Spinal stenosis,bursitis ,Fibro,and arthritis


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 4/17/2009 4:11 PM (GMT -7)   
Kara,
I'm sorry that it's come to this. It sucks big time! about a week or so ago I offered to help you out as a friend when you said you were losing your on-line services. I was dead serious at the time, I would have sent you a check that very day, let God be my witness, I was telling you the truth! I can understand you not wanting me to know your adress, after all, I'm just some guy on the internet, you don't know me and I am sorry if I scared you in any way. What I don't understand is, you didn't even answer me! No explanation, no no thank you I'd rather not, nothing! I thought I was being rather generous offering you some $$$ because I don't know you either, you could be just some scammer crying about something that isn't true! You'll have to forgive me for being so blunt as I'm not in a very good place right now but I just don't understand why you didn't acknowlage me at all??? I am not a bad person, of course I could be lying but after being on this forum for as long as I have been and opening my life up to everyone here what are the odds I am looking to find someone who could be anywhere in the country to hurt them in any way??? So Kara, I will offer one more time. If you will let me help you, e-mail me at ************** I will take this adress off this post after a while because I'm taking a big chance leaving it out there for anyone to get! I think you are worth the risk but this is the last time I will ever offer if you don't answer me.
God bless you Kara, you don't deserve whats happening to yo!
Your friend even if you don't think so,
Pete

(Pete, I retyped your email address so the web spiders can't get it and start spamming you)
56 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy> new 2/6/09> 400mg injections every 2weeks . 56 and so glad to still be here to see my two sons grow up to be fine young men. They are both serving in the US Navy, one on the aircraft carrier USS John Stennis in port in Japan and the other on a Gator Freighter USS Bataan stationed in Norfolk, Va. I am one proud PaPa! 

Post Edited (Pete's trips) : 4/18/2009 5:59:46 AM (GMT-6)


bluejet2
Regular Member


Date Joined Feb 2009
Total Posts : 487
   Posted 4/17/2009 10:21 PM (GMT -7)   

Hi Kara:

I travel 2 hours each way to see my PM, so on occasion when my appt. has been about 7 - 10 days before my monthly script was due to be filled, he has given me a script with that days date, and then written a note to the pharmacist on the script itself, "do not fill until such & such a date". 

As long as the 2nd script doesn't overlap and thereby give you more pills per day than you are allowed to take, I don't see why the insurance company would care whether you fill your scripts once a day, once a week, or once a month. 

 


bluejet2
Regular Member


Date Joined Feb 2009
Total Posts : 487
   Posted 4/17/2009 10:48 PM (GMT -7)   
Pete:

You are so incredibly generous, and you have every right to feel slighted by not getting any response at all. I have only been a part of this forum for about two months, and it is so obvious that you, Whitebeard, & PAlady, as well as a couple of others, are the solid foundation that keep this "house" standing. With all you've had going on in your life the last couple of months with your surgery, recovery, and returning to work (way earlier than you should have, I might add), to be not just thinking about others, but worrying about them to the point that you were compelled to extend that kind of offer to someone you don't know, who could easily be a scam artist, deserves heartfelt gratitude, or at the very least a thanks but no thanks.

I am sorry if I'm sticking my nose where it doesn't belong, but it really makes me sad.

Lorie

kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 4/18/2009 3:17 AM (GMT -7)   
pete , i am so sorry i didnt get back to you . I really do appreciate your offer to help but i will get through this somehow. I am sorry i was in my little world pain wise and forgot my manners.
Percocet,ambien,elavil,reglan , neurontin,zyrtec and soma.
 
spinal conditions: Scolosis,herniated discs,spinal blockage,Spinal stenosis,bursitis ,Fibro,and arthritis


angel8
Regular Member


Date Joined Apr 2009
Total Posts : 109
   Posted 4/18/2009 4:07 AM (GMT -7)   

They changed the regulations pertaining to post dated scripts some in Jan of last year and under the new laws methadone can be given in 2 seperate scripts but they must have several things on those scripts first to be valid.

They have to be dated for the date in which you get them and they must be for 30 days supply and they must state not to be filled for 30days or until this date ??-??-??. It actually has to be part of the written script. I have found alot of Docs are not using the new regs and I cant say why other then mine is afraid that folks wont actually give both scripts to the pharm and one may get lost or stoled or the dog eats it.

As for getting part of a perc script the regs say you only have 72 hours to obtain the remainder or lose it and an entirely new script has to be written. Remember this because many a times someone has left a script and came back to pick it up only to find that they didnt have enough to fill the entire thing and if they dont get it before that 72 hour deadline and even if it is their bad you lost the rest of your meds and the Docs seem to get a little irritated at rewriting them.

The most correct way would be for him to write one for a weeks worth and another for 3 weeks works as someone said but alot of Docs will not do this and there are several valid reasons why. It also can mean another Doc visit for you or at least a run in and pick up and some offices even charge what they call a "nurses fee" for that.

The DEA keeps count of all narcotic scripts written by each Doc issued a dea number and this is one of the reasons that some of them dont like to write more then one a month for each patient since it raises the amount of scripts written associated with their dea number in the course of a month. Sounds crazy but with the ever watchful eye of the policing organizations I suppose you sure dont want to be in the higher categories huh? It also makes a difference in what kind of Docs doing the writing as well as you would expect a PM doc to write far more narcotics then say a proctologist wouldnt you?

Anyway I would explain to him what the deal is and see which way works out best for both of you. I think even Doctors can feel the crunch of the economy better today then they did a few years ago when it was hard for them to understand "no money" Lol

Best of luck to you!


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 4/18/2009 5:11 AM (GMT -7)   
Kara, my little sister. No need to appologize. I am the one who should. I've been fighting a bout of depression which has me saying and writing things that I don't really mean. When I get like this I tend to forget that others also have problems >>>>PAIN<<<< which cause them to act the way they do. I am sorry for trying to forse something on you that you don't want and then ragging you out about not replying back to me. It was wrong and I will not do it again.
Your Big Brother,
Pete
PS> Lorie, thanks for saying those nice things about me but it seems I was the one sticking my nose where it didn't belong> Please don't be sad!
56 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy> new 2/6/09> 400mg injections every 2weeks . 56 and so glad to still be here to see my two sons grow up to be fine young men. They are both serving in the US Navy, one on the aircraft carrier USS John Stennis in port in Japan and the other on a Gator Freighter USS Bataan stationed in Norfolk, Va. I am one proud PaPa! 


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/18/2009 8:16 AM (GMT -7)   
I think we should have a sticky thread about Members who are will to help with $$$....lol  I would jump on it with Pete to help my fellow friends.  On this site I receive such loving comfort that if there is anything I can do I would jump at it without repayment just to help.  What I have received from this forum is and has been priceless no amount of money could ever repay all of you  yeah
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 4/18/2009 9:02 AM (GMT -7)   
Whats a sticky thread? LLPLUV, I feel the same way! If I am able to help someone out, even a little why not? It seems people think I have some other agenda besides just being thankful or nice because it's unusual for anyone in this crazy world to offer you a little cash w/o personally knowing them. Granted, there are lots of crazies out there but do you really think I would go to all the trouble of making up everything that has happened to me that I've written here? Surely there would be an easier way!! I'm not rich and will probably have to work for the rest of my life if I can just to get by but by the sound of some people on the forum here, they are a lot woprse off then me. I used to have a saying under my name here on H.W. which said>> " I am's what I am's and thats all that I am's!" It's an old quote from Popeye the Sailorman. I've always like it and used it. That Popeye was a pretty smart Sailorman! Thanks for listening.
Luv Yuze Gize & Goylz!
Pete> Big Pop's to two Sailormen!
56 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. 3 1/2 years of depression after surgery prior to Hypogonadizm DX, Testosterone Theropy> new 2/6/09> 400mg injections every 2weeks . 56 and so glad to still be here to see my two sons grow up to be fine young men. They are both serving in the US Navy, one on the aircraft carrier USS John Stennis in port in Thailand and the other on a Gator Freighter USS Bataan stationed in Norfolk, Va. I am one very proud (what they call me)> Big Pops! 


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/18/2009 9:21 AM (GMT -7)   
A sticky thread is a thread that will never rotate off. I feel the same way you do, I'm also not rich but at times I spend money on useless stuff. One day I will have to medically retire which will effect our income but as long as I am able my soul will be lighter to help. I do understand peoples concern about crazies on the internet, my daughter is 16 and I'm always on her about privacy. She has an ad on Craigs list for babysitting throughout the summer and she is set up to watch a 3 yr old 4 days a week for a man from England who is coming to Nashville on construction business. So to say we are all over that making sure she is not in danger. It will be very strict on meeting him and his child and I will go with her the first few times and stay with her for the day.

Our society has gotten so dangerous. But at least some of us know your not lurking in the background..lol

Laurie
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/18/2009 9:35 AM (GMT -7)   
Pete,

You did and wrote nothing inappropriate.

When Kara has lived a little longer she will probably accept an offer such as you are making, friend-to-friend or person-to-person, in the vein in which you are offering it.

Certainly when I was younger I'd have been far more likely to turn away an offer such as you made as I would now, if I needed it. But I'd also make sure I had your address so I could repay you when that became a reality. That, or pass along a similar amount to someone else who needed a hand up.

I didn't understand Kara's not responding, but when she did it made sense - kinda :-)
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


Lefty85
Regular Member


Date Joined Apr 2009
Total Posts : 87
   Posted 4/18/2009 12:09 PM (GMT -7)   

Hi Kara!

I used to work in a pharmacy (in PA) until recently.  I'm not sure if it works this way everywhere or not, but we had a policy that you only paid for your prescription if you received the full balance.  If we didn't have enough of the medication in stock, we would give the patients a partial amount of the prescription at no charge, and then they would pay for the total balance of pills whenever the rest of them came in.  I think what you could do is ask the pharmacist if they could do this for you.  See if they will just give you enough pills to last you until the day you can pay, and then stop back whenever you can afford to pay for them and get the balance.  I'm not positive, but I think this should work if you can't get two prescriptions.

Hope this helps!

SaraBeth

 


Dx: fibromyalgia, depression, anxiety
meds: diflunisal, pamelor, flexiril, percocet, celexa
 
"In three words I can sum up everything I've learned about life: it goes on." -Robert Frost


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/18/2009 1:04 PM (GMT -7)   
 
 
Hey there LLPLUV,
I live in Mt. Juliet....How cool!! We are Neighbors!!!!
 
Me.

 
We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
60 mg. MS Contin 2Xdaily/15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 1000mg. twice daily (so far)
ME. (Rhonda)                                                                    

 


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/18/2009 1:07 PM (GMT -7)   
On December 4th 2008 my PM wrote 4 scripts.

2 each for Morphine and for Methadone.

And as indicated, the comments/wording stated on the first one just the normal wording, with the enhancement as usual that 'this prescription must last until January 1st 2009".
But on the second pair it stated that the script "could not be filled until December 29th 2009, and must last until January 30th 2009". (The dates may not be perfect since they come from memory)

In other words, he stated right on the prescription the dates of the prescriptions, and that they must last until, and not be filled prior to, the appropriate dates.

If I was going to cheat, it would be no different that if I held back on some pills for whatever reason.

So, same as what some are saying on here. Can do, with the doctor being protected by following some very simple rules.

I talked some time ago about having 'extra' meds because I wasn't needing as many BT meds as I was being given. I brought that up at the last appointment and I was told to just keep them for a rainy day, and maybe bring it up at the next appointment and maybe we drop the number of breakthrough meds.

And as to the 'just a few' issue, my pharmacy has been giving me 'a few to get me to my next appointment' for a couple of years now. I think it is a matter of TRUST; how long you've known them, really. It NEVER hurts to ask. NEVER.
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 4/18/2009 1:11 PM (GMT -7)   
 
Okay, so if it's illegal why do Dr.'s still postdate them?  They will do it if your appt. is early and you aren't supposed to get the script for a while...I guess it's only illegal if you tell the pharmacy..I mean, if you take it on the date on the script how would anybody know?  It seems like it would be better then people getting it too early and maybe taking too many...I don't know, it seems kinda odd to me... But illegal is illegal.... so don't do it..
 
Me
 
And I understand about wanting to help someone and not getting a reply...It makes you feel like you aren't appreciated for what you offered... I appreciate you!!  And I will offer help to anyone that needs it...I have been in bad places and had nobody to help..so I am right there with you..
 
Me...again/

 
We are all in the same boat...unfortunatley it seems like it's sinking...
Post Lamenectomy Syndrome
Hemi Lamenectomy/Spinal Fusion(Lumbar)
60 mg. MS Contin 2Xdaily/15 mg. Oxycodone as needed
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2Diabetes: (March 16, 2009)
Metformin 1000mg. twice daily (so far)
ME. (Rhonda)                                                                    

 

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