Welcome to the boards...
As you've written...it's really dependent on the state regulations and/or practices of that particular Dr.
Many will do random UAs so that a patient is not planning ahead.
I haven't heard of them doing a UA just to specifically see how you metabolize your medication though because the sophisticated tests are very expensive. That would be done if there are specific problems that the patient has mentioned about
the medication not working as it should.
In my state, starting last year they have now required all PMs or any Dr. prescribing opiates to do a UA each year...(or more if there is suspicion)...As well as doing pill counts...
Same thing with most states now (40) having a Prescript
ion Monitoring Program which allows ERs and Pharmacies to track all opiate usage to be able to more quickly find and flag those who are trying to fill different prescript
ions from different Drs.
It's really no bid deal to all of us on here who take our meds as prescribed. I actually think it's good thing to be able to help weed out those trying to abuse the system so there is more time/energy for Drs. to focus on us....the real chronic pain patients.
I am very blessed as I do not have health insurance and my Dr. is working with the lab who does the yearly test and he "writes off" my test which is over $1100!
We look forward to getting to know you better on here!
SB and "the pup who snores loudly"
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha"))
ACDF with hardware, allograft bone Nov. 2005
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006