Do you have a copy of your contract? Does it say what is considered 'violation'? What could have shown up in your labs?
I don't have my contract in front of me, but, I know I can't have ANY other doctor, not even the ER or Dentist prescribe ANY pain medication for me without contacting my PM. Just because a med is prescribed by a doctor, doesn't mean we're 'allowed' to take it.
You say you're prescribed Tramadol XR now. Does that mean your doctor discontinued the 50mg tablets? Or, are they 'break through' meds now? If the 50's were 'discontinued' and you took some, along with the XR, you'd have too much in your system which would be a violation.
Every contract is different. I suggest you read yours over, find out what 'violation' was committed and go from there.
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, wrist ganglionectomies/denervectomies/tenolysis, multiple herniated discs, tarlov cyst, whiplash, bursitis of hips, tendonitis, torus, 3rd degree shoulder separation, torn labrum, ovarian cysts, fibroid tumors of the uterus