If you're paying for the scrip yourself, you don't have to wait for refills. It's at the discretion of the pharmacist (who can decide to call the doctor for an OK), but unless your state prohibits it, federal law allows you to get all your refills at the same time as the first fill. I know someone who gets a 180-day scrip for Xanax with the max 5 refills. She pays cash and walks out with 180 days worth of pills on the first fill. They love it because she pays with cash money and gets name brand. It costs her about $500 and she always does it now because she once missed out on most of the refills because of the 6-month rule.

If you want to try this, do it when the doctor's office is open in case pharmacist wants to call for an OK. There's also the possibility that the doctor will say no and the doctor can verbally cancel all those refills (or even the entire scrip if they suspect diversion or abuse).