You are exactly right. It's only common sense that a pharmacy would record all calls for refills, just to CYA that they had it right. There would also be a corresponding call from her phone at the same time. Then there's the small matter of voice analysis......I wasn't in LE but I was a claims adjuster who dealt with fraud and there are many ways to prove it. If this is REALLY the first time, and if she is truly remorseful, if she has a relationship with the doctor, she may be able to go talk to him, admit what she did, sincerely apologize and ask for help. More than likely the MD will have hurt feelings that she abused his trust, but if he's got a heart he may not press charges unless they're mandatory. I'd think that's her best chance. In California we have drug courts ( I don't know if they're in all counties) and a fairly new law that calls for rehabilitation before imprisonment. I'll pray that all goes right for her.