lgriffincsa
Journeyman
Reged: 10/30/02
Posts: 67
Loc: North Carolina, CSA
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I am seeing a new PM doc. He has me on Oxycontin 20mg/2xper day. When I started seeing him, he had me on OxyC 10mg/3x per day. At that time he was going to give me percocet for breakthru, but I told him I still had some from my last doc. He said to take them in between the Oxy C. My question is this, I have a script from the old PM doc, he gave me 2 scripts for the percocet, and posted dated them a month apart. The 2nd script is now due for a filling. Is it ok to fill this since I had it before I ever saw my current doc? Also, I have 2 refills on my norco from the same doc that gave me the percocet, again, given to me before I started seeing the new doc. Is it ok to fill these as well? I dont have any meds for breakthru, and havent since my current doc changed my dose of Oxycontin. He didnt mention breakthru meds like he did with the first visit, and I forgot to ask. I am thinking that since he said it was ok to use breakthru meds the first time, shouldnt this still apply? I need breakthru meds, or an increase to 3x per day doseing with my primary med, as it does not last the 12 hours that it is supposed to. Thanks for the advice.
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Trampy
Pooh-Bah
Reged: 04/02/02
Posts: 1230
Loc: Southwest U.S.
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Whether it's legal would depend on your state's laws. First of all, a post-dated C-II scrip is illegal under fedeal law because C-II scrips expire in seven days and your doctor was flouting that law and allowing you to do the same. So your original doctor broke the law, and you too might be breaking the law if you fill that illegal first scrip. They could go after the doctor as well as you if they pursued it.
If you fill both scrips and your state has laws against double-dipping, you could get caught if your state has electronic prescription monitoring. So don't do anything that can get you in trouble. Especially if your state has a monitoring program for those C-IIs.
Trampy
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Your mileage may vary ...
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LumbarSpasm
Silent Chaos
Reged: 05/07/02
Posts: 1538
Loc: USA
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If you have a doctor rxing oxycontin, please don't blow it. Just ask him what to do. If you are out tell him.
Trampy is correct... about the law, and right now you really don't have a reason to jeopordize you PM doc's relationship.
(From what I read, he seems reasonable.)
Good Luck.
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LumbarSpasm
Or just a pain in the butt?!
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yawkaw3
Pooh-Bah
Reged: 03/22/03
Posts: 1193
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I personally would forget about the norco refills, unless you trust your pharmacist enough to not call the doctor, wondering why you are getting strong pain meds from two different dotors. As for the percocet script, I'd fill it at a different pharmacy, then make sure you wait long enough before filling a new script from the new doctor, if you want to be on the safer side of the law.
You could always call him and ask if you don't want to pay for a new office visit, but I don't think it's smart to tell him you have the potential to fill a script for a CII from another doctor.
Only you know if you really need the extra meds, or if it would just be nice to have.
-yawkaw
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lgriffincsa
Journeyman
Reged: 10/30/02
Posts: 67
Loc: North Carolina, CSA
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Thanks everyone for the feedback. I did get one refill on the Norco, before I started this thread. No problem with the pharmacist calling, but I was wondering about the insurance? Can my doc get my prescription info from my insurance company, without my permission? Is it normal for dr.'s to do this, or do they usually get the info from the pharmacy? I may be wrong, so correct me if I am but I think it must be mostly from the pharmacy. I say this because the narcotic agreement says to get all scripts filled at the same pharmacy. I assumed that this ment the same chain, not necesscerily the exact same drug store each time, right?I know most major durg store chains are linked by computer, so if I filled a script at a CVS in one city, and next week filled another at a different CVS 50 miles away, they would still have both scripts on file at any CVS I went to, right? I hope that the narc. agreement means the same chain and not the same store. I filled my 1st script my new doc gave me at one drug store, and the following month I filled it at a different store, same chain. Thanks for the help.
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midnight
Enthusiast
Reged: 12/09/01
Posts: 271
Loc: u s
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Igriffincsa, That hippa law that came into effect this year has all medical offices ( dental etc,) giving out forms to read and sign that says you agree that they can discuss your treatment with pharmacies , insurance companies, and other doctors. I would imagine that you signed it when you started seeing this doc.
midnight
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Hi...FYI, I've been on methadone for a number of years and have occasionally had dental or breakthrough issues requiring obtaining prescriptions for other narcotics--sometimes from different docs (all legitimately!) I've had the same insurance company for the past seven years. One time, I needed a root canal, but was unable to get an appointment with the endodontist for several days. My regular dentist prescribed HydroES for the interim period. I filled it at the pharmacy I normally use without issue. When I saw the endodontist a few days later, he also gave me a script for HydroES, which I attempted to fill at a pharmacy near his office. The pharmacist there called me back a few mins after drop off to say that my insurance showed that I had filled an Rx for the same drug from a different doctor at a different pharmacy a few days earlier. In short, he made me feel as if I were doing something WRONG and refused to fill the Rx. It was a simple matter of going back to my usual pharmacy to get it filled. Still, I learned that my insurance company evidently keeps track, and makes available, that info to pharmacies filling prescriptions. Now, I just get all Rx's filled at the same pharmacy where the pharmacist is familiar with my situation. Especially being on a highly-regulated drug like methadone. One final thought, I often wait 2-3 weeks from the date my Rx's are written for the methadone before I fill them. I've never had one rejected for expiry issues. But it may just be a state thing, or perhaps the relationship I have cultivated with my pharmacy?
Regards!
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Never underestimate the predictability of stupidity.
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intrepid1
Member
Reged: 01/24/03
Posts: 177
Loc: West Coast
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Did you mean the scripts were actually postdated (to be given to the pharmacy each month) or the scripts were all to be given to the pharmacy at once with a "do not fill before x date" notation on them?
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No time for procrastination, but I'll get around to it eventually.
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toe
Pooh-Bah
Reged: 10/09/02
Posts: 1422
Loc: MidWest USA
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Quote:
My question is this, I have a script from the old PM doc, he gave me 2 scripts for the percocet, and posted dated them a month apart.
Post-dated scripts for C-II drugs, much like post-dated checks, are illegal.
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"It's the end of the World as We Know it. . ."
-REM "and I'm seeking asylum in Canada"-toe
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Stacy
Enthusiast
Reged: 11/15/02
Posts: 245
Loc: USA
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Yes, they are illegal and so are PA's writing and signing the docs name on scripts for CIII's, but they still do it anyway. 
If you ever have something to fill that you are worried would be a problem because of another prescription, then you need to go to a completely different pharmacy and when they ask if you have insurance, either say "no" or "yes, but I have to file for prescriptions myself".
The insurance company will flag for duplicate meds (filled too early) not if you get them with enough time between the fills and the pharmacist WILL call the doc and tell them.
Years ago when I was seeing a doc he gave me a script for hydro every month. I had gone through a very bad 3 weeks and told him that day and told him that I was out of meds before the month was over. I came to see him one week early because I was out of meds. Now I went to fill this at the very same place I had filled all his scripts and they were all from the same doc. The pharmacist there called the doc and told him when I had filled the last one and that it had only been about 21 days before. I still got it filled.
When I went back to the doc the next month, he told me about her call and said he told her he was very much aware of each prescription he wrote me, when he wrote them, how long they were supposed to last, etc. He also told her that if it had not been alright for me to fill the new prescription that day he would not have given it to me that day.
That was a Target pharmacy and that was the last time I ever did business with a Target pharmacy. If you get a prick for a pharmacist, then they can cause you all kinds of headaches.
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prettyday
Threadhead
Reged: 02/09/03
Posts: 924
Loc: Coastal Sage Scrub
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Same experience exactly with Target.
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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buey
Old Hand
Reged: 01/15/03
Posts: 453
Loc: USA
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Quote:
Yes, they are illegal and so are PA's writing and signing the docs name on scripts for CIII's, but they still do it anyway.
Signing a doc's name on any script is illegal. But PAs are indeed able to write for CIIIs where I live. they have valid DEA numbers and can write for anything up to CIIs although a PA here DID write for percs a few years back for me when my back whacked out in the worse way. The pharmacist got upset and said "we've been through this before with her, she knows she has to get the phyician to sign these!" but I was in so much pain I asked if he could just fill it for me. He said he would and then made a call to the office to tell her not to do it again.
But she has written for myself and other family members CIII's and can legally do so.
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Jeremiah
Agape GrandParent
Reged: 07/14/02
Posts: 705
Loc: U.S.A.
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Quote:
I need breakthru meds, or an increase to 3x per day doseing with my primary med, as it does not last the 12 hours that it is supposed to.
My idea would be to call your PM Doc and tell him exactly what you said here. Personally,if I found a compassionate PM like it appears you have, I would not risk losing him over some old scripts,especially as Trampy mentioned,are now invalid.
I realize the temptation to fill them,but this situation could very well come back and bite you in the you-know-what.
J.
EDITED TO ADD: Please read the link DB provided in the "Laws.." forum directly underneath this forum,titled,"Prescribing Clarification of DEA". This answers your question,depending on your State Laws.
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I can't see me lovin nobody but you,for all my life
Edited by Jeremiah (09/18/03 05:13 AM)
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