Pharmer.org
What's My Pill?
Can't find what you're looking for? Try our pill identification forum.
NavigationUser login |
Pharmacy (script) tracking ?Any thoughts on the status of pharmacys being able to track scripts from one pharmacy to another ? (in FL) For example, if I were to fill a sch II script at a Walgreens, then a CVS or a Mom and Pop store a week or 2 later or w/e, could they find out what your doing and get you into trouble for it, would they, do they really care if Im paying cash and there getting there money ? I mean I know the Dr's and Pharms have to be careful, and I know they dont do a whole lot of shady things usually, but what comes first, the profit or the regulations, when it really comes down to it, off the record, not quoted ya kno ? Any thing I could find out about this would be great, I would appreciate any Good info. - In Pain ( categories: Discussion of Prescription and OTC Meds )
 It sucks
I'd rather not have to "doctor shop" But it takes a few (2 or 3) scripts to keep me feelin good, one of the main problems is that I only get 15's or 30's instead of 40's or 80's like I really need, or I at least a higher amount of 30's and so on I gotta do what I gotta do, I suppose Im gonna try and get upgraded to 120 30's a month by my main Dr to just only hopefully go to him and him only in the future (I think I can make it work if I try hard at it, and suffer a lil)  If you happen to live in one
If you happen to live in one of the states that have a prescription monitoring program then it would not matter if you paid by cash or not. Most states are moving to this system although not all have implemented it yet. This system is to combat drug abuse, drug seeking and doctor shopping. The only thing I can say
The only thing I can say is to be careful! If you get caught you will be dismissed from all of your Doctors Practices for good. It is against the law. I would recommend just trying to talk to your Primary Doc and explain to him that you need a higher dose of your Meds to make you Pain free. abgizzle22 Even in the states that
Even in the states that have Rx tracking systems unless the Pharmacist puts in a querry against your name because of anything suspicious you probably wont get caught until the end of the year when the state does there audit for controlled substances. Florida does not monitor
right now, Florida does not have a prescription monitoring program but they keep trying to get a bill passed to implement a program and it may be in effect this coming year, 2008. At present 35 states do monitor prescriptions: Alabama, Arizona, California, Colorado, Connecticut, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, New Mexico, New York, North Dakota, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Washington, West Virginia, Wyoming Usually, only CII are issues. tracking scripts through drug mon. prog.
In Virginia, the pharmacist must inform that he is submitting your name to the PDMP Database. I think this is the result of a lawsuit in one of the first states to implement this type of program. I am reasonably certain that they also must meet HIPAA guidelines by obtaining your signature on a consent form before submittal. The best thing to do is tell your PCP. There is a well documented syndrome called pseudoaddiction where lack of proper dosage and/or frequency of dosing will promote drug seeking behavior. That is one option, another is to frequent the pill mills, Target or Walmart, any pharmacy during its busiest time of day. The inclination to submit your name at that time will in all likelihood not be the RPH's first priority. Just a thought, 8 years of school does not necessarily mean i know of what i type. As of about six months ago,
As of about six months ago, Florida did not have a prescription tracking program. In my state, a presciption tracking program has been available for several years. No one cross references the entries to try to catch people and law enforcement is prohibited from using the data base at all. Pharmacists and doctors can access the data base only if they have a genuine established professional relationship with the patient and a legitimate reason for seeking the information, and are prohibited from releasing the information to third parties including law enforcement and insurance companies. There is no requirement to inform patients of the existance of the data base or that their prescription information will be submitted, or that you will be checking their drug use throught the data base. The data base includes all C-II, C-III, and C-IV scripts. As I understand it
As I understand it, there are no HIPAA (or right-to-privacy) conflicts with any of the monitoring programs. Also, all the prescription information is already available to various officials but monitoring programs only make it easier to retrieve larger volumes of data and efficiently cross-reference the data. Ostensibly, this data is never used to initiate a criminal investigation but can be used to accumulate evidence against either a doctor shopper or an errant health care professional.
I agree that while law
I agree that while law enforcement is prohibited from running checks on you through the data-base, they may be able to obtain a warrant to retrieve specific information in an ongoing case with the approval of a judge, sort of like wiretapping rules. Boards of Pharmacies & DEA
Most, if not all, states have an agency like a Board of Pharmacy that oversees anyone that handles prescription drugs and controlled substances (except the end-user). These Boards have investigative persons with law enforcement powers. Also, anyone involved with the transfer of controlled substances has a DEA permit of some sort and the DEA has regulatory powers regarding those permits. DEA and Pharmacy Boards insure correct labels, correct logbooks, procedures are followed correctly, etc. To some degree, for many years (especially the last three decades) a system was in place whereby a legally obtained controlled subtance can be tracked from manufacturer to end-user. Monitoring programs fine tune tracking abilities making it easier to access greater volumes of data quickly. The Board of Pharmacy that
The Board of Pharmacy that Flounder is talking about is different however than the controlled substance prescription data base that is available through individual state programs to registered users who are pharmacists and physicians. Privacy concerns are commonly cited as the reason some states do not have such programs. You would be best to just
You would be best to just stick with one doc total and talk to him or her about all your issues and tolerance. Don't be afraid to raise the issue of tolerance, just simply saying that you feel your meds are not working as well anymore. You don't always have to play dumb with your doc to keep from being thought as drug-seeking, just don't go in saying I want this and this med cause I need it. If your doc sees your records with all the other docs and pharms that could hurt your chances with your doc. Alot of docs now have patients sign pain contracts once they get to regularly prescribe meds saying that you will not go to other docs or pharms for meds and if you do they can drop you and/or charge you. I personally think a national drug tracking system in pharms is a good idea. Not to just "bust people" but think if you are on vacation and do not have your meds, or daily meds that you need are stolen. The nearest pharm or doctor could easily look up your information to assist you better. If you get in a car accident out of state and are rushed to the hospital the doc needs to know what all meds you are currently taking even if you are unconscious, to be sure none they give you will interact with any you are currently on. Or if they give you pain meds for your injuries and you keep saying it doesn't work and you are still in pain, they can look and see you take high doses of opiates and have a tolerance to low doses so they can assuringly give you more. I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience. My main Dr
The one I have been with for years, says he will upgrade me soon I hope its real soon This way I will only need to go to him I'll prob go to a pharm that has Amide (activus) one month and Ethex the next and visa versa and so on (alternate) To keep me from gettin too used to one brand (one specific pill) (all the time) Thx for the help
 I know that KY has a
I know that KY has a controlled substance register (they use your ssn and birthdate)...no matter is you pay cash or ins....And some pharmacies have stricter controls on controlled substances....ex. Most University pharmacy will fill controlled substances a week in advance of the next fill date( the 80% rule)....Rite Aid (or no aid, as i like to call it), has much stricter controls.....they won't fill until about 1 or 2 days before the fill date... Ray Remember: Just do it.. EVERY PILL EVERY DAY Doctors, pharmacies, and
Doctors, pharmacies, and insurance companies are actually prohibited from requiring that you give a social security number in order to obtain services. Many people give out their SS# indiscriminantly, and many places use it as a universal ID number, but requiring it is for most purposes prohibited by federal law. HIPPA privacy regulations as
HIPPA privacy regulations as well as an established traditon of patient confidentiality keeps pharmacies from sharing information with one another. Even doctor's are not supposed to share information with each other except in an emergency without a written release from a patient, although they often will, especially if the information is about prescription abuse. It is impossible to run a search on your state computer data base for every patient getting a controlled substance. In my state you cannot get a search done unless you have a reason. Acceptable reasons for running a search are limited. You cannot do one just because a patient needs a controlled drug. You have to document some form of suspicious or aberent behavior, or the patient must be new to you, or asks for the controlled substance by name. It is surprising to me that the insurance companies are not more vigilent in curbing doctor shopping, or filling multiple scripts for the same medication. I had a patient once who used his BCBS for the office call, paid for his meds with insurance and was visiting at least two doctors a week for ritalin scripts. He was getting between 500-600 pills a month. His insurance card actually looked worn out. But then there are people who get huge numbers of pills per month legitimately. Your health insurance policy dictates the terms of use, and does not need to be HIPPA compliant. No amount of extra cash is worth loosing your license over in my opinion. Didn't even notice this was an old post I had already commented on!  I live in KY and there is a
I live in KY and there is a tracking system here called Casper that tell's other pharmacy's if you have filled a narcotic prescription recently and how long the prescription should have lasted you... If you are filling a new prescription before the "old" should be out then they call both doctors to find out if (1) they know what is going on (2) they agree you need the additional medication... If for some reason the pharmacy or doctors find that you are being "shady" then you are "cut" off and put on a state list that bans you from being prescribed narcotics and you are listed as a "doctor shopper" and could even be prosecuted.... Take one day at a time! Yeah, I live in KY also, and
Yeah, I live in KY also, and I know that the Rite-aid here in town has prosecuted several people for "doctor shopping" or changing scripts....In such a small town like this you would be very stupid to do something like that....One guy they busted was one of the local policeman....He was going to several doctors in Louisville and then coming back to carrollton to the rite aid to get them filled...ALL OF THEM....How stupid is that?....I think I would go to a pharmacy where people didnt know me.....esp when everyone in town knows you......They said he was getting scripts from 4 doctors, and then going to the same pharmacy to get them filled.....I guess the pharmacist (a good friend of mine) caught on and called the police.....Needless to say he's no longer a policeman in carrollton....And he was one of the good guys....It was really a shame......Remember: Just do it.. EVERY PILL EVERY DAY |
The content of this site is intended solely for educational and entertainment purposes. While we at Pharmer.org try to be as accurate as possible,
we can make no guarantees about the accuracy of any data on this site. Please read our disclaimers.
Copyright 2005-2008, Pharmer.org
Website updated 06-10-06
 | We comply with the HONcode standard for trustworthy health information: verify here. |
Joined: 2007-12-29