getting scripts

[AbraMontague]

PhreeX is right about the first line thing. I found a picture on the internet that is a treatment pyramid for cancer patients. The first step is a NSAID type medication (Aleve, Tylenol). If the pain stays the same or intensifies, you go to the next level of the pyramid which is a mild to moderate strength opiate combined with a NSAID type (T-3's, Vicodin). Once again, if the pain is not diminished, you go to the final level (the top of the pyramid) which is a strong opiate with or without a NSAID type (Percocet, OxyContin, MSContin). So more than likely the pharamacist would have seen a script from the doctor recently for the lower levels of the pyramid before they would believe that you got a script for Oxy, especially with all the media attention the drug is receiving. So for all your Oxy needs, forget the pharmacy for now and call your local black market hookup (you know, "your boy").

 

[fairnymph]

PhreeX -
Weren't you the one who said to put 5 refills down for OxyContin, in a previous post?
And about my specific question above, an addition - I already have a T3 script on file, so I imagine moving up to OC wouldn't be quite as big of a deal. My doctor is out of state, but I've never had any problems as a result. (he's in mass, i'm in CA).

 

[AbraMontague]

PhreeX is right about the first line thing. I found a picture on the internet that is a treatment pyramid for cancer patients. The first step is a NSAID type medication (Aleve, Tylenol). If the pain stays the same or intensifies, you go to the next level of the pyramid which is a mild to moderate strength opiate combined with a NSAID type (T-3's, Vicodin). Once again, if the pain is not diminished, you go to the final level (the top of the pyramid) which is a strong opiate with or without a NSAID type (Percocet, OxyContin, MSContin). So more than likely the pharamacist would have seen a script from the doctor recently for the lower levels of the pyramid before they would believe that you got a script for Oxy, especially with all the media attention the drug is receiving. So for all your Oxy needs, forget the pharmacy for now and call your local black market hookup (you know, "your boy").

 

[AbraMontague]

PhreeX is right about the first line thing. I found a picture on the internet that is a treatment pyramid for cancer patients. The first step is a NSAID type medication (Aleve, Tylenol). If the pain stays the same or intensifies, you go to the next level of the pyramid which is a mild to moderate strength opiate combined with a NSAID type (T-3's, Vicodin). Once again, if the pain is not diminished, you go to the final level (the top of the pyramid) which is a strong opiate with or without a NSAID type (Percocet, OxyContin, MSContin). So more than likely the pharamacist would have seen a script from the doctor recently for the lower levels of the pyramid before they would believe that you got a script for Oxy, especially with all the media attention the drug is receiving. So for all your Oxy needs, forget the pharmacy for now and call your local black market hookup (you know, "your boy").

 

[Nadie]

Going back to luv_lee's reply... What if you have a legit Rx for something you'd just like to get MORE of? For example, I'm getting 20ct 0.5mg Klonopin. I suspect I'll get a refill tomorrow since my doctor knew I only had 7 left two weeks ago (I'm supposed to be taking them "as needed" for anxiety). I'm trying not to push my luck with this new psychiatrist by asking for more. If she only gives me a Rx for 20 more, would it look suspicious if the Rx read "120" by the time it got to the pharmacy? I know nobody can guarantee anything but I was just wondering if it would look strange to the pharmacist? Thanks in advance for any input.

 

[PhreeX]

fairnymph -
Yeah, I wanted the kid to get arrested when he tried to pass the bullshit script...
------------------
dot slash 0wn3d

 

[nolagirl]

Phreex is right. I have been on a steadily increased pain management, and the pharmisists know me by face and name. I am still taking 2 8mg dilaudids every 4 hours for pain, and the pharmacies out here special order it for me, and I am in there every week to get it filled. My doctor only writes me a one week supply at a time, as I guess there is a chance that given too many, I might take them all and die or something equally as silly as that.
Also for drugs of this strength, the doctor can not call in the presciption, it must be hand written, and there are NO REFILLS allowed, as it is against regulations. It's a pain in the butt to go to my doctors once a week to get all my medication, but at least he's cool about letting me call it into him and then has it waiting for me later in the day with the receptionist.
The first few times I was prescibed dilaudid, the phamacist called my doctor to be sure, now they don't give it a second thought, but they do know that although I see many different doctors, only one writes all my prescriptions. So if I brought in a script from a different doctor they call it in, like when I had a root canal and the dentist prescibed me vicoden es.. which didn't do jack for me, as I'm used to heavier stuff.
But for Benzos, they do write for refills, but usualy limit it to 3.
I know a guy who was arrested for writing a presciption for percocets. He got 100 hours of community service, urine tests twice a week for 9 months, 3 years probation, substance abuse classes for 1 year twice a week; all of which he has to pay for, and tons of attorney fees. People, it's not worth writing your own scripts for, it can ruin your life. Find an understanding doctor.. I know it sounds bad, but they are out there.
Don't be dumb, stay out of jail and keep away from lawyers.

 

[Icy Blow'lude]

Originally posted by fairnymph:
Hmmmm....my stepdad (read: different last name) is an OB-GYN. If I were somehow able to get a hold of his prescription pad, would I be able to write myslef some prescriptions to Oxy and Dexedrine ?

I don't know how things are in your state, but here, state law mandates that all controlled substance prescriptions be written on special prescription pads with forgery-resistant paper. I recently got a script for Xanax (Schedule IV), and the doctor accidently wrote it on a regular prescription blank. The clerk at the pharmacy took a look at the script and told me that she'd have to call the doctor and verify it, due to the doc's mistake. (Since it was a legit script, this was no big deal.)

 

[RJW]

I wonder if having to see the doc directly for refills on c-II varies state to state?
My aunt is on OC 80mg twice daily for nerve damage sustained in a car wreck. She only sees her specialist every 6 months and gets her refills sent to her through the mail every month. She never even goes to the pharmacy.

 

[Icy Blow'lude]

Originally posted by RJW:
I wonder if having to see the doc directly for refills on c-II varies state to state?
My aunt is on OC 80mg twice daily for nerve damage sustained in a car wreck. She only sees her specialist every 6 months and gets her refills sent to her through the mail every month. She never even goes to the pharmacy.
I thought the rule was simply that the doc had to issue a written prescription (as opposed to calling the pharmacy). As long as the doc is actually sending the pharmacy a paper script for each "refill," I don't see why the pharmacy can't just mail the pills to your aunt.

 

[PhreeX]

I only see my doctr like once every 6 months, the rest of the time I just go in and pickup the script from the office... SOME PLACES will mail scripts but it's not common - my pain doc used to but they had problems with people claiming they never got it (obvious fraud) ..
This practice is totalyl legal - the script cant be called in, it MUST be written, but there is no law saying you must see the doctor each month..

 

[AdOgG0911]

Trying to fake a Schedule 2 script has about a 99.9% chance of getting you arrested. Don't do it, trust me. I had a friend who thought he could cuz he did all the research, knew everything he had to do, etc. He now has 3 4th degree felonies to deal with.

 

[Icy Blow'lude]

Around here most pharmacies have signs saying, "We verify all controlled substance prescriptions. ID required." But in practice, I think it's a judgment call for most pharmacists. For instance, when I came down with bronchitis, I got scripts for penicillin (an unscheduled antibiotic) and hydrocodone cough syrup (Schedule III). I clearly looked and sounded sick at the time, and the pharmacist didn't verify the hydrocodone syrup script.
Now, if I had walked in with a Schedule II script, especially for a "hot" drug like Ritalin or OxyContin, the pharmacist probably would have verified it.
Oh, despite the signs, I've never been asked for ID when getting a script filled. But I've never gotten a script for anything higher than Schedule III.
PhreeX, since you've worked as a pharmacy tech, maybe you can answer this: what happens you need to verify a controlled substance prescription, but the doctor's office is closed for the day? Do you make the customer come back later to pick up the meds (after you've been able to verify)?
[ 27 July 2002: Message edited by: Icy Blow'lude ]

 

[Icy Blow'lude]

Originally posted by PhreeX:
Lets not forget that the "good shit" is NOT FIRST LINE MEDICATION - if someone is prescribed 40mg OxyContin you can bet your ass they have been scripted everything from prescription strength Aleve to codeine prior to that..

Why do doctors write scripts for stuff that can be purchased over-the-counter? For example, my partner's doctor has given her scripts for prescription-strength ibuprofen (Advil) and naproxen sodium (Aleve). Why can't the doc just tell her, "Go buy some Advil, and instead of following the regular directions on the bottle, take 4 pills at once"? I mean, the bottle does say something like "take two pills or as directed by your doctor."
My theory is that it provides some kind of placebo effect for the patient (especially if he doesn't know that he's been given a script for an OTC drug) and makes him feel as if his doctor's visit was worthwhile.
Personally, if a doctor tried to give me a script for naproxen sodium, I'd ask him point-blank why I couldn't just buy a bottle of Aleve.
[ 27 July 2002: Message edited by: Icy Blow'lude ]

 

[Icy Blow'lude]

Originally posted by fairnymph:
And about my specific question above, an addition - I already have a T3 script on file, so I imagine moving up to OC wouldn't be quite as big of a deal. My doctor is out of state, but I've never had any problems as a result. (he's in mass, i'm in CA).

Isn't it a pretty big jump from Tylenol 3's to OxyContin? I mean, I've gotten T3's on multiple occasions from my dentist. It seems to be her standard procedure to send patients home with a little envelope full of T3's after stuff like a root canal or wisdom tooth extraction. But OxyContin... that's a whole 'nother thing.

 

[sonar]

Originally posted by Icy Blow'lude:

Why do doctors write scripts for stuff that can be purchased over-the-counter? For example, my partner's doctor has given her scripts for prescription-strength ibuprofen (Advil) and naproxen sodium (Aleve). Why can't the doc just tell her, "Go buy some Advil, and instead of following the regular directions on the bottle, take 4 pills at once"? I mean, the bottle does say something like "take two pills or as directed by your doctor."
My theory is that it provides some kind of placebo effect for the patient (especially if he doesn't know that he's been given a script for an OTC drug) and makes him feel as if his doctor's visit was worthwhile.
Personally, if a doctor tried to give me a script for naproxen sodium, I'd ask him point-blank why I couldn't just buy a bottle of Aleve.
[ 27 July 2002: Message edited by: Icy Blow'lude ]
They have an agreement w/ the pharm company probably so they like to cost you (or your insurance) more money.
Another note: In my state (ks) they now allow the doctor to FAX the cII or whatever drugs instead of having to send the written script in.
P.S. if you really need a DEA # go work medical records for an office, you'll see the dea #'s, writing habits, etc. for each doctor. Not to mention have tons of access to other goodies.

 

[fly_florida]

Why so much trouble over oxycontin (dihydroxyhydrocodeinone)? Whats the big deal? There are better drugs on the street? They are easier to get your hands on, so why bother with Rx BS?

 

[sonar]

Originally posted by fly_florida:
Why so much trouble over oxycontin (dihydroxyhydrocodeinone)? Whats the big deal? There are better drugs on the street? They are easier to get your hands on, so why bother with Rx BS?
because of the illusion that they're not 'dirty' like other street drugs.

 

[GottaRockDoc]

Not to be redundant, but:
State laws vary as to how drugs are prescribed. For instance, in NY Valium requires a triplicate, whereas in CA it doesn't.
ANY schedule II drug requires a triplicate, and no Sched II drug can be prescribed in quantity of more than 30 days. Triplicates CANNOT be refilled.
The pharmacists around here check ANY "hot" prescription with the prescribing physician. They'll also inform the physician if you've used another doctor to have the same medication prescribed (even with Vicodin). I had a not-too-ethical doctor who denied writing a prescription when the pharmacist called him -- he was told that another doctor had written a script for the same drug. Subsequently, he refused to see me. Doctors GUARD their licenses! There is also malpractice to consider...if an MD prescribes a ridiculous amount of medication, he/she can be held liable.

 

[PhreeX]

Lets see...
It all really depends on the pharmacist - some just dont care, but there are some drugs (like OC) they they DO verify...
If the doctors office is closed they will tll you they have to wait to verify it, but you could always try a differnt pharmacy.... another factor is your history - for instance, I have been getting an OC script every month for the last 3 1/2 years, I know the pharmacist, so no, even though I'm a young kid with no outward physical symptoms of pain, it's filled with no problems...
I can tell where this is going - look, don't try to forge a C-II script, you will most likely get caught....
Yes, laws are differnt in each state.. I believe it's new york that benzos are treated like C-II drugs, so YMMV ...
I wrote a guide to forging scripts - you should search and read it...