Question for phoebe1 or other pharmacists

Discussion in 'Fibromyalgia Main Forum' started by FM_DD, Aug 15, 2006.

  1. FM_DD

    FM_DD New Member

    Help! My pharmacist is "holding" my percocet prescription! Let me try to tell you my story without babbling.

    My Rheumy was giving me my pain meds (back in June), then
    had to go to spine specialists because my back has gotten bad and I need back surgery. My spine Dr. asked me how many Percocet I was taking and I told him 3 a day 5/325 so he said he wanted to manage my pain and gave me a script for 4 a day.

    When I went back to my Rheumy I told her I didn't need pain meds from her because other Dr. was pres. it. She was glad said she had too many percocet patients anyway.

    So when my bottle from my Rheumy ran out, I took the script from the spine Dr. (two weeks after he gave it to me) and had the pharmacy fill it. No problem.

    So this time when I got my script from the spine Dr. I waited a week or so but then I lost my partial bottle I had.

    So I called the pharmacy and asked if I could get it filled knowing insurance wouldn't pay yet and I would pay it and they said yes.

    Went to pick it up today and the pharmacist says I can't have it til the 21st because I'm DUR, Drug Utilization Report or something.

    CAN THEY DO THAT?

    Thank goodness I still have some left, but will run out.

    help!

    Cathy
  2. kjfms

    kjfms Member

    I am not a pharmacist but I going to jump in if you do not mind. You pharmacist should have explained this to you and I can not explain it very well. I do hope a pharmacist on will come along and do a better job than I.

    The Medicaid Drug Utilization Review (DUR) Program was created by the Omnibus Budget Reconciliation Act (OBRA) of 1990.

    Below is from the Centers for Medicare and Medicaid Services site:

    http://www.cms.hhs.gov/DrugUtilizationReview/

    The main emphasis of the program is to promote patient safety by an increased review and awareness of outpatient prescribed drugs.

    States were encouraged by enhanced federal funding to design and install point-of-sale electronic claims management systems that interface with their Medicaid Management Information Systems (MMIS) operations.

    The annual report requirement provides an excellent measurement tool to assess how well patient safety, provider prescribing habits and dollars saved by avoidance of problems such as drug-drug interactions, drug-disease interactions, therapeutic duplication, and over-prescribing by providers.

    I am sorry you are having a rough time but yes you pharmacy can do this.

    Best of luck to you,

    Karen

  3. Jeanne-in-Canada

    Jeanne-in-Canada New Member


    I found this out the hard way recently. I had a similar situation in that I had a new rx from a different doc, plus I was trying to switch pharmacies. I'd been w/ the new pharmacy for around 4 mths too, but was recently bringing them my narcotic rx's.

    First I had the new doc rx held so they could check w/ him that I could have it right away. They held into the next week, though it was dated for the day before i brought it. Then when they'd gotten the ok from the doctor, I went to finally get it and a different pharmacist decided I ws getting meds too soon. I had the rx, it had been verified, but HE, all powerful pharmacist decided different. I was so mad and so stressed. Of course I ran out before the mth was over because of all the drama and extra pain.

    So I had to go explain all that to the new doc next mth and ask for meds early, again. Not fun and so stressful. Was very scared what the new doc would think. He obliged me, but I can tell he doubts me now, but is giving me the benefit of the doubt for now. At least he's giving me the benefit of the doubt instead of assumeing I'm up to something and punishing me by w/holding pain control, like the pharmacy did. They assumed I was a drug seeker and treated me contemptuously too. Its a slimy feeling.

    I did convince the new doc to write me a new rx that I could take to my old pharmacy, who has never hassled me over rx's and never usurped doctor's instructions.


    Jeanne
  4. justlooking

    justlooking New Member

    I have been to the same pharmacy (a large chain) for over 10 years, same store, know everyone...except the new pharmacy manager.
    Well I go to the pain Dr every 28 days/4 weeks, per the pain Dr.. so my RX are written every 28 days and have been for a couple of years, now they tell me I can't get it filled until a month (31 days by the pharmacy managers count) has passed since last filled....WHAT!!! So had to go back another day to pick up.
    Not a big deal because I had enough meds for 30 days, just a pain to have to go out again when you are so sick all the time. It's not like they don't know we are sick. Why do they have to make us jump through hoops!!

    BTW I have been a by the book patient and customer. I only get RX from one Dr, only go to one pharmacy, I only have 3 RX for 3 different things and I still got hasseled.

    I really felt insulted by his attitude.
  5. FM_DD

    FM_DD New Member

    Thanks for your replies, I just wanted to make sure someone
    wasn't trying to do something they shouldn't. When I told my husband this he was VERY angry and was going to go up there. He sees me day to day, sees my barely making it up and down the steps, sees my hobbling on my aching feet.

    I told him to wait and let me check online, your information is very useful.

    Thanks again,
    Cathy
  6. FM_DD

    FM_DD New Member

    Hi everyone, I just wanted to follow up and let you know
    I did get my prescription filled Thur. I called my spine
    Dr. and explained the situation and he called the pharmacy and told them to fill it.

    For once I won!!!! (I always feel like I lose w/ this DD)

    Thanks everyone!

    Cathy
  7. kjfms

    kjfms Member

    I am so glad you were able to get you medication. It is good that you have an understanding physician.

    Take care of you,

    Karen :)