wenchie
Junior Member
now I have to figure out a whole new website-blech
Posts: 71 
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Post by wenchie on Aug 22, 2014 2:21:21 GMT
I can't link on my phone (dumb person with smart phone) but this news is available on DEA website. We have 45 days until it goes into effect. Boy, this is gonna suck! Having to get a written hard copy for each fill? Yuck.
Just an FYI
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Peamac
Pearl Clutcher
Refupea # 418
Posts: 4,221
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Post by Peamac on Aug 22, 2014 2:32:59 GMT
Seriously? Why?
ETA- My bad- I thought you said Hydrocortisone.
Either way, that would be a bummer for those that need refills.
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Post by MichyM on Aug 22, 2014 2:37:53 GMT
I've used Hydrocodone for many years, probably 15. My Dr has always required me to have a hard copy for refills. I was under the impression that it was required? Apparently not up until now?
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Post by MsChiff on Aug 22, 2014 3:13:35 GMT
My father already has to get a written hard copy of his hydrocodone each month. And his doctor's office charges him $5 each month for the service of providing a written hard copy prescription.
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Post by traceys on Aug 22, 2014 3:15:00 GMT
That's just great. I already have to see my doctor personally to get an RX with one refill, so six office visits a year whether I need them or not. I am really getting tired of jumping through hoop after hoop because some people want to get high.
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Post by scrapsuzy on Aug 22, 2014 3:19:38 GMT
I can only see this as a good thing.
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Post by doxielady on Aug 22, 2014 3:22:14 GMT
Another case of the criminals making it harder for people who honestly need their medication. Way to go. 
This will dramatically increase doctor visits, costs, etc needlessly.
I'm curious whether it will decrease the abuse - but somehow - I doubt it. They will find a way. And the folks who need it will just have to jump through more hoops for their care. |
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FurryP
Drama Llama
To pea or not to pea...
Posts: 7,023
Site Supporter
Jun 26, 2014 19:58:26 GMT
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Post by FurryP on Aug 22, 2014 3:25:23 GMT
For us non-pharmacists....what is a C2?
thanks!
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Post by traceys on Aug 22, 2014 3:31:16 GMT
For us non-pharmacists....what is a C2? thanks! She's talking about DEA classification of controlled substances...in this case, moving hydrocodone from schedule 3 to schedule 2. The lower the number, the more tightly controlled. |
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eastcoastpea
Prolific Pea
Posts: 9,252
Jun 27, 2014 13:05:28 GMT
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Post by eastcoastpea on Aug 22, 2014 3:37:01 GMT
My father already has to get a written hard copy of his hydrocodone each month. And his doctor's office charges him $5 each month for the service of providing a written hard copy prescription. That's lousy. |
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Deleted
Posts: 0
Jun 23, 2024 20:01:57 GMT
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Post by Deleted on Aug 22, 2014 3:39:03 GMT
It is really hard to get hydrocodone here too. My sister was on oral and she used to get a big bottle of it made for her. That was enough to kill an elephant but it kept her alive and out of pain. Hospice doctors can call it in over the phone but regular GPs need it in triplicate and that means they give a special prescription for it.
It's just different.
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Post by mellyw on Aug 22, 2014 4:01:50 GMT
Oh, yay. Thanks for the heads up Wench, guess I'll get to visit the Doctor's office every month.
I understand the compulsion to see this as a good thing. But as someone who needs that medication to survive, it sucks.
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wenchie
Junior Member
now I have to figure out a whole new website-blech
Posts: 71
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Post by wenchie on Aug 22, 2014 4:16:31 GMT
I've used Hydrocodone for many years, probably 15. My Dr has always required me to have a hard copy for refills. I was under the impression that it was required? Apparently not up until now? Nevada has it classed as a C2, but there are many providers that do it as part of there practice. Part of it is to help in preventing forgeries, and partly because we have known this was coming for quite some time. My father already has to get a written hard copy of his hydrocodone each month. And his doctor's office charges him $5 each month for the service of providing a written hard copy prescription. That is bullshit. They charge him for the office visit, they shouldn't be doing this. I would call his insurance companyand see if they have a policy regarding extra fees like that.  ![:tongue:]() ![:tongue:]() ![:tongue:]() |
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wenchie
Junior Member
now I have to figure out a whole new website-blech
Posts: 71
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Post by wenchie on Aug 22, 2014 4:29:06 GMT
Another case of the criminals making it harder for people who honestly need their medication. Way to go.
This will dramatically increase doctor visits, costs, etc needlessly.
I'm curious whether it will decrease the abuse - but somehow - I doubt it. They will find a way. And the folks who need it will just have to jump through more hoops for their care.
Oh for crying out loud! I can't get it right tonight.
I agree, it will make it harder for honest people. But I don't think it will necessarily increase costs. Many insurances require a dr visit every 3 month for chronic pain patients. I would make a bit of a fuss about being charged for picking up a hardcopy and I would make you that you understand your states specific laws regarding C2s. The feds trump state unless the state is more restrictive.
As for preventing abuse? I think the overdoses from rx drugs will go down but heroin use and overdose will go up.
I want to think it is a good thing but I don't think it is. A better idea would be to require chronic pain patients to get hardcopies, but for small quatities ( like dental rx ) to allow faxed rxs. Something needs to be done, I am just not sure whatwould be the best way to help with our epidemic of drug misuse and abuse.
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Post by lindywholoveskids on Aug 22, 2014 4:39:55 GMT
so many are addicted to it I guess they have to do that.
it's hard on people with chronic pain who aren't really addicted, I guess (?)
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Post by traceys on Aug 22, 2014 4:41:59 GMT
My insurance never had any requirement regarding office visits for me. The KY state legislature, in their infinite wisdoms, decided that I had to make an office visit every other month. My medical costs jumped dramatically at that point. (Not to mention when I was working, that it had to take time off.)
Why should chronic pain patients, who have been under a doctors care for years and have demonstrated our responsible use of these type of medications, have to have more and more expense and trouble? I'm really tired of having my medical treatment dictated by drug abusers. Maybe we should deal with the people who are the problem instead of everyone else.
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Post by smokey2471 on Aug 22, 2014 6:17:25 GMT
How will this affect nurse practitioners and PAs regarding writing the script?
I know my NP can write/call me in a script for hydrocodone but cannot write me one for oxycodone. I know it has something to do with the schedule 2 v/s schedule 3?
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azredhead
Drama Llama
Posts: 5,755
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Post by azredhead on Aug 22, 2014 8:17:51 GMT
DH has been on it for about a year I think. For chronic back pain. I do worry he's been on it to long. So far we haven't had trouble filling it. His Dr seems ok with but it worries me
Sent from my KFSOWI using Tapatalk
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Post by Patter on Aug 22, 2014 10:08:36 GMT
My daughter has chronic pain and takes this but she always has to have a written prescription even for refills. I don't think there is a change from what we are already seeing here. Can someone explain if we will see something as the patient or is this just that PAs and NPs can't write them now? Thanks!
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melissa
Pearl Clutcher
Posts: 3,912
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Post by melissa on Aug 22, 2014 12:59:46 GMT
This has been coming for a long time. I believe it takes about a year to go through the process of changing the status of a drug.
As a schedule 3 drug, refills can be written for up to 6 months at a time. A prescription can be called in as well. For a schedule 2 drug, no refills can be written and an actual prescription must be provided.
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Post by shevy on Aug 22, 2014 13:17:25 GMT
It's $230 for a medicine refill office appointment for me. $230 each month until I meet my out of pocket expense.  They will not allow you to just pick up Rx refills. And every 6 months I have to have a mini chemical dependency eval, a blood test to show that the medication is in my system and a drug test to show that I'm not using any other illegal drugs. I've been on the same dose for 14 years. wenchie, can you tell me, what happens if you have 6 months of refills on file with the pharmacy currently? Are they voided out after 45 days? |
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naby64
Drama Llama
Posts: 5,992
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Post by naby64 on Aug 22, 2014 13:27:11 GMT
My insurance never had any requirement regarding office visits for me. The KY state legislature, in their infinite wisdoms, decided that I had to make an office visit every other month. My medical costs jumped dramatically at that point. (Not to mention when I was working, that it had to take time off.) Why should chronic pain patients, who have been under a doctors care for years and have demonstrated our responsible use of these type of medications, have to have more and more expense and trouble? I'm really tired of having my medical treatment dictated by drug abusers. Maybe we should deal with the people who are the problem instead of everyone else. THIS!!! I have chronic pain and a legit script for hydrocodone. The dosage went down a couple of months ago due to some federal wrangling. I don't take it all the time but for break through pain. My rheumy see me every 6 months and has given me a 5 month refill. I don't normally use them all. But it is good to know I have them if needed. This really sucks for me as my dr. is 45 minutes away. My DH works in the same city as dr. and sees another dr. in the practice. I wonder if he will be able to pick up my scripts for me. Geez louise, why do those few bad apples make it bad for the ones who follow the rules? |
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Post by BeckyTech on Aug 22, 2014 14:13:03 GMT
As for preventing abuse? I think the overdoses from rx drugs will go down but heroin use and overdose will go up. Do you ever watch that show Drugs, Inc. on Nat Geo? No matter what the particular focus is for that week, I repeatedly see heroin users that started out as prescription pain pill drug abusers, but they can't afford and/or get the Rx drugs anymore. It's so sad. Several months ago, my pain doctor went with a new system. They only use a pharmacy that specializes in drugs for chronic pain and the patients don't have a choice to get their prescriptions filled anywhere else. They courier (or you hand carry) your prescription over there. I go for a doctor visit every other month and on the off months where I don't have a doctor visit, the prescription is delivered to my house. Thankfully their prices are very competitive. It's interesting, the pharmacy office is an office suite in an office building and the name plate doesn't have the word "pharmacy" in it. I guess it helps the doctors do their part in cutting out a step where abuse can happen? |
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ginacivey
Pearl Clutcher
refupea #2 in southeast missouri
Posts: 4,685
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Post by ginacivey on Aug 22, 2014 15:06:03 GMT
the DEA moved tramadol to Schedule IV which now means my PCP (a nurse practitioner) can no longer write the RX
not happy either
i am not changing providers - i'll just adapt (migraine relief)
gina
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Post by dazeepetals on Aug 22, 2014 15:15:30 GMT
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Post by dazeepetals on Aug 22, 2014 15:19:52 GMT
For us non-pharmacists....what is a C2? thanks! This is a classification system for drugs with the potential for abuse. Schedule 1 is things such as Marijuana (in most states), heroine, ecstacy, etc which aren't available in a pharmacy. Schedule 2 would be things like oxycodone, cocaine (yes it's used in surgery and other conditions), methamphetamine (I've seen pill formulations in my old pharmacy), methylphenidate (Ritalin), morphine, etc. These drugs have a medical use and can be received under a prescription. The higher the number the less abuse potential and less regulations. |
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Post by dazeepetals on Aug 22, 2014 15:25:35 GMT
My daughter has chronic pain and takes this but she always has to have a written prescription even for refills. I don't think there is a change from what we are already seeing here. Can someone explain if we will see something as the patient or is this just that PAs and NPs can't write them now? Thanks! In most states, PA and NPs will no longer be able to write for Hydrocodone products as their DEA registrations restricts them to only being able to write CIII-V. I know in TX this will be the case. |
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Post by dazeepetals on Aug 22, 2014 15:27:14 GMT
It's $230 for a medicine refill office appointment for me. $230 each month until I meet my out of pocket expense. They will not allow you to just pick up Rx refills. And every 6 months I have to have a mini chemical dependency eval, a blood test to show that the medication is in my system and a drug test to show that I'm not using any other illegal drugs. I've been on the same dose for 14 years. wenchie, can you tell me, what happens if you have 6 months of refills on file with the pharmacy currently? Are they voided out after 45 days? Not wenchie but another pharmacist. When Tramadol went scheduled, all remaining refills on the drugs were reduced to 3 months. Since this will be moving to CIi, all refills will become voided as the rules for CII allow NO refills at all. |
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Post by leannec on Aug 22, 2014 15:49:40 GMT
Here for me, in Canada, a prescription like that needs to be written in triplicate ... a doctor visit is free ... the pharmacy needs to special order that medication so you can't pick it up immediately ... a hassle but that's just the way it is ...
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Post by Patter on Aug 22, 2014 15:56:24 GMT
My daughter has chronic pain and takes this but she always has to have a written prescription even for refills. I don't think there is a change from what we are already seeing here. Can someone explain if we will see something as the patient or is this just that PAs and NPs can't write them now? Thanks! In most states, PA and NPs will no longer be able to write for Hydrocodone products as their DEA registrations restricts them to only being able to write CIII-V. I know in TX this will be the case. Thanks! Her orthopedic surgeon and our family doc has been writing prescrips for her anyway so it won't be a problem. Glad to know what this means as far as changes go though. |
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They will not allow you to just pick up Rx refills. And every 6 months I have to have a mini chemical dependency eval, a blood test to show that the medication is in my system and a drug test to show that I'm not using any other illegal drugs. I've been on the same dose for 14 years. 
