The *Angriest* Pharmacist You want your prescription filled when? Eat shit…

Why would you be scared? Just reach back into the magic cookie jar and see what miracles lady between oatmeal raisin and chocolate chip cookies. My, my, is that a duragesic patch under there? #crackhead

As long as it was not your usual pharmacy and it was a different chain (that is if your usual is CVS and you went to say a Walgreens) and since you didn’t use your insurance then I’m about 95% sure that the records would not be connected. I would recommend making sure this was only a one time thing.

Many states have Prescription Monitoring Programs that watch all controlled Rxs whether it be insurance, cash, or medicaid. I would disagree with you somewhat. An astute (or asshole) pharmacist would find this rogue, cash, ‘other pharmacy’ rx eventually.

Drunken, I believe pat needs the “oreo,” a duragesic sandwiched between 2 old school methadone wafers. Twist, lick, overdose.
#crackhead+1

Actually, there is NO time limit for CII’s under federal law. The Controlled Substances Act states that a CIII or CIV “may not be filled or refilled more than 6 months after the date thereof or be refilled more than 5 times after the date of the prescription unless renewed by the practioner,” but no restriction is placed on CII’s. Most states have laws placing these 6 month limits upon CII’s. Some states have more stringent restrictions (Texas used to be 7 days.) There are still a few states that have not passed these restrictions and thus default to their state rule for legend drugs (typically 1 year.)
http://www.phcybrd.state.mn.us/faq.htm#2
I think this lady is shit. Oxycodone for migraines?! Come on, you don’t go to your PCP. You see a neurologist, you take something that will prevent the cause of the migraine (TCA, Verapamil, Topamax,) you don’t just cover up the pain. I think she’s a doper or selling it. Either way, I have no pity for her.

Thank you for clearing that up for me…I thought I knew — guess it was just a guess! I agree with you about the algorithm for migraines. Oxycodone doesn’t figure in…hardly EVER…does it? :-D

Thanks for giving pharm techs a bad name, cracky. Also, I love how in the letter she states that her dad is a pharmacist that won’t discuss her meds- usually a bad sign.

If Pat happens to be reading this, I have a message for her.

Pat, you need to find a new MD. As Keith said, if your migraines are so frequent and so debilitating, the focus should be on PREVENTING them, not treating them, and your MD should be prescribing something non-narcotic for the pain (e.g. Imitrex). Find yourself a neurologist, and the next time you find an oxycodone script in your cookie jar, shred it. If you’re found violating your pain contract, you could not only lose the job you have now, but be prevented from ever working as a tech again.

This lady is dumb. And to think that she is a pharmacy technician. She knew it was wrong and did it anyways. I wouldn’t want her my pharmacy. Good point Keith, why is she taking only pain meds for migraines? Why isn’t she on any maintenance medication? Maybe she is and just didn’t say. Anyways, I hate people like this. If her Rxs are seven days apart, that means that she can take up to 6 oxycodone 20mg per day. That seems like a lot of oxycodone to burn through in 7 days. Wouldn’t be surprised if she was selling it, but then again, people like to keep their oxycodone to themselves.

This really pisses me off!! Pat, you and your drug abusing/seeking friends have nearly ruined the abilities of pain doctors to manage pain effectively. I have had migraines too, you don’t treat migraines with Percocet, Vicodin and Oxycontin. There are specific medications for migraine headaches.

Developing a shared and trusting rapport with a pain specialist has become very difficult because of people like you. Respectable physicians fear us (the patient) because of you. I have progressive multiple sclerosis and polyneuropathy. As I sit here in this damn chair everyday, every cell of my body is screaming in pain. But I don’t sit around taking Percocet, Oxycontin or Vicodin all day. There are other ways to treat these illnesses, sitting around popping everything you have available is abuse.

You are a drug abuser. You should not be working with a pharmacist.

Tell you pharmacist about your drug abuse, then he/she can fire you

The bad thing is, after a migraine patient starts relying on narcotics to treat their condition, the other non-narcotics (prophylaxis, imitrex, etc.) become less effective or non-effective, based on info I read on a headache website (might have been the american headache society or something similar). It’s been a year or so since I was on the sight, but there was also a recommendation there (whichever sight it was) that the amount of narcotic doses for a headache patient be limited to 10 per month, to avoid this phenomenon.

But it seems these days primary care MDs will do whatever the patient wants. The MD just doesn’t have 10 or 20 minutes to argue with someone that has incorporated into their belief system that non-narc tx is “weak” and norco is “strong” for migraines, because they tried an imitrex that their friend illegally gave them and it didn’t do anything, while the norco they illegally gave them got them so high they didn’t care about whatever pain was left, and the norco also helped them sleep it off.

Patients don’t want the best treatment for the long run, they want “the strongest” treatment right now. So such a patient will say whatever they can to strengthen the case for getting the narcotic, even if it is a series of “white” lies, that they themselves “kind of” believe as they issue them. And when they wear the time burdened doctor down after 5 minutes, they will start their journey of a life of narcotic use, abuse, lending, dealing, etc.. all while becoming a lifelong financial burden to the medical system, and to their employer (constant sick days, personal days, etc..).

It starts off innocent enough; maybe the MD has also read the recommendations on the american headache societies website, and gives the patient 10 tablets of norco with 2 refills – 1 q 4-6 hours prn, and based on those recommendations also tells the patient not to use the norco for more than 2 episodes per week (I can’t remember the actual recommendation – google if interested – but the point is to try to avoid any kind of tolerance build up or psychological reliance). The MD fails to write that restriction on the rx, or if he does it’s so illegible that it’s ignored by the even more time burdened pharmacy, being pressured by all of it’s customers to go as fast as possible.

At some point the patient gets a cold and has a headache for a few days secondary to the cold. She takes her 10 doses of med over a 2 day period, because “that’s the only thing that makes me feel better – the OTC cold medications are “weak” compared to MY pills”. She then gets, say, her last refill, on that third day, getting 10 more pills and takes them for a few more days. After 7 days the cold starts to go away, but for some reason the headache stays around. (By the way the trigger for taking all 10 pills over a few days could be anything – cold, death in the family, dog bite, dental pain, menstral cramps, etc…)

She calls the MDs office and requests more pills from the secretary. She says she’s tired of running back and forth to the pharmacy for just 10 pills – says that it’s terribly inconvenient, especially when the pharmacy sometimes takes 20 minutes to fill the rx. The nurse, without consulting the MD ups the quantity to 20 pills with 3 refills, OR the nurse mentions the request to the MD who is on his way to meet some friends for lunch and is late in doing so. At that point he is not reviewing her chart – he doesn’t remember what the patient is taking the med for off the top of his head, but only 10 pills seems like a small amount or 20 or 30 shouldn’t hurt anything – 20 or 30 is “OK”.

The patient now sees the increase in quantity by the MD as a true medical justification for taking 20 or 30 pills per month for her headache. “My doctor knows me” she will say as she downs her pill, 4 hours later from the last one.

The process repeats until she is on a daily regimen of narcotics to prevent the withdraw migraine from coming on. When it does come on, breakthrough doses are given and used, justifying even more doses of med per a given time period. The MD at this point either sees nothing wrong with this, doesn’t care, doesn’t want to have the “I made you an addict” talk (again time consuming), or thinks the whole thing is the patient’s fault. All the while the pharmacy doesn’t even know what the diagnosis is – could be back pain secondary to a car accident for all they know. If the patient keeps getting more and more over 2 years time – the pharmacy must think such is medically justified. Even if they do question it most large chain company policies are “call the MD to verify” then sell the product to the consumer after the MD “verifies” whatever the hell that means.

Yes, the policy from management in some places I’ve worked is: if a patient wants their Norco 15 days early, do not deny the request yourself, but call the MD office and ask if they can get it 15 days early. Management doesn’t want the pharmacy to be the “bad guy“; they want the MD to be the “bad guy“. Unfortunately a large percentage of the time, the secretary will just say “OK” as if it were a refill request., the end result is that chain drug management gets a bigger bonus check at the end of the year, living off of addicts and sellers bad behavior.

Just found this site. I work at a small independent in a southern state. We check using a monitoring program that tells us what the patient got, where they got it, who prescribed it, etc. It can also provide us with info if the patient is using alias’s, because most addicts are too stupid to change their date of birth or other basic info. ANYONE who comes in and asks to pay cash is automatically checked. If they give us insurance info, we run it thru the ins anyway, just to see if it’s “too soon”. My pharmacist runs a tight ship and will not risk their license or a tech license just to fill a script. We don’t hesitate to call MD’s if we see them getting things from more than 2 MD’s at more than 2 pharmacies. Contract or no, most MD’s don’t like to be suckered any more than we do. Then again, some are making tons of $$ to write these scripts and just don’t care. I’ve seen it both ways.

I got a Jessica I want some oxygen lol hahahahaha not oxycottin!!!

I am so disturbed that any one of you are working in the medical field and are Pharmacists, you have no business taking care of sick people w/your cutting words. I completely agree with Aura and she seems to be the only person w/reason. I came upon this site looking for other options to taking a narcotic for brain aneurysm aftercare headaches and WOW! You are entitled to your opinion but name calling is unacceptable and i truly hope, or better yet maybe i will submit this site to the pharmacy board so they can get rid of all of you non-compassionate so called caring professionals. Quit the name calling and having sooo much fun assuming you know all this person has been thru and do the job you are PAID very well to do. disgusting behavior and i am thankful i am nothing like any one of you!

You’re a fucking idiot. Maybe you will submit this to the pharmacy board? Which one? Which state am I in? Which state has jurisdiction over ‘what a mean man said to someone else on the internet’? Eat shit and die….