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never2many

New Dispensing Laws now in Effect in some states

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never2many

So the lovely state I reside in has implemented new dispensing laws effective July 1st as follows:

The biggest change has to do with how much of a drug you can get and when. Under the new law, pharmacists can only partially fill a prescription for no more than half of the number of days it’s written for. And there are limits on prescriptions, too: General prescriptions are limited to a 10-day supply (and no more than 500 cumulative morphine milligram equivalents). Prescriptions after surgery are limited to a 20-day supply (maximum 850 cumulative MMEs). “Medical necessity” prescriptions are limited to a 30-day supply (maximum 1,200 cumulative MMEs). This law technically takes effect July 1, but it won’t be mandated until Jan. 1, 2019, to give pharmacies a chance to update their software.

Some prescriptions are exempt from the requirements and limits, though doctors must still write a diagnosis code and “exempt” on them: Prescriptions for people who are getting palliative cancer treatment or hospice care; who have sickle cell disease; who are inpatients at licensed facilities; who are seen by doctors who meet the state requirements to be “pain management specialists”; who were treated with opioids for 90 days or more; who have severe burns or “major physical trauma”; and who are on methadone, buprenorphine or naltrexone, which are drugs used to assist recovery from addiction.

I guess things are going to get interesting, and not in a good way. 

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Darlink

I’ve had 9 surgeries on my abdomen. I’ve worked hospice for 15+ years and seen and felt the horrors of the misinformed, brainwashed medical industry. No more doctors or their BS for me. I will do whatever it takes to see to that! 

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Darlink

I’m sorry Never2, really am. I feel your pain.

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Poppyseed123

Hi Never2....I've heard that this partialing out pain meds was only for CVS, and maybe new scripts at that. Fortunately, I've been years with a non-chain mom  & pop; I think it's the big chains that are worried over their "reputations"?? Maybe PM me about what state you live in.

Hang in there!

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bdrc36

The lovely state of FL has implemented these BS laws on 7/1.  Its gonna cause more harm then good.  PPl will seek out meds in other ways. I have no doubt the amount of fent OD/Deaths will rise from this.

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never2many

Well from what I have seen so far, this has more effect on those seeking new prescriptions and less on those already prescribed- It seems the State is trying to prevent new prescriptions from being written to those that have not been prescribed meds in the past.

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ineffable

Too bad that's just not how medicine works. Someone isn't just born on a script :(

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BourneID

Has anyone noticed, which I know we all have, these new Rx laws they’ve put on docs has caused a bigger problem than was before the DEA/FDA started restricting the meds.

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BourneID

@bdrc36...just had a girlfriend of mine die two weeks ago from all the dirty hairon going around. They said her heart looked like cobwebs and cauliflower had attached to it from the sepsis. It was sad too see her go from someone who would get herself looking nice six months ago to last time I saw her, couldn’t even look at me.

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smckee83
On 11/4/2018 at 1:53 AM, BourneID said:

@bdrc36...just had a girlfriend of mine die two weeks ago from all the dirty hairon going around. They said her heart looked like cobwebs and cauliflower had attached to it from the sepsis. It was sad too see her go from someone who would get herself looking nice six months ago to last time I saw her, couldn’t even look at me.

Hey man. I just wanted to say that I'm sorry to hear about your girlfriend. I too have lost a very close friend to this horrible heraon plauge. She was in almost the exact same condition as your girlfriend except there was broccoli on her heart and not cauliflower. I cannot stand this awful epidemic of dirty haeron. And it doesn't look like there's and there's no end in sight!

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bdz

"...liberty and justice...", MY ASS!

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automagic

That law blows. It’s already bad enough my state requires paper rx for benzos and opiates. But we’re still allowed to get 3 month supplies so I’m gonna consider myself lucky

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SleepyMonkey
On 7/2/2018 at 1:52 PM, never2many said:

So the lovely state I reside in has implemented new dispensing laws effective July 1st as follows:

The biggest change has to do with how much of a drug you can get and when. Under the new law, pharmacists can only partially fill a prescription for no more than half of the number of days it’s written for. And there are limits on prescriptions, too: General prescriptions are limited to a 10-day supply (and no more than 500 cumulative morphine milligram equivalents). Prescriptions after surgery are limited to a 20-day supply (maximum 850 cumulative MMEs). “Medical necessity” prescriptions are limited to a 30-day supply (maximum 1,200 cumulative MMEs). This law technically takes effect July 1, but it won’t be mandated until Jan. 1, 2019, to give pharmacies a chance to update their software.

Some prescriptions are exempt from the requirements and limits, though doctors must still write a diagnosis code and “exempt” on them: Prescriptions for people who are getting palliative cancer treatment or hospice care; who have sickle cell disease; who are inpatients at licensed facilities; who are seen by doctors who meet the state requirements to be “pain management specialists”; who were treated with opioids for 90 days or more; who have severe burns or “major physical trauma”; and who are on methadone, buprenorphine or naltrexone, which are drugs used to assist recovery from addiction.

I guess things are going to get interesting, and not in a good way. 

“And then all the people heard a “yeeee haaaawww” from the h dealers across town....”

The truth is truly stranger than fiction.

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NonBlonde
On 11/4/2018 at 1:53 AM, BourneID said:

@bdrc36...just had a girlfriend of mine die two weeks ago from all the dirty hairon going around. They said her heart looked like cobwebs and cauliflower had attached to it from the sepsis. It was sad too see her go from someone who would get herself looking nice six months ago to last time I saw her, couldn’t even look at me.

hey man just wanted you to know I've been there- even tho this thread is over a year old, actually the timeline matches up for my experience-Sept '18 my ex died the same way. he was such a lovely person and a lost soul. it broke my heart to see how far he'd fallen, yes because that drug is cheaper than buying the script pk on the st when you cant get it from your MD anymore. I myself can't even get zofran for my migraine nausea without the 3rd degree because apparently its now secondarily being abused to curb the sickness of getting high or withdrawing so it is being monitored. my sincerest condolences for your loss.

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