What follows is a very long rant. You've been warned.
So, I
filled my prescription for my usual pain medication the other day. The
DEA's recent "crack down on drug abuse and diversion" has been causing
no end of trouble lately for a lot of people. The DEA says they're
targeting prescription drug abusers, but in reality, the majority of
people being who are being affected are people with severe chronic
intractable pain, like me. Those of us who suffer with severe
intractable pain have typically been in horrendous pain for a long time
(more than 17 years now in my case), we've been through countless
doctors, procedures, medications, alternative therapies, etc. I am
incredibly lucky in that I found a wonderful doctor after years of
agony. He specializes in pain management, with the main focus being on
the patient's quality of life. It seems ridiculous to have to state the
obvious, but stupid people abound, so I have to: None of us enjoy being
in pain all the time, would you? We don't particularly enjoy being
poked, prodded, cut open, feeling weak and useless, and answering
medical providers' endless questions about things we'd rather just
forget. We don't enjoy having to take medications, whether they be
narcotic or not. We're not strung out drug seekers, looking for a high.
So why do so many people think these things? I mean, really.
I've been on the same medicine from the same doctor for about 12 years
now. It's a schedule 2 drug, with lots of restrictions regarding it's
dispensation. Some of these rules make sense, some do not. There is a
stigma attached to my main pain medicine, which happens to be Methadone.
A lot of people associate Methadone with heroine addicts, but actually,
Methadone is first and foremost a pain medication. It happens to be an
effective treatment for heroine addiction, as it's a long acting, slow
release medicine that maintains a relatively constant level in the body,
and doesn't produce a "high". In my case, it's been the most effective
medicine for my pain, it does a good job of keeping it at a bearable
level throughout the day, and it does it without the side effects other
medicines tend to have. It's also pretty inexpensive, which is a really
good thing without insurance. The stigma attached to Methadone is really
unfounded, and is perpetuated through ignorance. I quickly learned to
keep the fact that I take this medicine quiet, and will only tell people
I trust, and then only on a "need to know" basis. I can talk about it
here because, well, nobody will read this stuff anyway.
I haven't
had all that much trouble at pharmacies until fairly recently. First, I
used to fill my scripts at Walgreens, as they where nearby and
convenient. Walgreens stores are very much like cockroaches around here,
there's lots of them everywhere, and if you see one, there's always
another nearby. When I moved, I started going to a nearby CVS. One day,
the CVS didn't have enough to fill my prescription, so I ended up taking
it to the pharmacy at the Frys grocery store. The prices on the
medications ended up being a lot less, so of course, I switched to Frys.
I filled my prescriptions at this one Frys for a couple years. One
night, I go to pick up my meds, and am told that they can't fill my
Methadone because the head pharmacist has made a ruling that he wants to
personally call the doctor for all controlled prescriptions. Only, the
head pharmacist isn't in, won't be in for a couple more days. Of course,
they didn't bother to tell me this when I dropped off the script, nor
did they bother to call me and let me know they weren't going to be able
to fill it tonight. Since I had been going to the same pharmacy,
filling the same prescription from the same doctor for the same amount, I
was rather irritated. I went and got the prescription back and took it
up the street to another Frys pharmacy. They filled it without incident.
I told my pain doctor about this, he said that wasn't the first issue
he'd had with this pharmacist, that he'd given other patients a rough
time, that he just didn't like the doctor or approve of him. Apparently,
my doctor had even offered to meet up with this pharmacist somewhere
for lunch or something, to talk to him and educate him a little on pain
and pain management. Apparently, the pharmacist ignored him. So I just
wrote him off as being a dickhole and took my scripts to the Frys
pharmacy a little further away.
I used the second Frys pharmacy
for a few more years. There was one incident where around 1/3 or the
pills where missing from the bottle when I picked it up. I reported it
to my pain doctor and the head pharmacist, a report was written up and
the missing pills where replaced without trouble. I was very shocked and
disturbed by the incident as nothing like that had ever happened to me.
I had never had trouble at this pharmacy before, and the staff had
always been courteous to me. After that, I was careful to check my
prescriptions when picking them up. Almost a year went by with no
further trouble. Then one day I go to drop off my prescription, and they
tell me they can't fill it. They say they can't fill any controlled
prescriptions from my doctor. They said the DEA wouldn't allow them to. I
suspected they where lying about that, but checked anyway, and of
course if was a bunch of bullshit. I was furious to say the least. Frys
pharmacy management had decided for whatever fucked up reason to
blacklist a bunch of doctors, my doctor included. I called my doctor, he
told me to take my script to the nearby Walgreens, so I did. The
pharmacist there filled it like normal, though I did have to pay around
15 dollars more. That may not sound like much, but that's a lot of money
for me. Not only had I been forced to go to a strange pharmacy, again,
but now I had to pay more for the same fucking prescription? Ugh! I will
say that the pharmacist at this particular Walgreens (I think he's the
head pharmacist), is a nice guy who seems to have a good head on his
shoulders and a sense of humor.
So I've been taking my scripts to
this Walgreens every since. Shortly after I began going there, however,
the DEA started forcing pharmacies to call and confirm any and all
controlled prescriptions with the doctor who wrote them. Each and every
time I fill my Methadone, they have to call my doctor, and do a buttload
of extra paperwork. I can't imagine how irritating this is for my
doctor, he must get over 50 calls a day. Luckily for his patients, he's
always available, day or night, and if he doesn't answer his phone
personally, he calls back quickly. If it where most other doctors, those
prescriptions may not be filled for days. I can understand having the
pharmacist call to confirm with brand new prescriptions for controlled
substances, or when there is a big change in dosage, or if the person
trying to fill it is obviously suspicious, but this is just plain
ridiculous. It's an enormous waste of time, and only burdens doctors,
patients with legitimate prescriptions, and the pharmacy staff who fill
them.
Another annoyance, this one Walgreens doesn't always have
enough to fill my prescription, so I sometimes have to go find another
Walgreens that does. The other day, I went to fill my Methadone, but
they didn't have enough, so I asked the tech "what about the Walgreens
down the street?". She hesitated and said she didn't think they'd fill
it there. I asked her why. She said "they're really picky". Picky. What
the hell is there to be picky about!? I'm a decent person with a
legitimate prescription from a doctor who specializes in pain
management. I've been filling the same damn prescription at regular
intervals for many years. They can look up my prescription record in
seconds to confirm this. My doctor even writes the fricken diagnosis
codes on the scripts for crying out loud! UGH! So, I ask the tech to
call another Walgreens to make sure they have enough and will fill it,
which she does, and tells me they can fill it. So I go over there and
drop the script off. As I'm waiting in line, I happen to overhear a
rather disturbing conversation. There's someone at the pharmacy
drive-through window who has a question. Apparently, the pharmacy won't
fill this person's controlled prescription. They've instituted a new
"Good Faith Dispensing Policy". This "policy" is nothing but senseless
trash, designed to allow pharmacy staff to deny anyone their medications
for any reason. What all goes into the decision making process? They
can't
won't tell you. They don't even have to tell you why they're denying
you your prescription. It's all arbitrary, based on the personal tastes
and beliefs of the individual pharmacists. Maybe they don't like that
shirt you wore in there. Maybe you're a Mexican. Maybe they don't think
you look or act like you're in pain. Maybe they've never heard of the
doctor who wrote the prescription. Maybe they just plain don't like your
doctor. Maybe they don't believe in the existence of chronic illness.
Maybe they think all opioid medications are evil and nobody should be
able to use them. Maybe they saw you buying something they didn't like
last time you where here. Maybe, maybe, maybe. The point is, there are
no checks and balances, no appeals process. The pharmacist is judge,
jury, and executioner. This pharmacist power grabbing has been getting
worse and worse. They claim they are supposed to be part of your
healthcare team too, but in no way should they be allowed to override
the doctor's decisions. They don't have the medical training, nor all
the information on each and every patient to be doing this. It's like if
I gave them this equation: 16_ X ___ = ? And they firmly claim the
answer to be 351 when they are clearly missing more than half the
equation. It's ridiculous, it's dangerous, and just downright crazy.
They call it "good faith", clearly the only "good faith" is in
themselves to make all the decisions, not in the medical doctors or
patients.
Anyway, I stood there and listened as the pharmacist
told the person at the drive-through window that they weren't going to
fill their prescription. When the person asked why, the pharmacist goes
on to spout a bunch of baloney about how they check each controlled
prescription against a list of criteria, (but he can't reveal what all
is on this list of course), and this particular prescription didn't
measure up. I could feel my blood boiling as I stood there and listened.
While I couldn't see the person in the car well, I certainly never got
any weird or suspicious vibes from them, they where most likely just
someone like me with a painful medical condition just trying to get
their usual medicine. Well, after that, I'm thinking they're going to
tell me they won't fill my script either. But, lo and behold, they took
it and filled it, and I was able to come pick it up later. While they
didn't give me any trouble this time, I fear it's only a matter of time
before this "good faith dispensing" policy causes me grief. I'm lucky,
there are more pharmacies than you could shake a stick at around here,
so if I am denied my pain medication at some point, it shouldn't be all
that hard to find a pharmacy that will fill it. But not everyone lives
amongst a buttload of pharmacies, what about them? I shudder to think.
I
don't normally approve of lawsuits, but pharmacists who deny people in
pain their medicine are certainly heading for a good suing, and that may
be the only way to get through to these cruel morons. I only hope it
happens sooner rather than later.