Is This The "Norm" For CVS?
Hello to all of my Pharmer family members here, and a happy 4th of July to you all. I know that I do not post as often as I used to, but every now and then, I experience something that I just have to share with you all. I am going to share with you what I witnessed on July 3rd, while picking up 3 prescriptions for my father, none of which were narcotic. Also, it should be noted that the area I live in is in North Central Indiana. Google "North Central Indiana Dr Receives Jail Time", and you will probably see what I believe started this new "policy".
When I approached the "Drop-Off" counter of the pharmacy, I was greeted with a sign that I found to be absolutely abhorrent, disgusting, and prejudicial towards chronic pain patients. As a pain patient myself (not through CVS, I will never take my business there), and as a new patient advocated/awareness writer, I feel that I should relay, verbatim, this sign that I was greeted with. Remember, this is the first thing patients see when they get to the pharmacy.
"We do not accept any coupon vouchers or promotional cards for pain medication. We will not fill any pain medication in excess of quantity 60 tablets without the following: A) Diagnostic code from your doctor indicating the condition being treated with narcotics. B)A signed copy from your doctor outlining the dr/patient controlled substance agreement. C) A signed "Plan of Action" from your doctor indicating the length of time your are likely to continue to take narcotic pain medication. D) Proof from your doctor showing your next scheduled appointment. E) At any time, at the pharmacists' discretion, we reserve the right to refuse to fill any pain medication for any reason. F) If pain medication is written to last 1 month, it should last one month. Do not come in a day early just because insurance will cover it. Your INSURANCE telling us theywill allow your pain medicine to be filled does not mean that we MUST fill your prescription. G) We will not order a 3 month supply, for any reason, for your pain medication. You MUST use mail-order services if you wish to have 3 months of your pain medication dispensed at one time, however, if during that three months you require additional pain medication, we can not fill any narcotic medication for you."
The meds that I picked up today were Klonipin, and Wellbutrin (300mg and 150mg, pops must be extremely depressed?)
Most of you regulars, and especially the few on here I have developed friendships with on this site, know that I have always been an extremely, almost fanatical, preacher of taking your medication responsibly. I know that not all, but 95% of us in chronic pain, take our medication exactly as prescribed, or even less. Rarely have I found a true chronic pain sufferer to be one who abuses their medicine. This is why I found this CVS sign so offensive as both a patient and advocate. Do we really need pharmacies to develop their own formula as to what constitutes "proper" care? Do the pharmacists have any idea of the amount of pain an individual is in? Of course not! Even as a chronic pain patient myself, I can not begin to imagine the pain some of you must be in. How, then, can a pharmacy justify taking this position? I know that they are trying to save their own behinds from some unscrupulous Dr's who, if the cash is there, will script for anything, but to case such a wide net seemed odd to me.
Personally, I go to a mom and pop pharmacy and NEVER have I had the slightest of a problem. These chain pharmacies are trying to rewrite how healthcare should be applied, and if they are successful, may end up causing a lot of suicides from miserable people in pain, or even cause death due to pain not being treated adequately in the form high blood pressure leading to heart attack. I know that the pharmacy has to be careful, but does this not offend anyone else.
Yes, there is a prescription drug problem in the US. There always will be a prescription drug problem as long as narcotic pain medication is being prescribed. My advice for any of you using CVS as your pharmacy of choice is to look elsewhere. Do not be bullied by their self-imposed standards as to what is excessive treatment.
That being said, and this illustrates perfectly just how bad opiate abuse is here inNorth Central Indiana (read my older posts to find out where I am from, if you want to know), I could not help but laugh at a guy who brought a script in through the drive-thru. I overheard the pharmacist telling the young man, "Sir, I'm going to have to call your Dr to verify this prescription because there is no strength written on it." The young man replied, "What do you mean no strength? It says right on there Take 1-2 hydrocodones as needed for pain." Pharmacist: "Yes, it does, but it does not say what strength of hydrocodone and what strength of acetaminophen." Young man: "Awww, (expletive) just give me the GD thing and I'll take it back and get a new one." Pharmacist: "I'm sorry sir, I really need to hold on to it now that I have called the Dr. I have never heard of this Dr, where is he from" Young Man: "He's, He's, in that office suite you know, right over there on, ummm, just give me the script back." Pharmacist, "I can't. We will call you once we hear from the Dr."
Despite all of that, do you think that CVS has overstepped their boundaries by declaring that you can only get 60 tablets of anything considered "narcotic" (not a controlled substance- solely anything "narcotic") Also, if you are from out of Indiana, please tell me if you have the same signs up at your local CVS. I want to know if this is a local thing, or a nationwide thing.
Thanks all, and I have another little article I want to get up before Sunday night concerning Dr.'s and whether they care more about you, or their pocketbooks. I do not believe all Dr's are money hungry, but I do believe some of them push their ideas as the new "standard". If you want, I will upload that article, which was written in February of this year (2014)
PS: It's the 4th of July. Utilize common sense and don't be "that person" that gets taken to the ER because you thought the fuse was longer!!!