CVS Pharmacy Won't Fill Certain Florida Doctors' Pain Pill Prescriptions

Dear Patient,You are the reason pain management is necessary. Hang in there, keep being proactive, communicate everything with healthcare practicioners that you trust. There is help for you. Get a 2nd opinion, and a 3rd if necessary. Talk to the Medical Board, and the Pharmacy Board in your state. Go through due process in order to continually back up your diagnosis, and don't be quiet about it. There is no shame in getting the medical help you need. Do not be embaressed. An addict is someone who lies to get off, not someone who seeks medical help that works. Compounding pharmacies are now creating high technological creams for neuropathic pain, find one and talk to the pharmacist. Call your health plan and see if they cover Medication Therapy Management, all Medicare Plans do! And Medicaid open card also does. Call the pharmacy Board in your state and ask if they know where you can find help.Sincerely,Dr. Cailtlin Fewx-Patrick, Pharm.D.

I hear ya! I have alot of the same problems as you! So does my friend we have trying to her script for 7 days now! Bc of all the ppl abusing we can't get anything and we are leggit!

You don't seem to have a problem posting....get off the drugs and get a life.

No disrespect, in my opinion, for a large majority of pain patients this is a load of crap. A.In OR and WA at least, prescribing practicioners need a Pharmacy License to dispense, very rarely happens, and never without a pharmacist.B. At least in the state and federal pharmacy laws I am familiar with, and within only the the last couple years, prescribers refer people to pain contracts when opiates are needed regularly for a designated period of time. This is a good effort, except unfortunately forced to be really motivated by their professional liability, as in practice it adds a time burden for which is less and less affordable, I don't mean every prescriber, only a certain cross section. These contracts usually base adherence on when the patient requests a refill, days between last day documentation of written Rx occured in the chart.Not many patients, unless utterly ignorant, will consistantly call in fills earlier than noticed, at least for extended contracts, as then they won't exist. They also trade their other CSs: benzos, amphetamine derivatives, etc., for a few extra opiates, thus filling their Rx 4-7 days after the prescriber gives them their Rx, then calling in 2 days prior to the last rx written, traditionally "30 days supply". In reality getting opiates in their contract (if contracted at all) around 10 days early, every "30 days," thus an extra 30 days supply every 90 days, without being caught under a radar. I know the above as true, as I have practiced MTM for years, and with high risk profiles. For example, many of my former HIV and AIDS patients were IVDA, or in general proudly high risk. The very same of whom would confide in me with such things as they knew I was their as a servant of their health, and not to cast judgement. Many, not all, pharmacists and other providers need to learn this genral respect, so they can supply a nonjudgemental trusting relationship that will actually help improve our healthcare system. If they find this high pace courtacy too stressfull, then they should seek a career outside of direct patient care.

Corporate pharmacy, with minimal exclusions, CVS now earns my respect of an exclusion, tend to base profits on quantity of Rxs filled, most Districts and Regionals don't much care about the practice, healthcare results, and resonsibilities held by their pharmacist practicioners, unless their pharmacy is not in business as expected (Fear of Board or Boss reprocusion), unless there is a complaint by a: Board, Prescriber, patient or family of patient (due to possible Board, or Boss complaint reprocusions, or profit loss (Boss & Bonus Reprocusion)). Am I wrong? But, that seems to be the driving factors of corporate pharmacy "business," that most, not including what is read above by CVS corporate, are motivated by, when in fact profits from positive patient outcomes are highly profitable and underutilized. I'm sure many district, but not all, would disagree in their own cold fog. They should be serving their emloyees to increase moral, and motivate patient outcomes. The embaressement of, so called, MTM while doing hundreds of Rxs a day don't count, and don't preceed good patient outcomes, this to the corporates not properly training pharmacists AND technicians in the dual process, not to mention properly staffing to ensure a respectful designated time frame. There are plenty of grants that allow pharmacists to be creative in serving patients and financing their family needs, if you can think about the outcomes first. CVS, I hold in much regard respect for you putting your foot down to follow correct healthcare ethics, for the respect of patients, our pharmacy profession and business ethics and sincerely for our obligation to practice. Cheers to you, for hopefully starting a very important trend! If this trend continued, it may assist Doctors of Pharmacy in getting the trust and respect we have earned as specialists in medication management, formulary choices, assisting physicians in choosing best practice therapy, thus increasing health outcomes and reducing unneeded healthcare cost. Pharmacist secialists working alongside diagnosticians, with respect and dependance, is what will fix our prescription problems and negative cost and grief of so many in the States.Professionally yours,Dr. Caitlin Fewx-Patrick, Pharm.D.

No disrespect, in my opinion, for a large majority of pain patients this is a load of crap. A.In OR and WA at least, prescribing practicioners need a Pharmacy License to dispense, very rarely happens, and never without a pharmacist.B. At least in the state and federal pharmacy laws I am familiar with, and within only the the last couple years, prescribers refer people to pain contracts when opiates are needed regularly for a designated period of time. This is a good effort, except unfortunately forced to be really motivated by their professional liability, as in practice it adds a time burden for which is less and less affordable, I don't mean every prescriber, only a certain cross section. These contracts usually base adherence on when the patient requests a refill, days between last day documentation of written Rx occured in the chart.Not many patients, unless utterly ignorant, will consistantly call in fills earlier than noticed, at least for extended contracts, as then they won't exist. They also trade their other CSs: benzos, amphetamine derivatives, etc., for a few extra opiates, thus filling their Rx 4-7 days after the prescriber gives them their Rx, then calling in 2 days prior to the last rx written, traditionally "30 days supply". In reality getting opiates in their contract (if contracted at all) around 10 days early, every "30 days," thus an extra 30 days supply every 90 days, without being caught under a radar. I know the above as true, as I have practiced MTM for years, and with high risk profiles. For example, many of my former HIV and AIDS patients were IVDA, or in general proudly high risk. The very same of whom would confide in me with such things as they knew I was their as a servant of their health, and not to cast judgement. Many, not all, pharmacists and other providers need to learn this genral respect, so they can supply a nonjudgemental trusting relationship that will actually help improve our healthcare system. If they find this high pace courtacy too stressfull, then they should seek a career outside of direct patient care.

Corporate pharmacy, with minimal exclusions, CVS now earns my respect of an exclusion, tend to base profits on quantity of Rxs filled, most Districts and Regionals don't much care about the practice, healthcare results, and resonsibilities held by their pharmacist practicioners, unless their pharmacy is not in business as expected (Fear of Board or Boss reprocusion), unless there is a complaint by a: Board, Prescriber, patient or family of patient (due to possible Board, or Boss complaint reprocusions, or profit loss (Boss & Bonus Reprocusion)). Am I wrong? But, that seems to be the driving factors of corporate pharmacy "business," that most, not including what is read above by CVS corporate, are motivated by, when in fact profits from positive patient outcomes are highly profitable and underutilized. I'm sure many district, but not all, would disagree in their own cold fog. They should be serving their emloyees to increase moral, and motivate patient outcomes. The embaressement of, so called, MTM while doing hundreds of Rxs a day don't count, and don't preceed good patient outcomes, this to the corporates not properly training pharmacists AND technicians in the dual process, not to mention properly staffing to ensure a respectful designated time frame. There are plenty of grants that allow pharmacists to be creative in serving patients and financing their family needs, if you can think about the outcomes first. CVS, I hold in much regard respect for you putting your foot down to follow correct healthcare ethics, for the respect of patients, our pharmacy profession and business ethics and sincerely for our obligation to practice. Cheers to you, for hopefully starting a very important trend! If this trend continued, it may assist Doctors of Pharmacy in getting the trust and respect we have earned as specialists in medication management, formulary choices, assisting physicians in choosing best practice therapy, thus increasing health outcomes and reducing unneeded healthcare cost. Pharmacist secialists working alongside diagnosticians, with respect and dependance, is what will fix our prescription problems and negative cost and grief of so many in the States.Professionally yours,Dr. Caitlin Fewx-Patrick, Pharm.D.