I live in a state that only monitors Class II drugs. I had an appointment with my Pain Dr. last month and he gave me a new script for a class II to be filled 5 days from now. Yesterday I had a surgical procedure done and he gave me a new script to be filled yesterday. They are both for the same thing at the same dosage. My question is whether or not I dare try going to a different pharmacy in 5 days and try to get the original script filled? If for some reason they do fill it, do you think it will get back to the Dr. anytime soon?

Don't do it!!!

I agree w/Stevo1. You have a pain dr and are getting the meds you need. Just think where you would be if your pm doc kicked you out of the program and you had NOTHING.

I know it is tempting so quick, rip it up.

My thoughts Exactly!! sheolman.... If you get caught....You will be marked for life! and will Never get The Meds you Need Again!!...Tear it up!!

I agree. When you went to the PM, you should have signed a contract with them for getting your pain medicine. That contract states that you will not get any other pain meds scripted to you by another doctor. If you get that filled, then you are out of the program.

In a typical pain management agreement with a physician or clinic, that is only true if you neglect to inform your pain doctor about the surgeon's prescription.
If both doctors know what's up, there should be no problem. Situations often occur like this especially with an acute treatment necessity such as an ER visit or dental surgery.
If a patient knows about an upcoming surgery, it's important that both doctors should know the status of medications involved.
Or was this question more about whether someone could get away with getting a few extra pills without getting caught? In that case, the answer is probably not. Pain management practices in particular really don't put up with patients who try to game them.

Yes, exactly. The last time I had surgery, I informed my PCP (who provides me with PM). I told him it would be likely that my regular dosage would not be sufficient. He scripted me (one time only) additional meds to compensate for increased pain.

At this point, the best thing would be: talk to your PM doc. Tell him - "I have 2 scripts and I just had surgery". But DON'T get them both filled without getting an OK from the PM doc. Depending on the doc, he may tell you to discard the script from the surgeon and he, the PM doc, will give you an additional amount.

Others have given you very good advice. If you try to circumvent the Rules, you will be shooting yourself in the foot. Honesty is always best. Getting all your scripts from the same pharmacy, etc.

Hope you are recovering nicely.

Are both these scripts from the same Dr? If they are, I think you would be ok. He keeps logs of what meds you are perscribed by him, so, if it isn't illegal in your state, I would do it.

I've cashed in scripts for the same meds from different doc's a few times, and I never got red flagged. Like I said, check your state laws. You might be okay.

Kimberly - she got the same script (same type) from 2 different docs. The surgeon and her PM doc.

That's why it is important to inform the PM doc. Depending on the PM doc, he/she may be willing prescribe a one time extra amount to account for the extra pain. You don't want to put your relationship in jeopardy.

Thr feds, not rh states 'monitor' CII's. Pharmacies reort to the DEA monthly on every CII. That is why you show your license, ID on no RX. Funny thing is that my husband offten fills mine. tHE dea REALIZES THAT FOLKS ON cii'S CANNOT GET OUT. sO ANY RELATIVE'S Id SHOULD DO,within reason.

They are using statistical programs to pick up innopropriate orders, like a vet ordering Percocet. It is not given to dogs.

Also your , just a number.....name is not given to them.

If you have legal rx,s that can be safely filled fore the rx expires, and you do not exceed the regimen (5 days in this case, you have every right to fill them.

Better still, fill the one you got today, CALL YOU DOC AND HAVE HIM REWRITE IT, SAYING YOU DID NOT THINK YOU'D NEED IT.

The pharmacy computers picks up all controlled drugs, regardless of where you go, unless you use a different name.

pardon typos, up all night with cervical probs.

Great advice, Martind. But, Royce- you're not entirely correct about states not monitoring CII's. There's also your insurance to consider. Mine gives a quarterly report to my PCP on what all my scripts are and the ones not from my PCP are highlighted.

DON'T DO IT!

Even if you did not sign a pain contract and you get both filled, that is against the law and since your state has a PMP program, it's easy get caught. Either tell the surgeon you already had some of those or just pretend you got it filled.

P.S. If you truly need the extra meds, you can probably get them but will just have to explain the situation to both Docs and get their OKs.

Sorry to hear about your cervical problems but parts of the information you provided might be open to some clarification.
The Prescription drug Monitoring Programs currently in operation today are actually state run programs, not federal. The DEA encourages their implementation but is not an operational participant.
Also, in almost every state now, the information is reported in real time, not monthly, to the state agency managing the monitoring program.
A requirement of a driver's license to pick up a prescription may be a pharmacy policy but I don't think it is some kind of legal regulation related to C-II medications. Obviously true if your husband has been able to do this.
I'm not conversant with the specific reporting details for all of the 49 states that currently have or are considering implementation of a PDMP but I can tell you in those states I am familiar with reported personal information is not just limited to a "number." In addition to your Social Security information, name, address and DOB, data is also submitted regarding your physician electronically in real time.
This oversight is all in addition to chain store internal cross-checks and health insurers monitoring programs.
Unless both of this poster's doctors are informed about the prescriptions she has described, I would definitely not advise what you have suggested to her.

Yeah, they are both from the pain management specialist, I had an office visit and he wrote me a scrip for today actually when the old one was ready to be refilled. Then, about a week ago I had an injection done and he wrote me another one with that day's date on it. It was about a week ago. So, they are both from the same doc, for the same thin and in the same dose. I know that the Insurance probably won't pay for the new one, but I could take it to another pharmacy than the one i use and pay in cash for it. I was basically wondering if they would fill it without question and whether My doc would even be aware of it. It's always nice to have some extra stashed away just in case.

First of all, the scripts are from the same Dr. They are both for the same drug and dosage and are written a week apart. Why would it be illegal to get the one script filled just because I got the other one filled a week ago? They are both perfectly legal prescriptions written by a DEA registered Pain Management Specialist.

It would not be illegal but your doc would most likely find out at some point and then he/she could get angry and cut you off completely. That was my point. It's a risk, that is for sure.

The same thong just happened to me today. Got my refill on the 10th. New scrp for the same stuff, same dosage after my epidural. I dropped it off a the phrm. Different then I normally use, and they came back with a " cant fill this until next week" must of been insurance?"

If they are both from the same doctor, you can get them both filled without being in trouble from the doctor.

As far as the different pharmacy goes, does the contract you signed with this doctor specify you only use one pharmacy?

No, There is no stipulation about using one pharmacy. I just hope they didnt call the doc and say " your patient just picked up a refill 13 days ago ( 30 day supply ) and now he wants to fill another scrip for sixty today." That might [censored] her off. Which would be a bummer as this is the first doc in a long time that is taking me serious.. We'll see. Live and learn. I didnt say anything to the pharmacist about not being able to fill except "ok I'll pick them up as soon as they are able to be filled" . So maybe they won't be an ashdole adout it..

Whenever anyone fills any script, they should do it assuming the pharm is going to call the doctor. Whether or not they do is not the issue.

Especially these days, just ask yourself one question "If pharmacy calls doc and checks on this, is doc going to be suprised?"

WHY take any chances? These questions to me, are a reality check. Do you want those few little pills so badly that you are willing to blow a relationship with the doc?

JUST CALL THE DOC! And if they say "NO!", then guess what, that means the Doc would have been torqued off at you if you did fill it. If the Doc says "yes, fill it, that is why I gave it to you" then you have done two things.

1) You have gotten rid of any reason to worry about it.

2) You have reminded the doc that he wrote the scrip, so even if he does get asked by pharm about sript, then he already knows what they are talking about.

Again Call the doc call the doc call the doc!!!

That is advice that anyone who is on a scheduled prescription medication should take to heart.
Before a refill is requested by you or a new prescription filled regardless of insurance or the particular pharmacy involved, just ask yourself what you expect the doctor's reaction will be when the pharmacist calls to verify the script.
If the refill is early, they often call. If two recent scripts look too similar, they very often call. You might never know beforehand about the call and only find out after the fact when your pain or anxiety treatment is discontinued abruptly.
It is always a smart idea to let your doctors know what's going on before the pharmacy decides to check out the situation on their own.

Yes. In today's climate a patient must adhere to the Rules. I lost my RX coverage (husband's company decided to discontinue it). I asked Dr Dave for a ONE TIME ONLY extra amount to allow for the Medicare D to kick in. He wrote it for double the amount each day (cause I think it's illegal to write for more than one month). I took it the same as I always do.

Then, after 2 months, I PU the script and it's for the SAME. Not my fault. I call. Just get it filled. OK. But then, for the first time in close to a decade I had to sign a contract (altho I offered many times). I wrote a letter - YOU need to change your computer. I asked for a one time only leeway. Oh well. I don't mind the contract - I like it fact. Now, he's going to sign one. In fact, he thought it was a good idea. I make my commitments and he makes his. I hope he's not being audited or anything. Oregon is a "good" state.

I hate to read these stories - people having problems, being dissed. It is distressing. Sometimes, I think about not coming to the site.

Listen to Martin - especially if you are on a contract. Adhere to the Rules of the contract or you are SOL. DON'T get the same RX filled before the deadline. No matter what. And searching around for a pharmacy to fill it, is a huge red flag and you could find yourself without anything. Don't mean to be harsh, but it's the truth.

It is never a good idea to violate an agreement you have made with your Pain Doctor. Once you get red-flagged, you will not recover. The board is full of people having this problem.