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#649437 - 02/13/08 09:27 PM
Re: Direct Scripts Fears
[Re: ConsultsDirect]
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FrankienJonnie
Banned by popular demand. Looks like another ID of Boltin1
Member
Registered: 02/04/08
Posts: 182
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We always recommend to those that are concerned about having their Prescription filled, to simply call first and ask the Pharmacist. Will you fill my Out-of-state Prescription? You'll find that about 99% will say: YES.
If you have a consultation with us and you receive your Prescription and there is a problem:
#1 We can have the PA or Doctor call the Pharmacist.
You can not loose money with Consults Direct.
If you call the Pharmacy and they say yes, you know you'll be able to take your Prescriptions there every 90 days without any problems.
We have successfully serviced over 1,788 Clients. About 80%-84% of our consultations are re-consults with current clients. They simply take the Prescription back to the same Pharmacy every 90 days.
So, if your thinking about DIRECT SCRIPTS. Send us an email or PM with your questions and/or concerns. I'm fairly sure we have heard most of them. I'm fairly sure one of our 1,788 clients have had the same question and/or concern.
You have nothing to loose and everything to gain.
Debbie
Customer Service
This is only a question and or concern so please don't take this wrong. What happens or what do you suggest when you have a person that had gotton ds after ds after ds, lets say you service a customer for over 2 years, lets further say that by filling that script, time after time, the patient doesn't realize, or maybe does, that by filling that script and with each refill, this all keeps going into your state PMP and finally one day, lets even say a month or two go by and you had even stopped using this service for a bit...you find yourself in an ER or even with a local PCP...everything seems great..and you even have insurance. Next the local doctors leaves the exam room after looking at your records and even listening to your CP complaints, does a few phsyical tests with you and even agrees. He/she then says that everything seems all good and that they'll be right back. After 20 minutes a nurse comes back and says due to your extensive DEA file for the past XX years, we're sorry that we can't help you. She has no other suggestion for you and you leave the office. You're pretty much doomed by any doctor in your state. Anyone consider this? Again, I'm not trying to rain on any parade, but what about this concern?
_________________________
Hillary For President!!! If you had peace, serenity and remember the Clinton years with content and joy, lets have that again America! Trust it's Hilliary, not Bill.
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#650065 - 02/14/08 04:35 PM
Re: Direct Scripts Fears
[Re: liz558]
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FrankienJonnie
Banned by popular demand. Looks like another ID of Boltin1
Member
Registered: 02/04/08
Posts: 182
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I think this has been talked a lot about, time and time over again. Basically, about 30 states, give or take, use a state wide prescription monitoring system (PMP), which every time you get a prescription filled that is on a schedule (II-V), meaning a "controlled" medication, the pharmacy transmits that informtion to a state database, which records what you got, where, when, how much, dosage, ect. Any professional with a need to look, based on your medical care, that has a DEA# licence assocaited with their name/profession can access that state database by logging onto it on the web and see all of your "controlled" medication prescription history (for the state you live in), many reason why someone would check, typically, there is a need based reason to check it, not just for the heck of it.
First, lets says a pharmacy feels something suspicious about the script you turned in and how often you've gotton that med (wanting to make sure that you're not overlapping it, which is a bad thing, a no-no), perhaps most places are okay with a day or two, but like a week or so, spells out bad news. Second, maybe your doctor wants to check up on you, making sure you're not going to other doctors for the same med (even if spaced out correctly), again, there would have been a need or the dr. feeling he/she needed to "run" that report to check.
I'm not sure if you just wanted to general "low down" on PMP's in a nutshell, or more related to my inquiry as it relates to DS's?...that's what I'm still wondering about. Maybe Consultsdirect will make a statement about that potential issue?
_________________________
Hillary For President!!! If you had peace, serenity and remember the Clinton years with content and joy, lets have that again America! Trust it's Hilliary, not Bill.
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#650134 - 02/14/08 05:38 PM
Re: Direct Scripts Fears
[Re: HoopsGirl]
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mentoramy05
GRAND Pooh-Bah
Registered: 02/15/06
Posts: 2058
Loc: In your Eyes
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I have just found out my ROP can no longer ship to my state and my sister just started using a Direct Scripts route. They actually call the pharmacy. Here's the question...each time she goes to pick up her prescription (she uses Wal Mart), she goes into a panic attack mode. She sweats, gets nervous...like she's doing something wrong. I told her to calm down and act normal and it will be OK. They've never really given her a problem, except for the cashier saying, "wow, that's expensive...don't you have insurance??" ($78 for 120 Hydro....cheap compared to what she's used to online!). Anyways...just wanted to get a conversation started about how others feel about walking in to pick up after having one called in or faxed in via online services? Maybe someone has some good answers to any questions that may be asked of you when you go there... Suggestions? I think I'm going to have to go this route after my last fill is done....
I think most of us who use and have used the DS route do get nervous, for fear of being rejected or something, I dunno, but I also felt nervous when I went that route....Never had a problem though.
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.
ALWAYS Treat others the way YOU want to be treated
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#650765 - 02/15/08 03:46 PM
Re: Direct Scripts Fears
[Re: New]
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FrankienJonnie
Banned by popular demand. Looks like another ID of Boltin1
Member
Registered: 02/04/08
Posts: 182
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Wow, you mean the date on the script is from 9/19/2007?? like last year? Typically, although you didn't mention what the script is for, most people know that scripts for controlled medications (naroctics), are only good for six months (and stronger ones, SchII have to be filled I believe within 7 days, or less).
YOu could say that you didn't need it at the time, but forgot about it; you need it now and see if the pharmacy would call the doctor on the script to verify; but perhaps, by law, they can't even suggest that because the script itself is no longer valid because of time and a new one would need to be handed in. Have the dr. call the pharmacy and ask for a DS to be called in directly.
_________________________
Hillary For President!!! If you had peace, serenity and remember the Clinton years with content and joy, lets have that again America! Trust it's Hilliary, not Bill.
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#652044 - 02/18/08 12:11 AM
Re: Direct Scripts Fears
[Re: FrankienJonnie]
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liz558
Member
Registered: 04/12/05
Posts: 104
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I think this has been talked a lot about, time and time over again. Basically, about 30 states, give or take, use a state wide prescription monitoring system (PMP), which every time you get a prescription filled that is on a schedule (II-V), meaning a "controlled" medication, the pharmacy transmits that informtion to a state database, which records what you got, where, when, how much, dosage, ect. Any professional with a need to look, based on your medical care, that has a DEA# licence assocaited with their name/profession can access that state database by logging onto it on the web and see all of your "controlled" medication prescription history (for the state you live in), many reason why someone would check, typically, there is a need based reason to check it, not just for the heck of it.
First, lets says a pharmacy feels something suspicious about the script you turned in and how often you've gotton that med (wanting to make sure that you're not overlapping it, which is a bad thing, a no-no), perhaps most places are okay with a day or two, but like a week or so, spells out bad news. Second, maybe your doctor wants to check up on you, making sure you're not going to other doctors for the same med (even if spaced out correctly), again, there would have been a need or the dr. feeling he/she needed to "run" that report to check.
I'm not sure if you just wanted to general "low down" on PMP's in a nutshell, or more related to my inquiry as it relates to DS's?...that's what I'm still wondering about. Maybe Consultsdirect will make a statement about that potential issue?
Sweetz and FrankienJonnie, thank you so much for the information. I just needed a head-start in looking into this. I don't know that there is much difference if you fill a DS or a local script. Your information still goes into the database. So, if you have a compassionate doctor, or DS, what is the difference really?
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#652063 - 02/18/08 02:23 AM
Re: Direct Scripts Fears
[Re: liz558]
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FrankienJonnie
Banned by popular demand. Looks like another ID of Boltin1
Member
Registered: 02/04/08
Posts: 182
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I'm happy to help and your kind words and welcome, thank you. Uhm, I have usually believed that an out of state, direct script (ds), that paper script you get out of state, sure, when you take it down to your local pharmacy, it gets filled locally and if your state has a PMP, yes, it goes in there.
If you have a script filled by a local, fulfilling pharmacy, that sends you the actual medication, I have read where it happens, and in my experience, rarely have I ever come across by hearing that someone had a out of state medicaiton that was went to them by an ROP, show up in your local state's PMP. That just doesn't really happen.
The best case is to have a compassionate, caring local doctor, but so many of use can't find that. Some can, I have a decent one, but have used rops in the past.
Now I get it, I think. YOu may be confusing a DS (direct script), with the same process when you visit your local doc. and he/she hands you a paper script.
For all intents and purposes, we're talking about an OCS or rop that when you have your phone consultation, that out of state doctor on the phone writes you a paper script and then sends it to you, to collect the COD when it arrives and I think that most of us have associated this with a DS or direct script. And that it the "no-no" that a lot of having been trying to point out, all of the pitfalls that can eventually come to you from using a DS (direct script service, getting a paper script from an out of state doctor), looks terribly bad when and if your state has a PMP, and imagine how thick that file gest, showing continually that you were getting a DS (direct script, out of state prescription, signed by a doctor that doens't live anywhere near you, and that from where that doctor lives, could be thousands of miles away from you), will eventually send up a huge red flag, when, lets say you finally find/get a good, local, compassionate doctor that you go to visit and would like to establish a PCP with - when he or she, if/when they pull that PMP file and you have to explain all of those scripts from a doctor and service thousands of miles away, and why you never (if you can convince the dr. that you actually saw that doctors face to face, why you never just got it filled there (that's one problem). A lot of times we have all been alluding to the fact that more often than not, you then get turned away, locally, with "sorry we can't help you". Pretty much meaning, why don't you go back to getting your out of state DS. And for those using insurance, big pit fall, because if someone in your insurance's fraud department start seeing something fishing will all those bills paid by them for your out of state DS's, then that just means real bad news too.
I hope that helped and furthered so as not to confuse ya.
_________________________
Hillary For President!!! If you had peace, serenity and remember the Clinton years with content and joy, lets have that again America! Trust it's Hilliary, not Bill.
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#652073 - 02/18/08 03:03 AM
Re: Direct Scripts Fears
[Re: FrankienJonnie]
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liz558
Member
Registered: 04/12/05
Posts: 104
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I completely see your point now...I think I just assumed that the databases were not necessarily focused on state of origin, but mostly on doctor-shopping (like multiple rx's). So much for assuming!
When I read quickly through the link Sweetz gave me, I couldn't find specifically where they were earmarking the state that the rx came from. So I just thought that if they can only see, for example, that you are getting 90 per month from one source, then it would look similar to you getting rx'd from a local doctor.
If they do in fact see the state it's written in, then yes it's a major red flag for doctors. But if they just see the med/quantity/frequency then I just thought, what's the difference.
Of course, the doctor will probably want to know where you were getting your meds anyway, so I agree, either way you are branded. Thanks for your patience with me! If I find anything helpful I'll post it...
Liz
p.s. I hate that on top of everything else CPers must deal with this. I know everyone says it, but just had to say it again 
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