77Grace, I don't know anything about this new industry. But, it has grown so rapidly and become so lucrative and all with no regulations or oversite. It seems that when tox screens are done by the Lab that is in a doctors office or a reputable hospital, the cost is more reasonable and the results are more accurate. But that's just my opinion. Maybe if people complained to places like the Better Business Bureau when they are charged over certain amounts, it might eventually make a difference. As long as people pay these amounts, nothing will change. They could also change doctors. The main problem is when the results are inacccurate and the doctor doesn't take the time to listen to his patient and do a retest. Then it is in your medical record. You have the right to include "your side" in your medical records. But trying to find a new doctor to take a patient because they had a positive drug screen is another obstacle.View Thread
Yes, it's Praise The Lord. Most people aren't as familiar with "ptl" as they were years ago.
I admire the drug holiday you've decided to take or rather what you have to go through for it. But, you will be better off for it, I believe. You are Blessed to have a good support system. I will be Praying for you.
I look forward to a private conversation about our common faith. I learned a long time ago to not force my beliefs on others. And when I got on the internet, I also learned that alot of people are very offended when someone says something like "Thank The Lord." I've often told others that I respect their choice of who they want to believe in, if anyone. And that my comments on my faith are just that my comments on my faith, I'm not trying to push the Christian Faith on anyone. So it is Very Nice to be a Member of a Community where things like this are viewed as they are intended a personal, individual choice.
Codeine #4 (Tylenol & 60 mg Codeine) is a Schedule III. The DEA website states "While some states and many insurance carriers limit the quantity of controlled substance dispensed to a 30-day supply, there are no specific federal limits to quantities of drugs dispensed via a prescription." It also states "Schedule III and IV controlled substances may be refilled if authorized on the prescription. However, the prescription may only be refilled up to five times within six months after the date on which the prescription was issued. After five refills or after six months, whichever occurs first, a new prescription is required."
I'm 59 and as far back as I can remember 5 refills was the max for Schedule III. I live in Louisiana. What is concerning me most about all of this, is when Hydrocodone (Lortab, Vicodin, cough meds, ect) becomes a Schedule II there will be more people suffering. Some may not have the money if their doctor's policy is to see Schedule II patients every 30 days especially if Labs are involved. With hydrocodone being a Schedule III up to 5 refills can be written, including the original rx being filled that a 6 month supply. But the main thing with the change in schedule is that the majority of Family, General and Internal Medicine doctors won't write a Schedule II for chronic use. Which in some ways I can understand, but in other ways I can't. For those without good insurance or with Medicaid in some states, going to a Pain Management MD is not a option. It isn't a matter of not going out on the weekend, it is a matter a having a roof over your head.
The cost of addiction is the only amount you see referred to on so many articles now. The cost of lost wages, broken families, rehab, recovery, ect. But what about the cost when it is someone who can no longer work or properly take care of their family because of the pain ? What about the cost in hospitals, rehab, ect when you fall and break something because the pain is so severe ? What about the cost to Medicaid when someone has to go into a nursing home because they can no longer take care of themselves because the pain has gone under treated or untreated for so long ? If anyone thinks this isn't a reality for many people then they need to get on their knees and Thank God for their Blessing Of Ignorance.
Opal40, I have a grown daughter who is on ADD medication (Schedule II) They have insurance now, but last year they did not. Her doctor does urine tests to see if the ADD meds are in your system and also to see if any other drugs are that aren't prescribed. I was with her at one of her appointments and I saw the copy of the lab report. I was also with her when she paid her bill and the cost for the urine test was $60.00. This doctor is not a specialists. Not sure if this helps, but thought I'd share it.
CTBeth, I was replying to a reply from Peskypain from 2 weeks ago where it stated "Not sure how long you have been seeing them but having a urine test every 90 days is not a DEA requirement at all.. I don't even think there is a state out there that has that as their law. (If you know otherwise in your state please show us a link" I remembered the post when I ran across the info.
This thread is in re to Federal Laws. But there is often confusion when it comes to Federal Laws and State Laws.
I've don't see anything wrong with the 90 days either. Or even with 30 days. When my pain was being managed I saw that doctor every 30 days and I often had to wait for 4-5 hours. I didn't mind because that was the only way I had of being able to get around.View Thread
CTBeth, I got the links from the Georgia Medical Board website. I don't see any problems either. I've just always been the type person that wanted to know what laws, rules, regs, ect actually said. No one is perfect and often things get lost when others state what they were told and/or read. Know what I mean ?
Peskypain, I just ran across this & you asked for the info, the link is at the bottom of this reply. The Georgia State Medical Board adopted these Pain Management Rules January 6, 2012.
These Rules are only in regards to Pain patients as is stated in the Q &A "The new rule applies to schedule II and III substances prescribed for pain or chronic pain" #4 Q & A. It also states "The rule states that the patient must be seen at least every 90 days when they are being prescribed chronic opiate therapy for 90 days or greater for treatment of chronic pain not for a terminal condition. This means that if you are prescribing the patient enough medication to therapeutically treat pain on a daily basis for 90 consecutive days you must see the patient once during the 3 months period of treatment and the patient should be checked for compliance during this evaluation. The patient may be seen more often than every 90 days. Evaluations for compliance may include pill counts, or interviews at the visit. It must include laboratory evaluation to include serum, sweat, urine or blood testing, but the laboratory evaluation must be done on a random basis." in #5 Q&A, link also at the bottom.
The part about the urine tests is on page 5, Rule 360-3-.06. Pain Management. "(d) "Monitoring" means any method to assure treatment compliance including but not limited to the use of pill counts, pharmacy or prescription program verification. Monitoring must include a urine, saliva, sweat, or serum test performed on a random basis."
The patient being seen at once every 3 months is on page 6 "(f) When prescribing a Schedule II or III controlled substance for 90 (ninety) days or greater for the treatment of chronic pain arising from conditions that are not terminal, a physician must have a written treatment agreement with the patient and shall require the patient to have a clinical visit at least once every three (3) months to evaluate the patient's response to treatment, compliance with the therapeutic regimen through monitoring appropriate for that patient, and any new condition that may have developed and be masked by the use of Schedule II or III controlled substances."