blessedladyptl :- Pain Management Community -: Support Group

77Grace, I don't know anything about this new industry. But, it has grown so...

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Reply: Pain Management

CTBeth, Yes, it's Praise The Lord. Most people aren't as familiar with "ptl" as...

Posted by blessedladyptl

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Reply: I started a petition re DEA, pain meds, and us,

leejcaroll, Codeine #4 (Tylenol & 60 mg Codeine) is a Schedule III. The DEA...

Posted by blessedladyptl

leejcaroll,

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."

http://www.deadiversion.usdoj.gov/pubs/manuals/pract/section5.htm

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.

BlessedLadyView Thread

Posted byblessedladyptl

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Reply: Another View

Opal40, I found the Ameritox website for Florida drug tests ...

Posted by blessedladyptl

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Reply: The Cost

Opal40, I have a grown daughter who is on ADD medication (Schedule II) They have...

Posted by blessedladyptl

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Reply: I started a petition re DEA, pain meds, and us,

CTBeth, I was replying to a reply from Peskypain from 2 weeks ago where it stated...

Posted by blessedladyptl

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Reply: Pain Management

CTBeth, I got the links from the Georgia Medical Board website. I don't see any...

Posted by blessedladyptl

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Reply: I started a petition re DEA, pain meds, and us,

Peskypain, I just ran across this & you asked for the info, the link is at the...

Posted by blessedladyptl

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."

Pain Management Rules-
http://medicalboard.georgia.gov/sites/medicalboard.georgia.gov/files/Pain-Management-Rules.pdf

RULE 360-3-.06 PAIN MANAGEMENT
FREQUENTLY ASKED QUESTIONS
http://medicalboard.georgia.gov/sites/medicalboard.georgia.gov/files/related_files/site_page/Updated%20FAQs%20Pain%20Mangement%20Rules.pdf View Thread

Posted byblessedladyptl

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Reply: Pain Management

I forgot to include these. This is about chronic non cancer pain also, although the...

Posted by blessedladyptl

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Reply: Pain Management

-swank- The Georgia Medical Board issued New Pain Management Rules January 6, 2012....

Posted by blessedladyptl

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