The first thing I want to say is THANK YOU to those of you who have responded to my first post since I became a member. Well, I went to my pain clinic thinking I was well-prepared with a possible plan of action. I have been going to this clinic for almost one year. I have only seen the actual doctor one time and that was the very first visit. He added the Fentanyl patch to my Norco treatment saying this was his choice because I work. Since that first visit I have only seen physician assistants. Well, I had made a couple of calls ahead of time to the clinic to explain my situation and the first response I got was that the doctor wondered how I had my prescriptions since I hadn't been seen in a while (which was approx. 2 months prior). I explained that I have been going every 3 months, get my prescriptions for 3 months, and then repeat the cycle. I was told to just keep my scheduled appt. since I explained that I thought I had enough patches to last until then. Okay, so, I was assuming that I would see the doctor due to the need for a new pain mgmt. plan. Well, I went and the receptionist was pleasant about me being seen without insurance or money. I assured her I would send a payment within 2 weeks. Well, I sat in the waiting room for an hour waiting to be seen. Usually, I get called back in a timely manner. Oh, but that was when I had insurance! So I get back there and I am assigned a "physician's asst." who I have never seen before. Backing up a little, I felt I was prepared because I had done some research on the internet and had downloaded a form to possibly get assistance for the Fentanyl from the manufacturer. I also researched pain meds and their prices. As one of my responders mentioned the drugs Methadone and Morphine were the exact 2 I had written down to mention to the doctor. The prices were a very affordable 17-20 dollars for Methadone and 48-72 for the Morphine. So, when I saw this woman I'd never seen before I first explained the form I downloaded. She said she would fill it out. Then I explained that I was concerned about the fact that I may not be approved for the assistance even if I submit the form. So, I told her about my research on prices, told her those 2 drugs, and asked if they could prescribe me one of those instead, She told me she would discuss it with the doctor and left the room. Upon returning, she asked me if I ever signed the drug policy and said they would need to do a drug test. I agreed to do both, and she left the room and sent the nurse to perform the test. I never saw her again. I asked the nurse if I would be responsible for paying for the test. I always knew I could be asked to take one but they had never asked me to submit to one prior to this visit (once again, when I had insurance). So anyway, the nurse said I would be responsible for the payment of the drug test. I asked her how much it would cost and much to my dismay she said it would cost $500,00!!!! I was so upset but was obligated to comply. So, I went back to the room and she said she would get a signature from the doc for my prescription. She came back and handed me a one month supply of Norco. They changed it from 3 per day to 4. I asked her about getting the form filled out and she said they wouldn't because they changed the Norco dose and the med plan was not going to include Fentanyl or either of the 2 drugs that were cheaper!!!! I'm in tears as I write this because I cannot believe that this is what I left the office with. I should've demanded to see the doctor but I don't always "think on my feet" and felt that I had to succomb to their demands I guess. Sometimes I feel like such a "pushover". How could a practicing physician disregard his patient's plead for a way to continue being treated so they don't have to suffer? For the assistant not to come back is absolutely appauling to me. I only saw the nurse and she really didn't act concerned for my dismay. Here they can see that I'm complying with all their rules and just throw me away like a used tissue. I have called twice since the visit and finally got a call back. It wasn't from the doc who I asked to speak to. It wasn't the asst. either.!!! I was told that the asst would be happy to see me this week. How dumb is that? I just went down there and she said she'd see me a week later!!!!! How can I afford a 500 dollar drug test, 2 visits in 2 weeks and my Norco? They also told me that I will not experience withdrawals from the Fentanyl because I'm still taking Norco which is an opiate. PLEASE if anyone can tell me if this will be the case let me know. I'm mentally preparing for sickness and praying for help dealing with this. I applied my last patch yesterday so time is of the essence. THANK YOU once again to those of you who respond.