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Today, I got to see first hand how some of the bigger name pharmacies are handling the limits of opioids given in a prescription. Some of these was outlined in the CDC guidelines from last year. It really boiled down to Acute vs Chronic pain patients.
I went to refill my Oxycodone IR 5mg 150/ct. No problem, I received the entire amount. However, right before me in a line was a gentleman perhaps a few years younger than me. He was filling a script for an opioid ( I did not know which one), but the pharmacy technician they could fill only 1 week supply instead of the full amount. The man questioned this and spoke with the pharmacist. He said he had a fall and his doctor prescribed him 30 days of XYZ 3 times a day. The discussion went around for a while and the bottom line, was that script was for an acute problem, and the company guidelines now say 7 days maximum limit. The man was fine, because he said IF he needs more than one week, he is sure his doctor will write another script, but this time for a smaller amount,
Now my script is written such that I can take up to 5 pills a day for moderate to severe pain. No where is there any indication that the script was written for a chronic pain patient. However, since I've been dealing with this same pharmacy for over 10 years, the all know me and iit was always the same prescribing doctor. I dont know if that made a big difference, but the pharmacist told me Yes. She told me that for customers that are new or they dont know, many times, they need to call the doctor to understand the condition and the prescription.
I dont know if this is the way things are going to happen in 2018, but it does seem in this section of CT (outside of Danbury) at least one pharmacy chain has already started this new procedure.