Aa
Broken pain contract
Hello all,
I have a question.....My wife and I both see the same PM doctor. We have been going to him for around 18 months. We are both treated by him for lower back pain. My wife experiences more pain than I do however my pain is very strong. The Dr prescribes us both the same med. We are both prescribed Oxycodone 30Mg IR tablets. Both prescribed 12 per day and given 360 pills per month.
Now here is where my question comes in. We are both on a pain contract with this doctor. Well about 9 months ago the doctor had my wife on oxycodone 15 Mg pills. 2 weeks after she was given these she contacted the DR and they discussed the medication and he decided he would up her strength. So I happened to be at the pharmacy picking up my medication and was discussing this with the pharmicist. He told me to make sure not to flush the remaining medication. He told me how to properly dispose of the medication she was being taken off. So that night after she took her last dose I properly wasted the remaining medicine. The following day she went to pick up her new script and the DR asked her for the remaining 15mg med. She informed him on the discussion I had with the pharmacist and what I had done. He then got angry with her and told her he was placing A strike against her contract because I had disposed of the medication.
While that bothered us we accepted it and moved on. That brings me to today...... A while back I had a discussion with the DR about getting this medication from the pharmacy and how they rarely have it in that amount. So we are either stuck waiting 5 days until the pharmacy gets the meds or go somewhere they have it. So..... last week we were out of town for a funeral. While gone my wife somehow misplaced her makeup bag with her medication in it. SO rather than tell me she just figured she would tough it out because she was due for a refill in 11 days. After a day without her meds she felt ill. She figured it was because she had this med for so long and was going without it. SO she phoned in to the DR and left a message on the refill line. That day the DR refilled her prescription.
Later the same day she called the pharmacies and located one of the local places with enough in stock to fill the script. She knew the ins would not cover it so she told the pharmacy she was paying cash. Well a few minutes go by and they come back and hand her the script and said.... It is too soon to get this filled. You still have 11 days on your old script. She said ok and left. Well she decided to take it to the other local pharmacy we go to and explained to the pharmacist she was out of her meds and how she lost her old bottle. She asked them to fill it and allow her to pay cash. He said he would like to but he better not. So he suggested she take it to a pharmacy where they did not have her information for the ins. Just as she was leaving the nurse from our primary called in with a script for another person. The pharmacist asked her if it would be ok to fill the script a few days early. The nurse said the other pharmacy already called in and told them my wife was trying to fill early. They told her to come in and see the DR the next day.
So the next morning she went into the DR office and the first thing he said to her is..." so your over using your medication huh?" she explained it had nothing to do with her overusing the meds.... she had lost her bag and the meds were in it. He told her he needs to void her contract due to her misplacing her meds. He then told her he would not write her any more of the pain meds. He instead wrote her a script for Methadone... to be taken 3 times a day for 7 days. And she has to come in every week to pick up a new 7 day supply for this med. He also told me I would not be getting a refill for my oxycodone because we live in the same house and she could steal mine so we needed to be on the same drug.
I went in to see him the next day and he asked my wife..."does he take this as prescribed?' she told him I did and he said... ok I will write you a 3 week supply only if your wife comes in for a drug test once a week. She agreed and we left. Well after a week on the methadone she phoned the DR today and asked him to reconsider her meds. She explained that she would come in weekly if needed so he could monitor her meds. The DR told her... I do not want to keep you on the oxy because I could lose my license. He said the pharmacy wanted to turn her in to the DEA and he told them not to.
What I do not understand is first... how she broke the contract. On the contract it says lost or misplaced medication will not be replaced. It does not say it voids the contract. Second what she did for the pharmacy to turn her in to the DEA? This whole situation is killing her. She has been bed ridden and this new medication is giving her NO relief from the pain. She is in a very tough spot right now and were looking for advise. Is there anything we can say to this doctor to change his mind? He says he wants us to both continue with his practice because he really likes us and does not want to see us leave. SO why is he giving her Methadone if he cant continue her on the medication that was working..... HELP
I have a question.....My wife and I both see the same PM doctor. We have been going to him for around 18 months. We are both treated by him for lower back pain. My wife experiences more pain than I do however my pain is very strong. The Dr prescribes us both the same med. We are both prescribed Oxycodone 30Mg IR tablets. Both prescribed 12 per day and given 360 pills per month.
Now here is where my question comes in. We are both on a pain contract with this doctor. Well about 9 months ago the doctor had my wife on oxycodone 15 Mg pills. 2 weeks after she was given these she contacted the DR and they discussed the medication and he decided he would up her strength. So I happened to be at the pharmacy picking up my medication and was discussing this with the pharmicist. He told me to make sure not to flush the remaining medication. He told me how to properly dispose of the medication she was being taken off. So that night after she took her last dose I properly wasted the remaining medicine. The following day she went to pick up her new script and the DR asked her for the remaining 15mg med. She informed him on the discussion I had with the pharmacist and what I had done. He then got angry with her and told her he was placing A strike against her contract because I had disposed of the medication.
While that bothered us we accepted it and moved on. That brings me to today...... A while back I had a discussion with the DR about getting this medication from the pharmacy and how they rarely have it in that amount. So we are either stuck waiting 5 days until the pharmacy gets the meds or go somewhere they have it. So..... last week we were out of town for a funeral. While gone my wife somehow misplaced her makeup bag with her medication in it. SO rather than tell me she just figured she would tough it out because she was due for a refill in 11 days. After a day without her meds she felt ill. She figured it was because she had this med for so long and was going without it. SO she phoned in to the DR and left a message on the refill line. That day the DR refilled her prescription.
Later the same day she called the pharmacies and located one of the local places with enough in stock to fill the script. She knew the ins would not cover it so she told the pharmacy she was paying cash. Well a few minutes go by and they come back and hand her the script and said.... It is too soon to get this filled. You still have 11 days on your old script. She said ok and left. Well she decided to take it to the other local pharmacy we go to and explained to the pharmacist she was out of her meds and how she lost her old bottle. She asked them to fill it and allow her to pay cash. He said he would like to but he better not. So he suggested she take it to a pharmacy where they did not have her information for the ins. Just as she was leaving the nurse from our primary called in with a script for another person. The pharmacist asked her if it would be ok to fill the script a few days early. The nurse said the other pharmacy already called in and told them my wife was trying to fill early. They told her to come in and see the DR the next day.
So the next morning she went into the DR office and the first thing he said to her is..." so your over using your medication huh?" she explained it had nothing to do with her overusing the meds.... she had lost her bag and the meds were in it. He told her he needs to void her contract due to her misplacing her meds. He then told her he would not write her any more of the pain meds. He instead wrote her a script for Methadone... to be taken 3 times a day for 7 days. And she has to come in every week to pick up a new 7 day supply for this med. He also told me I would not be getting a refill for my oxycodone because we live in the same house and she could steal mine so we needed to be on the same drug.
I went in to see him the next day and he asked my wife..."does he take this as prescribed?' she told him I did and he said... ok I will write you a 3 week supply only if your wife comes in for a drug test once a week. She agreed and we left. Well after a week on the methadone she phoned the DR today and asked him to reconsider her meds. She explained that she would come in weekly if needed so he could monitor her meds. The DR told her... I do not want to keep you on the oxy because I could lose my license. He said the pharmacy wanted to turn her in to the DEA and he told them not to.
What I do not understand is first... how she broke the contract. On the contract it says lost or misplaced medication will not be replaced. It does not say it voids the contract. Second what she did for the pharmacy to turn her in to the DEA? This whole situation is killing her. She has been bed ridden and this new medication is giving her NO relief from the pain. She is in a very tough spot right now and were looking for advise. Is there anything we can say to this doctor to change his mind? He says he wants us to both continue with his practice because he really likes us and does not want to see us leave. SO why is he giving her Methadone if he cant continue her on the medication that was working..... HELP
I am on a pain contract. You cannot get your meds early for no reason and never receive the same med from another Doctor. The pharmacist who told you to waste them was wrong. It has to be disgraded by the pharmacist or the doctor in front of you. One a pain contract has been violated your doctor will never order Amy more narcotics.
I think she just called her refill in early and he wrote it. It seems as if he did not even look at his records to see it was early. The odd thing is about this doctor giving that high of a dosage... I know another person he treats who is on the same dose.... When he wrote me my script that last time he said to me..... " now your on this medication for your dental pain" I told him....No Doc for my back pain from my car accident. He did not even know why he had me on this medication. IS that not ODD? So to sum it up... He must have wrote her script without even looking. As for that high dosage.... I really do not know why he has us up that high. He had me at 6 a day and when I told him it was not working the whole day he doubled it. I am honestly puzzled why he would be giving her the methadone if he wont write he the oxy. She even asked him to help her wean off the oxy... he does some odd things. Thanks for your reply
Hi,
I am so sorry you and your wife are going through this. I have to say that the amount your both prescribed is very high. I have never heard of anyone taking 12 30mg oxycodone a day. I am really surprised at the amount the Doctor is giving you.
That said the Doctor does have the right to discontinue treatment if he feels you broke your contract. What I do not understand is you said your wife called in for an early script and the Doctor refilled it. So why did he not tell the Pharmacy he did authorize the early refill as he did refill it?
The Pharmacy can refer anyone over to the DEA, I suspect the reason they wanted to do so was the unordinary high amount she was taking and then needed an early refill. the fact that she lost her pills and the Doctor did refill it early was lost by someone.
I do not think the Doctor will change his mind as he said he can lose his license. I have to wonder if he is under investigation with the amount you two were prescribed. I am not saying you are wrong or your wife with taking that amount as it was prescribed to you but understand that amount is really unheard of.
If he refuses to treat your pain or your wife's then it may be time to find a new Doctor. Be aware though I do not see another Doctor prescribing that amount.
As far as her breaking the contract I can't see where she did as the Doctor did refill the medication early.
Normally when a paitent breaks the contract the Doctor will not prescribe anything at all. I am surprised the Doctor did give her the methadone.
Please do not misunderstand me, I am not ridiculing you for the amount of medication your taking just pointing out it is a very large amount.
Normally a pain management Doctor will prescribe a long acting medication with a break thru medicine.
I suggest your wife speak to him in person and explain that HE did refill it early and the pharmacy should have been told so.
I hope things work out for you both:)
I am so sorry you and your wife are going through this. I have to say that the amount your both prescribed is very high. I have never heard of anyone taking 12 30mg oxycodone a day. I am really surprised at the amount the Doctor is giving you.
That said the Doctor does have the right to discontinue treatment if he feels you broke your contract. What I do not understand is you said your wife called in for an early script and the Doctor refilled it. So why did he not tell the Pharmacy he did authorize the early refill as he did refill it?
The Pharmacy can refer anyone over to the DEA, I suspect the reason they wanted to do so was the unordinary high amount she was taking and then needed an early refill. the fact that she lost her pills and the Doctor did refill it early was lost by someone.
I do not think the Doctor will change his mind as he said he can lose his license. I have to wonder if he is under investigation with the amount you two were prescribed. I am not saying you are wrong or your wife with taking that amount as it was prescribed to you but understand that amount is really unheard of.
If he refuses to treat your pain or your wife's then it may be time to find a new Doctor. Be aware though I do not see another Doctor prescribing that amount.
As far as her breaking the contract I can't see where she did as the Doctor did refill the medication early.
Normally when a paitent breaks the contract the Doctor will not prescribe anything at all. I am surprised the Doctor did give her the methadone.
Please do not misunderstand me, I am not ridiculing you for the amount of medication your taking just pointing out it is a very large amount.
Normally a pain management Doctor will prescribe a long acting medication with a break thru medicine.
I suggest your wife speak to him in person and explain that HE did refill it early and the pharmacy should have been told so.
I hope things work out for you both:)
Have an Answer?
You are reading content posted in the Pain Management Community
Find out how beta-blocker eye drops show promising results for acute migraine relief.
Could it be something you ate? Lack of sleep? Here are 11 migraine triggers to look out for.
Find out if PRP therapy right for you.
Tips for preventing one of the most common types of knee injury.
Here are 10 ways to stop headaches before they start.
Tips and moves to ease backaches
