Arizona C50

The official twitter account for the Arizona C50 DREAM TEAM!

[Arizona C50 @ArizonaC50]

@DKirchenbauer @miseriavolare @ChadDKollas Look into asking for a tier exception. I had to do that with 2 of my meds that changed. Got both approved, but had to be sure the FDA approved diagnosis was used. The off label prescribing that's done won't cut it, even if it's been used for a condition for ages.

[Arizona C50 @ArizonaC50]

@USAFmedicVET #RedCaps are easily visible when picked up/during consult, easily spotted in general. It does nothing to stop OD, but does violate privacy, safety, increase stigma, etc for taking it. This was part of the AZ opioid act laws that need changed to protect & help patients, providers

[Arizona C50 @ArizonaC50]

SB1254 needs folks to RTS in support of the bill. It removes the redcaps. They uphold stigma, make patients targets, identify bottles as containing opioids. https://t.co/h9qKlQ3C7U need to have an account, but there's instructions on the site. https://t.co/myTpBBZNsI

[Arizona C50 @ArizonaC50]

@USAFmedicVET https://t.co/I4AiI5wKx6 to search all bills https://t.co/NQ2izo2PBM introduced bill. The bill eliminates that #RedCaps are required. Patients haven't been followed, harassed, robbed, denied easy open caps, have cap placed on non opioid meds, etc due to this law.

[Arizona C50 @ArizonaC50]

@AccPharmacist /2 System counts days starting the day after pickup. Do you fight to override? Why do you think preference to fill few days prior b4 day 30? Wouldn't that give time to resolve b4 meds are out? Or is it ok to be cutoff because of systemic dates, supply/insurance issues?

[Arizona C50 @ArizonaC50]

@AccPharmacist F/u q: release day 30 how do you handle insurance/supply chain issues? Do you process in advanced & hold impacting PDMP & systemic dates that govern? Rx sent b4 date is there look ahead to order/hold meds to have supply/resolve issues? What's "early"? /1

[Arizona C50 @ArizonaC50]

@KatTwisted @NancyBarto Yes! Then acute injury over chronic that has both causing problems gets downplayed as to severity. It's as if once pain exists any more is ok to just manage as is & not treat. That creates more medical issues. Waste time & $ resources for all. Need laws to help, not harm.

[Arizona C50 @ArizonaC50]

@NancyBarto @KatTwisted It shouldn't. Ex: fights over a pill v liquid form of Rx there's an issue. Many times it's lack of medical understanding & profit margin driven. We're having alternative & interventional Tx pushed, but often it's either not covered or unaffordable. Glad to hear you could help!

[Dr. Glaucomflecken @DGlaucomflecken]

Somebody on here told me that because I died briefly my student loans should have died with me and now I can’t stop thinking about it

[Arizona C50 @ArizonaC50]

Call from pharmacist: PM Dr said about plan to taper & pharm wants clarification so scrips can be filled. So that'll cause confusion & mayhem unnecessarily. Consider this a reminder to try to work w/pharm & they may help. Liability shouldn't be fully on providers if risks noted.

[Arizona C50 @ArizonaC50]

Advised Walmart had recent policy change. Trying to find out full info. So far: want full PM info, plan to taper off or will refuse to fill. Anyone else experiencing/learning about this? This isn't good for patients & is ultimately harmful to many, especially rural communities.

[Arizona C50 @ArizonaC50]

@headdock @AjayManhapra @LesterJMilton @hope411adcock @CanadaPain @PlayLynny4U @TerriMe3 @vendingcomics @CRPSisaRealPain @PTSDAdvocate @TrumpWontWork @SpicyPurritos @secondchances09 @Chrissy_8675309 @Nashkitty66 @bob69hesperia @HowardWill5 @MdParangi @PondMichael @Bilked2TheBrink @KatTwisted @aander1987 @FollowingForFu2 @newhickschick @Deeenst @StephenDoheney @EmmaleeLang @TamiLCaldwell1 @Elianok10 @CContrarus @national_pain @kris_lovaas @AdamGentry2021 @andrew_massena @elizabe50286054 @Irishbrat1966 @life_is_art___ @Pine_Mtn_Girl @JonelleElgaway @fightpaindaily @buck_shirley @prettycoco23 @Mia_Beotch @ThomasKlineMD @cannonarsenal @RobertC94894966 @NANNETTENERENB1 @EndPainStigma @donnelsonguy @teer4health If they're able to function/manage without & freely choose to do so that's one thing. My concern comes with applying the "they do it so you can do it" thought to everyone as well as blocks to treatments out of patient control that many don't realize exist as to why no txmnt.

[Arizona C50 @ArizonaC50]

@AjayManhapra @headdock @LesterJMilton @hope411adcock @CanadaPain @PlayLynny4U @TerriMe3 @vendingcomics @CRPSisaRealPain @PTSDAdvocate @TrumpWontWork @SpicyPurritos @secondchances09 @Chrissy_8675309 @Nashkitty66 @bob69hesperia @HowardWill5 @MdParangi @PondMichael @Bilked2TheBrink @KatTwisted @aander1987 @FollowingForFu2 @newhickschick @Deeenst @StephenDoheney @EmmaleeLang @TamiLCaldwell1 @Elianok10 @CContrarus @national_pain @kris_lovaas @AdamGentry2021 @andrew_massena @elizabe50286054 @Irishbrat1966 @life_is_art___ @Pine_Mtn_Girl @JonelleElgaway @fightpaindaily @buck_shirley @prettycoco23 @Mia_Beotch @ThomasKlineMD @cannonarsenal @RobertC94894966 @NANNETTENERENB1 @EndPainStigma @donnelsonguy @teer4health I'd think that would be of concern. Why don't they? Unavailable due to cost, non existent in their areas, no insurance coverage, refusal to treat, etc? Functioning w/pain at any level is usually done out of necessity. It's not an ideal or wanted. Or I hope it isn't.

[Dr. Michael Schatman @headdock]

@SarahSaysWhatev @PlayLynny4U @TerriMe3 @vendingcomics @CRPSisaRealPain @PTSDAdvocate @hope411adcock @TrumpWontWork @SpicyPurritos @secondchances09 @Chrissy_8675309 @CanadaPain @Nashkitty66 @bob69hesperia @HowardWill5 @MdParangi @PondMichael @Bilked2TheBrink @KatTwisted @aander1987 @FollowingForFu2 @newhickschick @Deeenst @StephenDoheney @EmmaleeLang @TamiLCaldwell1 @Elianok10 @CContrarus @national_pain @kris_lovaas @AdamGentry2021 @andrew_massena @elizabe50286054 @Irishbrat1966 @life_is_art___ @ArizonaC50 @Pine_Mtn_Girl @JonelleElgaway @fightpaindaily @buck_shirley @prettycoco23 @Mia_Beotch @ThomasKlineMD @cannonarsenal @RobertC94894966 @NANNETTENERENB1 @EndPainStigma @donnelsonguy @teer4health @JPainResearch Read my work more carefully, Sarah. There's no such thing as a "high dosage"; rather, each patient benefits from a dosage that's optimal for him or her. I've been professing this publicly for decades.. You're assuming, lumping and insulting ME, Sarah! 😉

[Arizona C50 @ArizonaC50]

@KatTwisted @CRPSisaRealPain @TrumpWontWork @hope411adcock @newhickschick @PhilipFDaniels1 @TerriMe3 @aander1987 @secondchances09 @vendingcomics @Chrissy_8675309 @SpicyPurritos @Nashkitty66 @bob69hesperia @HowardWill5 @MdParangi @PondMichael @Bilked2TheBrink @headdock @FollowingForFu2 @CanadaPain @Deeenst @StephenDoheney @EmmaleeLang @TamiLCaldwell1 @Elianok10 @CContrarus @national_pain @kris_lovaas @AdamGentry2021 @andrew_massena @elizabe50286054 @Irishbrat1966 @life_is_art___ @Pine_Mtn_Girl @JonelleElgaway @fightpaindaily @buck_shirley @PTSDAdvocate @prettycoco23 @Mia_Beotch @ThomasKlineMD @cannonarsenal @RobertC94894966 @NANNETTENERENB1 @EndPainStigma @donnelsonguy @teer4health @Tamara66949263 @MaryinKansas If the Dr believes it's required by law to prescribe biweekly they've misunderstood. They can prescribe monthly, including non PM Dr, so long as they consult w/PM or the service indicated in the statute. This practice increases scrip # which feeds the whole #/person metric mess.

[Arizona C50 @ArizonaC50]

@KatTwisted @vendingcomics @Chrissy_8675309 @hope411adcock @SpicyPurritos @Nashkitty66 @bob69hesperia @HowardWill5 @MdParangi @PondMichael @Bilked2TheBrink @headdock @aander1987 @FollowingForFu2 @CanadaPain @secondchances09 @newhickschick @Deeenst @StephenDoheney @EmmaleeLang @TamiLCaldwell1 @Elianok10 @CContrarus @national_pain @kris_lovaas @AdamGentry2021 @andrew_massena @elizabe50286054 @CRPSisaRealPain @Irishbrat1966 @TerriMe3 @life_is_art___ @Pine_Mtn_Girl @JonelleElgaway @TrumpWontWork @fightpaindaily @buck_shirley @PTSDAdvocate @prettycoco23 @Mia_Beotch @ThomasKlineMD @cannonarsenal @RobertC94894966 @NANNETTENERENB1 @EndPainStigma @donnelsonguy @teer4health @Tamara66949263 @MaryinKansas @lakeparkcpl There's nothing in the AZ laws that prevent prescribing those concurrently. It's the misinformation/misunderstanding causing fear from DEA, medical board, etc. 4 frosting from standard of care. 2nd search box to search current laws: https://t.co/vU7Aa8wjQf

[Arizona C50 @ArizonaC50]

@TiaRachel @whiffen_melissa @SanhoTree @GhanaboyPharmd You're remembering right. If it doesn't seem to last the timeframe increasing strength isn't the same as increasing frequency. Some of us don't have long acting actually reach long acting. Glad you're getting break thru meds.

[Arizona C50 @ArizonaC50]

@DrDavid_IDEM That coincides when they enacted the opiate act. Not surprised. As there was an immediate, drastic drop in scrips the 1stmo w/bit of correction the 2ndmo after the laws went into effect. Thanks so much!

[Arizona C50 @ArizonaC50]

@DrDavid_IDEM No worry.... When you get it works. You need time to recharge!

[Arizona C50 @ArizonaC50]

@DrDavid_IDEM Very interested to see how these compare to each other & in relation to the one you already did for Pima. This is very much appreciated!

[Arizona C50 @ArizonaC50]

@DrDavid_IDEM Maricopa county (Phoenix) & Pinal county (San tan valley) AZ. Thanks so much!