@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.
@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
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
@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.
@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?
@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
@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.
@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!
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.
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.
@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.
@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!
@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!