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Old 03-05-2005, 12:45 PM
JEFF12345 JEFF12345 is offline
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Default Please give me your opinion about prescription drug database for narcotics.

The state legislature, and the law and order type Republicans in Alabama has started a prescription drug database that will go into effect in Jan. 2006.
Here is the deal. When you go to the doctor and get a prescription for ANY controlled substance and you go to get it filled, the doctors name DEA # and your name and date of birth, and the drug and it's schedule, will go into a central database at the department of health in Montgomery.

The purpose of this database is to prevent so called "doctor shopping" and to be able to moniter what controlled substances the patient is getting and moniter the prescribing habits of physicians. Under the new law the doctor and the pharmacist are the only ones that are suspose to be able to put your name and date of birth in the database and see what controlled substances you have been prescribed in the past year. Law enforcement IS NOT suspose to have access to this database UNLESS they are currently working on a prescrption drug case and they first obtain premission from the State Health Department. The prescribing habits of doctors will be available to law enforcement also, by them simply putting in the doctors name and DEA # and every controlled substance that has BEEN FILLED IN ALABAMA will be available to them.


Ok here is where I see a problem. Doctors will be reluctant to write a prescription for ANY controlled substance even for legitimate patients if they think that BIG BROTHER, the DEA and the State Medical Board is looking over their shoulders at every controlled substance they write. What will happen when granny needs her pain medication for her cancer pain? What will happen when John Doe, who has chronic back pain needs medication? Doctors will be very reluctant to write it. Does any of you think for one minute that some overzealous narcotic cop is going to take the time and trouble to go to the state health department to get premisson to look at a doctor's controlled substance precscription prescribing habits, if he can see a promotion or a feather in his cap by busting some well to do physician? He will just go to the local pharmacy and intimidate the pharmacist into pulling the records up for him, and if you think for one minute that they will not start pulling up the records of every person that they have questions about or who fails a drug test.

My concern is a privacy issue, and if granny will be able to get her legitimate medicine, and that physicians will not prescribe medication to legitimate patients for fear of being arrested.

Ok here is the loophole: The law states that all prescriptions for controlled substances filled in Alabama must be reported to the database and indexed by the doctors DEA # and name and the patient name and date of birth. If it becomes a problem where granny can't get her legitimate pain medication, and doctors start getting busted for their prescribing habits, in my opinion, this is what needs to happen. Groups like the AARP, and the ACLU needs to get the name and address of every physician in Alabama that hold a controlled substance license and simply tell them this: Write the prescription to your patient for the controlled substance and then the doctor mail the RX to an OUT OF STATE pharmacy, along with the CO-PAY for insurance, provided by the patient, and have it mailed by federal express to the patient. A lot of people already use mail order pharmacies for all of their prescriptions.
You see the Alabama law states that all prescriptions FILLED in Alabama have to be reported. If the doctor will do it this way, or the patient for that matter, Big Brother will never know what is going on. In other words, the nosey Republicans that passed this law, the same ones that made sex toys illegal to sell in the state of Alabama, will not be able to get their beady little eyes on the doctor and patient records, and there is nothing illegal about it. How do you people feel about this invasion of privacy by the State of Alabama??? Comments???
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Old 03-05-2005, 01:20 PM
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I just had to respond to this one.
I think our rights are slowly being taken away from us and if enough people don't get togeather and fight the system they are going to continue to take more rights away.
You would think the gov. would be to busy to set up a program like that.
the government borrowed social security money because at one time there was so much money THEY decided to use it for differernt things. They never bothered to ask us what we want.
the legal system is getting out of hand and its time the people fought back.
some people do need drugs for pain control.
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Old 03-05-2005, 01:52 PM
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They already have this system in Ohio. Every time I go to the Pharmacy I have to wait forever to get my meds. I take a pretty good dose of Oxycontin each day, so each month it's the same old stuff. Every 6 months I get evaluated for the necessity of the dose, and so far it can't be decreased. I have a great doc who keeps up on the paperwork, which means less hassle for me, but it's still a pain to get the meds. As a healthcare worker, I've seen DEA lead alot of nurses out of facilities, so it's a good watchdog in areas where the doctor shopping and addiction are problems.
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Old 03-05-2005, 02:56 PM
JEFF12345 JEFF12345 is offline
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Quote:
Originally Posted by rottndobelover
They already have this system in Ohio. Every time I go to the Pharmacy I have to wait forever to get my meds. I take a pretty good dose of Oxycontin each day, so each month it's the same old stuff. Every 6 months I get evaluated for the necessity of the dose, and so far it can't be decreased. I have a great doc who keeps up on the paperwork, which means less hassle for me, but it's still a pain to get the meds. As a healthcare worker, I've seen DEA lead alot of nurses out of facilities, so it's a good watchdog in areas where the doctor shopping and addiction are problems.
But you know if the doctors are afraid to even write the rx for legitimate people who need it, for fear the DEA is going to be looking over their shoulder each time they pick up the pen to write a scheduled rx, then they seem to force a legitimate pain patient to go doctor shopping. Here is the bad part. Lets say the doctor agrees to write the rx, but he still has that thought the DEA is watching every move he makes, and writes the rx for a smaler doseage than the patient really needs, or writes it for a liomited number of tablets. That patient is going to go and find another doctor that WILL give them the right doseage, and hence we have "doctor shopping", and as Alabama has it on the books, it is a felony. Like I said, the only choice I see is for the ACLU and AARP to educate the doctors on writing the rx for what amount the patient really needs and then HE himself mail it to an out of state LEGITIMATE, mail order pharmacy, that is not governed by the laws of the state of Alabama. I bet they look at you like they are guarding Fort Knox, and you are a robber trying to make off with all the gold whenever you go to get your oxycontin refilled. The way this law is written here, lets say that JOHN Q> PATIENT goes to the doctor for the flu and gets an antibiotic and a hydrocodone containing C III cough syrup, it goes in the database under one doctors name, he has arthritis and goes to his pain specialist and they give him lortab, it goes ion the database under that doctors name. Two months later he has a tooth pulled and they give him a few Percodan, it goes in under that doctors name. Well John Q. Patient isn't going to realize he just got 3 of the same narcotic from 3 different doctors in 2 months period of time. Rest assured the database will flag it, and some narcotics cop with nothing to do will pay him a visit. The privacy issue and doctor patient confidentiality is now a thing of the past. Senator jeff Sessions of Alabama tried to introduce a National Prescription Database, but it died in committee, because the democrats saw that patient privacy would be violated. Like I said, the best way to get around it, if you do not want Law Enforcement snooping in your medical redcords is to use an out of state pharmacy to fill it. Seems to me like it is a lot of trouble just to give the Republicans another so called front on the war on drugs.
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Old 03-05-2005, 03:10 PM
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Many physicians are used to being under the watchful eyes of their malpractice insurance companies so if they are on the up and up and are issuing legitimate prescriptions, then the likelihood that they are constantly concerned about the DEA is low. The things the system will be flagging are if patient Doe gets OxyC at RiteAid from Dr Smith this week, OxyC at Walgreens from Dr Jones next week and then some more at the local pharmacy the week after that that were prescribed by Dr Anderson. I do NOT agree with it, but if you and your doc are on the up and up, the bigger concern is likely to be the hassles you have getting you script filled instead of worrying about the DEA looking for you or granny.
Just my two cents.
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Old 03-05-2005, 03:54 PM
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[quote=MrsBenji]Many physicians are used to being under the watchful eyes of their malpractice insurance companies so if they are on the up and up and are issuing legitimate prescriptions, then the likelihood that they are constantly concerned about the DEA is low. The things the system will be flagging are if patient Doe gets OxyC at RiteAid from Dr Smith this week, OxyC at Walgreens from Dr Jones next week and then some more at the local pharmacy the week after that that were prescribed by Dr Anderson. I do NOT agree with it, but if you and your doc are on the up and up, the bigger concern is likely to be the hassles you have getting you script filled instead of worrying about the DEA looking for you or granny.
Just my two cents.
Jenn[/QUOT

I am not afraid the DEA would be looking for me or granny. I am afraid that the doctors will cut down alot on what medication they write for fear of the DEA looking over their shoulder, and not just the DEA, the State board of medical examiners. If you were a doctor and knew that every controlled substance that you wrote would be subject to review at the touch of a few computer keys? You see thse doctors are not use to being second guessed. They have heard the stories of doctors being ARRESTED by the DEA for their prescribing habits. It only stands to reason that they will think twice, and twice again before they write a patient who may very well need the medication the controlled substance, because they have already written 2 that day and 10 for the week and here it is Friday morning and they still have 20 more patients to see. Get my point? I do get your point on the patient doctor shopping, but if he is going to be doing that, then he will be smart enough to send that 2nd and 3rd oxycontin rx he gets to an out of state mail order pharmacy to get filled to avoid that trap. My whole concern is the privacy issue. The republicans, who have led this movement, in the 17 states that has this monitering program, are sacraficing privacy just so they can add another front to their so called war on drugs. You let enough of these so called soccer moms are are on valium and xanax start getting turned down by their doctor, or him limiting the number of tablets he gives, reduces the strength, gives no refills, and put that together with granny not getting the pain medication she needs, and they find out WHY that is happening. I would think you would see a backlash. Have you been to the DEA's web site and looked at some of the reasons they pull a doctor's license? Go to your own states web site of the State Board of Medical Examiners and look at the reasons they either revoke, suspend, or limit some of thse doctor's license.
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Old 03-06-2005, 12:56 PM
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I think it will help with some people like my ex who jumped for doc to doc to get pain meds. I suppose in his mind he thought it was OK to be addicted to pain pills because the docs where giving them to him instead of him buying them from the streets.
I thought about how they could could cut down on this when I found all the bottles of pain pills at his house from differnt doctors, and it does seem good to have this on record for the ones who go like Mike did from doctor to doctor getting pain pills.
But there needs to be a way that the ones who need the pills for pain to not be a probelm. And some doctors need to be in fear of writing too many Rx, I went the other day for pain to urgent care and with telling them I was having pain (which I was worse pain next to labor) he wrote me a pain pill Rx and some other stuff. He wrote the pain pills for 20! Now I know how easy it was for Mike to get his pain pills at 20 each from diffent docs. THese are just my thoughts. I think it has good points and some things that need to be worked out too.
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Old 03-06-2005, 01:25 PM
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I think its a wonderful idea!! Hopefully Ga will follow in there footsteps!

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Old 01-22-2013, 06:04 AM
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I was indicted in May, here in Alabama, for "doctor shopping". I had gotten over-lapping scripts for chronic back pain. I have a pinched sciatic nerve at L,4 and L,5. My Primary doctor at the time called me in February and advised me the cops were investigating me, etc. I was not worried, because I had legitimate scripts. I had asked him to send me to a pain management doc, but he said he could handle my pain care needs. He would not prescribe me enough meds to last, so I went to a pain management doc on my own. My insurance does not require a referral. Because these two doctor's scripts over-lapped, I was charged with this falsified crime. No where in the Code of Alabama is it clearly defined for doctor shopping as a crime. I was charged under 13A-12-212. This law is vague and ambiguous at best. I was held for 14 days without an arraignment. I could not afford a lwayer, so one was appointed to me. I did not meet him until I got out on bond. Bond was set at $12,500. I broke my arm, while in jail and was denied medical attention. I was placed in a solitary confinement cell with the Aryan Brotherhood and was assaulted by them after they were told by a trustee that I was an ex-cop. I am retired. The police department in the city I live in has been after me since 2006. They cost me my law 20 year law enforcement career by accusing me of a crime I did not commit and was later exonerated of, but had already lost my career. The same cop that pursued me on that charge finally got me on this charge. The piece of crap appointed lawyer asked me what happened and I told. He said, "Well then, you are guilty. You knew this was illegal" I did not see how seeing as how I have real problems. I already have titanium plates in my spine from a fractured C,3 C,4 C,5. The kicker to all of this is that the doctor that told me the cops were investigating me is the one who ratted on me. He checked the "database" and saw where I was getting Norco (90) from the other doc and Lortab 10 from him (30) at a time. They said it was my duty to inform one doctor of the other doctor. The law does not state anywhere that it is my responsibility to inform anyone. I did not sign a consent form for him to check this "database" in the first place. Most doctors have you sign these consent forms now before they will treat you. I wound up pleading in September to four counts and got 3 years of probation and never have been in trouble with law, per se. I have to report to a probation officer every month and all that crap, but do not have to take drug tests because the Judge admitted I have legitimate problems and I have to limit myself to one doctor. I have become dependant on these drugs to survive. I have decided to have surgery on my back, again. I think I should appeal this outcome because I feel I was railroaded and still feel I am under constant surveillence. Now, I cannot vote (while on probation) and cannot possess firearms (ever) because of this vindictive cop. The scripts I got for the Norco was actually filled in another city and county, not covered by this circuit. So, I was actually convicted for a crime committed in another jurisdiction. When I brought this up to the lawyer, he said it did not matter seeing as how these pharmacies are everywhere. I disagreed. He and I butted heads a lot and I was coerced into taking this plea, via threat of sure jail time. So, in all of this, I feel this "database" is a violation of privacy laws and should be abolished. I wish I could sue the cop involved and the sorry-ass lawyer I had appointed. A lawyer friend of mine had told me if had come up with $7500 he could have gotten me off. I wish I could get something done about it now. I am considering appealing it, but I fear what they might do If I do appeal it.

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Old 01-22-2013, 06:14 AM
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Quote:
Originally Posted by tiderider View Post
I was indicted in May, here in Alabama, for "doctor shopping". I had gotten over-lapping scripts for chronic back pain. I have a pinched sciatic nerve at L,4 and L,5. My Primary doctor at the time called me in February and advised me the cops were investigating me, etc. I was not worried, because I had legitimate scripts. I had asked him to send me to a pain management doc, but he said he could handle my pain care needs. He would not prescribe me enough meds to last, so I went to a pain management doc on my own. My insurance does not require a referral. Because these two doctor's scripts over-lapped, I was charged with this falsified crime. No where in the Code of Alabama is it clearly defined for doctor shopping as a crime. I was charged under 13A-12-212. This law is vague and ambiguous at best. I was held for 14 days without an arraignment. I could not afford a lwayer, so one was appointed to me. I did not meet him until I got out on bond. Bond was set at $12,500. I broke my arm, while in jail and was denied medical attention. I was placed in a solitary confinement cell with the Aryan Brotherhood and was assaulted by them after they were told by a trustee that I was an ex-cop. I am retired. The police department in the city I live in has been after me since 2006. They cost me my law 20 year law enforcement career by accusing me of a crime I did not commit and was later exonerated of, but had already lost my career. The same cop that pursued me on that charge finally got me on this charge. The piece of crap appointed lawyer asked me what happened and I told. He said, "Well then, you are guilty. You knew this was illegal" I did not see how seeing as how I have real problems. I already have titanium plates in my spine from a fractured C,3 C,4 C,5. The kicker to all of this is that the doctor that told me the cops were investigating me is the one who ratted on me. He checked the "database" and saw where I was getting Norco (90) from the other doc and Lortab 10 from him (30) at a time. They said it was my duty to inform one doctor of the other doctor. The law does not state anywhere that it is my responsibility to inform anyone. I did not sign a consent form for him to check this "database" in the first place. Most doctors have you sign these consent forms now before they will treat you. I wound up pleading in September to four counts and got 3 years of probation and never have been in trouble with law, per se. I have to report to a probation officer every month and all that crap, but do not have to take drug tests because the Judge admitted I have legitimate problems and I have to limit myself to one doctor. I have become dependant on these drugs to survive. I have decided to have surgery on my back, again. I think I should appeal this outcome because I feel I was railroaded and still feel I am under constant surveillence. Now, I cannot vote (while on probation) and cannot possess firearms (ever) because of this vindictive cop. The scripts I got for the Norco was actually filled in another city and county, not covered by this circuit. So, I was actually convicted for a crime committed in another jurisdiction. When I brought this up to the lawyer, he said it did not matter seeing as how these pharmacies are everywhere. I disagreed. He and I butted heads a lot and I was coerced into taking this plea, via threat of sure jail time. So, in all of this, I feel this "database" is a violation of privacy laws and should be abolished. I wish I could sue the cop involved and the sorry-ass lawyer I had appointed. A lawyer friend of mine had told me if had come up with $7500 he could have gotten me off. I wish I could get something done about it now. I am considering appealing it, but I fear what they might do If I do appeal it.

Wow,that is frightening!
I'm so sorry you had to go through all that since with your injury it should be obvious you have pain issues.

While I did lose a close friend to an od of pain medication,I would never want anyone else to have to suffer like you have.

So sad how money talks in our current "justice system".
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Old 01-23-2013, 11:55 PM
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Quote:
Originally Posted by tiderider View Post
I was indicted in May, here in Alabama, for "doctor shopping". I had gotten over-lapping scripts for chronic back pain. I have a pinched sciatic nerve at L,4 and L,5. My Primary doctor at the time called me in February and advised me the cops were investigating me, etc. I was not worried, because I had legitimate scripts. I had asked him to send me to a pain management doc, but he said he could handle my pain care needs. He would not prescribe me enough meds to last, so I went to a pain management doc on my own. My insurance does not require a referral. Because these two doctor's scripts over-lapped, I was charged with this falsified crime. No where in the Code of Alabama is it clearly defined for doctor shopping as a crime. I was charged under 13A-12-212. This law is vague and ambiguous at best. I was held for 14 days without an arraignment. I could not afford a lwayer, so one was appointed to me. I did not meet him until I got out on bond. Bond was set at $12,500. I broke my arm, while in jail and was denied medical attention. I was placed in a solitary confinement cell with the Aryan Brotherhood and was assaulted by them after they were told by a trustee that I was an ex-cop. I am retired. The police department in the city I live in has been after me since 2006. They cost me my law 20 year law enforcement career by accusing me of a crime I did not commit and was later exonerated of, but had already lost my career. The same cop that pursued me on that charge finally got me on this charge. The piece of crap appointed lawyer asked me what happened and I told. He said, "Well then, you are guilty. You knew this was illegal" I did not see how seeing as how I have real problems. I already have titanium plates in my spine from a fractured C,3 C,4 C,5. The kicker to all of this is that the doctor that told me the cops were investigating me is the one who ratted on me. He checked the "database" and saw where I was getting Norco (90) from the other doc and Lortab 10 from him (30) at a time. They said it was my duty to inform one doctor of the other doctor. The law does not state anywhere that it is my responsibility to inform anyone. I did not sign a consent form for him to check this "database" in the first place. Most doctors have you sign these consent forms now before they will treat you. I wound up pleading in September to four counts and got 3 years of probation and never have been in trouble with law, per se. I have to report to a probation officer every month and all that crap, but do not have to take drug tests because the Judge admitted I have legitimate problems and I have to limit myself to one doctor. I have become dependant on these drugs to survive. I have decided to have surgery on my back, again. I think I should appeal this outcome because I feel I was railroaded and still feel I am under constant surveillence. Now, I cannot vote (while on probation) and cannot possess firearms (ever) because of this vindictive cop. The scripts I got for the Norco was actually filled in another city and county, not covered by this circuit. So, I was actually convicted for a crime committed in another jurisdiction. When I brought this up to the lawyer, he said it did not matter seeing as how these pharmacies are everywhere. I disagreed. He and I butted heads a lot and I was coerced into taking this plea, via threat of sure jail time. So, in all of this, I feel this "database" is a violation of privacy laws and should be abolished. I wish I could sue the cop involved and the sorry-ass lawyer I had appointed. A lawyer friend of mine had told me if had come up with $7500 he could have gotten me off. I wish I could get something done about it now. I am considering appealing it, but I fear what they might do If I do appeal it.
what county was it they are so crocked down there i hate it so ready to be done with the bama system
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