Crusty RPh writes,
DEA, DEA, DEA, Bullshit. Everyone worries about the DEA. The DEA has bigger fish to fry then worrying about me dispensing a Vicodin prescription to some jackass who got it down the street at another pharmacy 5 days ago. If I beleive the lost story, it is my decision. Fuck the DEA. If I say no,it is my decision with absolutely no concern about the DEA. The DEA is trying to find prescription mills, not the occasional poor judgment of a legit pharmacy. They currently get transmissions from the pharmacies — these transmissions include the Patient info, Dr. info, and drug info including the quantity prescribed. The DEA gets transmissions from the drug wholesalers which have the purchase information for each pharmacy for Schedule meds. In essence, all the information needed to audit each pharmacy, Dr and patient each month. With all this information, their answer to the problem is to limit the number of bottles of Vicodin I can order. Bullshit, if they have a problem with the amount of Vicodin I order, audit my store’s usage, don’t limit my supply. I am very strict with Schedule Rxs –I feel 99.9% totally legit, but I have high volume business and I don’t need any fuckin government agency telling I can’t order the meds necessary to fill these prescriptions.
I have requested reports from the DEA on patients, which show overusage and over prescribing. Why do I have to request this information–it should be forwarded to me as matter of record. That’s why I call BULLSHIT on the DEA. A letter to the Dr, patient, and pharmacy should generated automatically when there is a history of “repeated” abuse.
I’ve emailed back and forth with him, and it turns out California is required to send all controlled Rx info to the feds weekly. There have been reports of wholesalers limiting how much Vicodin/Soma you can buy under orders from the DEA.
DEA, get your head out of your ass. You can tell if a pharmacy is a drug-mill just by looking at the data that you force them to send to you! Here, let me help you.
1. The wholesalers transmit to you how many vicodin they sell to a store in a month.
2. The pharmacies transmit to you how many vicodin they dispense in a month along with patient and doctor information.
Look at the two, if the pharmacy is 10,000 tablets off, they either have a huge stock in the store, or something is fishy. Pharmacies should get notices (along with the doctors) when say 100 vicodin are filled at 2 different pharmacies within an unreasonable period of time (say, 5 days). If the doctor auth’d the early refill (due to loss, stolen, etc) then the notice is just trashed and everyone moves on. This shit is all electronic now, so why cant they just generate reports to send to pharmacies about potential doctor shoppers? What the fuck is the DEA doing with all of that data that they require pharmacies to send to them? I’m sure it would be extremely easy to take all the data and give each pharmacy a weekly report on usage. At least then it would make the poor pharmacists who have to transmit this shit feel like they are actually doing something!
DEA is like the Highway Patrol. Useless unless you have your head up your ass and screw up once. Then they are all over you like flies on shit.