One of our long-term Oxycontin/Vicodin regulars, who we've long suspected of some funny business (early refills, lots of 'trips out of town', insurance rejects cause it's filled somewhere else, etc.) gets his refills denied by the doctor. Apparently they learned he had been supplementing his prescriptions with some alternate source, or in the words of someone at the doctor's office, "He's been naughty."
"Naughty?" Really. That's a funny way to put it. I really don't understand why some prescribers are so slow to put the hammer down. They accept excuse after excuse from these people. The pharmacy howls and they don't want to hear it. It's not being 'naughty.'
It's WASTING the time of the people who are trying to treat you. It's lying. It's breaking a contract. Maybe I'm not able to look at it from the viewpoint of the medical practitioner, but I don't think 'naughty' is quite the right word. I think "no more prescriptions, buh-bye" at the first sign of trouble, is the way to go. And without guilt, too --- these people want to get it, they'll find a way.
And then there are the 'nice' people. Friday afternoon is full of last-minute calls. A customer calls and asks me to look up some medications he got in the past for excessive sweating. I find Drysol and generic Robinul in his file. He sounds really happy and excited and tells me he has an interview next week and would like to refill them. I tell him the Robinul is out of refills and I can request more from the doctor, if it's still a few days from the interview. He apologizes for the last-minute request, says he'd rather start it right away --- but don't bother, he'll work something out and check to see if he may have some left somewhere. The guy was so nice about it and if he had really pushed I probably would have told him to come in and get a few tablets.
I hope he gets the job, I truly do.