Pharmaceutical databases and online pharmacies

[cv2006]

For those who typically use online pharmacies but who also occasionally fill scripts at local chain pharmacies, do you know if your purchases both locally and online are entered into your state's database that tracks prescription purchases?

The only reason I wonder is because I was prescribed a 10-day supply of something that had some nasty side effects (it was one of the most powerful of its kind because the doc knew my pain was serious and legit). So I was told by that doc to toss the first script and go back to over-the-counter (which had no effect at all on the pain) so I ended up getting a script online for another pain med. Do both purchases end up in the same state database? Are the state's databases recording by state that the pharmacy is located in? Or the patient's home state?

[996ttcab]

If your getting controlled substances from a state with prescription monitoring, they have to enter into the data base and states participating can access other states data bases. If you get from a state with no monitoring, then state with monitoring won't pick up on it yet. They will though once they upload their data base if motoring is passed in that state depending on pharmacy and physician practices. Cannot really answer with specifics without knowing states. Florida for instance will get database uploaded sometimes this year and prescriptions dispensed prior to database going online will show. Other states can also access and your doctors can a actually access your complete prescription profile in every state that has a monitoring data base. If your doc is pain management, he might check as their files are subject to stringent audits. If GP, hard to say if he would check. Nosey pharmacies have been known to contact doctors to blow whistle on doctor shoppers.

[amp12815]

States that monitor controlled substance prescription records:

Alabama, Arizona, California, Colorado, Connecticut, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wyoming.

[Maggiemaie]

996ttcab, are you saying that all scripts from online pharmacies (for example those that existed before Ryan Height passed) are going to show up in Florida's online database? Have you actually read that somewhere? What a awful thing to happen. I wonder how many years these PMP go back.

[vivian]

Just wait till u all get social health care ,then thay start adding antipsycotics to prescription meds ,if thay think your addicted to them,Manufactures are only granted a product licence ,to manufacture so long as thay include a range of downers in the meds,It generaly puts people off taking them ,some think thay are going mad (as there is no indication on the product lable saying whats been addedor taken away),and stop,others usualy cut down and stop.Somehow this treetment of patients rights seems to be so far unchallenged ,i know its been going on for at least 15 years.Theres nothing on the meds indicating whats in there ,sometimes there is no active ingreedient at all, other than the antipsycotic.Its a horrible shock for most people.But hey thats Free Healthcare/ Medicin for you.

[Kexessa]

@cv2006 I'm not sure what the different states are you ordered from, or if they are interconnected or even how they are recorded.

But you had a valid script for 10 days, then received another valid script, lets say for 30 days, then you have 40 days of scripted meds. I would definitely not try to order any more until after the 10 day + whatever additional order you received expired.

Using different doctors for valid scripts isn't the same thing as doctor shopping where you are going to 8 different doctors in 10 days getting 30-90 days scripts.

[alumni]

Just wait till u all get social health care ,then thay start adding antipsycotics to prescription meds ,if thay think your addicted to them,Manufactures are only granted a product licence ,to manufacture so long as thay include a range of downers in the meds,It generaly puts people off taking them ,some think thay are going mad (as there is no indication on the product lable saying whats been addedor taken away),and stop,others usualy cut down and stop.Somehow this treetment of patients rights seems to be so far unchallenged ,i know its been going on for at least 15 years.Theres nothing on the meds indicating whats in there ,sometimes there is no active ingreedient at all, other than the antipsycotic.Its a horrible shock for most people.But hey thats Free Healthcare/ Medicin for you.

I'm not understanding this warning at all.
Do you live in a country with "social health care"?
And you believe pharmaceutical companies in your country are in some kind of conspiracy with doctors to add or subtract active ingredients in medications to force unwitting patients off the medicine and avoid addiction?
Sounds like something Pol Pot or the North Koreans might attempt but I can't imagine a rational national healthcare system doing anything like this.
Where do you live?

[Carter]

States that monitor controlled substance prescription records:

Alabama, Arizona, California, Colorado, Connecticut, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wyoming.

Actually it's getting worse, here's the latest,

source --- Q&A - STATE PRESCRIPTION DRUG MONITORING PROGRAMS (I guess I can post that link)

"According to the Alliance of States with Prescription Monitoring Programs, (The Alliance of States with Prescription Monitoring Programs | Promoting Public Health and Safety) as of October 16, 2011, 37 states have operational PDMPs that have the capacity to receive and distribute controlled substance prescription information to authorized users. States with operational programs include:

Alabama, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wyoming.

Eleven states (Alaska, Arkansas, Delaware, Georgia, Maryland, Montana, Nebraska, New Jersey, South Dakota, Washington, and Wisconsin) and one U.S. territory (Guam), have enacted legislation to establish a PDMP, but are not fully operational."

Not fully operational - that one kills me, kind of like star wars where their big battle star thing that blew up planets was not yet fully operational in the second movie I think.

[Rocksteady17]

Other states can also access and your doctors can a actually access your complete prescription profile in every state that has a monitoring data base

.

Might want to check this link for as of April 2012
http://www.namsdl.org/documents/Stat...ates043012.pdf

[bevy123456]

Walgreens call Dr.s on what they call drug seekers. They called on me and many others

[Quaalude]

Just wait till u all get social health care ,then thay start adding antipsycotics to prescription meds ,if thay think your addicted to them,Manufactures are only granted a product licence ,to manufacture so long as thay include a range of downers in the meds,It generaly puts people off taking them ,some think thay are going mad (as there is no indication on the product lable saying whats been addedor taken away),and stop,others usualy cut down and stop.Somehow this treetment of patients rights seems to be so far unchallenged ,i know its been going on for at least 15 years.Theres nothing on the meds indicating whats in there ,sometimes there is no active ingreedient at all, other than the antipsycotic.Its a horrible shock for most people.But hey thats Free Healthcare/ Medicin for you.

@vivian, Not sure I understand this either. If this is the case, why not skip the covert anti-psychotic substitutions and just start doling out placebos and/or state-sanctioned lobotomies?

[Rocksteady17]

CV2006

Here's info from Prescription Monitor Alliance.org
This agency was formed to ally states PMP Prescription Monitoring Programs together

(There are concerns with some medical providers that private information would be used for data collection and they want the Alliance to provide security for every person's ID so it could never be linked to the person. I think the wording was corrected on their policy after this was brought to there attention.
Also, Hospitals will be exempt from reporting information

Please check your state. The site is very easy to use.
Especially note the 'Who Is Authorized to Request Patient RX Information'. I tried to paste it in but it was too wide and the format ran together.
I hope this link works! If not please paste into your browser.
Who is Authorized to Request Patient Prescription Data? | The Alliance of States with Prescription Monitoring Programs


Best of luck and good health to you.

[Carter]

@Rocksteady17 Good link, looks like that in a fair number of states just about every medical entity (and LE I;m sure) can look at your records, but the patient is not allowed to see them. That is really F_U_C_K_E_D up. More govt. databases collecting data on individulas that the individual can't look at.

[Rocksteady17]

Carter,

It's sick! An individual in some states can't find out what's in their file. Seems to me we ALL have numbers, too. How better than to track a person? No wonder they issue newborns an SS card.
I spent a lot of time tonight reading 'Patient Protection and Affordable Care Act 2010 March, that Obama signed in.
I came to the conclusion that this big deal over RX drugs being overwritten is not really about teens ordering drugs. It's about the worry the government has over how they're going to pay for 23 million American uninsured right now, INCLUDING mental health and drug abuse (street drugs, etc.) especially because they have both problems.
That will be interesting because who's gonna need methodone and whatever else it uses to keep these people straight? Imagine how many clinics are gonna pop up (where would you put a Large drug abuse clinic with crazies, in your city?)
If they limit drug supplies they feel it'll be getting them off the streets and people will stop taking them and not be a burdun to society. The exact opposite will happen. Meanwhile the government is cranking down on RX manufacturing. Once they have their data base statistics they can compare them to the Federal agency that keeps the manufacturers quantities totaled each year.
Setting this whole thing ups cost MILLIONS! What a mess! It will not work. It's all in their minds and all about money.

[Cinderella1]

I am required to use a mail order for any prescriptions that are considered "maintenance" medications, such as my blood pressure meds, for them to be covered by our insurance. I would be allowed to fill any other type of medication at a local pharmacy. I'm sure there is some type of record keeping, at least by my insurance company.

[alumni]

It's sick! An individual in some states can't find out what's in their file. Seems to me we ALL have numbers, too. How better than to track a person? No wonder they issue newborns an SS card.
I spent a lot of time tonight reading 'Patient Protection and Affordable Care Act 2010 March, that Obama signed in.
I came to the conclusion that this big deal over RX drugs being overwritten is not really about teens ordering drugs. It's about the worry the government has over how they're going to pay for 23 million American uninsured right now, INCLUDING mental health and drug abuse (street drugs, etc.) especially because they have both problems.
That will be interesting because who's gonna need methodone and whatever else it uses to keep these people straight? Imagine how many clinics are gonna pop up (where would you put a Large drug abuse clinic with crazies, in your city?)
If they limit drug supplies they feel it'll be getting them off the streets and people will stop taking them and not be a burdun to society. The exact opposite will happen. Meanwhile the government is cranking down on RX manufacturing. Once they have their data base statistics they can compare them to the Federal agency that keeps the manufacturers quantities totaled each year.
Setting this whole thing ups cost MILLIONS! What a mess! It will not work. It's all in their minds and all about money.

While I would never pretend to be conversant with all of the components contained in this complex legislation, I'm curious about what you discovered through your reading involving the federal restriction of prescription drug supplies and the available treatment of mental health conditions and drug abuse programs?
There's no question in my mind that this approach to improving healthcare in the US is misguided and will create more overall economic problems than it will solve. However, I haven't heard any details about the issues that you are discussing.
Presently, people are very encouraged about the elements eliminating the restrictions on covering pre-existing medical conditions and allowing state to state portability and dependent coverage up to age 26. But those changes were apparently agreed to by the health insurers upfront as quid pro quos that basically allowed them to craft the bulk of the legislation for their own financial benefit.
The serious coverage disruptions that will result regarding company sponsored plans and Medicare/Medicaid reimbursements have yet to fully begin.
I seriously doubt that anyone in Congress who voted to approve this bill even read it.
It is never too late to learn more information about its specifics, though, if you wouldn't mind describing what you found more fully.
Thanks

[Rocksteady17]

Hi Alumni,

Oh it's here
Health Reform (Continued), Substance Abuse & Mental Health Services Administration


I forgot to paste in the link, I'm sorry. I'm not even a political person but I really wanted to understand the healthcare reform.
What I found were links to MORE and more agencies that seem to form overnight. All these government websites have links in them and one can click-click-click and spend the whole frickin night reading them! I did that. Agencies linked to each other and how good they're doing! You can't really figure out what's so damn good except the 'compliancy rates'!
Lots of 'challenges' 'dramatic changes' and 'implementations'.
I hope you can make sense of it and Thanks for caring.

[Revert]

Yes, but if you are ordering controlled substances from international sources (which is for the most part the only way you can purchase CS online) I cannot imagine that Rajeev in Pakistan, Juan in Mexico or a Bulgarnian would do this or even have the access to these kind of databases.

[alumni]

@Rocksteady17
Thanks for the SAMHSA link but, if I'm reading it correctly, it sounds like there is an expectation of improved mental health and substance abuse treatment because of the passage of the ACA:

"The Affordable Care Act includes prevention, early intervention and treatment of mental and substance abuse disorders as an integral part of improving and maintaining overall health."

Maybe I missed something you found?