We have heard about the ONE-PERCENT and we have heard about the 47 PER-CENT
Rumor has it that this 100% club whose members are Pharmacists who have pledged/agreed to NOT FILL ANY CONTROL RXS during certain hours of the Pharmacy operation.
I have not heard of any independent Pharmacy/Pharmacist joining this club.. so that would mean that the majority or total membership would be chain Pharmacists.
The hours which this rules of the 100 PER-CENT CLUB operates is vague or variable.. I have heard some stores apply its rules to any new/refills requested outside of the physician’s office hours… other I have heard that it is after 8 PM till 8 AM for 24 hr stores.
According to Wikipedia … here is the definition of COLLUSION/ CONSPIRACY…. I may be wrong.. but CONSPIRACY/COLLUSION is covered under RICO Racketeer Influenced and Corrupt Organizations
http://en.wikipedia.org/wiki/Conspiracy_%28civil%29
A civil conspiracy or collusion is an agreement between two or more parties to deprive a third party of legal rights or deceive a third party to obtain an illegal objective.[1] A conspiracy may also refer to a group of people who make an agreement to form a partnership in which each member becomes the agent or partner of every other member and engage in planning or agreeing to commit some act. It is not necessary that the conspirators be involved in all stages of planning or be aware of all details. Any voluntary agreement and some overt act by one conspirator in furthance of the plan are the main elements necessary to prove a conspiracy. A conspiracy may exist whether legal means are used to accomplish illegal results, or illegal means used to accomplish something legal.[2] “Even when no crime is involved, a civil action for conspiracy may be brought by the persons who were damaged.”[1]
In the law of tort, the legal elements necessary to establish a civil conspiracy are substantially the same as for establishing a criminal conspiracy, i.e. there is an agreement between two or more natural persons to break the law at some time in the future or to achieve a lawful aim by unlawful means. The criminal law often requires one of the conspirators to take an overt step to accomplish the illegal act to demonstrate the reality of their intention to break the law, whereas in a civil conspiracy, an overt act towards accomplishing the wrongful goal may not be required. Etymologically, the term comes from Latin con- “with, together”, and spirare “to breathe”.
Filed under: General Problems
It’s probably only a ‘club’ like the ‘mile-high club’. No real membership, just a name for an idea that’s cycling around.
The online PDMP database in my state has really helped me with decision-making about filling opioids, or not, when I work after Dr. office hours. Sometimes I still run into agonizing decisions about whether to fill or not;
Your state law may vary, but US Fed Law allows a partial fill of a C2 if you fill the rest within 72 hours (I am not talking about hospice scripts).
SO… Suppose you are working late Saturday night, and someone comes in with an OXY IR 15mg on a cancer pain clinic blank, for his wife. You have no hard data to go on (refill records, can’t call MD office).
You COULD possibly fill 3 days of the Rx, and ask him to come back on Monday during business hours. If it’s bad, you minimized the diversion, and if good, you provided meds in a timely way, although with some inconvenience of having him come back to you twice for the full amount.
Any thoughts on that?
Steve’s thoughts:
Consider that there may be up to 15 million who abuse some substance.. not necessarily all of them will abusing commercial opiates due to the higher cost over some of the stuff available on the street. So all things being equal.. for every 5-6 opiate Rxs you get presented to you.. you are at risk of one being bogus.
The type of people present you that Rx:
1. Diverter – may or may not abuse the medication.. has primarily of business plan – TO SELL AND MAKE A PROFIT
2. Abuser – Is self-medicating the demons in their head, monkeys on their back.. they are just wanting to “escape”
3. Pseudo addict – can’t get a single doc to prescribe enough medication to optimize their pain management – seeing multiple docs to accomplish this
4. Legit pt.
You offer to get them up to 72 hrs worth of meds.
The diverter will probably not want to let that Rx go .. to get just a few tablets and probably won’t be able to get anymore and/or won’t risk coming back to try and get the balance
Abuser.. depending how desperate they are – going into withdrawal – they may or may not take the small amount.. again will probably not risk coming back to try and get the balance
Pseudo addict.. Depending if the Rx is legit or forged..if it is legit.. they may not be aware of PMP and the risk they are at coming back to get the balance
Legit pt.. will take the short quantity.. because they don’t want to be thrown into withdrawal, and escalating pain and after all their need and the Rx is legit.
I agree with you.. I would rather let a few doses of opiates get to the street and otherwise avoid a much larger quantity on the Rx that some other RPh may fill the total quantity.
The alternative is denying a legit pt their needed medications.. throwing them into withdrawal with potential of a hypertensive crisis and stroke and/or death not to mention escalating pain..
Just think about it.. collectively.. a pt comes in for a refill and there is no authorized refills.. typically.. we willingly “loan” them a few doses until we can get the doc contacted.. unless it is a control med.. as if a chronic condition being treated with a non-controlled med is much more important to not interrupt their therapy.. than someone in pain .. or mental health issues.. and yet we have a pt present us a new legit/on time Rx for a controlled drug.. and we have little concern over interrupting their therapy.
Wrong on so many counts to legit patients if this is true. I will tell you where I live in IN my son is starting to get the run around on getting his Adderall filled. When hes home. I usually use Krogers for the gas points as IN gasoline prices jump way up 1-2 times a week where we live. Well they were closed, took it to WAGS 24 hr
He was on spring break from BSU and would run out before returning. BIG MISTAKE. they said come back on 9th, came back after saw doc on 12. W/2nd rx for other drug. I said add this with adderall and pick both up later, now I get told insurance wont pay til 17th.bottle at home filled on 14th at school. goes back on 16th, he has no time to walk to HC to drop of on 17th at school.. Insurance tells me they would pay on 9th.demanded both rxs back. took to kroger but wouldnt fill aderall til 14th but better than nothing. At least he has filled for school. Havent said anything yet, will see if happens again this summer, then I will be loud and vocal about the games playing. Most all the local places know im a pharmacist, which is probably why I have to find work in Indy….they know i wont play their games .but to boldface lie to the patient is un called for and leaves you no credibity with me.
It is a chain! In fact it’s my old location…that right it’s a CVS!!!! The PIC and the other daylight RPH snitches check to see what the overnight guys fill…one fills no C11… This RPH wants his overnight partner to join the 100% club.
maybe the daylight pharmacist can kiss his ass
Never heard of this. I would doubt that chain pharmacists would be doing such a thing because they are afraid of complaints going to the home office.