PHARMACIST STEVE

The petition is the last hyperlink on this page. It is a 21 page PDF file and I don’t have the time to convert 21 *.pdf pages to a *.jpg pages so that they would display on my blog. When you click on that hyperlink it will show a BLANK graphic  – click on the graphic and the PDF will download.

When Narxcare first “came around” the press releases stated that they were going to use various databases to come to the pt’s potential for abuse or addiction. When I read press releases – especially in areas that I have some depth of knowledge, I not only look at what they say and especially what they DON’T SAY.

It Narxcare’s press release, they stated that they were going to gather data on the pts from various databases, they did not specify from “public databases”.  Narxcare was original owned by Appriss Health and it was sold to Bamboo Health, who sold it to Experian – one of the companies that created financial FICO scores. It has been reported that Experian has moved their healthcare databases off shore … where our HIPAA laws do not apply, so Experian can slice and dice all that pt health data and sell it too any entity that will come up with the $$$ to pay for the selective pt health data that they want – for whatever reason.

The petition pretty well “gets into the weeds” as to what Narxcare is doing with pt’s data and how they are presenting that data to prescriber via various state’s PDMP’s and how it has impacted the pain management care pts are getting.  I know in Indiana PDMP INSPECT, when I request a PDMP report… it goes directly to a Narxcare report format and data. The former format for a report from Indiana’s PDMP is GONE.   The second hyperlink below has the Narxcare report format – with pt info redacted. I believe that they have updated the format and they have expanded the 3 risk levels to 9 or 10. It is still a Zero to 999 score.

Until I pulled up a Narxcare report, I never heard of a LME ( Ativan/ benzodiazepine ) Lorazepam Milligram equivalent, but they assign a value to a pt taking one of that class of medications.

Some of the things that I suspected that Narxcare was doing or causing… the complaint confirmed my suspicions.  

Of course, the algorithm that Narxcare uses is claimed to be proprietary information, so no one knows for sure what is included to develop a pt’s risk score and/or how much weigh each category of data used affects the final score.

The “BAD AND THE UGLY – there is NO GOOD” of the PDMP’s and Narxcare and the INACCURATE CONCLUSIONS from those databases

Images from a Narxcare report – PLEASE SHARE

Center for US Policy FDA Citizen Petition

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HFPP SECRET ALGORITHM UNIQUELY TARGETED “OLDER WHITE PHYSICIANS,” BASED ON ASSETS, AGE, AND SPECIALTY IN MASSIVE GOVERNMENTAL OVERREACH: PT-2

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“LET THEM DIE-OFF” UNITED STATES GOVERNMENT EXPERT ANDREW KOLODNY, MD., THE MOST DANGEROUS PSYCHIATRIST IN AMERICA AND EXPOSING “THE OPIOIDGATE MEDICAL SCANDAL”

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1306.04(a) “CORRESPONDING RESPONSIBILITY,” DANGERS WHEN PHARMACISTS WITHHOLDS YOUR PAIN CARE: “I DON’T FEEL COMFORTABLE,” THE STORY OF KATHERINE ROSENBURG-DOUGLAS A CHICAGO TRIBUNE REPORTER ‘WHO HAD BROKE-NED HER BACK’

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I normally don’t share emails from pts having problems getting their meds. This pt is having a problem he has been patronizing a particular Meijer store for 20 yrs. For those of you not familiar with Meijer, they are a “big box” store with 259 stores mostly in the mid-west. I find this statement very humorous the team of Pharmacist at this location. Most chain pharmacies function with one Pharmacist per shift and most Meijer stores are open 7 days a week with 12 hrs open Mon-Fri and shorter hours on Sat & Sun. So in most Meijer’s pharmacies the “team of Pharmacist” would probably be a COLLECTIVE OF TWO. While 60 mg is the FDA recommended max daily dose of Adderall, but that dosing was determined before there was DNA pharmacogenomics (PGx) tests and I have not heard that even these days that the Pharmas use  PGx testing in their clinical trials. Then there is the issue of the pt having a record at this pharmacy of him taking 85 mg of Adderall daily for some time, which may suggest that he is a ultra fast metabolizer of Adderall. So this team of Pharmacists is IGNORING the pt’s clinical medication records – right under their nose. One of the core functions of the practice of medicine is the starting, changing, stopping a pt’s therapy. Commonly referred to as prescriptive authority, and pharmacists – even Doctors of Pharmacy – do not have prescriptive authority. I have never heard of a pharmacy having a pt “take a pledge”, the only thing close is some independent pharmacists – that work with chronic pain pts – asking them to sign a pain contract with the pharmacy.  Apparently, this team of Pharmacists has dramatically expanded our scope of practice ?

Good Morning Steve,

I am writing you today for help with the filling of my Adderall prescription at Meijer’s Pharmacy  I have been a customer with Meijer’s Pharmacy for roughly 20 years and never had a problem filling my scripts. Now with the Adderall shortage this particular Meijer’s will not fill over 60mg per day stating the shortage and that 60mg is the recommended daily allowance, even though they have transferred my prescription to other Meijer’s Pharmacies to fill my 85mg script which they have done, they say the Pharmacists at this store have agreed not to dispense more than 60mg dosage per day. I take two 30mg tablets a day along with an extended 25mg capsule.

When they first told me about this I had the tablets that added up to 60mg per day dosage filled at their store and found another Pharmacy to fill my 25mg daily capsules. When I went back this month they told me they couldn’t fill it due to the fact that I filled my capsules else ware and they will not fill my 60mg tablets due to the fact it would put me over their 60mg a day pledge. Yes I said pledge, I was told by a pharmacist at the location that the team of Pharmacist at this location have agreed not to dispense more then the recommended amount of 60mg per day. This is a maintenance drug for me and I need this medication to maintain my day to day activities. I am wondering if you can help me out with this or direct me to someone that can help me with this situation. Thanks 

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ended her life through intervention assisted euthanasia – suicide.

This poor intractable chronic pain pt, from a work place injury, after having lost all her pain meds,  to be able to put a end to her physical pain.  Now, the family left behind is suffering. Our politicians and bureaucrats talk about HARM REDUCTION, apparently that only applies to those dealing with mental health issues and dealing with some SUBSTANCE USE DISORDER.

This Administration, Congress, and numerous bureaucrats at city/county/state levels are all about DEI (Diversity, Equity, Inclusion). Regardless if the number is 10’s or 100’s of millions of people dealing with chronic pain. The chronic pain community is the largest minority in our country.

The Fed agency in charge of enforcing the Americans with Disability Act is part of the DOJ as is the DEA. Might be the reason that they never have the resources to handle a civil rights violation/discrimination of the chronic pain community.

How many others – like Jessica – is living/existing in a torturous level of pain – NO HARM REDUCTION HERE – NO INCLUSION HERE – NO EQUITY HERE.  How many Jessica’s are no long among us, took a similar path of Jessica and just “faded” from being part of the community.

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