Fill Oxycodone Prescription (Page 7)

Updated

Cannot fill them anywhere in Bradenton or Sarasota. Please help I have a real doctor and the pharmacy I have been going to the past year in my city says they will no longer fill out of county. Does anyone know of a pharmacy in Bradenton or Sarasota that can help a patient fill qty 180 oxycodone 30mg? Please help. On the verge of getting deathly ill w/out meds! Thank you.

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121

can i have a email address for u im looking for a pm dr n tenn

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122

Look up Dr. Aballay in Nashville, TN. Tell him Tony told you to call.

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123

Unless there is another Leah, something is wrong w/the site . I didn't ask about a Dr in Tenn..? Also, I keep getting responses to "my" post , but it's not mine...its legalscritoxy ...about filling in Bradenton or Sarasota ..I'm new in Ocala and fill my rx here from my dr's sister clinic in Orlando ..I'd ask if anyone knows a place in that county but even a mom & pop pharmacy I called told me they wouldn't be able to fill an rx from Orlando if I didn't live in Orlando !! Is it just them or would walgreens say the same ? This is all so awful for those of us who really need our medicine ! I've had to drive back to Miami to my Dr there and my pharmacy/pharmacist there !! I CAN'T KEEP doing that !! Omgosh. Any advice gang ?

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124

Donna, how did the call go today?

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125

I can totally relate I have Uterus cancer and my Dr prescribed an alternate method than chemo of a shot called Lupron not mentioning the horrible side effects of sitting on my bathroom floor 24/7 and being in pain the few seconds between. I have prescriptions for both strength oxycodone and I have been going to same Walgreen for five years and they have not had a shipment in a month. I do not know what to do I am disabled I cant drive here there and everywhere and I am feeling horrible so I all I can do is just sit in my house. I nissed more days in college this semester than ever and have no idea if I am going to pass this semester and if I dont I loose my financial aid. :( Anyway for the govt to save money I guess. I just cant believe a medicine is made that you cant even get and I dont have the energy to drive back to dr to try a different med that my pharmacy wont even say if they have anything else in????What is going on really I hope I get my law degree soon because the govt is going to hate the day I pass the bar!!I added you to friends btw Donna on fb.

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126

Please go to Facebook's "Fight For Pain Care Action Network" and read posts from Donna Ratliff..

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127

I have joined on facebook I even posted a response to the welcome Donna sent me I had to drive back to my Dr office today and spend more gas money just to get put on dilaudid and now none of the pharmacies have those either. I have even spoken to the Obama campaign people and have stopped helping to work for the campaign as a stand against the U.S. They had the nerve to tell me to call 211!!! I mean get serious I have cancer I get three shots in my stomach every other week for the first week after I end up on my bathroom floor hugging and sleeping on my toilet. I will do whatever it takes to help us and as I have said I am in school for my law degree so mark my words I will be heard!!!!! Everyone keep your heads up Im one determined woman.

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128

I'd like to give you all a different perspective of the oxycodone problem. I am a pharmacist (practicing 16 years) and I have tried my best to help patients looking for oxycodone. I reject patients daily not because I don't want to help, but because there are too many oxycodone prescriptions being written these days. I have about 25 patients currently getting the medication on a monthly basis. There are pharmacies in my chain that have been open 10 years longer than me that dispense to only 1/3 that amount of patients. Now please hear me now. I dispense to 25 patients per month because the DEA will not allow me to order more drug because I am a high dispensing pharmacy. Pharmacies are restricted in ordering because of quantity limitations each month and year. I reject between 75 and 100 patents per month (3-4 times the amount of patients I dispense to). I do not have the ability to take care of this many oxycodone patients. No pharmacy in the state of Florida is allowed to order enough oxycodone to service all of the patients that come asking for it. You often are being rejected because there are too many patients on the same medication. I promise you that if 75% of oxycodone patients stopped getting it, the other 25% would have no problem anymore getting it. That is my first point.

Now for the part you may not like to hear. Oxycodone 30mg (#180) taking it every 4 to 6 hours is NOT appropriate pain therapy for most chronic pain patients. (I said most, there are very few exceptions). You may like it or think it works well, but appropriate pain therapy involves a long acting pain medication (like extended release morphine) with a short acting breakthrough pain medication (immediate release morphine or oxycodone 5mg used no more than 1 to 2 times a day at most). This is the therapy that is used in other states outside of Florida. Don't believe me? Prior to working in Florida, I worked in another state and worked hand in had with local pain doctors often acting as their go-to pharmacist when they need guidance. It would take me almost a year to use up #180 Oxycodone 30mg in that state. A YEAR! No pain doctors use this drug in many other states. In 2010, 90 out of the top 100 prescribers prescribing Oxycodone were in Florida. That's 90 of the top 100 in Florida and 10 of the top 100 in all 49 of the other states. That alone should tell you that something is up in this state. Only 10 doctors in 49 other states compared to 90 doctors in Florida.

As your pharmacist (and there is a possibility I am since I work here in Florida), I WANT to work with you to achieve pain control and I DO NOT want you to have to drive to more than one pharmacy to do it. Please believe me when I say Oxycodone 30mg is not the way to go. If you walk into my pharmacy, I do all I can to help you and my customers know it. I even offer customers I reject to help them contact their doctors and get them on a better pain management program. I’ll talk to your doctor if they are reluctant. I just have no more ability to fill any more Oxycodone and I don’t want you in pain.

One last thing of note from my point of view: When you try to force a pharmacy to fill your medication, you will not get what you want. If you try to play the “you have to give me this medication†game, I will make sure you will never get the medication from me or from pharmacists near me. Never threaten your pharmacist. We take it very serious and it will result an other pharmacies rejecting you. Kindness is always the best policy. There are state and federal laws governing how we must practice. I say practice because we are part of the healthcare team and are licensed practitioners. If you are a cash paying customer or get only controlled substances I am REQUIRED by law to call your prescription into question. I may believe you are legit when I call your doctor, he or she may verify it is a legit prescription. However, if it does not appear your pain therapy is designed for you and not just a standard therapy (Oxycodone 30mg #180-Alprazolam 2mg-Soma 350mg) it can still be considered not legitimate by law. Your doctor is required to customize your pain therapy for you, not the same one for every single one of his or her patients. Let me tell you, Oxycodone 30mg #180 SCREAMS not customized to a pharmacy.

I am posting because I want you all to know that there are those of us that want to help, but the help may require you to reevaluate your pain management instead of crying foul and demanding that that pharmacist dispense the pills. To those that feel the pharmacist is not part of your healthcare team or has no business questioning your prescription, do your research before you post dumb comments. In hospitals in some states, pharmacists often change your medications and even prescribe new medications. Many doctors consult respected pharmacists when they need recommendations. We know medicine. Part of that is knowing when it is appropriate or not appropriate.

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129

If you reject 75% of the people who come in seeking oxycodone you do that by simple observation. How do you know what is going on inside their bodies. i currently know a 12 year old with stage 3 cancer that looks just fine. As for your comments on what is proper pain care you are taking on the role of doctor. If you do know more than the doctor then we just need to come see you and leave the doctor out. Why dont you tell the whole story, CVS pharmacist get a bonus. Any customer can ask for the number to complain. If enough people complain about the service you get no bonus. Finally, I have cancer. No one knows this because I look healthy, If i become forceful you will get me blacklisted. You are a vengeful person and I have no sympathy for you.

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130

Dear Anon Pharmacist. I totally agree about having a long acting med and breakthrough med.That is proper PM. I have a few questuons for you as I am a state leader for the American Pain foundation for Florida. I have a support group of 80 legitimate patients.
I have had a 3 way conference with joy Tootle excutive director with DOH and the executive directorMark Whittman of the BOP. Both of them have stated to me that there are no laws on alottments or limits to who much oxycodone or any other pain med a pharmacy can order. Now over 800 people have signed a petition and questionaire about this problem. All of them are saying the same the things. Speaking of allotments, profiling and discrimination against them to the point of being called addicts when they have cancer and other types of serious pain issues. Wouldn't those executives know if there were these rules? Or is this something that pharmacies and the DEA came up with? The whole conversation I had with these 2 do not correspond with that part your telling us. I wonder why they would say that?
As for 180 roxicodone, I need that. Since they have changed the formulas of the oxycontin. It's not nearly effective and does not last long enough. I used to be able to take 3 or 4 roxy a day and be fine. Now they have reformulated Opana and now the reports have said that is basically ineffective too. I can't handle the fatigue and side effects of many other pain medicines like morphine or methadone. So I don't have many choices here of good pain medicines. That is why more breakthrough is being needed. In fact my mother has horrible pain. She is elderly and when the first new oxycontin came out some new ones were mixed in with old formula. My mother asked me why she was feeling so badly. It turned out that the new OP brand were causing her to have withdraw symptoms. My mother gets 180 roxy because of that problem as well. So maybe the pharmacists don't know that the new reformulated meds aren't as effective. That is what is causing alot of this problem.
I do agree that when a long acting med that works properly then less breakthrough would be needed. Pharma Perdue knows about this. I don't know what they can do about it. The doctors don't want to give more 3 main meds a day and if these new drugs aren't working as well, then the patient would need be rasied to higher a dose. Then the pharmacies would complain about that.
So there is a med problem, DEA problem and pharmacy problem. Something has to give here.
I'm sure you know that Florida has more pain patients than other states. People with pain come here for the weather and to retire.
The Institute of Medicine has reported that 100 million people have chronic pain on a daily basis not including veterans, pallative care, and people under the age 18. With that being said, there are alot of pain patients in the USA today. This is a silent epidemic and seems because of all the stigma it will remain this way. The American Pain Foundation has a new web project coming out soon. It will show in real time just who, how many, where the problems lye with doctors and pharmacies. I think it will prove to the world that pain is very widespread. The baby boomer population is aging and auto accidents are the leading cause death. So those severely injured people need medicines. I work very closely with The American Academy of Pain management executive director Bob Twillman on these medicine issues. More education needs to be given to patients, specialists and pharmacist. So they all know how to prescribe pain medicine safely. Patients are being taught to lock these up their meds in safes and not the medicine cabinet. Florida legitimate patients need to be able to get their medicines. Why don't the pharmacies help the doctors and patients fight for rights to pain care? The population has grown since the last statistics were put out on oxycodone. A lot less is needed in Florida because many pill mills have been shut down now. Everyone getting educated will help the communities to learn about the medications to treat pain.Thank you for posting Anon. I hope you respond and tell us why the state is not telling us what you are being told. Those are not laws. That's what I told. It's either pharmacies or the DEA.If the DEA is changing the rules, then why isn't this listed in the new laws? Someone is not being honest. No laws say how much is allowed in our state or anything on alottments.
According to the DOH Florida had 5 million people with pain. That was back in 2009 when that was reported. I honestly feel that the media needs to stop reporting OLD news and stats. They are ancient now but they are still pounding it in the heads of citizens. Things have changed and they need to report this. Thanks again for your time and posting to this thread.

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131

After reading this again. I also have to say, that one size doen't all patients. This is where education comes in. Addiction is different than dependancy. The longer the patient needs to remain on therapy with pain meds, a tolerance occurs, the good news is... That most people do reach a threshold that they can remain at for many years. It's normal for chronic patients to need a higher dose because if chronic pain conditions are not curable then the patient could possibly be on the medications for the rest of their life unless a cure is found or they are healed. I don't think a doctor a should start any patient on long acting meds unless they expect for the condition to remain. If someone is expected to recover, then there is nothing wrong with putting them 180 roxicodone because they can be weaned down as they heal. So that could why many doctors chose not to add a long acting medication. That makes perfect sense. So, I think Pharmacists need to think everything out before judging how much much medicine a patients needs. Board certified pain specialists should know more than a pharmacist I would think.

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132

Dear Anon,
Thank you for taking the time to write to this board and explaining your perspective. I appreciate your answering some of the questions that I have been trying to understand. When a person has suddenly been given numerous conflicting excuses as to why they can’t have their legal prescriptions filled, it is perplexing and confusing and leaves one feeling disillusioned with the pharmacists and the pharmacy, especially when they are experiencing severe pain. I’ve learned since being struck with chronic pain that people in pain tend to complain A LOT! And when they are in pain and they are denied their perfectly legitimate prescriptions the situation at hand automatically gets magnified. Stress increases and pain levels rise. I imagine you have seen your share of angry pain patients but perhaps not experienced the outrage and the terror that ensues within that patient.
I also appreciate your saying that you want to help those of us who take Oxycodone. You wrote “As your pharmacist (and there is a possibility I am since I work here in Florida), I WANT to work with you to achieve pain control and I DO NOT want you to have to drive to more than one pharmacy to do it.†That means so much to me because since not being able to find my prescription for Oxycodone [and I am not prescribed anywhere near the levels you mention in your second point], I have had to revert back to my old prescription and it just is not working well enough for me to function let alone being able to drive to multiple pharmacies each month.
I would like to ask you a question, though. In your first point you say, “I reject patients daily not because I don't want to help, but because there are too many oxycodone prescriptions being written these days.†You also say “I dispense to 25 patients per month because the DEA will not allow me to order more drug because I am a high dispensing pharmacy. Pharmacies are restricted in ordering because of quantity limitations each month and year. I reject between 75 and 100 patents per month (3-4 times the amount of patients I dispense to). I do not have the ability to take care of this many oxycodone patients. No pharmacy in the state of Florida is allowed to order enough oxycodone to service all of the patients that come asking for it. You often are being rejected because there are too many patients on the same medication. I promise you that if 75% of oxycodone patients stopped getting it, the other 25% would have no problem anymore getting it.†That is a logical point but when looked at from the reality of the situation, it seems to me that it would be near impossible for and grossly unfair to the 75% of chronic pain patients who are being denied their prescriptions and forced to change their medication and frankly a LOT to ask of doctor’s treating these patients. Virtually all pain prescriptions are written by Pain Management Specialists, with most of them Board Certified in Pain Management. I highly doubt that the majority of the specialists who treat that 75% are prescribing Oxycodone for trivial or non-essential reasons.
Your statement about Florida prescribing 90% of Oxycodone may be true and I am no expert but many valid reasons could exist for that. Our state is a large one, with a huge coastline, where people come to retire and live their later years. The “Sunshine Factor†brings many disabled and ill people to Florida for the climate. Most of the people in Florida have worked blue collar jobs in such fields as construction, agriculture and the fishing industry, leading to painful conditions. There are many family members coming down to be caregivers for relatives for an extended stay. We all know there are “Snowbirds†who share a home in Florida with their home in another state. These and many other life-related situations could surely be a reason for Florida’s increased need for narcotic pain medication such as Oxycodone. Yes, there has been a pill mill problem here but with all the DEA’s crackdowns in the past 2 years, haven’t all of them been shut down by now and the questionable doctors arrested and no longer practicing? Drug abuse continues to be a problem but street Oxycodone use has abated. There has also been the database to track prescriptions for narcotics.
Also, the question of interfering with the doctor-patient relationship comes in to question. I certainly rely on my pharmacist to be educated in pharmacology and with my personal medication, allergies, etc. and am extremely appreciative of his or her skill in that regard but I also believe firmly that no one should come between my doctor and myself unless, of course it is an emergency situation.
But my biggest question is this. It is my understanding that there is no limit on the amount of Oxycodone that may be dispensed to pharmacies by law. Yet, you say the DEA has limited your supply. So, I am a little confused here. If there is no law preventing it, why is the DEA limiting your quantity?
I also am a little concerned about your personal feelings towards prescribing Oxycodone and/or your belief in the need to prescribe less. Please tell me, if the DEA did NOT limit you to only 25% of your customers’ Oxycodone needs, would you then fulfill all of your customers’ prescriptions for Oxycodone? I say “all†but I mean, within reason allowing for obvious criminal intent. I am trying to understand if your personal beliefs interfere with your adherence to law.
I believe that the answer to this critical problem lies with all parties working together, not against one another and that can only be done when we are all dealing with the truth. Currently, thousands of people in the State of Florida are suffering because of this crazed and inhumane situation. The sad result of this crisis is that more people will suffer and more people will die needlessly. So I would very much appreciate it if you would enlighten me as I look forward to having a continued good relationship with my own and all pharmacists.

Sincerely,
hatesusernames

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133

Exactly right just because i am young looking and have a pierced nose and labret and blonde hair not in a wheel chair or using my cane at all timea does not give the pharmacist the right to tirn me away as an addict. i have had the same piercings for over ten years and they are yellow gold with diamonds. i drive a 2010 Nissan Exterra I hate that a I am feeling like I have to go into a pharmacy looking like a scumbag and use my cane in order to not be looked down upon as a junkie. My fiance tried to get my meds filled yesterday and ge was in his work uniform still and the pharmacist turned him away also and he works as a temperture controls installation guy for a prominent Fort Myers company. He was so embarassed but I am disabled and the longer I am having to wait to find my medication the harder it has become for ne to get up out of bed much less drive and take care of our three boys. Please help if anyone has any idea as to where I can go in Cape Coral and that is relatively close to my home in NW Cape I would so appeciate it since I will have to get a cab. :(

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134

Well said @hateusernames!

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135

"I dispense to 25 patients per month because the DEA will not allow me to order more drug because I am a high dispensing pharmacy." This is the main point, we need to work and force legislators that have never taken a CPR class to stop passing legislation that handcuffs doctors and pharmacists from doing what they can to help their patients. They want to help people but they cannot because the DEA will not allow them to do their job.

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136

Very well thought out and articulated HATEUSERNAMES, bravo. I was prescribed 180mg oxycodone for over five years through a Dr who works in many of the Tampa Bay area hospitals as an anesthesiologist and has his own pain management practice. His card gives the credentials "Diplomate of the American Board of Aneshesiology Subspecialty Board of Pain Medicine". About a year ago I decided I could get by with less medicine and asked for him to cut me back to 120mg oxycodone (now I wish I had kept quiet and built up an emergency supply with the excess from each month.... I guess that's what I get for being honest about my pain and needs) My question is to the pharmacist or anyone that can provide an answer for that matter. If what I am prescribed isn't necessary and or inappropriate how was I to possibly know this not being educated in medicine (I studied law like Bridgette). I didn't just go to anyone for pain management. I found the Dr in my area with the best credentials that was accepting new patients at the time. IF you give me the benefit of the doubt that I am legit and my Dr is legit (used to think that was a given what with the documentation I can and have provided including to a federal disability court judge, however I guess not in the current climate) explain to me why I have not been fortunate enough to be one of the pharmacist's that posted "lucky" 25 out of a 100 attempting to fill this prescription, or at any other pharmacy in a 30 mile radius for that matter. I obviously have medicare being on Social Security Disability so I'm not cash pay. I am clean cut. I have never been rude or expressed anger to any pharmacist, constructive frustration sure. I am always polite and understanding in my dealings with this situation as I understand it's obviously being controlled from above suddenly as it wasn't an issue the first five years of my situation. Whether my Dr is wrong or the people that control the supply (DEA whoever) are in the wrong, either way I am being completely let down by the health care system somewhere along the way through no fault of my own. I have an honest need for pain management. I guess I fall into that 75% of oxycodone patients that should just stop getting it, so the other 25% would have no problem anymore getting it (quote from the pharmacist that posted almost verbatim). I guess when looking for a pain management Dr I need to be asking if he/she works hand in hand with a pharmacist so I can get somewhere actually getting a prescription filled. As many times as I have gone through withdrawal in the last year if I was simply trying to feed some kind of habit I would of walked away from this situation long ago. At the risk of sounding terrible I wish I was just trying to feed a habit at is easier to get illegal drugs if my motivation was simply to get "high". From what I'm seeing drug addicts are still being drug addicts. They've just moved on to easier scores having screwed this up for everyone evidently, legitimate need or not. I personally don't care if the blame lies with my Dr or those in charge of the supply and who gets them. What I know for certain is I AM BEING LET DOWN BY THE HEALTHCARE SYSTEM AND SUFFERING NEEDLESSLY. I am willing to change to a completely different medicine in hopes of rectifying the situation, but from what I understand the supply of other pain medications are now in shortage as others scurry to make changes to try and have their needs met. My Dr's office will not simply let you bring an unfilled prescription back to be switched to something else without making another appointment (they want that office visit money to lift a finger to scribble on a pad) and of course he is booked up from everyone else having to return in the same situation as I am in. SOMETHING NEEDS TO CHANGE THIS IS NOT RIGHT.

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137

These posts are really funny... The best part is the people who ALWAYS start off by saying how "legit" their pain is lol... They always feel the need to start their post by saying "I HAVE HAD 500 BACK SURGERIES" or "I FELL OUT OF A 20 STORY BUILDING AND LANDED ON CONCRETE"... Its like you are so desperate to say how real your situation is that it actually comes off as fake... My father has been on 15mg Oxycodone for about 5 years and Oxycodone/Percocet for over 10 years... He is prescribed 120 15mg's every single month which accumulates to 4 pills per day... There is not one day where he ACTUALLY takes the recommended dosage, he ALWAYS winds up taking less and he has had kidney stones, bulging disks and countless other back problems... Along with his medication he also gets foot long needles shot in his spinal chord... You think he would go throw all that trouble just for some pills? He could have been upgraded to 30mg's a hundred times... The point I'm trying to make is that 99% of you people with all these crazy stories of "legit" pain are all full of crap... You are all junkies and addicted to oxycodone and any other opiate you take... Nobody who is functioning is in enough pain to be on 4 methadones and 4 30mg oxycodones a day... Nobody who can walk is in that much pain as in need of that much medication... The fact of the matter is that all of you complaining that you can't fill your scripts are just victim to circumstance... Blaming "junkies" for making it harder to fill your scripts but you are only blaming yourself because you are in that category... The amount of meds I see you people say you take in your posts would be able to treat a 3,000 lb elephant... You aren't fooling anybody... If you weren't on medicaid you would actually be able to fill your scripts... Every pharmacy has oxy in stock, mostly in large bulk... They won't let somebody who has a 1 dollar copay fill it there because they don't make any money off of it... I work in a pharmacy and I prepare prescriptions for people all day long... My boss (who is obviously a licensed pharmacist) turns down people all the time and he reserves that right... If you are willing to pay 2 dollars per pill to fill your script then he will gladly fill it for you... If you are a junkbox and you come in there with a medicaid card trying to get it without even having a copay then you aren't getting anything... Pay cash or get off meds... Or stop faking disabilities and get back to work so you can get a good insurance... And to the small percent of people who actually do have REAL pain, I wish you all the best... But some of these people need to stop fooling themselves...

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138

Just an fyi I may be disabled butI am actively looking for work and on enemployment so I pay for my medications. So, if what you are saying is true and they pharmacies do have both the scripts I have tried to get the past two months then I am def being judged by the pharmacist and so was my fiance who is a single father of four boys that I have hepled raise for seven years the mother is not involved at all. Maybe 25% of the people on this site have a problem and get over medicated but that is not their faults always that is the Drs who prescribed to them. Next time you want to decide to sit on here at almost midnight to judge people think before you speak. No one has a pure glass house to throw stones at anyone elses. I hope you have a better weeek at work and that your father is doing well being pain free. God Bless.

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139

Glad you are looking for work and not looking for handouts... Unemployment is being cut in the NYC tri-state area... And yes what I'm saying IS true about pharmacists denying people... Every single pharmacy is stocked with oxy and xanax and all that type of stuff... They might be out for a week because they may have been robbed so they don't order anything else for a week... But they're always stocked... The best big name chain pharmacy is Walgreens... They're always stocked especially with 15mg's... But since most of you are on 30mg's let me give you an inside scoop... The 30mg oxycodone is gonna be changing within a year... They're going to do the same thing to the 30mg's that they did to Oxycontin... They're gonna add the gel/wax so they cannot be crushed... But they won't be doing that to the 15mg... I think that this will happen within the next year but it may not happen at all... But I heard that from pretty reliable sources...

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140

I thought this started as a post for people in the Florida Brandon area having problems filling scripts. All I can say is I'm sorry if your experiences have left you jaded. I too have experience with the foot long needle. They're called nerve blocks and steroid injections and I have had both numerous times a year to try and rectify my bulging and herniated discs. Most people on disability (my experiences at least) are not scamming. I would much rather be healthy and able to work as obviously a lot of people do look down on our situation. I wish your father the best and hope you never find yourself in this position as karma can be a weird thing.

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