Can Doctors see all prescriptions u fill?

Jazie

Exalted member
Posts
3,093
Most Physicians will now pull Pharmacy Records before appts. In some states this is required to prevent Dr shopping. My PCP always has my history when I go in. I'm use to it.

I need to find another PCP while I am Caretaking my Dad in another state and I expect they will do the same.
 

H20shed65

Famous PRer
Posts
12,090
@Jazie

My GP just moved to a new practice early this year, and when I came in last February for my first appointment at her new practice, she asked me if I was still taking Tenuate! It threw me for a second, then I explained that while she was on “Sabbatical” I refused to see any of those QUACK D.O.’s she practiced with ( hold your comments folks, you wont change my opinion of D.O.s ) so I had a N.P. friend of mine fill my regular meds, including Tenuate. My normal GP, an M.D., but soooooo young, had no idea what Tenuate was ( she normally prescribes me phentermine hcl ) and asked me where I got it!?

Sure, I was tempted to say “ The same place in the hood where I buy my black tar heroin”, but being raised a bit better, I said “ You’re the one with the PDMP database which I know lists the prescriber”, but here’s her card and if you check your MyChart Mail, you’ll see I wrote you about this months ago.

But I still love that woman! She’s so BY THE BOOK, which may make some weep, but statistically, the best physicians. :)
 

vapestar

Senior member
Posts
91
The State that I live in has a statewide database (Prescription Database Monitoring Program) as @H20shed65 mentioned above. It primarily is designed for the "control and monitoring" of Controlled Substances prescribed in my state, pretty self explanatory.
I do not know all the facts about how this system works but I would assume that each State has similar types of programs, if not all States are already coordinating and participating together in a Nation-wide Prescription Monitoring Database. I would assume that is the case now- this program being a Nationwide or interconnected exchange of your Rx's and prescribers information for monitoring purposes.
(Please anybody, correct me if I'm wrong about any of this. I would love to know the real deal and laws.)

I'm sharing my experience with you because it is very similar to the situation @H20shed65 describes above.

So trying to make a long story short and to the point. I was visiting w my Primary Care doc on a regular basis due to a medication contract I had to sign as a result of being prescribed a controlled substance.
Very strict the way they ran things at this office, random phone calls and check-ins, UAs and medication counts, etc. Within a couple weeks, I was given a referral to find a local psychiatrist in my area and soon started seeing one which is the main reason I started at this office was for the referral. About two months go by, I was going to two separate practices and both were prescribing me various medications.
One day at my primary care office, my pcp comes in the room with a few papers in hand and obviously was not happy about something.
From what I gathered, my state's prescription monitoring program circulates a list or database of all prescribed prescriptions and/or controlled substances between providers/prescribers/pharmacists...
I'm not sure if its a monthly thing or bi-monthly publishing but point being is that my Pcp knew the name of my psych dr, appt. dates/times, and also what/when/where I filled my psych medications.
This same paper or "database" also is distributed to the pharmacists, other specialists, anyone having anything to do with your medications.
THEY SEE EVERYTHING!!
 

karuna

Honorable member
Posts
242
I would like to know anyone's insight, personal knowledge or a good guess, regarding ordering through an OP and if your order is reported to any database your doctor could access?

Do you feel these orders are reported to a prescription database? I'm asking because someone I know is in a pain management program. I know from a family member information is indeed shared, but that is from a doc you saw and who gave you a paper script or electronic script and it's part of your record that it was given to you. Then when you fill it, at a neighborhood pharmacy, the information is passed onto a database and your insurance company. It's also shared between departments within the same clinic, as well as non-affiliated medical groups, so if you go to a different clinic or to the ER/ED they have your information.

My feeling is the brokers, "physicians" and pharmacies, don't interest, have our SS# and I just don't feel they want any light to shine on them for reporting an order to any database. I feel the tracking is one reason purchases are made online.

Whadda think?
 

Jazie

Exalted member
Posts
3,093
The State that I live in has a statewide database (Prescription Database Monitoring Program) as @H20shed65 mentioned above. It primarily is designed for the "control and monitoring" of Controlled Substances prescribed in my state, pretty self explanatory.
I do not know all the facts about how this system works but I would assume that each State has similar types of programs, if not all States are already coordinating and participating together in a Nation-wide Prescription Monitoring Database. I would assume that is the case now- this program being a Nationwide or interconnected exchange of your Rx's and prescribers information for monitoring purposes.
(Please anybody, correct me if I'm wrong about any of this. I would love to know the real deal and laws.)

I'm sharing my experience with you because it is very similar to the situation @H20shed65 describes above.

So trying to make a long story short and to the point. I was visiting w my Primary Care doc on a regular basis due to a medication contract I had to sign as a result of being prescribed a controlled substance.
Very strict the way they ran things at this office, random phone calls and check-ins, UAs and medication counts, etc. Within a couple weeks, I was given a referral to find a local psychiatrist in my area and soon started seeing one which is the main reason I started at this office was for the referral. About two months go by, I was going to two separate practices and both were prescribing me various medications.
One day at my primary care office, my pcp comes in the room with a few papers in hand and obviously was not happy about something.
From what I gathered, my state's prescription monitoring program circulates a list or database of all prescribed prescriptions and/or controlled substances between providers/prescribers/pharmacists...
I'm not sure if its a monthly thing or bi-monthly publishing but point being is that my Pcp knew the name of my psych dr, appt. dates/times, and also what/when/where I filled my psych medications.
This same paper or "database" also is distributed to the pharmacists, other specialists, anyone having anything to do with your medications.
THEY SEE EVERYTHING!!
Your Dr pulled that information by request on you prior to your visit. My old Dr had my records in front of her every visit as she pulls all info on patients.

Pharmacies, or State Agency's don't automatically send records to Dr's. Dr's pull the records to CYA to recognize 'Shoppers' and to make sure they are not double scripting what another Dr you see might be.

In some states it is now a Law that Dr's pull records before visits.

Welcome to DEA rules 101. Sucks.
 

karuna

Honorable member
Posts
242
PLEASE, MEMBERS, ANY INSIGHT OR THOUGHTS ON THIS?

Thank you!

Second post...
I would like to know anyone's insight, personal knowledge or a good guess, regarding ordering through an OP and if these orders are reported to any database your doctor could access/view?

Do you feel the orders are ever reported to a prescription database? I'm asking because someone I know is in a pain management program. I know from a family member information is indeed shared, but that is from a doc you saw and who gave you a paper script or electronic script and it's part of your record that it was given to you. Then when you fill it, at a neighborhood pharmacy, the information is passed onto a database and your insurance company. It's also shared between departments within the same clinic, as well as non-affiliated medical groups, so if you go to a different clinic or to the ER/ED they have your information. Got that... what about online ordering?

My feeling is the online brokers, "physicians" and "pharmacies", don't have any interest in doing so. They also don't have our SS# and I just don't feel they want any light to shine on them for reporting an order to any database. I feel the tracking and reporting is is one reason purchases are made online. This is my belief. Is there any chance one would report the info to a state database?

Adding: In my years of online ordering, no medical group or physician ever brought up my online orders. However, I'm not in a pain management program, but would that make a difference? I don't think it would because ordering online without a written script is a very different dog, so to speak.

Whadda think?
 
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Ellyn

Distinguished member
Posts
783
I seriously doubt it. I cannot imagine that anyone other than your online vendor( or whomever gets into his/her computer) would be able to see what you've ordered. There is NO incentive whatsoever for those who provide online pharmaceuticals through informal channels to document this with any regular reporting agency, as all they'd be doing is drawing attention to what they are not supposed to be doing in the first place. So I would not spend too much time worrying about that.
 

Farley

Banned
Posts
96
The Company I work for handles all my Medical Bill while in the US. Anytime I had to see a Doctor they had previous info about different scripts ( I have worked in 5 states) all before them. The scripts were all legal and I was not " Doctor Shopping" If I need to go to a doctor I have to ask permission ( or pay a fortune I assume). One time the Doctor was on the Phone to my English Doctor back home and asking about any medications I was on. I am not from the US, I just work there, so it maybe different rules.
 

tnahs

Lapsed Senior Member
Posts
125
In Michigan, any doctor or pharmacy can check out what a patient has had filled. Its called Michigan Automated Prescription System (MAPS).
 

Delta L1011

Distinguished member
Posts
963
They may not have bothered to look before...but with opioid crack down that seems to be changing big time.

@DB Dicey "so true"............not only with the opi*id crack down, but also, with soft (any kind of scheduled med) from soft hypnotics, to benzo's, to even ADHD/ADD
meds as well. Especially, with large USA chains, added to a new preppie pharmacist..............................................................................................................

I had actually a new hand written prescription for Z*lpidem Tartrate, with 2 refills on it, to a chain pharmacy, (formerly a Rite Aid, but bought out by Walgreen's, &
part of the pharmacy staff was brand new, and quite young & cocky, I was told my Insurance company would not approve for the payment, (which I already knew,
for the past 5 years, they will only approve of a 90 days supply per year, and I take it with a fresh paper script, with 2 refills, NEVER EARLY, with the same doctor I
had been using for decades..........I take part of the blame as the older pharmacist, had the day off, and after I meet my 90 day limit, (this happened last fall 2019,

I always pay cash, out of pocket for my generic Amb*en 10 mg, but, I slipped up, and,when this very young new pharmacist addressed me, with this data, I told
her, OK, I will just pay cash, as I have done for many years with pharmacists under prior management "who know me", this person, the pharmacist, so, in a
non threatening way, told her, I had been doing this for years, just check out my PDMP, she did pull rank on my Psychiatrist, and on me, and, I just walked
out the door, actually mad at my self as I know better usually with a new pharmacist.........................she did fill the original script for cash, but, marked on the
script with 2 refills, for the future, with a big Invalid. I asked for the paper script back she told me no it does not belong to you anymore, ????? This event
happened BEFORE I WALKED OUT THE DOOR of the Walgreen's pharmacy and BEFORE. I paid cash for 30 tabs of generic Amb*en ! I had one problem with

Walgreen's in the year 2016 one time at another location, again with a new cocky pharmacist, for a tighter ADHD med, and that time I walked out the door with
my paper script ! I should have done the same thing, 3 years later, as I described. Yes, things are changing with the Opi*ate Crisis !!!

thus I lost 2 refills, on a med I have taken off and on for the past 20 years !!! (October 2019)

Thus I walked out the door (was p*ssed but did not want to raise a red flag), and took the 30 tabs of generic Am*ien, you know what? within 2 weeks I got a letter,
from a huge national insurance company, I have been with for years, write me from that friggin Managed Care office, I could no longer get Am*bien, filled in the
future......inferring 2019 & this year 2020 ! What gives??? IMHO it has to do partly with a new generation of pharmacy green peas, who have either...

1. Big ego's

2. have a huge educational loan to pay off, (like a new mortgage and a leased car + their student loan & are afraid of their jobs .

3. Some newer generation pharmacists, especially with the big USA chains, want to score with their job performance so called internal Drugstore management
with a high score for what i call "impression management" to their employer.

4. As has been said already by many other forum members, it is better to develop a relationship with the SAME pharmacist, and if he is not in for the day, to
calmly walk out with your paper script, (if you have even that choice). as I understand it the new age, or state laws now fax the script to your pharmacy.
in certain states. It is being offered as a choice in my state. I always so far ask for a paper script.

5. Finally it has ALWAYS been better for me to go to the few independent pharmacies, that are left in the USA, and if possible deal with the owner/pharmacist, a
daunting task in the here and now !!! In the old days, the owner / pharmacist even with a controlled substance would love for you to pay cash, as the
pharmacy makes more money if you pay cash, (like 20 years ago Visa & Master Charge would charge as much as 4% to 5% off the top of the pharmacy
owners deposit. if products were paid by credit card. I know this as a fact 1970's 1980's 1990's + maybe even in the more recent past......................................

6. IMHO a pharmacy employee does not care, they just want to do what I printed up with the 5 options above JMHO.. @Qtrgirl @DB Dicey @sillypuppiez and
@LuckyIrish !
 

Bawston

Eminent member
Posts
1,279
@El Grandote... you must be in one of the very few states that don’t have the prescription drug database. For any opioid or benzo, the doctor is required to check the database before giving you the script. All opioids and Benzos must be entered in the database by the doctor and the pharmacy that’s filling it.

What I’ve just found out though is that my prescription insurance isn’t covering a number of prescriptions anymore even if they’re generic and they are limiting the number you can receive per month. For example I can receive up to 8 generic Ativan and they will be covered. They can’t stop my doctor though from prescribing generic Valium however they don’t cover that one at all. Go figure?
 

Delta L1011

Distinguished member
Posts
963
@El Grandote... you must be in one of the very few states that don’t have the prescription drug database. For any opioid or benzo, the doctor is required to check the database before giving you the script. All opioids and Benzos must be entered in the database by the doctor and the pharmacy that’s filling it.

What I’ve just found out though is that my prescription insurance isn’t covering a number of prescriptions anymore even if they’re generic and they are limiting the number you can receive per month. For example I can receive up to 8 generic Ativan and they will be covered. They can’t stop my doctor though from prescribing generic Valium however they don’t cover that one at all. Go figure?
@Bawston,

I appreciate your thoughts. My state "does have a PDMP" (prescription data monitoring program) since the year 2007. covering all levels of controlled substances,
(II, III, IV, V). My M.D. (a forensic Psychiatrist) who has practiced medicine for the past 49 years, retired, in late October of 2019, at age 74+, and he had a closed
practice the last 5 years he practiced medicine, (did not take on any new patients) but up until 2 years ago, one of his staff members, ran a PDMP, on every
patient, before they came in for a "med check" (meaning a every patient, who, after their initial intake, came in (in my case) every 3 months, for a new paper RX,
for a psychotropic med, especially any patient, who was taking a controlled substance. Especially since the year, 2012, when the DEA came into his office to audit
him, in the year 2012. Why? he told me, I chose not to share the particulars.


My former M.D also had a 2nd degree in medicine, in Addictive Medicine, (not sure of the wording) I just know it was from the Univ of FLA, Gainesville, FLA & a
degree, in medicine, from UCLA, and a practice prior, up to the 1990's, in greater LA, and later in Taos, & Santa Fe New Mexico, before moving to the SE USA.

You are 100% correct, on your 2nd paragraph, about the "Formularies" of IMHO, of most large USA insurance companies. The Formulary "Gods" make the decisions
often, year to year, on "QL" quanitiy limits, and PR, Prior Approval, and whether or not to even list a Brand or especially a generic medication on their precious
"formulary". I know, because my ex-wife for the past 10 to 15 years, moved up from a RN, for many years, after studying to be a Formulary RN, who went private,
for a huge private Insurance Company, for a big increase in salary, like 10 years ago, to $70,000.00 + many perks.

I want go into particulars, but I see both sides of it. My ex lost her job, IMHO, had sort of a nervous breakdown, she still practices medcine, but the STRESS was,
overwhelming, either working for a major hospital, or, later with the formulary dept. of private health insurance companies. I will say one thing, the BIG hospitals,
do have GREAT health insurance for their employee, and their spouse. (As I have been there before I got divorced).

Example (my current insurance) is like yours @Bawston........did this......the soft hypnotic was "PR only" Prior Approval only, for the years, after it went generic, in
2007, then, they added Quantity limits, the # of pills per month, later, about 5 years ago, added, a 90 day supply for the year, (thus a total of 90 pills in a 365 year)
UNLESS, your M.D. called or wrote the Formulary Dept of my insurance company for extenuating circumstances.

My Doc was good to me, he told me in person, he would NOT talk to anyone from a insurance company UNLESS they were a AMA certified M.D. and not anyone else.
he also told me it was my responsibility, to take care of my choice of pharmacies, he did not want to be bothered with, anyone, no less than a bona fide Doctor, or,
no one but a Chief Pharmacist. I was under his care for 21 years, and, he was good to me with several much tighter (controlled prescriptons).

Like you, here are a few examples comparing my 2019 Formulary to my 2020 Formulary. As I made a slight mistake, as my Insurance company did lighten up
FINALLY, on the med Z*lpidem (Am*bien) 10 mg, or outside USA (St*lnox) 10 mg. In 2020, the PRIOR APPROVAL was removed, BUT the 90 day supply, that is
one pill per night x 90 days, per year, is still in force, as well as the "Quantity Limits) per month !! Crazy !!! Like you, the same formulary states, for such
things a tightly restricted PM's the formulary states, one is pre approved for 360 x 5/325's (I'm sure you get my jest) or up to 180 tabs of the same med without
any added A*AP. including any size from 5 mg to 30 mg. Crazy !! Why? (Example: 360 tabs a month divided by 30 days = 12 tabs per day
of 5/325 infamous pm's equals 3,900 mg of AP*P = 3,900 mg which at max dose per day will do a # on your liver ! 4,000 mg of AP*P is often toxic per day on
the liver !!! thus a QL per month, going back for a new re-write each month, with the cap only per month, would IMO being dangerous to a patients liver if done
every month ? (no quantity limits per year) via this insurance company, vs. your state laws which might highly restrict the med and over-ride the pm...???

No M.D I know of in my state will prescribe the latter, unless, one is in hospice, or, one has a kidney stone removed, (such as I) in the year 2015, and THEN from
the ER, only 15 tablets, NO REFILLS, ever, even if the CT screen shows you have multiple stone, too large to pass, and the MD knows you travel from time to time
to far away places, and the kidney stones are too large to pass, meaning if you have another kidney stone attack, they will have to do surgery to cut inside your
kidney to remove stone as large as a quarter, or even larger, like numerous ones

IMHO that is easy for the Formulary gods to offer strong pain relievers, now, that is generic, as the insurance companies know, all to well of the Op*ate crisis, and
nearly all MD;s in the USA are afraid to prescribe certainly the quantites they approve of in 2019/2020. Another example is the D*az, a much softer B*nz0, my
2020 formulary states, for D*az (prior approval) from the insurance company, then, for 10 mg, QL (Quantity Limits) of 120 tabs per month, BUT WITH NO 90 DAY
restrictions. ??? Thus, one could get a RX for 120 D*az that is one ten mg QID, which would be a 30 day supply, and then get up to say 4 more refills, within the
federally mandated 6 month supply for the "soft schedule" of this class of med, a "see four". But Zol**dem (which is a semi be*z0) you get a 90 day restriction,
like it is a deadly med, like the kind of old school med that allegedly killed movie actress Marilyn Monroe, in the 1960's ?????? That is Nuts to me, keeping a med
like Z*P's so highly restricted !!! it is like comparing a bee bee gun to a M16 rifle. IMO. (maybe my illustration is a bit too strong) sorry folks.....................

there are more examples, like @Bawston, so eloquently stated. Another example from my insurance company a HUGE one I choose not to disclose, for,
the same class of med as the D*az, the generic (again) Cl0n*zep*m two mg , one can get, on the 2020 formulary in my hand, up to 300 tabs per month,
with NO PRIOR APPROVAL and no pill yearly restrictions, like on the same Federal class of med like the Zolp*dem ??? There are QL for more than this limit on
Cl0na*zep*m ! Even the two mg b*rs, are, in my formulary sp? for generic, (A*p) for a Quantity Limit per month of up to 150 tablets (B*RS) per month with no
Prior approval and no yearly limit, only a monthly limit.

No one I know who takes either of the last two Anxi0l*tics, gets a M.D in my state, or any state, I have formerly lived in, that many A*Ps, in that large a size,
at least since the 1980's and with the one mg size, and the mid 1990's in the two mg size. IMO the private insurance companies are not stupid, they know most
USA MD's would not prescribe nearly that many pills per month, in THAT size, due to the current climate, that has been true for at least a solid ten years !!! IMHO.

I used to get in the year 1994, one hundred two mg "Bars" with 2 refills, of the Z*nn** bars, PRN, once a month with one refill, from another shrink, in another
state, I don't believe but very, very few US citizens can get that amount year round in any state in USA, in 2020. (from a legit face to face M.D) ! (Same things
with yet another M.D. in the early 1980's with Leo Sternbach's Di*z, ten mg, take one QID, with 2 refills. (on a prescription with take one tab every 4 to 6 hrs with
P.O. further back than that, mid 70's, Sig: #100 D**z QID 10 mg refill PRN !! (when the D**Z was not a USA controlled substance). a/k/a Vitamin V.

The PDMP, the last I heard was in 49 states of the 50 states, with the exception, of Missouri, and then only out side of St Louis, (citation needed) "not checked in
several years" of the USA. Anybody know the latest? on if any states "do not have a PDMP'?

Yes I relate to your examples Bawston !
 
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Lizdawn

Senior member
Posts
94
Docs def can look to see what meds u are getting from pharmacy. Every time I see my gyn when his nursing assistant comes to get my info b4 I see the doc-She always asks me if I’m still taking the same meds-and reads them off. A couple months ago she asked if I was still taking my tram, birth control and norco. I was shocked over the norco as my dentist gave me the 5 norco’s after having tooth extracted and this had absolutely nothing to do w/ my gyno doc. I guess I looked at her funny/kinda shocked by the question & she stated their system is now updated to see what meds we are taking/having filled at pharmacy. It wasn’t any big deal, as my gyno doesn’t give me anything controlled, but this certainly caught me off guard. I’m guessing it’s a new thing. I had never had this happen in the past with my family doc-this could have gotten me into trouble with him lol

As far as my docs knowing what i order from these online pharmacies-no!! Obviously I don’t think vendors would want to do that. The online purchases have never been reported to any of my docs anyhow
 
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barracuda

Senior member
Posts
91
Docs def can look to see what meds u are getting from pharmacy. Every time I see my gyn when his nursing assistant comes to get my info b4 I see the doc-She always asks me if I’m still taking the same meds-and reads them off. A couple months ago she asked if I was still taking my tram, birth control and norco. I was shocked over the norco as my dentist gave me the 5 norco’s after having tooth extracted and this had absolutely nothing to do w/ my gyno doc. I guess I looked at her funny/kinda shocked by the question & she stated their system is now updated to see what meds we are taking/having filled at pharmacy. It wasn’t any big deal, as my gyno doesn’t give me anything controlled, but this certainly caught me off guard. I’m guessing it’s a new thing. I had never had this happen in the past with my family doc-this could have gotten me into trouble with him lol

As far as my docs knowing what i order from these online pharmacies-no!! Obviously I don’t think vendors would want to do that. The online purchases have never been reported to any of my docs anyhow

El Grandote

From my experience you are dead on correct.

My doc has handed me the print out from the electronic system system they use. It definitely shows all my rxs, going back to when my state started program. I keep it handy in case a situation arises where I need proof. Don’t know what that situation would be but you never know.
 

hooosier1

Senior member
Posts
69
They can absolutely see all meds you have filled. Especially in a state. They would not know what you ordered form an online pharmacy unless it required a prescription from a US doctor that was sumbitted through the same database. I doubt most on here would do that.
 

hooosier1

Senior member
Posts
69
Indeed. I learned the hard way when i lost an antibiotic later this year from CVS. I called it into Walgreens and they said CVS already filled it. I then said i lost it, and it was a big mess. They ended up refilling it but my insurance would not cover it twice. What a world we live in.
 
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