I'm from the back board but this topic really has my interest as well. I'll tell you a couple of my stories regarding pain meds and pharmacies.
I use a large , national retail pharmacy. I have been on the same dose of pain meds since my fusion surgery in March 2006. There has never been any problem or question about the doses or the scripts themselves. I never have refilled early or asked for more, any of the "flags" that the doctors and pharmacies look for.
Anyway, along comes a brand new pharmacist, just hired. I drop off my scripts as usual. I get them two days or so before I need them so they have time to get the meds in that they don't have in stock.
She calls my doctor's office and tells them that I am taking one too many times a day ( it is supposed to be a long acting 12 hour dosing med, but does not last that long for me, so I get it every 8 hours), and the Lyrica she has a problem with because I am at the maximum daily dosage, and the baclofen, she also has a problem with because ........???? We have no idea. The physician discusses the dosage timing with her, explaining that he has been prescribing the same dosage frequency for about 9 months after trying the 12 hour dosing and it not working as long for me, then she calls back and tells him that she has a problem with the high dosage of Lyrica and there should be something else he should put me on since I am taking such a high dosage, and then finally , she calls him a third time about the baclofen, and whatever her issue was with that.............sigh. Doctor's office calls me and asks me what her problem is. I call the pharmacy, get her on the phone and tell her that I have been filling the same prescriptions, from the same doctor, at the same time each month since 03/06 and that I want to know what her issue with it is........she can see on the computer that I am not getting meds from any other doctor, and that there are no early refills, etc.......she tells me on the phone that she will not fill the scripts!
She is not "comfortable" filling them at the doses they are prescribed and do I know that the pain med is "highly addictive"? Of course I do you fool, but you can see that I am well regulated, don't take more than I am supposed to, am not "high" on the pain meds, am not getting scripts from anywhere else.......what is the problem?
Long story made shorter, I have to make sure she is not on duty when I drop off my scripts or they don't get filled. She held my last prescription for the breakthrough med for almost 3 weeks claiming that they didn't get it in
So, my husband had to take that one to the pharmacy for me, and drive to another town 25 miles from here to get it filled because the other pharmacy that takes our insurance did not have the capsules in stock and the script was written for that........
Luckily for me, my PM knows me well, knows that I do not abuse the meds, in fact, I resisted them for a long time, and he knows about the problems we have had with the pharmacy so he is not surprised when I tell him that we had to take them or one of them to another pharmacy to get it filled........it is such a pain too since the reason that I used that pharmacy is that it has a drive through which is much easier for me than trying to walk that far into the store/pharmacy, which is very difficult for me.
So, that's my story of pharmacies and headaches...........
Best of luck to you all.
Oh, and as far as getting multiple scripts from different doctor's goes for the original poster, most PM doctors either have you sign a contract that clearly states that any pain meds must come from them and them alone or if there is a clause that says if you go to another doctor/ER and recieve a script for meds, you must notify the PM's office by the next working day.......I have not had to sign a PM contract but I know that others have in my PM's office and it clearly states what the rules are for them to treat you.