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Old 01-27-2009, 07:11 PM   #1
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how soon can I refill my prescription

Hi I just wanted to know how soon can I fill my Oxycodone prescription I get 90 tablets every 15 days but there are times that the pain is so severe that I dont sleep all night and take them at 3:00 am I take 2 every 8 hours how soon can I refill. Thank You

 
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Old 01-27-2009, 07:33 PM   #2
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Re: how soon can I refill my prescription

You probably will not be able to get it filled until the 15th day, maybe the 14th. I've found that's just how getting these medications work. I tried to get my prescription filled 4 days early because I was going out of town, but the pharmacy would not let me.

 
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Old 01-27-2009, 08:11 PM   #3
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Re: how soon can I refill my prescription

It depends how the prescription is written on the bottle. I get 90 oxycodone also. it is written as 1 every 4-6 hours which means 6 max a day/15 day supply. Usually the insurance allows you to fill or renew a prescription a few days before the first one is up. At least that's how it is for me.

 
Old 01-27-2009, 08:21 PM   #4
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Re: how soon can I refill my prescription

call your pharmacy and ask when is the earliest day to refill on this medication? they will tell you the exact earliest date..

brian

 
Old 01-27-2009, 09:19 PM   #5
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Re: how soon can I refill my prescription

In our state you can't just call pharmacy for a refill of Oxy's you have to get another written prescription pick it up at the doctors office and hand carry to the pharmacy. If your pain is more than what is ordered then you need to explain that to the doctor. it is better to have enough to cover the pain than not enough. If you have not had a refill of your Oxy's before you need to find out what your state requires of the pharmacy or doctor. good luck.

 
Old 01-28-2009, 04:40 AM   #6
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Re: how soon can I refill my prescription

NY has very strict rules with narcotics as well. This drug cannot be called in or refilled over the phone; a new prescription must be handed in just as the last poster said. They really don't like doctors calling it in either; it must be an actual prescription dropped off at the pharmacy. But your question was how soon or can you refill; the answer is yes it can be but with a new prescription and as I mentioned usually a few days before the first one is up. I'm in the same situation as you right now, my meds are working that great anymore and need to request an increase! Good luck !!

 
Old 01-28-2009, 10:00 AM   #7
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Re: how soon can I refill my prescription

I know I can get my oxycontin and oxycodone re-filled every 23 days with my insurance. Im not sure how everyone else's insurancer works ?

 
Old 01-28-2009, 12:44 PM   #8
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Re: how soon can I refill my prescription

Hello and welcome to the boards. Sorry to hear about your pain.

You cannot "refill" a Oxycodone prescription. It is a schedule II med and the DEA doesn't permit refills on CII meds. However, you can get a new script and have it filled. CII meds cannot be called in either, unless in the case of an emergency and then only a 72 hour supply is permitted. A written script must also be mailed to the pharmacy.

With regular refills (on the bottle), it's all about the "days supply"....Whatever the pharmacist enters into the computer system, per the Dr's orders on the script. For example, if one is to take a med every 4-6 hours for pain and the Doc scripts 60 pills, it's either a 12 or 15 day supply, again depending on the pharmacist.

One pill every 4-6 hours is at least 4 per day, but some pharmacists will enter 5 into the computer. Pharmacists typically allow 8 hours for sleeping...So 4 x 4 = 16 hours. 60 pills / 4 per day = 15 day supply. However, if 5 per day, then 60 / 5 = 12 day supply.

This is a very gray area and much depends on the pharmacist and the particular Doctor.

Hope this helps,

Ex

 
Old 01-29-2009, 01:28 AM   #9
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Re: how soon can I refill my prescription

Hi and Welcome to the boards.
When you say that you are taking a dose at 3am, is that an extra dose for you in 24 hrs or is that included in your 24 hr dose? In other words if you are allowed to take 6 a day and at 11pm you took your 6th pill then at 3am you took a 7th pill, then that would be an extra dose you took or did you take your 5th pill at 11pm but you woke up and had to take a 6th one at 3am?

I agree with everyone else in that this particular med can not be refilled and has to be a hand written rx. I know my pharmacy does not allow phoned in or faxed in, it must be hand carried in and it must not have any errors on it, such as the year was accidentally written for 2008 and not 2009 or if the spelling of my name is wrong. If any of that occurs then I have to get a new corrected rx to hand carry back to them. I've even heard of pharmacies not filling these meds, if there are two different color inks on them, such as black and blue.

It also depends on your insurance company as well as the pharmacy. I know with my pharmacy they will fill the rx so that I can take the max in a 24 hr period. I think EX mentioned that some pharmacies will take into consideration sleep. My pharmacy doesnt factor in sleep, they simply go off of a 24 hour period. So if my rx is written that I can take 1 pills every 4-6 hrs, then my pharmacy fills it so that I can take a max of 6 pills in a 24hr period, which is 1 pill every 4 hours, and 24hrs divided by every 4hrs is 6, so 6 x 1 pill is 6 total.

As for filling another script early it all depends on your insurance company as well as the pharmacy. My ins. comp. will allow me to fill my scripts 8 days early, but not all pharmacists will do that even though my ins. company is saying its ok and they will cover the cost. The pharmacist is looking at numbers, and if i'm coming in 8 days early, then to them it appears as though i've taken 48 extra pills or that I shouldnt be coming in because I should have 48 left.

Some pharmacies will allow an early fill if you are traveling out of the Country, not State, but Country or if your Doc over the course of the past 15days increased your doseage from what was originally written, then that would be a reason to fill early, because then you would run out early, but your new script must show that there has been an increase.

I would call your Ins. company first and ask them how early they allow a fill, then I would call your pharmacy and see if they will fill it.

Hope this has helped some.
Lisa

 
Old 01-29-2009, 07:23 AM   #10
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Re: how soon can I refill my prescription

Your Doctor will have to write the script and he or she can fill for a different quantity or strength. Insurance will pay if there is ANY CHANGE at all to a medication. My monthly fills I can fill up to 10 days early only if the previous script did not cover a full 24 hr period. for example 120 pills take one every 3-4 hours and there was enough for 20 days ( 24 hr in a day x 4 hrs = 6 pills a day x 30 days would be 180 pills a month. Script is for 120 so technically a fill could be done "early". But it is up to the Doctor to prescribe.

 
Old 01-30-2009, 07:25 AM   #11
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Re: how soon can I refill my prescription

Yeah sorry I diddnt mean re-filled in the sense that I can just call it in. I do have to go to my doctor and pick the RX up What I was trying to say was I dont have to wait 30 days to get the insurance company to pay for the same rx they will cover it every 23 days. I hope that makes more sense sorry for the confusion.

 
Old 01-30-2009, 10:23 PM   #12
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Re: how soon can I refill my prescription

just what katlovesdogs said, if there is a even a slight change in how the new prescription is written, it will usually be accepted by the insurance. At least for NY and my insurance, it's not up to the pharmacy to refill or renew a prescription, it's up to the insurance company. The pharmacist just puts it through your insurance and if the insurance company declines the refill; it could be because it's too soon from the last script. I travel quite a bit and the few times that I needed to refill my narcotic prescription 5 days before it's up, the insurance declined to refill. The pharmacist told me that the insurance would accept a new script if it said a different qty in a 24 hr period from the first one. So my first script was written 1 pill every 6-8 hours and my refill or 2nd script was written as 1 pill every 4-6 hours; it went through.

 
Old 01-31-2009, 10:48 PM   #13
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Re: how soon can I refill my prescription

I was getting my script filled 7 days prior to the date for re-fill. Insurance paid for it no problem. I was also feeling under medicated. I had no problem for a few years until they got a new 30 year old pharmacist that came in and was gung ho about all being perfect. He was even driving the other assistant pharmicists nuts. He was one of those right out of school and was all about getting a raise. He was wet behind the ears and thought he was pill cop. He started coming down on me about filling early. I told him that insurance allows for payment on a fill up to 7 days prior to the fill date. He said true, but you still are not do for a refill. He said the reason they allow that is for the rare occasion you are going out of town or need to come in one or two days early because you can't come in on the exact refill day. He said I was coming in every month 7 days early. I though he was just being a jerk with me, until I got to my next Dr app. This guy called my Dr and told him all the dates I came in early. So I get to my next appountment and my Dr says that the DEA contacted him about me filling my drugs early and it's a red flag for him and I need to go in only on the date it said. I told him "no it was not the DEA that told you, it was the new pharmacist at the store" He then said "Yes, you are right, but it can give a red flag warning to the DEA" He warned me very nicely, so I don't do that anymore. Now, I basically come in on the fill date. I get two scripts for each visit to the DR. One is written for the date I see the DR and the other for a month later. I basically go to the pharmacy that day and then a month later for the next. THen I make another dr appointment for about 3 weeks after my second fill. He writes a script for that day and I go get it filled. Not technically early as he wrote the script for that day. I also like to stock pile my meds so that if I ever get in the position like many board members and the DR goes goodbye in the night, or for any other reason, I can have a hand full on hand. THere has been many times I am sure other board members wished they had that. I hate having that rope around my neck worrying about the day I might not have my meds and have to go through withdrawls.

 
Old 02-01-2009, 12:07 AM   #14
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Re: how soon can I refill my prescription

Quote:
Originally Posted by Blondie2182 View Post
What I was trying to say was I dont have to wait 30 days to get the insurance company to pay for the same rx they will cover it every 23 days. I hope that makes more sense sorry for the confusion.
Your insurance will more than likely pay as long as the new script is:

(1) A new written script in that it has new directions (vs the old) as other posters have said,

or

(2) The "days supply" is up on the previous script. For example, if the previous script was one pill every 4 hours (5 per day) and he gave you 50 pills, or 10 days worth....The pharmacist would enter a 10 day supply into the computer when filling. Once those 10 days are up, you can get the new script filled. Sometimes if you bring a new script in and it's the exact same directions as the previous one, the insurance may not pay because they'll say you should have meds left over from the previous script. Pharmacists are more likely to object to this scenario than insurance companies. A strict pharmacist may notice that you should have meds still available.

Conversely, many insurance companies treat each new script as new directions and automatically overrule the previous script, thus covering it. The reason for this is that a new script almost always means a new trip to the Dr. and therefore things have changed...i.e your pain is worse, or you are to take at different times, and etc.

Official refills (on the bottle...Not a new script) are much more likely to go by the days supply, from an insurance perspective and a pharmacist perspective. This is because the refills are simply an extension of the first prescription and you haven't been back to the Doctor. So, a pharmacist (and insurance company) will most often hold you pretty close to the days supply. As others have attested, some pharmacists are super strict and hold you to the exact # of days. The exception to this rule is when you tell the pharmacist you're going on vacation, out of town or whatever....But, a good pharmacist will only grant you this exception on occasion for the obvious reasons.

Judging by all the responses, you can see that this can often be a very difficult and confusing issue. At the end of the day, it's almost always up to the pharmacist. Even if insurance won't pay, you can elect to pay "cash", assuming the script is valid and not post dated. Many people don't know that you can pay cash for a script if the insurance denies it for some reason. This of course, assumes the pharmacist will permit it. A pharmacist can deny any script for any reason. As djchris indicated, they can make life difficult for you sometimes.

I have suggested very strongly in the past that it's best for CP patients to develop a relationship with their respective pharmacist. Bring them under the umbrella a bit so they understand your condition. A pharmacist can be your biggest advocate, or your biggest nightmare. Personally, I think your pharmacist should be an extension of your Doc. Mine has been a huge help to me and is very understanding of my CP.

IMHO, I think independent pharmacists are the best because they own the pharmacy and focus on customer service. Additionally, you don't get the "substitute" pharmacist like you get at the chains. I've heard lots of horror stories where honest CP patients invariably encounter a substitute pharmacist on a weekend and it turns into a long weekend until the regular pharmacist returns on Monday.

Best of luck to you and I hope your pain decreases.

Regards,

Ex

 
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