Discussions that mention vicodin

Pain Management board


It's a bit difficult to explain because a lot of it really depends on how active a DEA office is within any given state and the additional DEA laws per state.

In states that require triplicate forms of narcotics often one copy is sent to the DEA. The DEA then keeps track of how much of any one given substance is prescribed per person and as well as total for the entire practice. The DEA then may have a guideline as to what is an "acceptable" amount of any given prescription based on that doctor's practice or specialty. (GP's for example in some states can only prescribe certain prescriptions for say 6 weeks in a 1 year period total while a licensed PM can prescribe it for an entire year).

If the DEA in that specific state begins to see red flags of an out of the norm or allowed amount of that presciption it then often sets off an investigation.

In one state in particular all this information is tracked via Pharmacies which are linked into the DEA. Same thing, if it appears a doctor is prescribing more than they are legally allowed, regardless of situation, it flags them and they get investigated.

What they are tracking are scheduled narcotics, they do not necessarily look at the other medications like muscle relaxors or anti-depressants.

I am sure there are other means such as patients reporting, insurance companies questioning prescribing practices and the like.

Before I actually started seeing a PM my Rhuematologist used to prescribe Vicodin for me. At one point he stopped and reffered me to the PM because he said something about "he is allowed to only prescribe X amount of this drug to one person for a certain period in 12 consecutive months before the DEA investigates him and he could lose his liscense". Hence I was sent to a PM who falls under a different law that does not force those limits with a certain set of documentation.

From the research I've done in the past many months and case reports I have read for my state only, I can say that the majority of the doctors being investigated where I live are not Pain Management Specialists, they are in fact General Practioners. I think you might find this to be the case in many states, again based on what the prescribing laws per state my be.

I think many states DEA's do keep close monitoring on PM Clinics and specialists but those types of facilities generally do comply with the laws because they know they may be monitored.