I have multiple sclerosis and addisons disease and degenerative disk disease in lower back and 3 malformed vertebrate in lower back. I have osteoporosis and osteoarthritis in all joints. I'm on disability and work part time to afford copays. They have me going once a month at new doc to get lortab 10/325. I can't afford to go every month to pain dr because I have other specialist I must see at a 40.00 copay each. I had to switch drs because I lost my husbands insurance due to obamacare and they didn't take my new medicare plan. the lortabs don't always work anymore and was told at the old Dr that if the lortabs weren't working as well I could come every month for low dose percocets. I have a mentally retarded nonverbal autistic mentally retarded 21 year old son I take care of daily so I need good pain control. Please advise how I approach the new Dr. I no longer have a tens unit which helped but I only make 600.00 a month and pay my friend 170.00 a month to watch my son so I can work.I refuse t spend my work money on all copays.
Here's the thing. The DEA requires that the dr sees our face every month when we get our prescription and pain drs require that those prescriptions only come from them, because of DEA regulations. Find a supplemental that has a lower copay. There isn't anything else you can do. My dr won't charge as much for that appointment but you'd still have the copay. I get shots every month so I have to go anyway. Your pain dr could put you on something better that's for sure. An extended release med would be good for you, since you would always have pain.
What the DEAs war on drugs has done is cost us more time, more money and more aggrevation, just to get pain relief. Street use is still growing.
It really comes down to Doctor, State, and Drug. In some states Norco, Lortab, Vicodin, Hydrocodone can be given in 6 month refill amounts, but anything stronger is much shorter.
I have seen pain control Doctors that will not treat you unless you are seeing them twice a month, and if you miss an appointment no more meds, these are the one to watch out for, they will get you dependent and then milk you dry with follow ups. Try finding one that is comfortable with once a month or every other month, it is reasonable, and they tend not to abuse their patients wallets.
Be very cautious about any of them that are co-owners of imaging centers that specialize in Diskograms. They make money by doing something called 'Self Referral" and the more exams they can send for you to have done the richer they get, and a lot of these procedures aren't covered by insurance.
The pain management Doc I have now sees me once a month and does no procedures in his office, so there is no possibility for him to do unnecessary tests. If he feels you need a consult or procedure he has a list of people and places to choose from, but you get to choose, not him.
The DEA has a set amount of times in a year that PM Dr's has to see their pt.Since its federal does it matter what state you're in? I believe that the Dr can make his own decisions on how often he sees his pts as long as it falls within the DEA guidelines. My Dr sees me every 3 months for appointments and I go just to pick up my rx monthly from the office. Seems to me unless you need monthly treatments such as injections your Dr is seeing you (and charging you) excessively
- Lortab Information for Consumers
- Lortab Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lortab (detailed)
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