Most pain clinics require that patients come in for monthly appointments to receive class 2 or 3 controlled substances for chronic pain. Urine drug testing is required at each visit for patients on opioids. Patients testing positive for illegal drugs may not receive narcotics for chronic pain. Lost or stolen meds or prescriptions are no excuse. Patients failing to come in for pill counts are discharged.
True, these policies are not required by law, but to remain in practice, strict policies and monitoring are absolutely necessary. The DEA is a powerful federal agency and agents are rewarded with promotion when they close down practices. Sting operations are conducted against doctors using ‘patient’ informants who are guilty of drug crimes. These informants work with the DEA against doctors to get reduced sentences. Furthermore, there are numerous examples of federal prosecutors seeking to gain notoriety. Convictions in federal court exceed 95%, no doubt because of jury intimidation by federal prosecutors, so no doctor wants to expose himself to this type of risk.
As they say, sh’**rolls downhill. If the doctor is under pressure, the patient will also suffer the consequences.
State of TN pain docs do just what u describe
I get 20 mg of Percocet/day and i do that.....
Neck injections etc
Here in TN all your legal dope scripts are on a program reviewed by every drugstore
Been like that for years
They used to update monthly....but now weekly