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  1. Here is a dumb question- Has anyone had difficulty with patients filling Benzo's early?? Of course you have. Do you ever wonder why? I have been scratching my head about this for months now. Here comes the bullet- This is part of a draft of letter I want to send to the state board of Medicine about a particular pharmacy's business practices. This is a HUGE retail chain pharmacy. All 3 fills were at the SAME location. This is the text from the top of the letter: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX February 11, 2015 RE: RX# 0XXXX To Whom It May Concern: Original prescription was written on 12/22/2014 for Xanax 1.0 mg. Take 1 tab three times daily #90, DS 30 According to the PMP database, the above referenced prescription was filled on 12/22/2014 for #90, refilled on 12/30/2014 for #90 and again on 1/3/2015 for #90. This spans a 12 day period where the patient was issued #270 Xanax 1.0 mg. tablets. The prescription was filled and subsequently refilled at name of Pharmacy at Address and store # of said pharmacy. How was the pharmacy able to Re-fill a 30 day prescription after 8 days then re-fill again in 4 days? I am concerned that this puts my license at risk. The pharmacy clearly did not follow the 30 day period on this prescription putting the patient in danger of overdose. Thank you for your attention to this matter. If you have any questions, please do not hesitate to contact me. Sincerely, Me, PA-C XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Before anyone chimes in WRT the ridiculously high amount of Xanax this prescription was written for - Don't bother. This particular patient is a regular at our practice. Almost exclusively seen by 1 particular staff MD. I assure you, when I wrote this prescription I felt the pucker factor but, I was not going to reverse the treatment course that the MD was following. When I learned about the dispensed amount and dates of dispensing this medication I immediately bought it to the MD's attention. I also let the staff know I was not comfortable seeing this patient again and it was my belief that this constituted abuse. Thus violating the practice agreement. I suggested the patient be discharged from the practice. The MD was not willing to discharge this patient and agreed to exclusively see this patient. Thoughts??
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