NORMAN J CLEMENT RPH., DDS JACK FOLSON RPH
Black Pharmacy Owners, AT Cost Pharmacy, Ft. Myers Fl., Aaron Howard PharmD owner, Gulf Med Pharmacy Cape Coral Fl., Ricardo Fertil PharmD owner, Pronto Pharmacy LLC, Tampa Fl, Norman J Clement RPh., DDS, owner, have joined together in suing Drug Enforcement Agency (DEA) for harassment, and malicious targeting and return of Properties unjustifiably seized.
While, all 3 Pharmacies have been in business for more than 10 years yet suddenly in 2019 Acting DEA Director Uttam Dhillion signed orders calling these and other Black owned Pharmacies an “Imminent Danger to Public Health and Safety” or “Un-resolvable RED FLAGS.”
Pharmacist, Aaron Howard, says, ” this whole issue is based on a erroneous presumption of Red Flags…..that we are improperly dispensing control medications.” “This totally ridiculous, we check all prescriptions in my pharmacy. I’ve been a pharmacist for more than 15 years and I am definitely not a “PILL MILL.”
Patient drives miles to get medications “i was shot ran over by a car and I’m not a Junkie”
Pharmacist Ricardo Fertil states, ” this is a way of stereotyping black owned businesses whom are health professionals.”
While, Pharmacist Norman J Clement points out they are using google maps to illegally track our patients and harassing our wholesalers. All 3 Pharmacist are graduates of Florida A&M University College of Pharmacy.
The Federal Court challenge in Florida is lead by Attorney Dale Sisco of Tampa and based on the Oak Hill Hometown Pharmacy of Oak Hill West Virginia. Oak Hill is Black own pharmacy, which has successfully prevailed in several Court proceeding against the DEA is lead by Attorney Issac R. Foreman.
Jack Folson RPh., a Pharmacist expert an activist who has testified in Michigan Courts on behalf of several Black Pharmacy owners states, “This comes down to practicing Pharmacy while Black. In the past years alone at least 7 black owned pharmacies we know of have been attack in similar manner by the DEA, there are likely more. Black owned Pharmacies are less than 1% of all pharmacies in American but seem to be disproportionately targeted by the DEA.”
DEA’s RED FLAGS OF OLD JIM CROW
Red Flags – Distance
Due to the DEA’s aggressive policing of community pharmacies, most are reluctant to fill legitimate narcotic analgesic prescriptions for non-acute pain patients. Some patients are known to spend days on end looking for a pharmacy to fill their prescriptions to no avail. This has caused massive concern in the medical community.
One of the goals of therapy is continual treatment without gaps. When gaps in therapy occur many of the deleterious effects occur. Indeed, pain management is much more difficult when anxiety and diminished mobility complicate the treatment plans.
Therefore, the real-world consequence is that when patients find a place that will treat their pain with dignity and respect, they will often share that information with others.
Pharmacies, understand what need to be accomplished in treating these patients with these critical needs. The DEA agency lacks of understanding of the basics of medical care for patients in chronic pain..
Red Flags – Cocktails, Pattern Prescribing
Pain Management is a very complex issue. More often than not in chronic (non-acute) pain, comorbidities need to be addressed. Therefore, when a practitioner finds a combination of medications that successfully treats chronic pain they are reluctant to stray from that protocol.
It’s akin to other protocols that are used in medicine that address chronic conditions such as cancer protocols, ALS protocols, hypertension step-care therapy, anti-coagulation protocols and others.
HECTOR PIETERSON: “TO PAY THE PRICE FOR FREEDOM”
Typically, there is inflammation and therefore non-steroidal anti-inflammatories are used. Patients often experience anxiety so anti-anxiety agents such as benzodiazepines or tricyclics are used. In nociceptive pain Gabapentin is often the first drug of choice. In lower back pain, whose underlying causes can be quite different from each other the presentation of muscle spasm or hypersensitivity, muscle relaxers such as cyclobenzaprine, metaxolone, baclofen, carisoprodol or others represent standard therapy.
It is unreasonable to expect a Diversion Investigator to have a complete understanding of these complex issues with their 6-week course when Physicians and Pharmacists require years of training to make adequate choices in this arena.
Red Flags – Non-resolvable red flags
As has been shown here there is no such thing as a non-resolvable red flag. Any testimony to the contrary is either ill-informed or dishonest. For an expert to testify that they can determine diversion without looking at the prescription, interviewing the prescriber or understanding the patient condition lacks credibility.
As has been shown in recent cases, “suspicion of diversion does not raise to the level of actual diversion.” This is accomplished by evisorating the physician patient relationship to establish illegitimacy and suspicion.