NORMAN J CLEMENT RPH., DDS, NORMAN L. CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., INC.T. SPIRIT OF REV. IN THE SPIRIT OF WALTER R. CLEMENT BS., MS, MBA. HARVEY JENKINS MD, PH.D., C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., WALTER F. WRENN III., MD., JULIE KILLINGWORTH, LESLY POMPY MD., CHRISTOPHER RUSSO, MD., NANCY SEEFELDT, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., NEIL ARNAND, MD., RICHARD KAUL, MD., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NJOKU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
FROM THE PHARMACIST, STEVE FILES
PHARMACIST STEVE ARIENES
NORMAN J CLEMENT
When does a pharmacist think that holding a pt’s medication as hostage because – according to their calculation – the pt should have a few doses still on hand, so the pt is supposed just to believe that the Pharmacist did not make some math errors in their calculation?
I wonder if these are the same pharmacist’s “mindset” that when they require the pt to wait until they are ready to take their last dose from the previous fill and they are out of stock of their meds… and they have no concerns that they won’t be able to get the pt’s med back in stock for several days…
I am sure that the pharmacist has no idea of what is in like for a chronic pain pt to be thrown into cold turkey withdrawal and maybe into a torturous level of pain… maybe miss a couple of days of work…
MARK IBSEN MD
“Perhaps you can help with this relatively new practice of pharmacists in FL. It just started occurring over the last month or so, where a patient who has been going to the same pharmacy for years, suddenly, out of nowhere and without reason, the pharmacist is stating, “l am not comfortable filling this prescription.” Another arbitrary statement is,”…it’s my clinical opinion you are on too much medication” ( or something to that effect).
I don’t believe FL has passed any new laws unless l may have missed it to cause this sudden change in behavior. It’s really bad because the pharmacy will not tell you whether or not they have your medication in stock, and then if they do, they won’t fill it. Just recently, l had a script sent to CVS the guy said he had to order it, yet it was filled a day prior to him telling me that. I don’t know what we are supposed to do anymore (CPPs). Do you have any suggestions? This is happening all over FL, not just to me.”
Thanks for your help.
PART-1: MS. KING TAMPA FLORIDA
PART-2: MS. KING TAMPA FLORIDA
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MR. SPENCER, LAKE WALES FLORIDA
HOW STATE OF MINNESOTA PHARMACISTS ARE PERMITTED TO DISCRIMINATE AGAINST PAIN MEDICATION PATIENTS RACIALLY
I’m not sure if you already know, but the State of Minnesota has been openly discriminating against chronic pain patients enrolled in Minnesota healthcare programs. Here in MN, people with lower incomes who are enrolled in programs like Medicaid and MinnesotaCare (these are a population mostly comprised of low-income, disabled, and minority enrollees) have been limited SEPARATELY in opioid prescribing. State officials have admitted pressuring Medicaid/MnCare providers not to prescribe specifically to low-income enrollees, and they are doing so under threat of physician disenrollment from treating individuals in state programs. For many doctors and prescribers, this is the threat of financial ruin in return for their compassion.
Unfortunately, after almost 13 years of chronic pain, I have found myself enrolled in one of these programs and experienced this discrimination personally. Recently, my diagnosis has worsened far beyond the herniated lower back that started my journey, and now I have fibro (possibly with fibro neuropathy in my feet, and they can’t seem to find the diagnosis for it).
Very recently, after a fall, they discovered that my lower neck now has compressed discs, and I have bone spurs and disc degeneration in my neck too. It burns so badly at night that it wakes me up, and I can’t get back to sleep no matter what.
Due to this new diagnosis, and also what I think have been really noticeable changes in the medication potency of the hydro brand I’ve been taking for a long time (Mallinckrodt hydrocodone 10/325), I respectfully requested a small increase in my pain medication to 70 mme (I’m currently at 65. I am a legacy patient with a very good record).
I was refused the small increase and told that I was at the “upper limit for my insurance”… I asked my provider with that meant, and she said that under the kind of insurance, I have (Minnesota Healthcare programs), I cannot be increased at all. I was also told that I could only be prescribed two kinds of medication…hydrocodone, and, as she recently suggested, Suboxone (I told her there was no way I would ever take Suboxone because I want to keep my teeth and I don’t want to be blackballed for the rest of my life). The schedule prescribes those two medications to me or nothing at all. Those are my options. Also, I found it frightening and insulting that she tried to throw me into Suboxone. After a short discussion, I found she didn’t know anything about Suboxone AT ALL and that she was only considering prescribing that from a hyped-up discussion, she had with another PA practitioner. It was really kind of shocking that she would want me to take something that she didn’t know a thing about!
I did some research on her claims, and I found that yes…Minnesota Health Care programs are pushing doctors not to prescribe anyone beyond 50 MME of anything but Suboxone, and this was clearly designed to severely limit people like me who found themselves included with people from specific groups that the state decided were high risk. It was hard to accept that Minnesota, which likes to promote racial equity, was pigeonholing all of us together and discriminating against us all based on racial and income stereotypes.
However, I was not able to find where I was limited to only two different kinds of opioids, however, so that might also have been my provider fibbing; I’m not sure. Perhaps they were allowed to prescribe more hydrocodone? I don’t know.
But at any rate, there are two articles that were published in the Minneapolis Star News Tribune that directly explains how the state is targeting people on Medicaid/MinnesotaCare in Minnesota to be treated differently than people with private insurance. The people who initiated this were actually proud of blackmailing doctors into abusing low-income people.
So this is where it’s at now. I’m not sure what I should do with this now, but I wrote a complaint of discrimination toward Minnesota Health Care programs. That was about a month ago now, and I still have not received any reply.
Anyway, I was wondering if you knew anything about this and if you had any ideas to leverage this further for the cause. I do know that Kolodny has put up a remote office in Minnesota for PROP, and we’re also dealing with the Steve Rummler Hope organization here too. I don’t have any other chronic pain allies in the state, unfortunately, which would be really helpful, but at this point, I’ll take any help anyone can give me to move forward with this.
FOR NOW, YOU ARE WITHIN
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