PHARMACIST STEVE

I don’t agree with this author’s opinion of what the overturning of Chevron doctrine is going to do to necessarily harm our society’s health. One of the biggest generators of CO2 is the biological functions of most organisms’ metabolism. One thing that appears that could happen is that the DEA will have its hands tied […]

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Two dozen members of Congress sent a letter recently to the assistant secretary of defense for health affairs and the director of the Defense Health Agency regarding concerns about Express Scripts and how it’s running the Tricare pharmacy program. Led by Sen. Elizabeth Warren (D-Mass.) and Rep. Buddy Carter (R-Ga.), the letter highlights that the […]

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NY State’s Self-Congratulatory BS Report on Opioid ‘Progress’ https://www.acsh.org/news/2024/06/28/ny-states-self-congratulatory-bs-report-opioid-progress-48835 Let’s have a round of zero applause for the New York State Department of Health for its June 24th publication to physicians, misnamed “Data to Action Opioid Prescribing in New York State.” In a mastery of the self-evident, the authors reached this lame conclusion: if New […]

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            This is a graphic representing the fictitious clinical facts that are starting to hit the fan Pharmacists play a critical role in ensuring the safe and effective use of medications. There are several clinical and regulatory reasons why a pharmacist might refuse to fill a prescription without first contacting […]

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This is a graphic representing the fictitious clinical facts that are starting to hit the fan Does the DEA have any statutory authority to establish medical standard of care and best practices under the controlled substance act? The Drug Enforcement Administration (DEA) does not have statutory authority to establish medical standards of care and best […]

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            This is a graphic representing the fictitious clinical facts that are starting to hit the fan Is there any clinical justification to establish fixed opioid doses to treat chronic pain less than the FDA dosing guidelines Based on the available information, there is generally no clinical justification to establish […]

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Here is a published MME calculator https://globalrph.com/medcalcs/morphine-equivalent-dose-med-opioid-conversions/   This is the infamous MME system that those “so-called experts” based their 2016 CDC opioid dosing guidelines and what many bureaucracies – like the DEA & VA – seemed to have codified those guidelines as a standard of care and best practices as well as maybe 30+ states […]

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Here is a published BME calculator  https://globalrph.com/medcalcs/benzodiazepine-converter-dosage-conversions/   Narxcare creates what they call an LME (Lorazepam Milligram Equivalent) value and includes it in their Narxcare PDM reports on pts that authorized healthcare professional can pull up reports on pts.             This is a graphic representing the fictitious clinical facts that are […]

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How will the end of Chevron deference impact the DEA rules and regulations and enforcement of existing interpretations of the Control Substance Act that the DEA has made since its inception in 1973, which are now probably illegal? The Supreme Court’s decision to overturn Chevron’s deference will likely have significant implications for the Drug Enforcement […]

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