ARLINGTON, Va. — With President Donald Trump set to declare a national opioid emergency this week, the National Association of Chain Drug Stores has suggested four public policy initiatives to the Administration and members of Congress. The suggestions, outlined in a letter sent Tuesday, are aimed at building on current collaborative efforts to stem opioid abuse while maintaining high-quality patient care, NACDS said.

“These four integrated public policy strategies would further reduce the volume of unneeded and unused opioid medications entering the public domain, and reduce the chances that they fall into the wrong hands – while taking into account the needs of those most severely affected by chronic pain as a result of cancer and other serious illnesses,” NACDS president and CEO Steve Anderson said. “The fact that these public policy proposals are gaining traction among those in the healthcare and enforcement communities reflects that much-needed consensus may be starting to build for additional and sound approaches to this epidemic.”

Among the suggestions is a seven-day supply limit for initial opioid prescriptions issued for acute pain — a limit that is in-line with the Centers for Disease Control and Prevention’s Guideline for Prescribing Opioids for Chronic Pain. The letter notes that 20 states have already taken action on this issue, calling for federal legislation to ensure consistent care.

NACDS’ letter also calls for federal legislation mandating electronic prescribing for controlled substances — something that currently only happens for 14% of controlled substance prescriptions. Earlier this year, NACDS voiced its support for the Every Prescription Conveyed Securely Act, which was introduced in August.

The e-prescribing mandate would be one way to enhance security while curbing fraud, waste and abuse. It also would provide a foundation for improving security through a national prescription drug monitoring program that would harmonize varying state requirements for reporting and accessing PDMP data, creating a single system. A national PDMP would use e-prescribing to offer providers and dispensers real-time guidance for patients, NACDS said.

The organization also suggested the use of manufacturer-funded envelopes that patients could use to mail back unused opioids. The envelopes would be available at pharmacies upon request, and their use could be reinforced by a state-legislated mail-back program, NACDS said.

The letter also notes the need to regulate synthetic opioids, the importance of advancing prescriber education tools through the Food and Drug Administration’s Risk Evaluation and Mitigation Strategies for opioids and the need for enhanced treatment for patients with opioid abuse disorders, among other approaches.

“As public health authorities have indicated, face-to-face interactions between pharmacists and patients have made pharmacists keenly aware of the extreme challenges and complexities associated with this epidemic,” Anderson wrote in the letter. “Based on this first-hand experience and our commitment to the patients and communities we serve, NACDS remains steadfast in our efforts to partner with law enforcement agencies, policymakers, and others to work on viable strategies to prevent prescription drug diversion and abuse, including prescription opioids. Chain pharmacies engage daily in activities with the goal of preventing drug diversion and abuse.”

It would appear that the National Association of Chain Drug Stores is ON BOARD with all the various alphabet soup of federal agencies’ agenda on the opiate crisis.  Not one word in this letter about the “needs” of the chronic pain pts !

So what many pts who patronize chain drug stores have experienced in the past about not being able to get their controlled substance prescriptions filled and given a multitude of reasons/excuses why they can’t have their controlled substance prescription filled.

from the NACDS letter Chain pharmacies engage daily in activities with the goal of preventing drug diversion and abuse.”

So the fewer controlled prescriptions they fill …they will be reducing the potential of drug diversion and abuse… but.. that only applies to legal opiates… will not touch – maybe increase – the reported 100 million that the drug cartels sell “on the street” of ILLEGAL OPIATES.

Of course, the denial of a chronic pain pt’s legal prescriptions could force those pts to commit suicide or in desperation … turn to trying to get some relief and buying street drugs and risking an unintentional OD and if they survive, then they will be labeled as having a “opiate use disorder”.

There are options to the CHAIN DRUG STORE… there are some 21,000 – 22,000 independent pharmacies in this country and generally your copays will be the same as from the chains.  Unlike the chain employed Pharmacists, the Pharmacist of the owners is not guaranteed a paycheck every pay period regardless if they fill your legit/on time/medically necessary prescription(s) or not.

Many independents provide delivery home at no charge and must less likely to treat you like a addict/criminal and most are much better staffed… so the wait time to get a prescription filled is generally much shorter.

I had my own independent pharmacy for 20+ yrs… so I am very familiar with the concept and mindset of the Pharmacist/owner.

Generally independents can order medication Monday – Thursday and get it the next day… some may take a extra day. The drug wholesalers are rationing controls to all pharmacies … so that may come into play when they can get controls back into inventory.

If the independent is a little bit longer drive, talk to the pharmacist into “syncing your meds” …where they set it up that you get all your meds every month on the SAME DAY…  How many trips/month are you now making to get all your meds ? Take all your prescriptions to the independent… if the chain that you have been patronizing is only interested in filling your non-control prescriptions and not your controls… do they deserve to have any of your business ?

http://www.ncpanet.org/home/find-your-local-pharmacy    here is website link where you can find independent pharmacies by ZIP CODE.