What's up with the insurance companies trying to get us to switch patients from Percocet, Vicodin, ect to Methadone? Even if it's cheaper, it causes more medical problems than the other treatments. Are these drug formularies even reviewed by a medical person?
Most of the patients on these pain meds are geriatric and really don't need more changes on their EKG's. I've just been sending the forms back as "not appropriate change for this patient".
Anyone else having this problem?
Apr 29, '08
i can't imagine why doctors are prescribing methadone for anyone unless they are dying. i worked hospice for 5 years and we used morphine and methadone. methadone is addictive but if you're dying it doesn't matter. i work in a jail and there are so many young healthy people that get arrested for illegal possession of narcotics, falsifying / forgeing prescriptions etc. yet they all have 1 or 2 doctors who are willing to prescribe this crap knowing full well they are abusing it and or selling it. the doctors are enableing drug addicts who don't even have a diagnosis to support the medicine. if someone is a drug addict they should be treated for the mental disorder that causes them to seek these drugs. not give them a license to continue. why are doctors so afraid of their patients? i have sent for records looking for a diagnosis to support the med for a patient and found note after note where the doctor writes, " this pleasant gentelman tested negative for substances including the one's i wrote for him and is back for a refill of his methadone. this gentelman states he wrecked his car yesterday and took more methadone than usual and that is why he is out so soon." "i suspect he is not following our contract but will go ahead and give him another 30 day supply in light of the fact that he did reinjur himself and will drug test him again prior to any more refills. i have explained this to him and he understands." every month the same note from the doctor. for over a year the doctor says "ok, but this is the last time i'm writting for you".
Last edit by UM Review RN on Apr 30, '08
: Reason: TOS