Why the hell does Medicare not cover bupe?
Got this lovely message today, in regards to an 86 year old woman, whose 2 tramadol per day are not helping anymore: Buprenorphine 5mcg/hr patch - Drug not on formulary - Plan does not cover the medication - We cannot do PA. She provided the preferred alternative: Morphine Sulfate ER tablets and Oxymorphone HCL ER tablets, and she submitted a test claim for both medications, stating that it was paid and that no PA was required. In the midst of the "opioid epidemic" that everyone is... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 16, 2023 Category: Universities & Medical Training Authors: drrosenrosen Tags: Pain Medicine Source Type: forums

holding doctors accountable
I am very annoyed with other pain clinics in the area who are very lax on their prescription habits, e.g. very high MEDs (high doses of roxies, dilaudid, opana, fentanyl, methadone etc.) in a non-cancer pain setting and commonly without profound severe pathology of non-CA origin, and with other risky medications combinations (xanax, ambien, soma, etc.). Also, over and over I have noticed some of this patients to have very busy PMP (ER visits, different pharmacies, date overlaps),... holding doctors accountable (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2016 Category: Universities & Medical Training Authors: metadr Source Type: forums