getting scripts filled interstate for strong medications, what to do?

Submitted: Wednesday, Jan 19, 2011 at 12:34
ThreadID: 83744 Views:7984 Replies:12 FollowUps:14
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hi, my hubby is on strong pain killers and in the past when we have travelled interstate and our doctor had written out scripts for us to fill out while away and when we went to the chemist to get the script filled the chemist wouldn't fill the script as it was written by our doctor who is registered in South Australia so they said it's illegal for them to fill the script as the doctor has to be registered in the state that we wanted the script filled. and then we needed to go to their local doctors and get them to write out a script, this was a long and drawn out procedure and very difficult as the doctor you go and see doesn't know all the history of what is wrong. my question is that we wont be the only ones with this problem so how do others get by?. we have asked our doctor if there is any doctors at our local clinic that is registered in any other state so they could write out the scripts before we leave, but there is no doctors here registered anywhere else.
thanks for any ideas that might help as we have seen a lot of SA now and would like again to go interstate for a couple of months and hubby's script is to be filled every 2 weeks.
Chris.
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Reply By: Member - John Baas (WA) - Wednesday, Jan 19, 2011 at 12:45

Wednesday, Jan 19, 2011 at 12:45
Hi Chris,

When we go overseas we have our doctor write a cover letter explaining all the meds we're on. We do this mainly for customs purposes but should also make it easier if we experience health issues over there.

Should help interstate as well; particularly if your doctor adds a bit of medical context in the letter.

Have a chat to your doctor about the problem.

Cheers.
AnswerID: 442333

Follow Up By: gonebush SA - Wednesday, Jan 19, 2011 at 12:58

Wednesday, Jan 19, 2011 at 12:58
we tried that but as the script is for morphine injections (that i give to hubby) there are drs that think it's all to suss, and we can see why as there are people out there that rort the system, which makes it hard for the genuine ones. we even had one doctor that didn't believe us and was treating us like bleep so we asked him to phone the pain unit at Flinders medical centre and they will verify what medications my hubby takes and the drs said oh the pain unit is just trying to scam him too, he ended up giving us the script but was very rude about it.
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Reply By: PradOz - Wednesday, Jan 19, 2011 at 12:53

Wednesday, Jan 19, 2011 at 12:53
i am in sydney and also on restricted prescriptions. i have had them fillled interstate in qld with no issues. not sure if i was just lucky or not.

i think i have heard that you can get your dr to fill a script for longer than normal time due to circumstances like this. have you tried to get your dr to supply you with a longer script to last for the time you are away?

or perhaps your dr can speak directly with a local dr where you are going and arrange for them to have a script there when you are there so you dont have to go thru a lengthy process while on holidays
AnswerID: 442334

Reply By: Member - John and Val - Wednesday, Jan 19, 2011 at 13:02

Wednesday, Jan 19, 2011 at 13:02
Hi Chris,

I have had scripts filled interstate numerous times (for some fairly strong stuff too) and never had any problem. I think you must have gone to a chemist who either didn't know the system or was being extra cautious. Suggest trying a different chemist. As I understand it most doctors are only registered in the state where they practice as its expensive to get and maintain registration for other states.

One option that I have used once when we were travelling into remote areas was to ask for a script that allowed me to purchase all of the repeats at once. Your doctor has to phone someone somewhere to get approval to do this. The downside can be a considerable financial outlay in one hit, and some drugs may have a short shelf life or need to be kept refrigerated. Worth an ask though - unfortunately I cant remember the name of the "code" for this procedure.

Oh for a decent national health card!

Cheers,

Val
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Follow Up By: Lucko - Wednesday, Jan 19, 2011 at 13:16

Wednesday, Jan 19, 2011 at 13:16
I think the doctor writes "Regulation 24" on the script and then the chemist can give you the lot at the one time (if that's possible/legal in your case). At least that is what works for me here in NSW.
Mark
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Follow Up By: Member - Graeme W (NSW) - Wednesday, Jan 19, 2011 at 13:17

Wednesday, Jan 19, 2011 at 13:17
I think getting all your scripts filled all at once is called "regulation 24". I used it before a trip this year and had no trouble getting 6 months of scripts at the one time.

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Follow Up By: gonebush SA - Wednesday, Jan 19, 2011 at 13:18

Wednesday, Jan 19, 2011 at 13:18
we did try at about 6 different chemists even in different states- NSW and VIC and was told the same thing, when we got home we talked to our doctor about what happened and he didn't know we couldn't get the scripts filled, so he checked up and yes they are right it is illegal, so don't know how others have done it without trouble unless the doctor that wrote the script was once a dr in the state that the person was trying to fill the script because once a dr is registered in a state they always are (unless de registered) and they can be registered in more than one state. because of what hubby's medication is we can't get more than 2 weeks supply at a time.
thanks chris.
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Follow Up By: Lucko - Wednesday, Jan 19, 2011 at 13:44

Wednesday, Jan 19, 2011 at 13:44
Perhaps prescribing "narcotics" is different to non-narcotic blood pressure pills, as in my case.
Mark
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Follow Up By: gonebush SA - Wednesday, Jan 19, 2011 at 13:46

Wednesday, Jan 19, 2011 at 13:46
yes it is, we have no troulble with getting more scripts for that before we leave. thanks anyway chris
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Follow Up By: Member - John and Val - Wednesday, Jan 19, 2011 at 14:08

Wednesday, Jan 19, 2011 at 14:08
Hi Chris, sorry to hear more details of your predicament. It sounds as if its the morphine thats the problem, and perhaps its not unreasonable to have some extra safeguards in place there.

Maybe your doctor could give you a letter outlining your treatment that you could give to a Dr in the state you are visiting, as it does sound as if you need a prescription in that state. Though Im surprised that your doctor was unaware of the limitations. Maybe he could follow up with the Dept of Health to find out what your options are, or you could call them and hope you dont get the run-around.

As you say there must be others in your situation. If you find anything useful please post the info here.

Cheers,

Val
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Reply By: Mick O - Wednesday, Jan 19, 2011 at 14:03

Wednesday, Jan 19, 2011 at 14:03
I think your issue is the actual schedule that the drugs appear on. I have a prescription for pretty strong medication and have had no issues interstate. Anthing that’s listed on Schedule 8 (drugs of addiction) like morphine are much more strictly controlled.

If your doctor can’t help then I’d contact the State Pharmacy Guild or ring Medicare and seek advice from them. There must be some way that you can be exempted or listed as a person requiring this level of medication. Given that the issue of those types of drugs are oversighted on a Nartional level, you should be able to get that advice. I’m really surprised your Doctor didn’t know this.

Yep just did a google search and found the answer. It’s the drugs he’s prescribed that are restricted.

“CAN I FILL A PRESCRIPTION FOR MY USUAL S8 MEDICATION WHILE I AM INTERSTATE?

If you are on restricted narcotic medication such as morphine and oxycodone the answer is no, it is against the law. You must either take sufficient medication with you, or arrange for an interstate doctor to write a new prescription for you. It is unwise to carry large quantities of S8 medication at any time, but particularly while travelling. If you are going interstate for a long time (months), you will need to make arrangements well in advance for an interstate doctor to do this - ask your doctor here for advice. “



Cheers Mick


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Follow Up By: gonebush SA - Wednesday, Jan 19, 2011 at 16:29

Wednesday, Jan 19, 2011 at 16:29
i did do that google search and got the same answer before i posted my question on here.
chris
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Reply By: vk1dx - Wednesday, Jan 19, 2011 at 16:10

Wednesday, Jan 19, 2011 at 16:10
If your doctor is half a doctor and he cares about his patients then I would expect him to come up with a solution. As did mine.

Elsewise change doctors. Sounds to me that he is in the "public" realm and couldn't be bothered.

I hope I am wrong and he has a solution. My doctor was recommended by DVA. If this is a TPI, DVA or DVA Gold Card issue then ask the VAN office.

Phil
AnswerID: 442353

Follow Up By: Mark R - Wednesday, Jan 19, 2011 at 17:52

Wednesday, Jan 19, 2011 at 17:52
Mate, you simply do not understand the difficulties and hassles caused by this situation for GPs who are constantly the targets of addicts and rip off artists and justifiably regard this situation with suspicion. You also have no appreciation of the RULES and regulations governing this situation. Your doctor bashing clap trap is not constructive. The doctor does not make the regulations but must abide by them. Also the issue has nothing to do with the DVA - in relation to narcotics the same rules apply. Also the fact that your Dr is recommended by the DVA means nothing more than the fact he is registered with the DVA (and any Dr can do it) - it does not reflect in any way the quality of his knowledge, dedication or services.

For the original poster, can I suggest:

1) get a letter from your doctor stating what medications you are on, the doses and the frequency with which they are taken;

2) ask your doctor to include in the letter something to the effect of "please do not hesitate to contact me for verbal confirmation" (I add this because addicts and rip off merchants are not above stealing stationery from doctors surgeries and writing their own letters);

3) take the medications as prescribed - if you take them more frequently than prescribed (and therefore turn up earlier than expected for another script) then this looks VERY suspicious

4) do not get cheesed off when you are treated with suspicion - if you are above board, then it is no reflection on YOU even though I know it feels like it is. The doctor is not to blame for this suspicion, it results from the bad behaviour of many before you. Consider the possibility that yesterday this doctor may have been abused or even assaulted by an addict - possibly more than once!

5) make an appointment with a Dr close enough to the time your next script is due to indicate you are using your medications appropriately but not too late to sort out hassles or refusals

6) please do not see the doctors with which you deal as the culprits who are causing the difficulties you will encounter. Addicts and rip off merchants are the cause; rules and regulations are the solution - unfortunately they are cumbersome and they don't work that well.

7) finally please be philosophical. The situation presents some difficulties but too bad. We all have to try to work within a system that doesn't work very well. If you have better solutions then talk to the politicians and try to change it.

Good luck, safe travels and I hope this is of some help.

Mark

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Follow Up By: vk1dx - Wednesday, Jan 19, 2011 at 18:56

Wednesday, Jan 19, 2011 at 18:56
My doctor bashing stems from the fact that their doctor, according to them "didn't know we couldn't get the scripts filled". Those words made me suspicious of that particular doctor. I then compared him/her with the doctors mentioned in the other posts and was dumbfounded by his apparent lack of "interstate" knowledge.

I gather that its not just a simple headache and therefore the doctor should have had more than a "newby" set of skills and knowledge. To hear what they said about him surprised me.

I have struck useless twits in emergency myself. Junior doctors who didn't even protect themselves from the toxins in me when I presented myself for treatment at emergency while I was on chemo, for minor things like heart stopped (ambulance then pacemaker) and also an 11 hour nose bleed. The nose bleed was a symptom of the cancer. I had to remind them to read again the letter I had given them. Then there was action. Out come the purple suits etc etc. I was on chemo for 6 months last year and about to start again. That's what I struck and I thought they had struck the same.

My apologies if I misunderstood their own words.

Regarding DVA. Veterans get access to heaps of assistance and counselling from the Government and I thought he may get some advice from them on any "linked" services for travellers. As in fact I have and it helps on extended trips. I can continue the chemo as I travel. In fact I took treatments up on Cape York last year. The chemicals were shipped or whatever up there for me as they not the general chemo ones. I certainly wasn't allowed to carry them. They scare me the way everyone stays clear. Even the giant horse flies and mosquitoes wont even land on me.

Phil
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Reply By: Dave... Adelaide (SA - Wednesday, Jan 19, 2011 at 18:12

Wednesday, Jan 19, 2011 at 18:12
Hello Chris

I think you are referring to an authority script which your doc has to ring up and get a reference number every time you get a new script???....I also use a narcotic which has to be authorised...Before i travel my Doc writes me a letter explaining what the medication is for the dosage etc., he also writes on the letter that if there are any probs to give him a call.....To date i have not had any probs and have been doing this since 2003....don't know where about in S.A you are but if i can be any help drop me an email at .......borgy.1@bigpond .com.......


Cheers........Dave
AnswerID: 442373

Follow Up By: gonebush SA - Wednesday, Jan 19, 2011 at 23:14

Wednesday, Jan 19, 2011 at 23:14
hi Dave, his script goes through the drug authority but doesn't need an authority number
thanks chris
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Reply By: MEMBER - Darian, SA - Wednesday, Jan 19, 2011 at 19:11

Wednesday, Jan 19, 2011 at 19:11
My doc is quite happy to let me have all 6 months worth of my daily tablet (I go to him twice a year - I get the lot at once even when I'm staying home) - he endorses my prescription to that effect, on request- the pharmacist just supplies without quibble. My drug is 'low level' in the grand scheme of things - I should imagine some classes of drug can't legally be supplied that way (unless under exceptional circumstances - your doc must know what is possible).
AnswerID: 442381

Reply By: spudseamus - Wednesday, Jan 19, 2011 at 19:21

Wednesday, Jan 19, 2011 at 19:21
see guys this federation of states needs to be looked at !! the Nation we speak of is a political illusion. We need the "Nation" to be just that!! all this state border stuff is ok for football or whatever like that but we need One driving license One Building code (basic) one voting system ect. ect. I really do feel for you in your predicament and in this day and age of fast communications there is no need for it!! sorry ill get off my soap box now
AnswerID: 442382

Follow Up By: Sir Kev & Darkie - Thursday, Jan 20, 2011 at 08:48

Thursday, Jan 20, 2011 at 08:48
We do have a National Building Code.

It is Called the Building Code of Australia ;) Has been around since 1996.







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Reply By: BuggerBoggedAgain - Wednesday, Jan 19, 2011 at 20:29

Wednesday, Jan 19, 2011 at 20:29
If you think getting scripts prescribed by doctors is hard, try buying Codral Flu & Cold tablets/capsules, you need to prove who you are, where you live and don't even think about asking for two pkts
AnswerID: 442388

Reply By: gonebush SA - Wednesday, Jan 19, 2011 at 23:10

Wednesday, Jan 19, 2011 at 23:10
i do find it hard to believe that if a doctor is register in one state then why aren't they all registered in Australia as a whole, surely if they are good enough in one state they are good enough in all states, their training is the same, and i'm sure illnesses are the same in all states, it would certainly make things easier.
i am not doctor bashing (yes some are a pain) and we understand that they need to check up on what we want (and expect it) as there are low lifes out there, we have never had trouble with them ringing our doctor and have often asked them to ring if they want to, that we don't mind. even sometimes when travelling in SA the chemist will look at you strange when we take the script in and we have offered them the number of our doctor and chemist so they can verify who we are and that we are on the up and up.

chris.
AnswerID: 442397

Reply By: Sigmund - Thursday, Jan 20, 2011 at 08:17

Thursday, Jan 20, 2011 at 08:17
If memory serves aren't we moving to a national system of doctor registration?
AnswerID: 442411

Follow Up By: gonebush SA - Thursday, Jan 20, 2011 at 19:15

Thursday, Jan 20, 2011 at 19:15
i haven't heard that but it wouldn't be before time, i don't know why it wasn't a nation wide registration from the begining.
chris
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Reply By: Member -Outback Mac C (VIC) - Thursday, Jan 20, 2011 at 20:44

Thursday, Jan 20, 2011 at 20:44
All Medical Practioners, Nurses and Allied Health Practitioners are now Nationally registered with the inception of AHPRA, so hopefully from this year that problem will disappear !!
Cheers Mac
AnswerID: 442472

Follow Up By: gonebush SA - Thursday, Jan 20, 2011 at 21:19

Thursday, Jan 20, 2011 at 21:19
thanks for that mac, about time, now all i have to do is findout if this will solve our problem, i wonder where we should start to look to get the answer, i might ask our gp next visit
chris
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