D.O.T physical *warning*

when a pharmacy fills a script for a controlled substance they have to enter it in their state’s database. Some states require the entries monthly, some immediately, others in between.

 

ALL doctors are required before they see you to check your personal medication history via Pharmacy Monitoring Board of whatever state you came from. This is law of the land, that is one reason you waited 10 extra minutes in there. They KNOW exactly what you have been or are supposed to have been taking from whom etc.

Its part of the war on drugs these systems are partly monitoring in real time every time you fill even one pill at a pharmacy. That information is entered.

Here is two twists.

Pharmacist in my state has the authority to intercept and refuse your attempt to fill a script if it is not consistent etc. And note the attempt into the database.

Those who have been proven to be a problem with abuse, diversion and sales etc are set into a quiet National Database for enforcement purposes. Most of us do not have to worry about it unless it is a medicine that has a conflict with trucking in some way.

 

Mine is near real time, otherwise within 7 days. The pharmacist I go to enters it in real time and it's done. I also review the entries when I used to pickup the scripts at the clinic from time to time. Paper scrips for narcotics and electronic for everything else.

 

Its all tied to you personally. Doctors, nurses, pharmacists etc have access to each state's PMB and all are tied together so that anyone can check YOU at any time you involve any of the three for medicine.

Law Enforcement does have access. Within reason. So they can understand your situation really well.

 

Doctors, pharmacists who fills your medicine (provided he decides it's ok to do so, in some states like mine.) they also fill in particularly ER situations where you claim to be in pain and are seeking drugs for example either legit broken bone or some medically provable source of same. If you are just seeking, then they put that in too. The patient is given a battery of questions in such a way to draw out of the patient the necessary foundation to decide what is really going on, combined with FLACC Pain Panel and three matrixes for those who claim pain.

Its really evolved. Some will just run a tox panel for your blood to make sure you are not on anything or to discover that yes you have a history or have something in a patient.

Its structural in American Medicine from family doctors all the way to trauma. Last year in the hospital they had 3 people involved in approving and dispensing drugs for surgical pain. All of that went into the Pharmacy Monitoring Board. It's permanent.

To answer the question who puts it into the PMB, it is usually a medical professional such as a nurse, doctor and especially pharmacists. They are the ones who can add any revelant information on you.

When I was in the ER a few weeks ago due to H1N1 that put me on my back, they definatly had the history from me and medicines at triage. (Thats the other part of the law, when you go to a doctor you must have on you the original bottle of whatever medicines you are taking accurate pill count inside those bottles with the legal correct labels to the next refill date. if you do not have the medicines on you and your explanation is not consistent then they will run a blood test to see what you have in you.)

My ER Doc and I were known to each other from previous converstations about PMB, Pain medicine etc and that did not even come up during the flu workup, they just added whatever they thought needed (Anti viral, something for the liver and cold temperature IV) and discharged me home as soon my vitals would let me go. There was no need to go over all of the stuff all over again. Just a good visit fighting something that was a real problem.

Whats really interesting is that CBD in this state is lawful. So we are being cautious with that particular item. We do endure drug testing to hunt for THC, smoking and other issues with heart, kidneys, diabetes in particular and many other problems 8 times a year still. 4 of those tests approach a thousand dollars in testing for everything. And the CBD oil comes from them.

 

I no SOME drugs and cold medicine you have to show your license to get. Then its put into a data base, ( i guess that's this pmb) So one person can only purchase so much during a certain period of time. Because it's used to make meth.
So I guess my question is, is this PMB database for ALL medicine (blood pressure, cholesterol, flu shots, ed) or is it just for controlled substances (pain, anti depression, or phychotic meds)?

 

Controlled in schedules 2 thru 5.

 

What state?

 

That's not right. Just because I'm prescribed something doesn't mean I take it. I didnt take all my prescription cough medicine a few weeks ago so I could illegally take it later. That's why it doesn't make sense. I've been prescribed birth control but my bf has a vasectomy as well as prior prostate cancer so I dont even bother taking it. You cant tell what a person takes per prescription. It doesn't mean you aren't taking something else other than a prescription. It's meaningless. It's a dr recommendation for a condition. Not end all be all to your body consumption. Good grief.