Veiled threats by Pharmacy to Doctors

From J. Julian Grove, MD @JulianGroveMD – Nov 2018

Chronic Pain Patients: An insight to the veiled threats Health Care Providers receive treating pain. From Walgreens on this example to my Physician’s Assistant.

I am a double board certified Anesthesiologist and Pain Specialist, treating complex pain and cancer pain always w/comprehensive approach. Insulting.

In case you can’t read it, here are the important parts:

Walgreens has determined that you may have issued prescriptions for opioids in dosages that exceed CDC guidelines.

Walgreens will support our pharmacist when they exercise their professional judgment and refuse to dispense certain opioid prescriptions in order to meet their corresponding responsibility obligations under state and federal law.

But the guidelines are NOT a state OR federal law – they are just guidelines to use in addition to personalized treatment of the patient.

Such guidelines exist in many medical fields and are intended only as a “guide” for individualized therapy, they are NEVER A LAW.

Furthermore Walgreens pharmacist may notify appropriate regulatory agencies when prescriptions are refused.

Is this before or after they’ve straightened things out with your doctor to finally fill the prescription?

If the prescription was refused and you didn’t get your “excessive opioids”, why would they notify the feds after the fact?

Something about this doesn’t seem legal…

On yeah, it pertains to the drug-war and we already know how many aspects of that violoate civil rights and personal autonomy, not to mention the supposed privacy of our mecical records.



5 thoughts on “Veiled threats by Pharmacy to Doctors

  1. peter jasz

    Dr. Grove: Thank you. But this, these abuses (against severe,chronic pain patients) have been trampling -ruining/destroying/ending lives for years now- if not not a decade. Good god when when will those of ‘means’ and resources/teeth jump-in to defend their deeply suffering fellow man/woman?

    Now would be a great time. How about assembling some of your professional peers (including other -legal- professions) to initiate a class action lawsuit on behalf of legitimate pain sufferer’s. There are millions of us.
    And millions (perhaps billions) more in monetary restitution. Now that’s a language some half- sharp lawyer could sink their ‘cash-lust’ teeth into.

    Or, if adventurous, perhaps rent a copy of ‘The Star Chamber’ (Michael Douglas) for some further inspiration ….

    peter jasz


  2. pharmaciststeve

    Here is four quotes from the CDC opiates guidelines:

    “The guideline is intended to ensure that clinicians and patients consider safer and more effective treatment, improve patient outcomes such as reduced pain and improved function.”

    “Clinicians should consider the circumstances and unique needs of each patient when providing care.”

    “Clinical decision making should be based on a relationship between the clinician and patient, and an understanding of the patient’s clinical situation, functioning, and life context.”

    “This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.”

    there are some 90 odd pages to the CDC GUIDELINES and it would appear that Walgreens has found a few sentences or paragraphs that they like… Here is a website that will help pts to find a independent pharmacy where they will be dealing with the Pharmacist/owner… who typically works will prescribers to make sure that pts get their necessary medications
    Some in healthcare appears to believe that “corresponding responsibility” is a ONE WAY STREET to avoid the potential of substance abuse at all costs … even if it ends up abusing chronic pain pts by denial of appropriate care. Those suffering from chronic pain are consider part of a protected class under the Americans with Disability Act… which is consider a civil right violation… This letter may be documenting that Walgreens may be actively participating discrimination of this category of pts.

    Liked by 1 person

    1. Zyp Czyk Post author

      Sure sounds like discrimination to me. Where is the ACLU? I’m terribly disappointed in their passive consent.

      Even with so much focus on respecting people’s “identity” these days, having an identity of “chronic pain patient” results in what, to me, seems like sanctioned medical malpractice.


  3. Pingback: Doctors struggling with crackdown on prescriptions | EDS and Chronic Pain News & Info

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