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Marthe48

(21,377 posts)
Wed Jul 30, 2025, 02:03 PM 21 hrs ago

Follow-up to Ambien prescription woes

I got a refill. When I called it in, I asked for a 90 day refill. I picked it up today, and once again, it was for 30 days. I emailed the new nurse practitioner and told her I hoped it was a miscommunication. I don't want extra trips to town. I use the pharmacy at Giant Eagle, but their grocery prices are about the highest around, and the store is downtown. I use their pharmacy because of my insurance. Anyway, I try to avoid driving for several reasons. I also have plans to travel and the free time to go. I don't want to have to come back to town every 30 days if I am somewhere else.

Before I emailed her, I checked Ohio laws on controlled substances. I wanted to see if she's complying with state laws or just trying to hassle me. She says I have to come in every 3 months to keep getting the prescription. The wording in the laws for controlled substances is confusing. I need to read it again to see if I can understand it. With my old dr/N.P. I saw them once a year and they refilled the prescription every 90 days without rigmarole. I asked my old N.P. last year when she said she was retiring, if I should find a specialist in geriatrics. She said based on my health, no. If I have to go in every 90 days, that is costing me and my insurance more money. It isn't a medical necessity so far. Except for trouble with sleeping, I don't have problems.

I'm going to call my insurance company and get their explanation. If I find out that the new staff is padding their schedule, basically not being honest with what we all need to do for compliance, I'll switch practices. I'm not sure what I will do if there are guidelines that my old doctors didn't follow, or new guidelines that have been put in place recently. I'm wondering how I go about that without seeming to doctor shop.

I've been on Ambien since the 90s (I think) I haven't abused it, and have adapted my habits to comply with using it safely. I was under 60 when I started using it, and I've used it as a senior since 2017 with no changes in my mental status or whatever they seem worried about. I think times like this is exactly why I hate change.

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questionseverything

(11,124 posts)
1. It's new law, any narcotic requires an appointment every three months
Wed Jul 30, 2025, 02:08 PM
21 hrs ago

Or the dea will be on your doctors ass

Because the dea would much rather hassle doctors than actually find and arrest real drug dealers, they are dangerous, you know

Marthe48

(21,377 posts)
7. It is ridiculous
Wed Jul 30, 2025, 02:40 PM
20 hrs ago

I don't like being treated like a drug addict. The paper I had to initial and sign was an insult.

questionseverything

(11,124 posts)
8. I know, I feel the same but it's not your doctor's fault
Wed Jul 30, 2025, 02:51 PM
20 hrs ago

Unfortunately both democrats and republicans have decided the American people need to be monitored like hoodlums
As we get old and need pain meds

blue cat

(2,452 posts)
2. An appointment every 3 months
Wed Jul 30, 2025, 02:09 PM
21 hrs ago

Is required at my work for controlled substances. See if they can do video visits for some of the appointments because they are cheaper and of course easier.

Marthe48

(21,377 posts)
6. If I have to I will but I'd like to get the 90 day refill
Wed Jul 30, 2025, 02:35 PM
20 hrs ago

I'm finally at a point where I can do a little traveling and getting a prescription every 30 days is going to ruin that. I'll have to time trips and visits around getting 1 bottle of pills.

Someone suggested an herbal. I bookmarked that and will try it. If if helps me sleep, I'll get out from under demon Ambien.

Deuxcents

(23,266 posts)
3. I don't have Ambien but I do have an anxiety script and I rarely used it until about a year ago!
Wed Jul 30, 2025, 02:15 PM
21 hrs ago

In Florida, my insurance requires me to check in with my dr every 12 weeks and bring the prescription container, too. Costs me a visit n my deductible. I don’t know if it’s the law or insurance policy but that’s how it works here. When I have my lab work, my dr has a long term designation marked so liver enzymes, etc are checked. It can be inconvenient but no one is ripping you off, I don’t believe 🌺

Marthe48

(21,377 posts)
5. I have a prescription for anti-anxiety and so far
Wed Jul 30, 2025, 02:30 PM
21 hrs ago

that hasn't been questioned. I had the prescription from my old N.P. She gave me a high dosage, which was more than I wanted, so I haven't gotten it refilled.

Thanks for the information.

Deuxcents

(23,266 posts)
12. My dosage is 1 mg..have had it a while and I use it to sleep if I'm too anxious about things I can't control.
Wed Jul 30, 2025, 03:32 PM
20 hrs ago

I try meditating, reading and cute animal videos but there are times nothing works!

Marthe48

(21,377 posts)
13. I just ordered some otc sleep aids
Wed Jul 30, 2025, 03:48 PM
19 hrs ago

I am going to get some traveling in, on way or another. Maybe I can get something in another country where they trust grownups

Deuxcents

(23,266 posts)
14. I'm not a doctor but please be careful mixing compounds with your prescription..take good care
Wed Jul 30, 2025, 04:18 PM
19 hrs ago

Marthe48

(21,377 posts)
15. I'm checking for things like that
Wed Jul 30, 2025, 04:53 PM
18 hrs ago

I saw that the one that was rec. by someone might cause liver damage, so I decided to pass on it for now. I got some sleep gummies, some magnesium, and some melatonin. I'll take one thing at a time and see if they are helpful.

Thanks for reminding all of us to beware

hlthe2b

(110,812 posts)
4. Don't shoot the messenger, but because Ambien is intended for short-term use because of its potential for
Wed Jul 30, 2025, 02:21 PM
21 hrs ago

Last edited Wed Jul 30, 2025, 03:19 PM - Edit history (3)

dependency and addiction, most states do not allow more than a 90-day prescription with reevaluation either required or expected, depending on how the law is written for Schedule IV controlled drugs. That said, it sounds like your practitioner is requiring a recheck every 30 days — which, while unlikely to be a requirement by state law, is likely a policy within the practice, especially if you are new to them as a patient. As you mentioned, it may also be that your insurance company is requiring more stringent limits on Ambien prescriptions.

I can imagine it is very frustrating, given that it had not been the case in the past. Maybe your new provider can advise you if there is a way to get around it. (NOT STATE OR FEDERAL LAW, OBVIOUSLY, but if this is a clinic policy only, there might be some room for a workaround)

questionseverything

(11,124 posts)
9. My last doctor died, the new doc said there were actually med school classes about dealing with dea requirements
Wed Jul 30, 2025, 03:01 PM
20 hrs ago

hlthe2b

(110,812 posts)
10. Yes.. But states have additional requirements and laws as well. New changes are part of continuing education requirement
Wed Jul 30, 2025, 03:10 PM
20 hrs ago

for physicians, veterinarians, and certain dental specialists (and pharmacists) with every license renewal. And, they do change, as well as the need to navigate each state's Prescription Drug Monitoring System (PDMS) to screen for controlled drug diversion or abuse (and yes, that includes for veterinarians who have become the unfortunate preferred source for drug seekers attempting to gain access through their pets). ERs not infrequently have drug vials clearly marked for pets come dropping out of a patient's purse or pocket, so, yeah, it is a real thing.

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