this post was submitted on 05 Oct 2023
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It's ADHD, Autism, OCD, schizophrenia, anxiety, depression, bi-polar, aspd, etc etc etc etc

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Acquiring medication now takes up nearly an entire day every month (because of the DEA) (hexbear.net)
submitted 1 year ago* (last edited 1 year ago) by [email protected] to c/[email protected]
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In a few hours, I will begin a two-hour (one-way) drive to the pharmacy to pick up a 30-day supply of generic Adderall.

It's not for a lack of any closer pharmacies, and it's not because of the stimulant shortage. I have to drive this far because of new DEA rules.

I used to get Adderall from my local Buy n Large pharmacy without a problem, until a few weeks ago. I asked the head pharmacist what had changed, and he explained everything to me while expressing extreme sympathy for my situation. Apparently, the DEA recently sued Buy n Large for $3 billion for "not doing enough to keep drugs from flowing into communities", and part of the settlement agreement included a new restriction: that controlled substances can only be dispensed if the prescribing physician is local (defined as within 50 miles). He recommended I try other pharmacies in town, but all others I called had taken up a similar policy.

I live in a rural area which, like most rural areas in America, is underserved by healthcare specialists including psychiatrists. When I moved here, I had to drive two and a half hours to the nearest megacity in order to be seen by a psychiatrist in a timely manner (<90 days). I do most follow-up appointments by webcam so it wasn't too much of a problem... until now.

I like to create original media. Nearly every piece of worthwhile art I've ever created was made possible by my medication. The periods I go without it are the dark ages of my life. That's why I'm willing to make the drive today.

It pisses me off that I have to waste so much time, energy, and gasoline because a cop in a boardroom somewhere decided that too many people were getting Adderall and the best way to combat this "problem" would be to make it more of a pain in the ass for people to get.

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[–] [email protected] 25 points 1 year ago* (last edited 1 year ago) (2 children)

[Buy n Large's lawyers asserted] throughout the years that their local pharmacists were merely filling doctor-ordered prescriptions of federally approved medications.
Plaintiffs’ lawyers countered that the pharmacists showed flagrant disregard of the tragedies accruing outside their doors, as vast quantities of prescription painkillers, often wildly disproportionate to local populations, were being diverted to drug dealers and sold illegally.

I'm not usually one to defend large corporations but I don't see how the opioid epidemic was the fault of the pharmacies (unless they were filling prescriptions for "Mickey Mouse"). Is it their job to invalidate diagnoses? The pharmacist I talked to was mad that doctors haven't been scrutinized to the same degree. It's probably a healthcare sector power hierarchy thing. We should take Buy n Large's money but for different reasons.

[–] [email protected] 20 points 1 year ago (3 children)

Is it their job to invalidate diagnoses?

Nope. It’s their job to verify medications match the diagnoses given and don’t conflict with other medications or diagnoses of the patient. But if the doctor says a patient has ADHD, the pharmacist is expected to believe them.

[–] [email protected] 13 points 1 year ago (2 children)

Right now many pharmacies are hopelessly understaffed with bad pay and working conditions. Even if most pharmacists wanted to live up to their responsibilities as a doctor responsible for their patients health and wellbeing they're being worked to the bone and treated horribly by the corporations.

[–] [email protected] 16 points 1 year ago (1 children)

Saw a help wanted part at the grocery pharmacy with pay range of 19-21/hr. Who the fuck would go to school to be a pharmacist only to come get that pay?

[–] [email protected] 11 points 1 year ago (1 children)

It's disgusting. They're draining the blood from all these vital social institutions, cannibalizing society until it collapses.

[–] [email protected] 10 points 1 year ago* (last edited 1 year ago)

former corporate retail pharmacist here. that posting was likely for a technician role. at least I hope so. corporate retail pharmacy is a fucking dumpster fire right now but I don't think it's reached quite that level yet.

replied to the wrong comment! this was meant for the one above.

[–] [email protected] 6 points 1 year ago

corporate retail pharmacy workers have been treated like dog shit the past decade plus. race to the bottom among the big players, chronic intentional understaffing and impossible metrics cooked up by MBAs who have absolutely no concept of caring for patients beyond seeing that as something which must be discouraged at every turn so more money can be extracted from the system.

fortunately the tides may be turning, see recent CVS walkouts and Kaiser strike as an example of corporate pharmacy workers tired and ready to fuck shit up. I got out of that game a long time ago but I hope they utterly wreck shop.

[–] [email protected] 7 points 1 year ago

That's what I thought! meow-cactus

[–] [email protected] 6 points 1 year ago

If you have chronic pain due to some kind of internal injury are they supposed to require you to submit xrays and other scans to them to verify? How the fuck does that even work?

I got prescribed Testosterone because my genetics are fucked. I'm cisgendered. I'm just a low T male because my dad was exposed to chemicals from the US government that gave me defects. But some transphobe fuckwad pharmacist wanted to be petty and refuse to sell me syringes because they are taking a stand. YOU JUST SOLD ME A GODDAMN INTRAMUSCULAR MEDICATION HOW THE FUCK DO IT GET IT IN THERE OSMOSIS? I had to drive to another pharmacy to get my meds.

[–] [email protected] 13 points 1 year ago (1 children)

My read is that the opioid crisis was a large scale money-making conspiracy between pharma, the FDA, and many doctors. "We believed the magic heroin wasn't addictive!" is such bullshit. Apparently there was a lot of arm-twisting of doctors by pharma funded lobbying and propaganda groups working in league with elements of the FDA and some doctor professional organizations. Like they pushed the idea that any pain was too much pain and the doctor was doing crimes if they didn't give you enough oxy to anesthetize a horse.

[–] [email protected] 7 points 1 year ago (1 children)

Oh yes, the "Pain is the Fifth Vital Sign" campaign.

[–] [email protected] 5 points 1 year ago (1 children)

Yeah. Just messed up. I've apparently got a fairly high pain tolerance by some metrics so I've never taken a lot of pain meds, so when I heard about that, that no pain at all was the goal, I was taken aback.

[–] [email protected] 5 points 1 year ago

America delenda est.

[–] [email protected] 19 points 1 year ago (1 children)

I know Adderall is a Schedule II drug, so I'm not sure what the legality is around getting it mailed to you, but you should check with your insurance to see if that's an option, unless you've already tried that.

[–] [email protected] 16 points 1 year ago* (last edited 1 year ago) (2 children)

No insurance atm, which actually means I have a lot of (more expensive) options. I'll have to check my state laws.

[–] [email protected] 5 points 1 year ago

I'm so sorry you have to deal with this OP, but this may be the best advice for now. Controlled substance prescriptions are generally allowed to be mailed from a dispensing pharmacy, but you are correct in checking with state law. Hope you find something.

[–] [email protected] 4 points 1 year ago (2 children)

Oof I'm sorry you're dealing with that. I know Vyvance has a generic now, not sure how the price compares but it's been good for me. Good luck comrade!

[–] [email protected] 3 points 1 year ago (1 children)

I asked my doctor for generic Vyvanse three weeks ago and she told me it's not available yet. sadness

[–] [email protected] 3 points 1 year ago

That sucks, they wrote me a script for it this refill without asking me lol. I think it delayed the refill some. But I'll take the cheaper price.

[–] [email protected] 19 points 1 year ago (1 children)

It's absolutely disgusting. Just horrible that some fascist pig gets to hurt so many people like this for their bogus war on ddrugs.

[–] [email protected] 6 points 1 year ago

What's especially insane about the war on drugs is that it's not even a way for capitalists to hoover up more wealth. No, it's by-and-large a movement by true believers that just throws sand in the gears of all aspects of society.

[–] [email protected] 15 points 1 year ago (1 children)

I haven’t gotten meds since July, and I have “good” insurance.

Fuck this shithole bring on the nukes

[–] [email protected] 5 points 1 year ago (1 children)

Luckily I found a reliable pharmacy for Adderall because my monthly withdrawal period while I waited was brutal. Like, I know you develop a physical dependency on it. When you are out for upwards of two weeks every month you go through the withdrawal. It sucks. This is with health insurance and a local prescription.

As always, death to America.

[–] [email protected] 11 points 1 year ago

Use a mail order pharmacy?

[–] [email protected] 10 points 1 year ago

Death to America

[–] [email protected] 9 points 1 year ago (1 children)

Have they tried murdering more minorities? That worked so well last time after all

[–] [email protected] 4 points 1 year ago

It's been proven that all prescribing physicians now minimize minority's pains and it's made them so heavily resistant to prescribing opioids to anything but white patients; which is why the crisis existed and also why the only reason why the government gives a rat's ass.

[–] [email protected] 6 points 1 year ago (1 children)

Meanwhile, the CIA is flooding the streets with crystal via the Sinoloa cartel.

[–] [email protected] 8 points 1 year ago* (last edited 1 year ago)

The dynamic between the CIA and DEA is a giant make-jobs program for feds. It's the equivalent of paying one team to dig holes and another to fill them in.

[–] [email protected] 5 points 1 year ago

Sorry for your struggles, comrade. One ADHDer to another.