Proactive Narcotic Abuse Screening
Case: An independent pharmacy filling high-doses of narcotic CNS depressants for a middle-aged man, receives notice of a claim. The patient was found unresponsive by his wife, and pronounced dead at the scene. Toxicology reports indicate supratherapeutic concentrations of hydrocodone, oxycodone, and alprazolam. Additionally, multiple tablets of Oxycontin® are found in the patient’s stomach upon autopsy. Looking through the patient’s record, it is noted that the patient paid cash on multiple occasions for early fills of the same medications. The pharmacy claims the patient’s reason for the early fills includes ‘vacation-supply’ and ‘lost-supply’. The prescriptions were written by a variety of physicians in different practices, and no effort was made to confirm their knowledge of the other’s care. Additionally, records revealed prescriptions were also filled at other pharmacies in the area.