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Author Topic: Medications while full timing  (Read 3476 times)

rockin rockwood

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Medications while full timing
« on: September 09, 2016, 03:26:34 PM »
  So, we're in the middle of replacing the standard sleeper sofa and dinette for more comfort while looking for a new house in Az, should take 3 or 4 months total. Now the coach is super spacious and comfortable so the DW now says Why rush getting a house, lets travel!!
 Our family doctor here in NJ says he is ok with giving us up to 3 months of Rx's (blood pressure,etc) but after that he would have to see us again. Thats not going to happen as we will be travelling on the west coast for an undetermined time and finally winding up in Az. How does a vagabond like myself maintain Rx's? Can you go to these urgent care places? The thought of going to Mexico just freaks me out. What can we do?
Dan
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SeilerBird

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Re: Medications while full timing
« Reply #1 on: September 09, 2016, 03:50:35 PM »
I use Walmart to fill my prescriptions on the road and there is never a problem getting a refill.
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Molaker

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Re: Medications while full timing
« Reply #2 on: September 09, 2016, 06:07:21 PM »
If you have the time, maybe you could get established with another doctor who would be willing to issue prescriptions that are refillable.  Most doctors I use will issue prescriptions that can be refilled for up to 1 year.  However, if the meds you are on are "controlled" that might not work.  For example, I take Lyrica and my drug insurance requires a new prescription every 90 days.  Apparently, there's a pretty big black market for such meds and my insurance is concerned about the high-dollar meds being sold on the black market (a 30 days prescription at Walmart's full price is about $700).
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davencjkan

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Re: Medications while full timing
« Reply #3 on: September 09, 2016, 06:46:12 PM »
We get a new Dr. every time we need our scripts refilled - The new one gets the records from our last one and there is never any problem.
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Jeff

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Re: Medications while full timing
« Reply #4 on: September 09, 2016, 08:37:39 PM »
My Doctors all issue refills for a year including blood pressure meds, not sure why yours won't.

NY_Dutch

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Re: Medications while full timing
« Reply #5 on: September 09, 2016, 09:05:29 PM »
My Doctors all issue refills for a year including blood pressure meds, not sure why yours won't.

Yep, same here for both my wife's and my BP meds, etc. Our prescriptions are for 90 day refills, but good for a year. We use CVS for refills wherever we are at the time. The only time we needed to find another doctor to issue scrips was when her upstate NY oncologist wanted her checked every 6 months. We found another oncologist in FL that was willing to work with her NY doctor, so we scheduled our trips around hitting one of them at each interval. Now she only sees the oncologist once a year, so she checks in during our winter holidays visit with our kids in NY before we head south again.
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rockin rockwood

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Re: Medications while full timing
« Reply #6 on: September 10, 2016, 05:33:23 AM »
I think it's time to find a new doc.
Dan
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UTTransplant

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Re: Medications while full timing
« Reply #7 on: September 10, 2016, 08:23:55 AM »
We are assuming your "blood pressure, etc" is well controlled and has been for a while. The only reason I can imagine for a doctor to see you every 3 months for something like blood pressure is if the diseases aren't stable. If they are stable, find a new doctor! If you aren't stable, you probably want to carry your medical records with you and visit a new doctor every three months.

I have been on the same BP meds for ~10 years, BP solid as a rock in appropriate range. If I didn't come in for something else at least once a year, he would make me do it before a yearly refill, but no more often.
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Becks

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Re: Medications while full timing
« Reply #8 on: September 10, 2016, 10:01:52 AM »
Find a new DR and use Walmart. Our DR also give's us refills for a year and away be go.
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Ernie n Tara

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Re: Medications while full timing
« Reply #9 on: September 10, 2016, 10:14:10 AM »
What they said! I have multiple prescriptions, as does my wife, and all are renewable for a year. This includes three dr.'s total and six prescriptions (three of  which are bp meds).

Ernie
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Gary RV_Wizard

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Re: Medications while full timing
« Reply #10 on: September 10, 2016, 11:10:24 AM »
Agree with the others. If your BP,cholesterol, etc is stable when using the meds, there is no need for tri-monthly follow-ups and your doctor is just milking the system to keep his revenue stream flowing.

If it's not stable, see a doc at an Urgent Care (walk-in) center wherever you are.  Bring your recent history info and current Rx and they will test and prescribe as appropriate for your current condition.
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rkw

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Re: Medications while full timing
« Reply #11 on: September 23, 2016, 04:16:55 AM »
Ones HUGE issue not mentioned here are for those of us with chronic pain that requires opiate pain meds.... the new "laws" have turned them all into schedule 2 meds, aka "triplicate", meds.  This means there are strict limits set in stone by The Fed.  The limit is a non-refillable 30-day supply.  For example say you need hydrocodone, maybe 10/325 dose.  The old limit was up to 6/day and 180/month. New regulations and guidelines are a max of 120/30-days plus a doc visit to get a new Rx every month, mind the rules allow for 120 every 23 days but few docs want to risk the wrath of the FDA inspectors to cover those who have no other options.... anyway, short story long because of the required doc visit to correspond with your new Rx and the fact most pharmacies seem unwilling to fill pain meds across state lines, what are people like me to do?   I should qualify that my old but now retired family doc just wrote the refill Rx which I would pickup when needed.  However most docs are now in medical GROUPS/CLINICS which do not allow this sort of thing...

It's a frustrating mess as my wife and I are preparing to go fulltime for at least a year around the end of this January... we have no idea what we're gonna do at this microsecond beyond asking the doc to write a larger Rx now and begin hoarding thus becoming potential felons... oh, goodie!!!  ;)

BTW, not on a soapbox here, just being stressed more after having to alter a pain management regimen 4+ decades in the making even further... so don't think I'm making some political thing just genuinely confused and so is my doc....

marcortez

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Re: Medications while full timing
« Reply #12 on: September 30, 2016, 07:35:34 AM »
I think it's time to find a new doc.

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kjansen

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Re: Medications while full timing
« Reply #13 on: September 30, 2016, 05:51:20 PM »
rkw, the info you posted is not correct.  There are DEA guidelines but a physician can still write for any amount of hydrocodone he wants.  Your insurance on the other hand limits how much they will pay for each month.  Also a physician can give you 3 separate scripts each dated when you can fill them, ie Oct, Nov, Dec. with specific dates. If the pharmacist has any questions of out of state scripts, he can call the doctor to get verification.  I have filled hundreds of these scripts and have no problem calling the doctor and usually do, so always fill those scripts a few days in advance to allow for this.  Using Walmart, CVS, and Walgreens is a good idea as their computers are linked and they can see your past history to also help verify that you need these meds on a regular basis.  Whether your physician will mail you another 3 months supply is between the two of you.
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prfcdoc

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Re: Medications while full timing
« Reply #14 on: September 30, 2016, 07:46:34 PM »
What Kevin says is true. It's becoming a huge issue, though, with physicians being afraid of losing their ability to write ANY controlled substances because of the "red flags" that go up on anyone who is prescribing large amounts of controlled drugs--especially hydrocodone--due to the huge increase in accidental deaths from these drugs--recently surpassing auto accidents as the most common cause of accidental death in the U.S. I could actually lose my license by prescribing hydrocodone without seeing my patient, and carefully documenting it, and periodically doing a urine test to be sure he/she was taking it and not selling it. Yes, I know you could sell 99 tablets and take one one the day of your office visit but the DEA and Board of Medical Examiners (at least in Texas) have decreed that this is an imperative. I don't have the answer for this very difficult issue because there are too many serious issues that affect both the people who have chronic pain and those who are addicted to the drugs because they were ignorant enough or uncaring enough to use the drugs for "kicks".
Bob
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prfcdoc

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Re: Medications while full timing
« Reply #15 on: September 30, 2016, 08:15:39 PM »
Of course other medications should not be that much of a deal. I agree with Gary. It's NOT necessary to see a patient every 3 months if, of course, one's medical issues are stable. I find, though, that many people are naive about how serious their medical issues are. It's actually going to get worse. Doctors are transitioning into being paid depending on how well they are sticking to certain preordained parameters. That's going to lead to "cherry picking" compliant patients. Also, in keeping to the OPs original concern, not accepting patients who can't stick to the "suggested" periodic office visits. I'm retiring in a couple of years. Can't stand the rigidity that medical care has become. No room for outliers.
Bob
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NY_Dutch

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Re: Medications while full timing
« Reply #16 on: September 30, 2016, 08:27:07 PM »
Heh! Last year I called my doc's office to reschedule a 6 month follow up to my annual physical due to a travel delay. The receptionist said my doc was right there, and handed her the phone. She asked me how my weight was, and I told her the scale reading taken that morning, along with my BP reading that was normal. She said it sounded good to her, and if I didn't have any other issues, she'd see me for my scheduled physical in 6 months. Hmmmm, phoned in doctor "visits". Now there's a concept...  ;D
Dutch
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marcortez

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Re: Medications while full timing
« Reply #17 on: October 01, 2016, 06:33:16 AM »
. I'm retiring in a couple of years. Can't stand the rigidity that medical care has become. No room for outliers.
Bob

This does not surprise me Doc.....every time I talk to the various doctors I visit on occasion, they say that the regulations imposed on them are stifling. And everyone of them say that the ACA is the main driver of it all.

And oddly enough (or not) can't wait until they can hang up their stethoscope.
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Shakerag Diva

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Re: Medications while full timing
« Reply #18 on: November 22, 2016, 12:34:49 PM »
What about Doctor on Demand?  Has anyone used them? 
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JudyJB

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Re: Medications while full timing
« Reply #19 on: November 22, 2016, 08:08:19 PM »
One important thing is to make sure you read the bottles or cartons about temperatures that medications need to be stored at.  Most are roughly what a house would be kept at, but as we all know, if you park an RV in a parking lot in the sun, it can quickly get to the 90s or 100s or even higher very fast.  Medications can lose potency if stored at a temperature that is too hot or too cold.

At the advice of a pharmacist, I keep my medications in a small cooler.  If I think I am going to be parked in the heat for a long time, I will pop in a one of those small igloo blocks.  You do not want to keep meds in the refrigerator or put too large an ice block in the cooler because it will get too cold, but a small one helps.   
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spacenorman

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Re: Medications while full timing
« Reply #20 on: January 03, 2017, 08:27:05 PM »
The company that I worked for provided prescription drug coverage through Express Scripts.   Express Scripts does everything in their power to point you towards using their "mail order" pharmacy.  My experience with them has been mediocre at best.  The biggest issue being that they don't seem to be able maintain a record of the # of remaining refills with any sort of accuracy.  Seems like without fail, my doctor would write me prescriptions for a one year supply of my "long term" mediations - written as a script for a 90 day supply with 3 refills.   These would go to Express Scripts who would fill the initial script with no problem - however, a subsequent visit to the web site would show one or more of the medications had "no refills available" meaning that it required my doctor to get involved to write "emergency" scripts to ensure I had a steady supply. 

I recently left took an buyout - and retired early.  Being too young for Medicare - I'm now obtaining my medical / prescription coverage under COBRA.  As a result of the administrative change from a "company paid" medical plan - to the same coverage paid by me personally under COBRA - Express Scripts apparently discarded the prescriptions that were on file - meaning that I had ZERO refills available to me.  This time I took the time to research the policy - and discovered that I am not required to use the Express Scripts mail order pharmacy - and can use any "participating" pharmacy.  While Walmarts (who was my first choice) isn't a "participating" pharmacy for Express Scripts coverage - Walgreen's is.  My wife and I both visited our doctors and obtained "hard copy" prescriptions that we in turn took to our local Walgreen's pharmacy.   There, we talked with the Walgreen's pharmacist and explained our need to be able obtain prescription refills while traveling from a Walgreen's Pharmacy local to wherever we happen to be.   We both opened Walgreen's web accounts - and now have all our prescriptions AND the year's worth of associated refills on record and visible in the Walgreens system.   We're keeping our fingers crossed that we've finally gotten our prescription medication needs under control!

This time I took the time to research the details - and found that I under the company's prescription plan - I can
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markbarendt

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Re: Medications while full timing
« Reply #21 on: January 03, 2017, 09:41:19 PM »
  So, we're in the middle of replacing the standard sleeper sofa and dinette for more comfort while looking for a new house in Az, should take 3 or 4 months total. Now the coach is super spacious and comfortable so the DW now says Why rush getting a house, lets travel!!
Go for it.
Our family doctor here in NJ says he is ok with giving us up to 3 months of Rx's (blood pressure,etc) but after that he would have to see us again. Thats not going to happen as we will be travelling on the west coast for an undetermined time and finally winding up in Az. How does a vagabond like myself maintain Rx's? Can you go to these urgent care places? The thought of going to Mexico just freaks me out. What can we do?
Are you in Medicare?

rockin rockwood

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Re: Medications while full timing
« Reply #22 on: January 04, 2017, 05:41:45 PM »
.Are you in Medicare?
[/quote]
 No, I have a ways to go before that
Dan
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markbarendt

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Re: Medications while full timing
« Reply #23 on: January 04, 2017, 06:56:38 PM »
Ok, no Medicare.

So, yes you can go to a different Doctor and get a new Rx. The question is only who is going to pay what.

Ask your insurance company if your plan works for what you're planning. Understand that emergency care is typically covered by any policy, normal routine care out of network is the wild card.

If it's a PPO plan it will probably work fine, it may just cost a bit more (e.g. 50 instead of 30) for an out of network doctor visit; if it's an HMO plan it probably does not cover routine care out of town and you would foot the whole bill at the doctor office (maybe 300 or ?)

My advice is to 1) get your current doctor to write you a three-month prescription and tell him that you will be sending him an address where he can forward your medical records. 2) On your way out west make the town in Arizona where you think you might want to live the first stop, find a doctor that seems to be a decent fit and make an appointment that leaves you a little bit of room to get a prescription on time. 3) if needed get yourself in mailbox at some place like a UPS store that counts as a street address and Find an insurance agent in the same town that can sell you a PPO medical policy. 4) go have fun, come back on the day of your appointment.

Don't sweat about being locked into that policy or town, if you fall in love with St. George UT instead of Tucson you just get a new address, when ever you move out of an insurance company's service area you get a new open enrollment and can choose a different policy.

rockin rockwood

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Re: Medications while full timing
« Reply #24 on: January 04, 2017, 08:21:42 PM »
  Mark, thank you very much.
Dan
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6x16inside

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Re: Medications while full timing
« Reply #25 on: March 16, 2017, 05:59:18 PM »
I use Walmart to fill my prescriptions on the road and there is never a problem getting a refill.

Assuming you have endless refills which is not an option for narcotics.

JudyJB

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Re: Medications while full timing
« Reply #26 on: March 16, 2017, 09:56:57 PM »
I saw a specialist who wanted me to get blood tests every 90 days, but he would not let me get them while traveling all across the country.  He insisted he had to see me in person every 90 days!!  That would have meant flying into that city three times a year, since I normally only go there once a year. 

So, I found another specialist who is happy seeing me once a year with blood work every 180 days.  He even gave me a prescriptions for blood tests in 180 days and said to call him if I had trouble getting it accepted in another state.

So the first specialist lost a patient and the second gained one.   
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JudyJB

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Re: Medications while full timing
« Reply #27 on: March 16, 2017, 10:01:16 PM »
One very important thing--Check the storage temperatures on your prescriptions.  Most require what would be room temperature in a regular home, but RVs can get very hot while driving or even parked. 

I bought a very small Styrofoam cooler and keep all my medications in it, except for the week's worth I keep in the bathroom counted out. 

No ice in the cooler unless you are going to leave your vehicle parked in the heat for a long time because that will be too cold.  (I did toss in a couple of small ice packs when I left my motorhome at Salt Lake City airport for five days while I flew to Atlanta in 90 degree temps.)
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Old_Crow

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Re: Medications while full timing
« Reply #28 on: March 17, 2017, 05:21:12 AM »
Assuming you have endless refills which is not an option for narcotics.

My wife's been seeing her Dr. for 20+ years.  She calls the office, has them send the refill to Walmart in whatever state and away we go.
Wally Crow
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KODIAKHERSHEY

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Re: Medications while full timing
« Reply #29 on: August 09, 2017, 08:39:11 AM »
My problem has some of the issues discussed. I had back surgery and a hip replacement 5 yrs ago. Hip a success, back not so much. Cronic pain, on meds all the time. Also have restless leg. after many meds tried, now take Clonazapam, a schedule drug.
Lived in Fl for the last 20 yrs. Went full time last Nov. Saw a pain Management Dr every month.
Had prescription for my Vicodin in hand when we went to NY state for the summer. Also had refills at Walgreens for my clonazepam.
Got to NY(upstate) and went to a Walgreens. They would not fill an out of state prescription for Vicodin OR fill a refill for the other drug. Told NYS law will not allow an out of state script to be filled for controlled substances.
No Dr here would write a script. Talked to my Dr in Fl, he tried to call a DR here in NY to help. No help.
I ended up flying to Florida to see my Dr there and getting a new script and filling it there.

Do not know what I will do next year when we plan to go out west.Any suggestions.
Thank you, in advance.
John

 

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