[wild_preference]

Not very good advice. Pharmacies can deny paper prescriptions at their discretion. And most people know where they’re picking up scripts ahead if time.

For example, the pharmacist at a CVS decided not to refill my Vyvanse (amphetamine) paper script because I was paying in cash (+ using paper script). Treated me like a criminal. Digital scripts avoid this unpleasant scenario.

The pharmacy system itself needs reform. It’s idiotic that your doctor can write you a prescription that gets denied by someone who puts pills into a bottle. An anti-abuse system that treats everyone like criminals needs a better solution.

[reaperducer]

It's a little different in my state.

A pharmacist is required to fill any prescription, paper or digital, except if the pharmacist has a religious objection (birth control, morning after pill, etc...). This came out in a recent court case.

It's the state that decides if prescriptions for controlled substances (like your Vyvanse) get rejected through a centralized database that works off of your driver's license/state ID scan* to prevent abuse.

There was much chaos a few months ago when the state imposed tighter restrictions on the number of opioid pain pills that could be dispensed at one time. You might have a prescription from your doctor for a 90-day supply, but you could only pick up five at a time. (Not an exact number, as I'm not on opioids.) For months, the lines at the pharmacy were backed up for hours as thousands of people ran into the new rules and took them out on the pharmacists.

* Amusingly, one of America's largest supermarket chains, Albertson's, isn't using the computerized driver's license scan. It keeps records in paper binders where the pharmacist writes down your DL# and you sign next to it. They don't even record what it is that you filled, or how much. Good job, Albertson's!

[freedomben]

Many states are screwing up Albertson's strategy with mandatory centralized database reporting. The "opioid epidemic" is terrific justification for growing government power and enforcement arms.

[scarface74]

It’s worse. Pseudoephedrine is available without prescription but you are limited to 30 day supply in total per month and there is a mandatory state database. All that seems reasonable, until you can’t both buy pills fit yourself and your child without going over.

[freedomben]

Oh man, great point. The pseudoephedrine thing is a nightmare. I have several kids so I have to make a note to purchase some every month, because once a sickness ravages the house I won't be able to buy enough. It's insane.

[amanaplanacanal]

I believe in my state it's not available at all any more.

[TheAceOfHearts]

Could I ask what state you're in? I've been taking amphetamines for a pretty long time now, and the only times I've been turned down was when I went to take my refill in before its due date, and they still let me drop it off, they just wouldn't hand me the medicine until the due date. It's a bit annoying if you have a lot of errands to run on the next day, or if you're going on a trip, but I can sorta understand where they're coming from. Especially since it has such a high potential of abuse.

[ddingus]

There are lots of Pharmacies. I always use paper and cash.

I always use smaller, non chain pharmacists too. Msny will compound, they know me and mine, and that relationship is worth a lot.

The cheapest is not too important most of the time. Things being right, and an active pharmacist helping with cost, special programs, and accuracy matters more.

[lotsofpulp]

They don’t just put pills in a bottle. They’ve been tasked, by the government, with making sure the correct drugs are dispenses to avoid abuse and other damage.

Obviously if certain behaviors correlate strongly with people who abuse, then it’s their job to use their discretion to demand more proof, or deny.

[bdcravens]

Odd. Can't they verify the prescription with the prescribing doctor, and verify your state issued ID? I personally haven't had this issue with Walgreens (but I get a lot of medicines through them, and only controlled substances I've filled were small dosage Norco post-surgery)

[jetti]

That's interesting. I'm in Illinois and can only use paper scripts for controlled substances. It is quite annoying to have to physically go into the doctor's office to get my Adderrall prescription because they aren't allowed to use a digital script.

[vxNsr]

My mother (a doctor) will only give eScripts because of the abuse, it sucks, but sometimes the bad actors ruin it for the rest of us.

[sizzle]

In my state most doctors don't have the technology to send digital eScript for controlled substances

[freedomben]

Out of curiosity, what state are you in?

Even in Alaska, not generally a very technically advanced state, I never met a doctors that didn't have the ability to send eScripts. I never visited a doc in a remote village however, might be a different story out there.

[sizzle]

California, you'd think the handful of doctors I've busted could send an eScript to a national chain (CVS), but I'm denied and made to carry 3 months worth of wonky triplicate paper prescriptions that are prone to being misplaced.

[jetti]

I'm in Illinois and have to get a paper script for my controlled substance prescriptions (Adderall)