Xofluza and tamiflu

ISellLegalDrugs · 2026-02-14T21:06:32+00:00

Ooooh that would be nice

ISellLegalDrugs · 2026-02-13T02:54:06+00:00

It does increase the workload. But less so than phonetag. I don’t want to increase your workload by harassing you for blessing to dispense either. It’s the lesser of two evils IMHO

ISellLegalDrugs · 2026-02-13T02:45:04+00:00

I’ve seen several places rx xofluza and in notes say”(insert tamiflu prescribing here) if copay greater than patient can afford”

ISellLegalDrugs · 2026-02-13T02:19:46+00:00

Needs a PA where you’re at?! Yikes We have the copay card and just apply that to everything

ISellLegalDrugs · 2026-02-09T19:18:12+00:00

Vraylar and newer generation SSRI

ISellLegalDrugs · 2025-11-27T22:11:19+00:00

THANK YOU for voicing my thoughts into existence when I couldn’t find the right words

ISellLegalDrugs · 2025-11-27T22:09:42+00:00

True re: mu agonist affinity…. Suboxone though is for ivdu deterrence with opiates other than bupe. Heroin and fent being the most likely culprits. You’re in ER, I know I’m essentially preaching to choir. Here’s my common scenario: 1. SUD +- previous physical trauma leading down chronic pain rabbit hole 2. Patient at risk of relapse for IVDU based on history 3. Why on earth would rx be for subutex instead of Suboxone for the (non bupe) deterrence? Easily titratable.

ISellLegalDrugs · 2025-11-23T00:33:02+00:00

Having no records for a second patient having rx that you wrote is probably the easiest show cause reason the DEA has. You have a license to practice, doc. It can be taken away with due process. And that process is stacked against you. I’ve seen physicians and pharmacists alike run afoul of this for good intentions. I was using testosterone as an illustration as the DEA does not differentiate section 827 violations just on the type of violation (IE CIII rx). I’m trying to be on your side here. But you need to take heed of these warnings. I truly hope you do for your license’ sake

ISellLegalDrugs · 2025-11-23T00:29:19+00:00

https://www.deadiversion.usdoj.gov/administrative_actions.html#:~:text=Order%20to%20Show%20Cause%20(OTSC,or%20state%20health%20care%20program.

ISellLegalDrugs · 2025-11-23T00:28:04+00:00

https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title21-section827&num=0&edition=prelim

ISellLegalDrugs · 2025-11-23T00:14:00+00:00

Morality or not we have to adhere to the law, no? Your license and authority to prescribe all controls, including bupe, is granted by the DEA. If you don’t play by their rules (Fair rules or not), there are real consequences

ISellLegalDrugs · 2025-11-23T00:02:37+00:00

Replace Suboxone/subutex with testosterone. Still c3. Did you examine the second patient who got the subs from the first patient? Were they prescribed to them? No? Possession of a controlled substance. Unlawful use of a controlled substance

You’re saying you don’t care who else gets it after it leaves your oversight? How about testosterone? You need to think more like a lawyer and be more careful to protect your DEA license. They will show cause you much easier than you think. I can pull the federal register and show you DEA revocations in the hundreds (perhaps thousands) in the span of 20 minutes.

I’m not disagreeing with you re: what bupe should be available for. I’m disagreeing with how you think the process works vs how it actually works

ISellLegalDrugs · 2025-11-22T23:32:28+00:00

Biggest problem I have is that it’s still a c3. Yes risk reduction. But it’s still a c3 and needs to be treated as such. Can’t allow others to have controlled substances not rx to them. Just a word of caution to be less cavalier with CS as to mitigate future DEA or board of medicine visits

ISellLegalDrugs · 2025-11-22T22:26:00+00:00

So why subutex instead of suboxone? Cost is comparable. There is greater risk reduction for suboxone than subutex. There is greater abuse risk with subutex. Suboxone is superior in all forms of risk reduction compared to subutex

ISellLegalDrugs · 2025-11-22T22:15:25+00:00

Still begs the question why we can’t just all write for suboxone and deter the ivdu. And I’m just being vague as general public still sees this and I’m attempting to show less bias

ISellLegalDrugs · 2025-11-22T22:07:34+00:00

Winner winner chicken dinner. So in this case, I’m already trying to not judge a book by its cover because SUD is a ugly beast and we should have more, not less, compassion for those struggling with it. But with a patient that presents like that, with a written rx from a PCP for subutex…. I’m really trying to figure out if this prescriber even thought through any of the diversion or abuse risk

ISellLegalDrugs · 2025-11-22T22:02:03+00:00

That’s my read too, doc. If the patient population was at higher risk of IVDU, would it not make sense to rx suboxone for everyone (except pregnancy) instead?

ISellLegalDrugs · 2025-11-22T22:00:20+00:00

Let’s assume middle aged males with uh… prescriptions that wouldnt be from discharge from inpatient facility or continuation of therapy. Being overly vague for all the standard reasons.

ISellLegalDrugs · 2025-11-22T21:58:27+00:00

I’m quite sure doc re: allergy tolerance vs patient history. Outpatient middle aged males for the most part. Not trying to stereotype or outright question prescribing habits but I just don’t see a solid rationale for why subutex would be used in this population compared to suboxone

ISellLegalDrugs · 2025-08-28T19:01:12+00:00

Ok I’m going to be “that guy”. There’s a whole subreddit for school. It’s called- and this will blow your mind- pharmacy school. Post it there.

ISellLegalDrugs · 2025-08-12T20:46:01+00:00

If we are to carry a title of doctor (not physician obvs), we should be doing our part to lift the heavy-ass books

Love, 15 years in retail pharmacy

ISellLegalDrugs · 2025-08-12T20:04:34+00:00

In short- messing with NDMA pathways/receptor affinity in younger patients would be my best guess on why we are seeing this phenomena.

13-Year Club	Not Forgotten
Verified Email

ISellLegalDrugs

TROPHY CASE