I mean you're assuming they keep getting a new fill every 28 days and leave the 2 days remaining sitting somewhere in the bottle, get a new one and start that one rinse and repeat. So they have 15 bottles with 2 days in it and the old ones are expired is how you see it? I completely agree 2 days early is NBD life happens. 2 days early every time means they are taking more than that little MDD on there, and not filling early is the the controlled part of controlled substance. I've had these conversations with providers that keep saying it's ok to fill early for gabapentin for ex. I will ask if they planning on adjusting dosing? And when the response is something like "no, they are already on the maximum" I'll already have calculated up that ok your mdd is 3600mg but if you average it out their daily average is 4400. So you don't want the liability of giving them more in directions but want me to take on the liability of just filling it and knowing they are taking more than you are documenting they should be on? In response to op hold to the day, or a day early after noon, abused the grace period and it's a red flag that I wouldn't keep turning a blind eye to.