My wife has been on narcotic pain meds for many years after three level spinal fusion surgery.
There are many levels of rules by various bureaucracies that all have to be satisfied. I will list them below.
The physician which has to follow laws but also may have their own rules in place.
The state where the Rx is written.
The state where it is filled either in person or by mail.
The federal government.
The insurance company.
The pharmacy.
The pharmacist, which we have sometimes found have their own rules.
So their are seven layers of rules that have to be followed and it is easy to get confused about who is enforcing the rule that is causing you trouble.
She just filled her latest 90 day RX in July in California with no problem. A Dr visit is required for every 90 day RX and we travel some distance for that visit.
Here is an example of the problem. Her RX is good for a year (or maybe six months in CA, I can't remember), two weeks in Nevada unless in the hands of a pharmacist when it is good for six months, and for one week in Texas where her email pharmacy is located. So we can't use the cheaper mail pharmacy because her Rx's have been rejected for arriving after the Texas expiration date.
It is a full time job keeping up with all this. It has nothing to do with the ACA. It has been this way for fifteen years.
