re: Louisiana has more opiod prescriptions than people

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Issue is the percentage of out of pocket scripts adjudicated at pharmacy. Off book, no insurance fills. Valid fills will refill too soon due to PBM benefit edits. In other words, an addict using insurance can use the insurance to legally fill only so often. The issue lies with addicts running from internist to internist or FP to FP due to "pain". There is no national database for doctors to refer to in terms of medical history per patient SSN. Use a different pharmacy for each Rx and it's invisible.

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False. There is an easily accessible state-wide database that shows records of precisely which controlled substance prescriptions were filled by any individual patient. It shows exactly which prescription was given, the date it was attempted to be filled on, and which pharmacy the patient went to. It is used frequently by ER physicians who deal with drug seekers on a daily basis, less so by the family practitioners and internists.