I'm glad that you do, but many people do not.
I agree with the poster. I can't figure out why people who are in chronic pain don't drive... or better, fly to Southeastern Florida. The off-season is approaching in Florida, so depending upon where you live, you might be able to find good prices on airfare.
I honestly don't know why people who complain about having great difficulty obtaining pain medication, or others who are apparently willing to pay a lot of money to online pharmacies, many of which do not seem trustworthy to me when I look at their sites out of curiosity. This is not to mention the fact that it's illegal.
Unless you're going to Florida in an attempt to purchase large quantities of drugs for resale, or something of that nature, you aren't doing anything illegal, and you'll get a lot more medication for a heck of a lot less money (especially if you don't have insurance).
South Florida pain centers are principally located in Dade County (as in the general vicinity of Miami), Broward County (Fort Lauderdale, and in many other nearby cities, and Palm Beach County (immediately north of Broward County, and includes places like Boca Raton, Delray Beach, Boynton Beach, and West Palm Beach).
There are so many pain clinics in these counties (hundreds, literally), that it has unfortunately caught the attention of many who don't like them. In Broward County, there is a criminal probe into them, which is why you'll find many more in Palm Beach County than you used to. Laws are in the process of being passed (or already have, but won't go into effect until around a year that might have the effect of making it significantly more difficult to obtain medication management in the future. That's a huge reason to go.
It should also be noted that many places not only deal with pain management, but also with ADD (as in Adderall), weight management, anxiety (although prescriptions for alprazolam are generally also provided to people who go for pain management), steroids, and even detox (Suboxone). In fact, most pain management clinics also practice detox.
I am temporarily residing in the area. I haven't visited this forum in a while, nor have I searched for what people have posted about them. One thing I would suggest is that you are much more likely to get accurate information about them from someone like me, who is in the area.
First, it should be noted that there is currently a great deal of competition among pain management centers, because there are so many.
Many pain clinics advertise in free newspapers like
New Times. New Times has a website, that you can go to. Many, but not all, of these ads can be viewed there for anybody who wants to see them.
Many of the ads offer specials for new customers. Some clinics even offer a free first visit (while others just offer reduced prices). Before you go to one of these places, you should read the fine print on the coupon. Some clinics only offer a free visit or reduced prices if you purchase your prescriptions on site (at the clinic itself). Prices vary widely from clinic to clinic, but I don't think there's a single one that isn't several times the price of what you would pay at a chain drugstore -- or even at a mom and pop store. And the vast majority of pain management clinics don't accept insurance (under Florida law, if a clinic does not accept insurance, it is subject to no or little regulatory oversight). Even at clinics that have relatively reasonable prices on some drugs, like
carisoprodol (
Soma) and alprazolam (Xanax), you can still get a better deal at a pharmacy. For example, one clinic, formerly known as Coastal Pain Management, in Pompano Beach (I forget the new name) sells
carisoprodol (
Soma) for 30 cents a pill, and (Activs / Purepac Brand) alprazolam (Xanax) for 35 cents a ill. Those prices aren't terrible -- if the doctor there (F. Martinez, M.D.) writes a prescription for 60
carisoprodol tablets, and you choose to fill the prescription on-site, you'd pay $18.00 for the prescription. That's about as close as you can get to an average pharmacy price, although the same prescription should cost only about $10 at a Target Pharmacy, and you can get free prescription
DISCOUNT cards that lower the prices to around that level at other pharmacies as well.
Before I forget!!! The answer to another poster's question about why many NROP's, like Friendly Clinic, don't ship
carisoprodol (
Soma) to Florida is because even though the
drug isn't federally controlled, it IS controlled under Florida state law.
But, getting back to prices, the cost to fill a prescription for oxycodone 30 mg. immediate-release tablets is around $3.00 a pill. And, compared to other clinics, that's actually reasonable. The
drug is also expensive in most pharmacies, and there was a shortage a while ago wherein it seemed that all clinics were able to obtain the medication, but pharmacies couldn't seem to. That didn't help the price. Still, if you go to aviapartners, a dot com website, you can get a free
DISCOUNT card. With that card, the cost for a prescription for 90 tablets is only a little over $50. In Florida, oxycodone immediate release tablets are apparently a very popular "street
drug" (they're know as "Roxi's" -- short for the brand name Roxicodone). I don't want to dwell on clinic prices much more, but to give you an idea about how much some charge, one clinic (see browarddoc, a dot com site) charges $75 for 60 tablets.
Clinics can vary a great deal in appearance (more so than most of their patients, who look like -- how shall I put this without sounding offensive -- ... OK, I can't think of another word, junkies. Some are stores in strip malls. Others are in non-retail plazas. Others are in regular doctor's offices, sometimes in a medical building. Still more are free-standing stores on main roads, especially Commercial Boulevard in Fort Lauderdale.
The requirements to be seen also vary. It's very common for clinics to insist on an MRI, and some won't accept one that's more than two years old. Others want pharmacy records printouts and / or prior medical records if you've been treated before. Some don't require this, but may ask for some sort of substantiation. The MRI might sound like the biggest problem if you don't have one -- but not to worry if you don't -- some clinics actually advertise a free MRI if you don't have one (some conditions, like filling on-site, may apply). Then there are places that advertise an MRI for roughly $200. I wouldn't worry too much about the results, though, believe me they will find something wrong. Finally, some clinics require a
drug screen. Most don't require it on the first visit, and most also tell you a month in advance. Blood work may also be required by some clinics at some point.
Some of the clinics are doctor-owned, while others aren't (one of the things that people who want to get rid of clinics use as criticism). Of course, all prescriptions are written by licensed doctors (D.O.'s and M.D.'s), regardless of ownership. While there are many similarities in the policies of pain management clinics, there are also many differences. One of the biggest differences is that some clinics will only accept patients who have a Florida ID, while others will accept an ID or license from
any state. However, a Florida state ID is very easy to get the same day you apply for it. If you decide to go to a Florida Pain Management Clinic, I would highly recommend getting a Florida ID, even though there are clinics that don't require it. There are many reasons for this. First of all, having one doesn't restrict you from going to the clinic of your choice, and secondly, the clinics that accept out-of-state licenses / ID's almost always charge significantly more to patients who don't have one.
This is getting really long. I think one very important thing that people may wish to know is what and how much of what is prescribed. This too varies, but going back to the clinic f/k/a Coast Pain Management in Pompano Beach, Dr. Martinez may prescribe, in a single visit, 120 80 mg OxyContin tablets, around 200 oxycodone 30 mg. tablets, 60
carisoprodol (
Soma) tablets, and 30 alprazolam (Xanax) tablets. Once again, under Florida law, it is your choice to fill any or all of your prescriptions on-site or at a pharmacy. The average cost per visit after the initial promotion (if you have one) is between $90 to $200, with the average being around $150. And since these operations are very money-based, you can forget about trying to go every three months, or even every other month. A few clinics even operate on a 14-day cycle. While this greatly increases the cost as compared to pain management centers in other areas of the country where you can visit every three months (and pick up the prescriptions for other two months free of charge), I would think that it would still be worth it for those who are in a great deal of pain and can't get treatment. And if you're paying online pharmacy prices, you should definitely be motivated to go. Also, because you can usually get what I consider to be a large quantity of medication, the supply you receive might last you two months anyway. The largest supply I've ever heard about was a doctor who prescribed, among MANY, MANY other medications, including OxyFast, was 20 (yes, twenty) 80 mg. OxyContin tablets, taken three times a day (or 1,800 per month). But don't expect anywhere near that. Believe it or not, that doctor was disciplined, and his license was almost going to be suspended for a period of time (the doctor appealed that, though, and didn't have to serve a suspension). I mean, can you believe he was actually charged with over-prescribing? -- with all medications taken into account, it was only a few thousand pills a month.
I'll end here by STRONGLY SUGGESTING that people who are living in chronic pain because they can't obtain sufficient medication from any doctor in their area should GO TO FLORIDA!. Anyone is welcome to ask me additional information, and if I know the answer, I'll be happy to tell you.