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Attorney argues pharmacists have 'duty' to inform about pain drug abuse

CARSON CITY — A Southern Nevada lawyer told the state Supreme Court today that pharmacists had a “duty” to at least call physicians to voice their concerns before dispensing a narcotic painkiller to a woman who killed a man in a 2004 accident in Las Vegas.

“They had a duty to control her conduct,” lawyer Phil Aurbach told justices. “They had absolute knowledge that prescription abuse was involved.”


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  • Aurbach said pharmacists continued to fill prescriptions for Patricia Copening even after being warned by a state task force that she might be a prescription drug abuser.

    Copening killed 21-year-old Gregory Sanchez Jr. in a June 2004 accident.

    Aurbach asked justices to reinstate the wrongful death case he seeks to file against seven major chain-store pharmacies who filled Copening’s prescriptions.

    District Judge Douglas Herndon earlier threw out the case on the grounds that the pharmacies were not legally liable in the accident.

    The Supreme Court made no decision today, although Justices Mark Gibbons and Jim Hardesty made comments seemingly in support of Aurbach’s position.

    Gibbons said a doctor might mistakenly prescribe strychnine that would kill the user, and posed the questions: “Does the pharmacist just fill it and let someone die? Or does the pharmacist call the doctor to see if that is what you intended?”

    Aurbach represents the family of Gregory Sanchez Jr. and Robert Martinez.

    Sanchez, a father of two, was killed and Martinez severely injured in a June 4, 2004, accident on U.S. Highway 95. Sanchez had pulled his vehicle off the highway after it had a flat tire, and Martinez pulled his car behind him to help change the tire.

    Their vehicles were struck by a vehicle driven by Patricia Copening, who was found to be under the influence of hydrocodone, a narcotic pain reliever. She spent nine months in jail as a result.

    An investigation found many different pharmacies had filled prescriptions for 4,800 tablets of the drug for Copening in the 13 months before the accident.

    Aurbach said the pharmacies continued to fill her prescriptions even though the Nevada Prescription Controlled Substance Abuse Task Force notified them that Copening was “taking an unusual amount of these narcotics.”

    In fact, according to Aurbach, the woman received between 1,000 and 1,600 additional tablets of hydrocodone after the notice was given to pharmacies.

    “Some of them threw it away,” said Aurbach about the notices. “None of them made a note (in their records) that Patricia Copening may have a narcotics abuse problem.”

    Aurbach wants to sue pharmacies operated by Wal-Mart, Longs Drugs, Walgreen Co., CVS Pharmacy, Rite-Aid, Sav-On and Lam’s Pharmacy.

    In defending the pharmacies, lawyer Mike Wall said Aurbach had been shopping around for “deep pockets” before deciding on suing pharmacies.

    He said the pharmacists have the same protection as bartenders. Under court decisions and the state “dram shop” law, bartenders are not liable if the people whom they serve drinks later are involved in accidents in which others are injured or killed.

    Wall said a pharmacist is not there to “second-guess a registered physician.”

    He said that even if pharmacists had called the physicians after being given prescriptions for Copening, they probably would not cancel the prescriptions.

    At the time of the accident, Copening was driving a vehicle owned by OB/GYN Associates.

    The licenses of one of that business’s owners, Dr. D.S. Steele, was revoked for various reasons, including giving Copening prescriptions while they were involved in a sexual relationship.

    “A call to a doctor would have done nothing anyway,” Wall said. “There is no indication it would have any effect whatsoever.”

    Nonetheless, Hardesty said that because of the state task force notice that Copening might be a prescription drug abuser, pharmacists had a reason to call doctors about her prescriptions.

     

    Contact Capital Bureau Chief Ed Vogel at evogel@reviewjournal.com or 775-687-3901.

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    Phil Aurbach wrote on March 03, 2009 10:36 AM: to:
    NITA--Ms Sanchez and her babies have lost their father. Mr. Martinez had his leg crushed. All we asked is that a jury of people like you decide if, after State notice that she was a prescription abuser, should the pharmacist have called her doctor? Isn't that reasonable in our society. That a jury of people in this community decide whether a phone call would have saved a life instead of a rule that pharmacists are never liable?
    DRUGFREE- The task force sends a letter itemizing Ms Copening's 4500 Loritab and the pharmacist says no drugs til I speak with the doctor? Is that unreasonable to save a life? Ms Copening could be a cancer patient and needed that volume of pain killers. But it is irresponsible to toss the notice in the trash and not make a note in her prescription records at that store. People don't have a special relationship with their gas station attendants. People trust their pharmacists. Obviously you have formed your opinion about attorneys without any glance at the other side of the story. The attorneys that make money in these cases litigate for years with no income. Nothing coming in to pay rent, salaries, supplies filing fees, expert witnesses. The person of average income could not pay the attorneys hourly rate for all of this work. Take away contingency fees and you deny access to the courts to 85% of the people of the United States. Large corporations have a lot of money to pay attorneys to keep from having a jury decide a case. If you question jurys, you need to read the declaration of independence. http://www.ushistory.org/Declaration/document/index.htm


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    Apples to Oranges wrote on March 02, 2009 05:35 PM: Drug Free, your comparison is erroneous. In the instance of gas stations selling more gas to a drunk driver, it would only be comparable if the driver were impaired by the gas. Here, pharmacies sold drugs to someone they knew was a potential abuser. And the argument is that they should have at least notified the physicians so the physician could make the decision whether to keep prescribing the medication. And if it weren't for the "subhumanoid attorney" (as you called him) the family of the victim might not receive anything.


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    Obummer wrote on March 02, 2009 05:33 PM: This case is a perfect example as to why we need to allow the prescribing pharmacist to decide independent of the doctor as to whether or not the patient needs the medication specified on the prescription. The needs of the patient should not be allowed to override the conscious of the pharmacist... Ever.

    If the pharmacist suspects drug abuse or possibly even a minor child looking for a morning after pill they should be able to refuse the script presented to them for those or any other reason.


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    Timothy Leary wrote on March 02, 2009 05:09 PM: That's at least 12 hydrocodone pills a day according to the story. I agree that pharmcists are not liable. However, cases like this will scare the pharmacies into denying medications and sooner or later the "nanny-state" will be in charge. Already doctors are under numerous strains from insurance companies. Just think if they have to get every prescription authorized by the government.


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    DrugFree wrote on March 02, 2009 04:53 PM: The actual Controlled Substance Task Force Report states at the bottom:For Informational Purposes.
    This doesn't sound like a duty to me. The Administrative Rules & Statutes that define negligence of pharmacists do not include drug shoppers.
    The behavior of most drug shoppers are that they will fill a prescription after the doctors office has closed with no way to verify the authenticity of the prescription.
    If a pharmacist is to identify a person trying to gain a narcotic through fraud, metro is not interested in responding to the call, nor is DPS.
    Nevada lacks the enforcement ability even if it were a duty which places the onus directly on the pharmacist to make a judgment call which amounts to practicing medicine which is prohibited under current rules.
    This would be similar to suing a gas station for selling a repeat drunk driver fuel for his car & he later kills someone. His name was in the paper as being arrested for DUI. Does this notification constitute a duty to the station owner.
    Once again, a sleazy subhumanoid attorney trying to get rich off the true victims of this crash.
    If the pharmacies deserve any blame, it is the fact that they have the pharmacists crank out prescriptions at an unsafe rate of filling while making them man a drive through window and creating glorified sales clerks rather than have them focus on professional aspects of doing their jobs as pharmacists.


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    nita wrote on March 02, 2009 03:44 PM: It's always somebody else's fault---never the person that did the crime...