My rule, after years of this: if it cannot survive being written down with the numbers attached, it is marketing.

Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

Changing prescriber does not reset anything, and people discover that the hard way.

I would stop trying to convey how bad it is and start saying what you want them to do.

I would stop trying to convey how bad it is and start saying what you want them to do.

Filing early beats arguing later. And ask for the reference number, always. Not on a scheduled substance but the pattern is familiar.

The declaration contradicting the return address is what gets it opened.