TESTPATIENT, BETTY
Age: 47 demographics Data as of: 4/19/2017
Per CDC guidance, the conversion factors and associated daily morphine milligram equivalents for drugs prescribed as part of medication-assisted treatment for opioid use disorder should not be used to benchmark against dosage thresholds meant for opioids prescribed for pain.
Prescriptions Total Prescriptions: 32 Private Pay: 0 Active Daily MME: 0.00
Fill Date PT   Drug Qty Days Prescriber Pharmacy Refill MgEq MgEq/Day Pymt Type PMP
11/19/2016 1 ALPRAZOLAM 1 MG TABLET 120 30 Jo Pil Fake C 0 240.00 - - OH
11/19/2016 1 ALPRAZOLAM 1 MG TABLET 120 30 JO PIL Fake C 0 240.00 - Comm Ins KS
08/21/2016 1 ALPRAZOLAM 1 MG TABLET 120 30 Go Doc PillsN 0 240.00 - - OH
08/21/2016 1 OXYCODONE HCL ER 40 MG TABLET 30 30 Fa Hos Fake C 0 1,800.00 60.00 - OH
08/20/2016 2 ALPRAZOLAM 0.5 MG TABLET 60 30 Ca Fam Real C 0 60.00 - - OH
06/27/2016 1 ALPRAZOLAM 1 MG TABLET 120 30 Go Doc PillsN 0 240.00 - - OH
06/27/2016 1 PERCOCET 5-325 MG TABLET 15 15 Br Hea Real C 0 112.50 7.50 - OH
06/27/2016 1 ALPRAZOLAM 1 MG TABLET 120 30 GO DOC PillsN 0 240.00 - Comm Ins KS
06/26/2016 1 PERCOCET 5-325 MG TABLET 180 60 Br Hea Real C 0 1,350.00 22.50 - OH
05/26/2016 2 OXYCODONE HCL 5 MG TABLET 60 30 Go Doc Real C 0 450.00 15.00 - OH
05/09/2016 2 OXYCONTIN 20 MG TABLET 60 60 Go Doc Real C 0 1,800.00 30.00 - OH
04/04/2016 2 ALPRAZOLAM 1 MG TABLET 120 30 Go Doc We Fil 0 240.00 - - OH
04/04/2016 3 ALPRAZOLAM 1 MG TABLET 120 30 GO DOC We Fil 0 240.00 - Comm Ins KS
04/01/2016 1 AMBIEN CR 12.5 MG TABLET 23 23 Br Hea Real C 0 14.38 - - OH
03/27/2016 2 CLONAZEPAM 0.5 MG TABLET 90 30 Ba Doc DrugWa 1 90.00 - - OH
03/27/2016 3 CLONAZEPAM 0.5 MG TABLET 90 30 BA DOC DrugWa 1 90.00 - Comm Ins KS
03/02/2016 1 CARISOPRODOL 350 MG TABLET 30 15 Fa Hos Fake C 1 26.25 - - OH
02/27/2016 2 CLONAZEPAM 0.5 MG TABLET 90 30 Ba Doc DrugWa 0 90.00 - - OH
02/27/2016 3 CLONAZEPAM 0.5 MG TABLET 90 30 BA DOC DrugWa 0 90.00 - Comm Ins KS
02/11/2016 2 AMBIEN CR 12.5 MG TABLET 12 2 Do Ohi Script 0 7.50 - - OH
02/11/2016 3 AMBIEN CR 12.5 MG TABLET 12 2 OH DOC Script 0 7.50 - Comm Ins KS
02/03/2016 1 CLONAZEPAM 0.5 MG TABLET 90 30 Ba Doc DrugWa 1 90.00 - - OH
01/09/2016 1 CLONAZEPAM 0.5 MG TABLET 90 30 Ba Doc DrugWa 0 90.00 - - OH
01/02/2016 1 HYDROCODON-ACETAMINOPHN 10-325 180 90 Br Hea Real C 0 1,800.00 20.00 - OH
08/21/2015 1 OXYCODONE HCL ER 40 MG TABLET 30 30 FA HOS Fake C 0 1,800.00 60.00 Comm Ins KS
08/21/2015 1 ALPRAZOLAM 1 MG TABLET 120 30 GO DOC PillsN 0 240.00 - Comm Ins KS
08/20/2015 3 ALPRAZOLAM 0.5 MG TABLET 60 30 CA FAM Real C 0 60.00 - Comm Ins KS
06/27/2015 1 PERCOCET 5-325 MG TABLET 15 15 BR HEA Real C 0 112.50 7.50 Comm Ins KS
06/27/2015 1 ALPRAZOLAM 1 MG TABLET 120 30 GO DOC PillsN 0 240.00 - Comm Ins KS
06/26/2015 1 PERCOCET 5-325 MG TABLET 180 60 BR HEA Real C 0 1,350.00 22.50 Comm Ins KS
05/26/2015 3 OXYCODONE HCL 5 MG TABLET 60 30 GO DOC Real C 0 450.00 15.00 Comm Ins KS
05/09/2015 3 OXYCONTIN 20 MG TABLET 60 30 GO DOC Real C 0 1,800.00 60.00 Comm Ins KS
Providers Total Providers: 14
Name Address City State Zipcode DEA
Doc, Good 4958 Plumb Street Westerville OH 430810000 OH1234565
DOC, GOOD GD0006406
DOC, OHIO OD0017120
Doctor, Bad 456 High Rd Columbus OH 432160000 OH1234566
DOCTOR, BAD BD4135326
Familydoc, Candice 789 Faking Dr Columbus OH 43215 OH1234564
FAMILYDOC, CANDICE CF0726200
Headache, Brenda 938 Feeling Sick Lane Westerville OH 430810000 OH1234563
HEADACHE, BRENDA BH0012221
Hospital, Fake DBA Real Hospital, 123 Main St Columbus OH 432150000 OH1234561
HOSPITAL, FAKE FH0005769
Ohio, Doc 8798 Ohio Rd Columbus OH 43212 OH1234567
Pill, John 445 Broken Leg Way Lancaster OH 431300000 OH1234562
PILL, JOHN JP3187588
Pharmacies Total Pharmacies: 16
Name Address City State Zipcode DEA
DrugWarehouse 9878 Any Street Columbus OH 432150000 HO1234566
DrugWarehouse 9878 ANY STREET COLUMBUS OH 43215 HO0777889
Fake Chain Store 1 123 Fake Street Columbus OH 432150000 HO1234561
Fake Chain Store 1 123 FAKE STREET COLUMBUS OH 43215 HO1109796
Fake Chain Store 2 365 Marlarky Ln Dayton OH 445670000 HO1234562
Fake Chain Store 2 365 MARLARKY LN DAYTON OH 44567 HO1565778
PillsNStuff 64568 Blue St Cleveland OH 441230000 HO1234565
PillsNStuff 64568 BLUE ST CLEVELAND OH 44123 HO2055879
Real Chain Store 1 897 Likely St Worthington OH 430800000 HO1234563
Real Chain Store 1 897 LIKELY ST WORTHINGTON OH 43080 HO2697994
Real Chain Store 2 987 Orange Rd Grove City OH 431230000 HO1234564
Real Chain Store 2 987 ORANGE RD GROVE CITY OH 43123 HO2973750
Script Factory 8789 Lucky Rd Columbus OH 43215 HO1234567
Script Factory 8789 LUCKY RD COLUMBUS OH 43215 HO3058953
We Fill Scripts 5645 Deadend Dr Columbus OH 432150000 HO1234568
We Fill Scripts 5645 DEADEND DR COLUMBUS OH 43215 HO1955650
Patient Demographics
 
PT First Name Last Name Address City State Zip DOB Prescriptions Count
1 BETTY TESTPATIENT 123 BROADWAY COLUMBUS OH 43215 1/1/1970 18
2 BETTY TESTPATIENT 234 WEST ST WESTERVILLE OH 43081 1/1/1970 7
3 BETTY TESTPATIENT 234 N WEST ST WESTERVILLE OH 43081 1/1/1970 7
Hospital, Fake
DBA Real Hospital, 123 Main St
Columbus
OH 432150000
DEA #:OH1234561