Unfortunately, IMO, each state makes their own rules re Rx of opioid, and it's a mess. It's the political rebound from the illicit drug use/unscrupulous practices of prescription meds layered upon the use of illegal drugs. Chronic pain patients have been dumped in many places. Colorado was actually a better case for my husband to re eive care. The southeast USA is a nightmare. In Colorado he could get a 90 day rx, see doc in person every 6 months IIRC. In other states it's every 30 days and jump through hoops, getting the pharmacy to fill. Have to call.and chat with our lovely pharmacist every day of renewal, to verify it will go through. Same dose of 20 mg per day for 15 years, never abused the meds or the system.