I'm near Washington DC, I get prescriptions filled in Delaware and Virginia, I went to pick up the Tramadol last month and they only gave me 7 and said that my insurance company now only approves 7 a week and I would have to come back every week and get 7 more. Such inconvenience. This insurance company knows that I only take 1/2 of a tablet whenever nothing else works - I have never refilled Tramadol in less that 5 or 6 months. Insurance companies aren't doing this to 'save us from addiction', they have figured out that if they take every opportunity to harass all of their clients, some clients will skip refilling medications and the company will save money. This real/or/phony 'opioid epidemic' gives them an excuse to hold up everyone's pain meds. Peggy