In New York State, which may go nationwide, there is I-Stop, which is an Internet controlled substance registry since 2013. The doctor has to check the registry to see your history, for level II, III and IV controlled substances before issuing a written script to you. The pharmacist has to do the same, enter the information, and doctors who prescribe often are flagged, so some don't bother getting involved in this. My PCP refused to give out anything stronger than Ibuprofen 800, a joke and waste of time, when I was in real pain. I had just finished seeing all my specialists for follow-up, and of course is when issues usually arise right after that, at night, and weekends too, so I went to pain management who I knew would issue a script. Just to get Percocet, I had to go to/call 10 pharmacies to get it filled, and they look at you like it's a robbery. It's going to get worse, so find a doctor/pharmacist that will work with you, if needed now or in the future. Like you Don, my RO was helpful. My Oncologist even more so. I don't ever remember my ENT prescribing pain meds, or me asking, except after surgery upon discharge, but otherwise I usually turn down meds too often. The system doesn't apply for hospital discharges, after surgery and such.
On the other hand, oxy meds are out of control here with doctors, pharmacists and others, even ice cream trucks lol, involved in theft/fraud.
https://www.health.ny.gov/professionals/narcotic/prescription_monitoring/