First off I am a PM physcian, not a rep. Just from a sheer workload (record keeping, contracts, UA's, patient compliance, some state regulated for CII's) and patient convenience perspective if insurance will cover Zohydro I am offering it as an alternative now with my chronic pain patients. Especially the ones I inherit from primary care physcians who have their patient on 8-10 10mg/325 Norco a day which is quite common. It just isn't safe to expose a patients liver to that amount of Tylenol everyday for a chronic condition. Now that my patients have to get their Rx of whatever opioid I am prescribing every 30 days (no pre-dating Rx for CII or calls to pharmacy or faxes) patients have to come in to get their 30-day supply they are all on the same level from amany perspectives that impact my practice and patient. No refills now where in the past hydro being a CIII was easier (refills, could be called in to pharmacy, 90 supply allowed, less restrictive record keeping, and most importantly less scrunity from the DEA on CIII drugs vs. CII) Unfortunately because of all of these sociohealth issues and our litigious society being a good PM physcians is very challenging these days.