re: now there's a special laxative for opiod constipation

You are referring to Zohydro. It is about $500 for a months supply. This is another medication that is never covered by insurers because of the obscene cost.

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For something whose active ingredient was on many $4 lists.

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Hydrocodone combinations have never been $4, anywhere. Tramadol used to be until it became a controlled substance. The costs of both did increase when the schedules changed.

The changes have helped some though. Prescribers are becoming more cautious these days about prescribing opiates.