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@hellomiakoda One friend of mine, before she could get her prescription refilled, was told to come in for a urine test so they could make sure she was taking it and not, I don’t know, feeding it to pigeons or something.

This was in 2021 and one of her kids had congenital lung problems, so she was able to get an exemption and AFAIK they haven’t bothered her about a urine test again.