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I know the contract and random UAs don't seem fair for patients who have very real chronic pain, however, because of the widespread drug abuse, the alternative would be to severely restrict the use of opioids for everyone.  Unfortunately the abuse of opioids has become so prevalent, this is the only way found so far to make needed medications available to patients without opening the door to abusers and drug dealers.    If your doctor does not require a contract and random UAs and someone he prescribed opioids for turns out to be a drug addict, or worse a drug dealer, the doctor can be prosecuted, imprisoned and lose his medical license.  Sadly many doctors have quit prescribing opioids at all for fear of this happening.    The random UAs are also a safety precaution for patients.  Studies have shown that a significant percentage of patients do not take their medications as prescribed or mix medications that should not be mixed.  This can be extremely dangerous, especially when taking powerful opioids.   I'm sure this information doesn't make the process any less frustrating, but I hope it at least helps you understand why it's necessary.   Karen