Reply #11: It depends on what you are asking refills for. If it contains narcotics

[Mayberry Machiavelli]

and requires triplicate prescription etc., if the doctor is sloppy with record keeping and just automatically refills on request without any kind of written record documenting a visit or reason why, it is easy for this to be raised as a red flag where he could potentially lose his license over it. It can and does happen.

There's a lot of shady docs who are the willing "candy man" for drug seeking patients and they are investigated and disciplined much more frequently and zealously now than in the past for this.