Kell,

With insurance, it is usually your primary care doctor who has to be the one to give the referral.

Is your primary care doc the one who is giving you the Ultram or is it a specialist of some kind?

Who was prescribing the Percocet - your primary care or a specialist of some kind?

In my case, my Rheumatologist is the one who started me on pain management (percocet) but then when my pain reached levels that were not managed by the percocet, and the rheumatologist refused to do anything else, I talked to my primary care doctor and my primary care doctor took over my pain management and has been my prescribing doctor ever since.