Just catching up and I was thinking this same thing. A lot of Rx are computer generated and sent electronically to the pharmacy, which is kinda nice as it does not require staff or MD to call prescriptions in or write them out. My DH MD signature is scribble scrabble and I can fake it pretty well if I had to.
Jumping off your post, you got me thinking. With all the seemingly unregulated pain clinics and loosely based narcotic dispensaries in FL, it would not surprise me at all the to learn that MS/CWW were using TS and her MD license, MS supplement cover, pharmaceutical access domestic and foreign to "run" narcotics. With Percocet and Oxy at $10-$30 a pill on the street, how lucrative would this be? Major. MO being somewhat lax in their monitoring of prescription drugs, there may be doctors in MO and other states who were dispensing on the side that were in a pipeline.
There have been several doctors here that have gone to jail for illegally dispensing narcotics for profit. I know the DEA has really cracked down on narcotic RX and they seem to look at every medical practice and the frequency of narcotic refills and scripts here in Delaware. The State will sometimes randomly go into a medical practice and pull charts to examine Narcotic prescription prescribing compared to reason for patient visit. The pharmacies are under heavy scrutiny as well.