Problem: TW comes to the clinic as a new patient seeking help with acquiring additional opioid pain medication for a back injury. She states her current generic drugs are not working as well, so she is seeking a brand-name medication. TW states her pain is at a level of 9.5 on a scale of 10. How should the clinician respond to this request? TW comes to the clinic as a new patient seeking help with acquiring additional opioid pain medication for a back injury. She states her current generic drugs are not working as well, so she is seeking a brand-name medication. TW states her pain is at a level of 9.5 on a scale of 10. How should the clinician respond to this request?