I've never uncovered any insurance nightmares because (1) he requires me to come in and get another prescription at any time I need a refill and my insurance company apparently has no problem with it. Also, I'm no drug addict, so I wouldn't know what an addicts dream is. I use my meds responsibly and something that strong shouldn't be used every 4-6 hours, IMO, it's MUCH too strong. I'm quite sure my pills are counted and so if they start getting used to the point of abuse, he'd call me on it.
However, the reality is that I'm going to have this condition until I die and the bottle is HUGE, so it's inconvenient to carry around. I suppose I would find myself in a bit of trouble if there were loose pills caught on me by a very nosey cop. I'd take my chances.