I had to sign one to get my oxycodone. You can't get Schedule II drugs without signing that paper, 1970 act signed by Nixon - the same one that made pot a Schedule I drug. All it really says is that if I'm caught selling my pills or randomly tested and show positive for a non-prescribed drug, I don't get anymore. I've never been asked to provide testing samples, blood or urine, for that purpose. Pregabalin (Lyrica) is used for chronic pain, neuropathic pain, and perioperative pain. It has a similar effect to benzodiazepines but rather than binding to neuroreceptors, it inhibits the release of neurotransmitters. The effects are similar.
Yes, pregabalin is primarily designed to be an anti-convulsive, but that's just one of the things it does. And no, it doesn't take seven doctors to prescribe it - just one. Therein lies the problem. Yes, that's fraud.
Pregabalin is only a Schedule V drug, so the contract isn't necessary, but it does give him the option of asking for an upgrade to something stronger (hydrocodone, oxycodone, morphine, etc.) And even WITH insurance, it takes a very long time to go through all of the channels. Been there, done that, got the blood drawn. I've got a mountain of bills (with collection notices) for my visits. It's amazing how much they charge and our insurance isn't exactly "economy" level. I'm still left with thousands in bills.
Give your brother a hug for me. 
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