Top Definition
1. Toothless, inbred zombies wandering South Florida in search of "pain clinics", where oxycodone prescriptions are handed out like Halloween candy. Known pillbilly states consist of: Kentucky, Tennessee, Ohio and West Virginia.
Look, there's another truck load of pillbillys from Kentucky pulling into the pain clinic parking lot.
by thebasher November 09, 2009

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Someone strung out on prescription pills.
Jennifer Sires is a pillbilly.
by Scott October 08, 2003

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some from appalachia area hooked on narcotics including oxycotin
just about everyone in eastern kentucky can be called pillbilly
by starkeyscott May 28, 2009

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A person from West Virginia,Ohio,or Kentucky that travels down to Broward County,Florida to buy prescription drugs and take them home to abuse them and/or sell for profits. Or just a hillbilly with a Oxycontin/30mg pill addiction.
I know this guy that told me,Kentucky has the most prescription drug abusers. He was a total "pillbilly"
by Big Crutch July 12, 2011

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Appalachian Pill Junkie
Man You're ol' lady sure is a pillbilly.
by Tywhattheeff December 03, 2016

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The Urban Dictionary T-Shirt

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The Urban Dictionary T-Shirt

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A person who abuses prescription pills.
I can't believe Bob is a pillbilly.
by Broyal September 11, 2016

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The Urban Dictionary Mug

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The Urban Dictionary Mug

One side has the word, one side has the definition. Microwave and dishwasher safe. Lotsa space for your liquids.

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The Urban Dictionary T-Shirt

Soft and offensive. Just like you.

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The Urban Dictionary T-Shirt

Smooth, soft, slim fit American Apparel shirt. Custom printed. 100% fine jersey cotton, except for heather grey (90% cotton).

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