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Pillbilly 

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"
Pillbilly by Big Crutch July 12, 2011

pillbilly 

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

pillbilly 

Jennifer Sires is a pillbilly.
pillbilly by Scott October 8, 2003

Pillbilly 

Man You're ol' lady sure is a pillbilly.
Pillbilly by Tywhattheeff December 3, 2016

Pillbilly 

I can't believe Bob is a pillbilly.
Pillbilly by Broyal September 11, 2016

Pillbilly 

Definition of a Pillbilly or many pillbillians: They are ghetto ass people that are addicted to the blue deadly fentanyl pills. All the pillbillys do is smoke these horrible smelly pills and steal and nod off right where they stand or sit or live. There isn't anything else in their lives that they care more about. They don't care about their hygiene, their manners nor do they care about who or what they have to fuck over in order to get their next high. They sit by the curb smoking their trays or behind a dumpster where they nod is where they call home and they leave a nasty sludge everywhere they inhibit. Not every person that does these pills are pillbillys. Only the ones that have no shame and no respect for themselves or others.
As I drive around town I thought to myself "It's like someone took away all of the drunken dirty hobos and replaced them with rude and disrespecting pillbillies fentanyl addicted bums that sway like dead zombies when they are not stealing and making everything trashy and ghetto." There needs to be something out there that can be done to stop these dirty pillbillys from dirtying the world.
Pillbilly by Sxychrygrly March 23, 2022