OneAngryTech (http://one_angry_tech.livejournal.com) wrote in:
Ok.. Pharmacist(s): Time for WHAT WOULD YOU DO?
Cash-Patient A comes into your pharmacy with 2 prescriptions, 1 for Vicodin and 1 for Xanax. The prescription for Vicodin is 100 tabs, TID and Xanax is doesn’t matter. Patient inquires as to the price for the Xanax, but not the Vicodin.
Your enterprising tech (me) for some unearthly reason decides to do a central search (which checks all the pharmacies in your chain) and finds that Patient A just filled the same prescription for Vicodin 7 days ago (30 day supply) at the neighboring town store.
What do you do?
This brings up a good point. Whenever someone who usually uses insurance comes to you with a narcotic and demands to pay cash, something isnt right. I always do a courtesy run-through to see what the magical insurance company pops up with. 9 times out of 10 they received some narcotics from another doctor and another pharmacy just like in this instance.
Then I outright ask them if they picked up the Rx from [storename] a week ago. Usually thats enough for them to give me the deer-in-the-headlight look as if to think “holy shit, how does he know?” If they say “no” then I call the other store to see if they are lying (which they are). If its from another doctor I outright ask “Did you tell Dr. A that you are getting pills from Dr. B?” When they say “Yes” I call. You wouldn’t believe how many people I get kicked out of practices that way. They especially get pissed when they tell me “I specifically asked them if they were getting vicodin from another doctor and they outright said no!” Whoops.
Sometimes they demand the Rx back (to try another store). Before I give it back I write on it in pen “Filled [date] [quanity] [store]” on the front of it. Is that an asshole move? Yup. Do I care? Nope. Whats the doctor going to do, bitch at me that I defaced his Rx that he gave to someone who is fraudently doctor shopping? Yeah, lets call the police on that drug dealer that put borax in my cocaine while we are at it. I mean seriously, if there is so much deception going on that they need to outright lie to me, what legitimate purpose do they have trying to get it filled?
If they are up front with me and dont lie/give me any lip, I give it back without question and say that I wont fill it until its due. What they do from there is their own dealing.
Lets see how this story pans out:
When Patient A comes to pick up both RX’s, the Pharmacist in Charge lets patient know we didn’t fill the Vicodin prescription since it was just filled 7 days ago. We have said prescription in the bag.
Patient then remembers that “well.. er someone stole my Vicodin so I went to Dr. Pain Clinic and he wrote me another one.. der der der”
Pharmacist let’s patient know that we will need some kind of proof as to this happening (maybe say a Police Report.. it IS theft after all) and patient angrily walks away and shows us birds.
We then decide it would be a good idea to give neighboring store a call and let them know what happened. They thank us.
Good move. Usually when you say the word “Police” they bail. Works especially well when they use the line “Well I didnt pick up my vicodin Rx, you gave it to someone else”. Just saying “Well I’ll call the police and pull the surveillance tape” turns their bitch into “Oh, I forgot my cousin picked it up for me, no need to call the police”. Its like magic!
They then proceed to fill that prescription the very same night.
I am only a tech, so of course I don’t know shit, but would I be within rights to say WHAT THE FUCK IS WRONG HERE AND WHY THE FUCK WOULD THEY FILL IT??!!??
The only response: “Well, it is the pharmacist license..”
Pharmacist, Pharmacist in charge, your store license, and a whole bunch of DEA paperwork. Yeah, fun shit. I hope they jacked the cash price up to cover the cost of all of the crap that could of went down.
- Trying to not kill your patients.
- An open letter to my patients.
- The FDA obviously hates the public and needs to lay off the crack pipe.
- How to make your pharmacy career less painful.
- Cleanup on aisle 4.. now 5… oh damn.
- Shooting yourself in the foot, 10% at a time.
- All in the same boat
- Careastatin, 0 refills remaining.
- How to succeed at retail pharmacy according to the chains
- The dreaded RTS