Author Archive

Antitrust, Chain/PBM’s, Independents and You

Think of this senerio:
The owners of 3 independant pharmacies go out for dinner.  During the dinner they talk about how (for a very accurate yet hypothetical example) low MedImpacts MAC’s are compared to other insurance companies.  During the discussions they rabble on about how they cannot do business at COST + $0.75 and jointly decide [...]

Saturday, February 27th, 2010

The price of free

There is an inherit problem with having zero copays for our “less fortunate” friends.  Lets look at two cases.
Mary is a 35 year old single working mom.  Her ‘baby daddy’ left her high and dry when the going got tough.  By using daycare through her family, she is able to pull off a part time [...]

Friday, January 29th, 2010

HealthNet & CVS/Caremark – Screwing the pooch for 2010!

Sorry for the lack of updates.  Between vacation, work/life, and lack of good and funny rants things have been sorta slow here.  I intend to fix that for 2010. One rant twice monthly if it kills me.  Too many posts don’t get the awesome comments, and too little makes people lose interest in the site. [...]

Saturday, January 9th, 2010

CoPays – When 95% savings is just not enough

Copays.
Probably the most confusing and frustrating concept in the pharmacy world.
The idea is simple.  You pay the pharmacy money to help pay for your drug, hence the word Co-Pay.  Like Cooperative Pay, you and your insurance company are joining forces to pay the pharmacy for the goods given to you.  If it were that simple [...]

Wednesday, November 18th, 2009

The Angry Pharmacist Socalized Health Plan Solution

Here is my outline as to what could be the perfect socalized will-fail-less government subsidized medicine plan.  Since obviously this is going to be passed riding on the coattails of the H1N1 fear and panic machine, I could at least throw in my $0.02 as to how this is to be laid out.
Now before you [...]

Sunday, October 25th, 2009

What comes out of patients mouths starts with B and ends in T

Sometimes I wonder why we even listen to what patients have to say.
How many times a day are you lied to by a patient.  A patient who on the phone will tell you they “lost” their medication, but when they magically show up at the store they say they are going to Mexico for 2 [...]

Thursday, October 8th, 2009

The Joys of Social Workers

In this world, there are two types of social workers:

The ones you never see or hear about.  The one that the patient calls and they get the shit done fast.  The only time you actually speak with them is a 5 second phone call with an ID/Group/etc number and a “did it work?”.  Pharmacists love [...]

Monday, September 21st, 2009

Lets unionize… or maybe not.

As I was reading a drunken rant by The Angriest Pharmacist about unions, I started to think as to why haven’t pharmacists formed a huge union to fight the evil employers about working conditions, etc.  I know that the topic has been brought up before, but yet a union doesn’t exist.  I came to a [...]

Sunday, September 6th, 2009

Most complex concept in medicine – the Do Not Substitute box

I’ve ranted about how DAW-1s in the past, however a good chunk of “doctors” out there cant seem to understand exactly what it means when that “Do Not Substitute” box is checked.  I use the word “doctors” in quotes because I am also referring to people who write prescriptions such as NP, PA’s and the [...]

Tuesday, August 18th, 2009

The Long Leave-you-on-hold-time Leader

I’ve ranted about this. JP has ranted about this in Drug Topics. However some big-chain pharmacists *ahemWalMartahem* don’t seem to get the idea across.
You see, I really hate to bug pharmacists for copies/transfers.  Usually I’ll call their confusing little voicemail system, hit the proper combination of buttons to get to the “Voice Mailbox for [...]

Sunday, August 2nd, 2009

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