As you have read before, California instated a 10% cut for its Medicaid Rx reimbursement.  However, last Saturday the courts overturned the ruling until 8/11/08.  Their computer systems still have the 10% cut, but they will let us know how they wish to deal with that ball of wax once the shit stops falling from [...]

The original post is here. TAestP didn’t want to field this one, so hell, its my duty to stand up for my loyal readers. http://dinosaurmusings.blogspot.com/2008/05/rant-alert-attention-pharmacists.html To the friendly, trusted neighborhood pharmacist who told my 74-year-old diabetic patient with coronary artery disease and arthritis to stop his Zocor because maybe that’s what was making his knees [...]

I received this question from a doctor who frequents the site: I have a question regarding changes in medication. I am a physician. The way I usually handle it is that I tell the patient the new dose and then write a prescription to reflect that dose. I then tell them that they’ll have to [...]

Why must people be obsessed with testing their blood sugar?  Its about 3 times a week where I run into the typical uncompliant patient who needs a refill on 100 test strips they picked up 2 weeks earlier.  A quick scan of their profile shows only oral meds, no insulin, and uncompliance.  So then the [...]

Why is it that 9 out of 10 Rx’s with a huge glaring mistake are written by NP/PA/CNM/Janitors who somehow got prescriptive authority before the people who actually went to school to learn about drugs? Maybe its just where I’m at the PA/NP cribs are painted with lead paint, but its to the point now [...]

So some ignorant horrible spelling doctors decided to harass the *Angriest* Pharmacist over a rant I made about some idiot with 4 degrees who couldn’t write coherently to save his life. Now I may rag on the Angriest Pharmacist for stealing my idea and stuff, but I got his back when some uppity fuck decides [...]

You will only find this here at “The Angry Pharmacist(tm)”.  It is a smuggled document from the headquarters of a training facuilty (the drug company shall remain nameless) about how to train drug-reps.  This is the secret code! Lets take a look: Doctor, can I speak with you for a min about a new product? [...]

Sometimes all I need to do is to just check my email for a laugh: for the pill counting pharmisist why is he playing drr?HE ISNT THE ONE WITH A MEDICAL DEGREE AND ITS NOT HIS DEA NUMBER AT STAKE AND THERE IS NO LEGAL WAY HE KNOWS THE PATIENT HISTORY.TOO MANY PHARMASCIST WANT TO [...]

This is a topic that I know everyone in pharmacy knows about. Every pharmacist has dealt with it, yet like the floating turd in the punchbowl of medicine, everyone just looks the other way and pretends it doesn’t exist. So thats where I come in. I’m scooping out the turd and asking how it got [...]

All retail pharmacists see this on a daily basis. A 1 year old get an Rx for some Amoxicillin 250/5. Standard issue. However the sig is “3.4mL tid x10d”. Now what mother with half a fucking brain is going to know how to measure out 3.4mL? Its Amoxicillin for gods sake, not digoxin or something [...]