The A-Z of Retail Pharmacy

So I had this idea. I read this book called ‘A-Z of Manliness’ written by Maddox. What if I wrote a book called ‘The A-Z of Retail Pharmacy’. Seriously! Get it published, and get professors to make their students buy it! I mean I can explain retail pharmacy a whole lot better than some professor who hasn’t been yelled at in 10 years!
So heres the table of contents. Feel free to add or suggest things:

  • A – Anger, Addiction
  • B – Babies
  • C – Chains, Chronic Pain, Copays
  • D – Doctors, Drug Reps, DAW-1
  • E – Exaggeration, Ensure, Egos
  • F – Fakers, Fake Rx
  • G –
  • H – Hold Times
  • I – Independants
  • J – Jackasses
  • K – Kickbacks
  • L – Lunches (ha!)
  • M – Mail Order, Medicare
  • N – Narcotics
  • O – Overprescribed
  • P – PBM, Prior Auth, Public
  • Q – Questions
  • R – Reimbursements
  • S – Stupidity, Showers
  • T – Transfers
  • U – Ungrateful
  • V – Vaginal Questions
  • W – Welfare
  • X – XXX
  • Y – Yelling
  • Z –
  • Albuterol HFA – What the hell?

    As you all probably know, good old albuterol (with CFC’s) are no longer being made. No longer can we get an Albuterol MDI by Warrick for 9.95. Now we get “environmental friendly” pieces of shit for $20/each.
    I recieved a phone call from a friend of mine who works in the People Republic of California. He told me that the state Mediaid (Medi-Cal) program decided (with their infinite wisdom) to take every albuterol MDI off of formulary. Thats right, he said no Ventolin HFA, no Proventil HVA, no ProAir HFA, nada.
    You know whats covered? Xopenex HFA. 29.99 a pop too. What makes it even better? The company cant supply them fast enough to meet up with the demand of California! I laugh at him! Ha Ha! Oh, get this, they wont accept prior auths for albuterol either! Ha Ha^2! Guess patients are screwed there! Ha Ha^3! Who needs ‘clinical data’ or ‘efficacy’ or ‘studies’ when you put on your formulary the product that will give you the biggest kickback, er.. rebate. California (like Camelot) is a looney place!
    So the FDA is saying that you cannot switch a patient from a CFC MDI to an HFA MDI without a new Rx. They are not equivalent and require a doctors OK to switch. They also say that all of the different HFA MDI’s arent interchangeable. I laugh at that too! You know how much bitching we would get if we faxed every doctor saying “Is it okay if we switch this CFC MDI to HFA MDI?” They’ll say “Are you retarded?”. I mean think about it; what doctor is going to say “NO! I DEMAND A CFC MDI! I KNOW THEY AREN’T BEING MADE! COMPOUND IT PUNY PHARMACIST!” Pretty retarded if you ask me.
    But what do I know, I only have to hear the complaints.