Lets just say that I love generic Coreg. Seriously, just absolutely love it. If I could have sex with the bottle I would. Why?
However my glee was immediately kicked square in the nuts by one doctor in town. We have a patient who has been on Coreg since it came out. He has MediCare part D, and fortunately he is not on many other things so I believe he is just now getting into the coverage gap. Now Coreg-CR has been out for 3 months or so. The patient has been on Coreg all this time. I send the refill request all gleefully waiting to fill it with shiny new generic, and guess what comes back:
Coreg-CR 20mg 1 cap qd #30 DAW-1
I hate drug reps. I really do hate drug reps. Now you know why. If the Dr though that Coreg CR was a superior product, why did he happen to wait until a week after the generic comes out to switch him? Why wasn’t he switched over while Coreg was still trade name (and during the three months Coreg-CR was out)? I guess Coreg just suddenly became an inferior product once the magical patent wore off (when it was perfectly fine for him for years). Maybe I should ask the blonde GSK rep that is sucking his cock if she had anything to do with it. Seriously, now he is going to be in the coverage gap for sure, and up shit creek without a paddle. Thank you Dr for totally financially fucking over my patient because of some talking pair of tits who obviously has more intelligence than you do. Ironically my boss and I were talking about throwing away all of those Coreg-CR DAW-1 forms about 5 min prior.
Pisses me off to no end how some doctors who view themselves as so intelligent can be so absolutely fucking retarded. When will they actually think for themselves and stop listening to real-life paid advertisements? I think the drug-reps should have prescriptive authority, obviously they must know more then this doctor. And to think I defended Avandia in the past! That cheating whore!
On a happier note, we’ve had doctors who just now find out that Coreg went generic (probably because the GSK reps have been out in full force), call me and ask how much it is (for which I say “basically free”) and it makes their day. Now good doctors (meaning ones that have free thought) are going just as crazy over this as I am since now their patents get a good product for an affordable price (like it should be). Plus it makes the patient happy, me happy (I don’t want that expensive trade name shit sitting on my shelves), and the doctor look like a hero. Win-Win-Win situation. Every pharmacist loves to tell patients that their once-expensive drug is now cheap-as-dirt, and to be honest I give full credit to the doctor if the patient asks. Do I get thanks for this? Yeah, I do, and it makes my job worth the shit I write about on here.
Onward with the second part of this entry, what patients will do for their pain pills.
Do patients think that us pharmacists don’t talk with each other? I mean seriously. I know pretty much every pharmacist in my town (or at least in my area) and if they don’t know me personally, they know my boss personally (who has been in the area for 30 years. Before Walgreens came and overtook all the Independents). I mean you see them at the pharmacy association meetings, you go drinking with them, you ask them what person code to put in new-insurance-x, you call them looking to see if they have a broken bottle of Meridia (ugh, hate) they want to offload, etc. For the students out there, the pharmacy world is extremely small. When the medicare part D shit hit the fan, we would all band together (even the chains) to help each other out. I may rag on the chains, but when the shit hits the fan we all pull together for each other. In the meantime we rag and play jokes on each other. Good times.
But I digress in my 2-martini to the wind state.
We had a patient who wanted his pain pills refilled 2 weeks early (gee, surprise). The doctor flat out told us to tell him to go fuck himself, he had a contract for 1 refill a month regardless if God himself came down and took them (that would be an excuse I hadn’t heard before). He asked if he could use the phone, which of course I let him. He called a fucking pharmacy down the road (another independent no less) to see if he could get his pain pills refilled there! I just sat there and shook my head in total disbelief at this guy. So of course 30 seconds after he hung up I got a phone call from that pharmacy. We sat there and chatted a bit about how things were going, and if they were busy, and how this guy had the balls to call him using our phone. Then I told him he wanted his narc’s 2 weeks early and he had a contract. Talk about pooping in the poor crackheads punchbowl. Needless to say he left a very sad panda, and I had something else to write on here other than how much I hate drug reps.