Taking my red-wagon and going home.

Now before all of you Chain guys and gals send me anthrax and bombs in the mail, let me say a few things.

  • That rant was targeted.  Some of you know who it is, most of you dont.  Those who know are probably saying “oh damn” but the rest of you just took offense and are storming my house as we speak.  As you all will point out to me, chain life is not the devil, but some people are making it sound like it is.  Stop your bitching, if it were fun it would be called FUN and not WORK.  I’ll leave it at that.
  • 3 independents have closed this year just around where I work.  If the Medicaid/Medicare cuts go through the rest of them (including myself) might be joining them.  Think about that for a second then wonder if whining about your store manager is really as bad as you say it is.
  • That post was fueled by a number of factors that put chains on my shit-list over the past few days, some of which include:
    • Making a long-term CASH customer of mine wait at 11:30pm for an ER written Z-Pak for 2 hours while she said the pharmacist just sat there and talked on his cell phone while wandering around the drug isles.  She didn’t want to disturb me at home to open the store even though she has my cell number.  This was at a store that initials start with an upside-down M.  Don’t give me this backlog shit, its a z-pak ran as cash.  Run the label, slap it on there, let her get home and get better.  I doubt shes going to spend much time shopping in the front-end shit.
    • Me waiting on hold for 20 min for copies yesterday when the store does about 1/2 the volume as we do and has twice the staff + a scriptpro.
    • Having said pharmacy decide to not just fax me the transfer sheets, but the entire screen printout which tied up my fax machine for a half hour.
  • Its fun to stir the shit pot once in a while. Wait, its not fun I guess when its directed at some (if not all) of the readers, but fun when its directed at doctors, nurses, crackheads, welfare patients, etc.  Funny how that double-standard works.

Now, to all the people who emailed me calling me an asshole, and they are never going to read my site again, wah wah wah:  Go ahead, leave.  Heaven forbid I rag on doctors, PA’s, welfare people, and the world in general for you to agree and be on my side with only to have you take your red-wagon and leave once I rant about something that maybe hits close to home for you.  See this website? Notice the word ANGRY in it?  I make no money off of this, it costs me an arm and a leg to keep up, and to be honest I’m not going to censor what I write on here because it might *gasp* offend you.  This site isn’t called “The angry (but-only-when-its-not-directed-at-you) pharmacist”.

So I’m going to make a rule now that I’m not going to make fun of any more groups of pharmacists because feelings got hurt.  Thanks a lot.

Chain Pharmacists have it SO HARD

Theres some talk about how bad pharmacists that work for chains have it.  Be it under staffing to bad working conditions to a store manager that only dealings with a pharmacy is buying extra small condoms.

There is one aspect and benefit that Chain Pukes have that us Independents don’t, and I think that its something huge that they take for granted and really shut their mouths when its brought up.

Job Security

Thats right, Job Security.  You see, with an independent, we don’t have a multi-billion dollar company backing us up.  We don’t have a corporate office that we can just defer shit to.  We don’t have a guarantee that our paychecks will cash every two weeks.  When huge Medicare/Medicaid cuts happen and the reimbursement goes down to shit, we don’t have the luxury of over productive stores to help float us during the bad times.  Our bank accounts are not tied to a place where people in suits crunch numbers and fancy lawyers give us advice.  We’re out there on our fucking own doing it the old fashioned way, the “old school” way.  The way our grandfathers did it.  Our “corporate office” is the owner of the store trying to get the fucking payroll done in the back room while handling calls from doctors office so we don’t die up there in front.

You know what we get when the shit turns sour? Walking papers and a chance to search for a new job.  Thanks for fucking playing.

Furthermore (to make you all look like a larger big whiny sandy vagina), we are just as overworked as you, and we still have to deal with the same shit that you do.  Same patients who want and demand everything, same insurance companies that fuck us over (only WE have to do our OWN recon sheets and we don’t have the “power” to negotiate), and we shafted by the same expensive drugs (which is coming out of the OWNERS pocket, not a corporation pocket).  We watch reimbursements and what we order so we don’t put the business under.  We can’t hire more help not because “corporate office says that we need to hit x/day” but because we cant fucking afford another pharmacist.  Do we get to hide behind “corporate policy” or “well the corporate office says we HAVE to do this”? No.  Our “corporate office ” is usually the guy working next to you who has owned the store for 30 years and has his whole livelihood invested in not only his staff and store, but in his patients as well.

However you go to bed every night after bitching to everyone about how overworked you are knowing that your store is going to be open in the morning, while we sometimes have to wonder if our wholesaler bills will get paid, payroll will be made, and if Humana/WHP/Argus/etc will be on time with their payments.  We have to deal with the stress of not only running the pharmacy, but running a business as well; down to payroll, taxes, workman’s comp, everything.  Even buying the fucking bags that we put the drugs in with our names on them.

New graduates don’t want to deal with the shit of running a business.  They want to work in their nice chain store jobs with their stock options, vacation times, sign-on bonuses and the satisfaction of knowing that the business aspect will be taken care of someone whom they will never meet, and their paycheck will magically get direct deposited on the 1st and 15th.  On top of that they have the balls to sit there and bitch about how working for the chains is so fucking hard.  Hear that? Thats me playing the smallest violin for you.

So quit bitching.  I’m tired of it.

Fuck Copays

Copays are the bane of our existence.

There isn’t a day that goes by that I don’t get into an argument or discussion with some retard about their copays.  Be it too high (even though they paid the SAME amount last month) to the infamous rocket-science-level deductible, its like we spend 99% of our time explaining something that should be common knowledge.

Why do people think that WE have anything to do with their copays? As if I pull a number out of my ass and slap it on the label for them to pay.  Are people really that fucking stupid? Oh, wait, dumb question.

What really pisses in my cornflakes is when someone is getting a $300 prescription, say #60 Aciphex, and has a $10 copay.  Then has the balls to sit there and openly complain to me that they should NOT have to pay that $10 and how much their insurance sucks.  Heres a typical conversation:

Them: WHAT! I have to pay $10! This can’t be right!
Me: Well, according to my system here you paid that last month.
Them: THATS OUTRAGEOUS!  HOW MUCH IS THE CASH PRICE?
Me: Uhm, close to $350 dollars
Them: $10 is way too high for this Rx! I want it lower
Me: Uh, I dont set your copays, you’ll have to call your insurance.
Them: IM GOING TO WALGREENS

Now this is what I wish would happen:

Them: WHAT! I have to pay $10! This can’t be right!
Me: Listen here you fucking ungrateful moronic fuck.  You are getting $300 worth of medications for fucking $10.  /MY/ copays aren’t that low, and you have the fucking balls to sit here in front of me and my staff and whine over paying $10.  You are a fucking moron, and I am embarrassed to be in your presence.  Take your fucking prescription and go somewhere where they give a fuck, because I have better things to do than to sit here and listen to the diarrhea babble flow out of your mouth.  You are an ungrateful fuck and I hope you die in a car fire.  Eat shit you whore.

However business and that crazy ethics crap dictate that I can’t really fly off the handle at them while they are in the store (but I do tend to do it when nobody is in the store).  It really does however piss me off when people whine about copays that cost less than a good meal at McDonalds.  If your copay is $150 bucks, sure, bitch away.  $10 not so much.