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 sky in the legal department.
Now, I don’t do this very often so you might want to bookmark/take a picture of this page. The doctors have done a tremendous job in helping the local pharmacies keep their doors open and their paychecks from bouncing. They have been more than receptive and more than helpful in switching their patients to generic drugs with little to no prior notice. For how much shit I talk on doctors on here, they really helped us out.
However (you knew this was coming):
There seems to be a few doctors in town who did not get the memo. You see, when we fax you a nice little note explaining the cuts and if we can switch our patients to something that cost less (so we wont lose money when we fill what the drug reps sucked you off to prescribe), and you write a big NO on it, that really upsets us. Its not like you’re a cardiologist or writing for weird stuff like Tekturna. Denying our request from Nexium to OTC Prilosec isn’t rocket science, and obviously you must of slept through that class to realize how much power pharmacists have. In fact, blanket denying everything that we send you to switch with a NO means that you are either:
2. A dick
3. Think so little of us that you don’t give two shakes of a mouses dick what happens to us.
4. Have some ill-gotten god-complex that fell out of fad about 20 years ago when managed care/insurance companies snipped off your scroatum and dangled it in front of your face while saying ‘HAW HAW’
4. All of the above
Like I said before, this isn’t rocket science. If I would of said that the insurance didn’t cover this medication you would of switched it in a hot second, but because we asked for a professional favor you decide to shit in your hand and rub it in our faces.
However, Pharmacists (believe it or not) like to take the high road. So when your patient has a stupid medical question like what to take when they are constipated, we will not refer them to you and waste your precious doctor-time. When potential new patients come and ask what we think of you, we won’t say that you are a flamboyant small-penis douche who hates pharmacists. We wont make you wait an hour on hold or happen to forget to fax over that med list that one of your dropout front-end girls called and sorta-asked for in something-that-resembled-english. I’ll look the other way when your minimum wage hired help totally fucks up. Oh, and when you call me personally for a favor, I will (with a smile on my face), not bring up the time you totally FUCKED us when the cuts happened. You see, we have professional courtesy, and even though you may bad-mouth us to your patients, we spend 10000x more time with them than you, so they’ll STILL come to us regardless what you say.
To all the doctors who stood up to help small pharmacies stay in business during the cuts, we love you. We’ll refer patients to you, we’ll sing your praises from when the gates open until the gates close. We’ll buy you drinks at the CE dinners (heh, they reps buy the drinks, but they dont know that) and run medication by your house late at night when your kids are sick. We’ll cover for you when you write that Amoxicillin Rx to someone that you knew had a Pencillin allergy but just brain-farted. We will drop everything to happily look up something that you just as easily could of looked up on your palm-pilot. We’ll give you our cell phone numbers and open the store at night for those once-a-year emergencies involving a screaming grandchild, zithromax suspension and some auralgan (the original cheap one) drops.
To all the doctors who decided to not answer our pleas for help. Eat shit. The cards are down, and we know where you stand. We will still treat you with respect, but excuse us always looking over our shoulder for the knife when the shit hits the fan. We are more than just pill counters, and you are damn lucky that (unlike you) we have the moral and ethics to show you exactly how much influence over the patients we have.