Angry Tweets for 2011-09-15

  • "Fill anything thats due". Way to take responsibility for your medications there buddy. #
  • I hope TheAngryWife gives me a hug when I get home. I could really use one. #
  • Fuck, Twitter is as reliable as a crackhead with a full time job. #
  • If you're a retail pharmacist, and you dont know the glory of Gold Bond Powder for your backside needs, you're missing out. #
  • Gold Bond gives you soothing tingling cooling comfort for when the PBM's ram that big dry $0.40 dispensing fee up your bunger. #
  • Want to end polypharmacy? Make the patients pay fucking copays. The'll get really picky then what they want filled. #
  • Dear early 20's woman with 4 kids, your vagina is not public transportation. Though I think your mouth has more miles than the interstates. #
  • I hope TheAngryWife remembers to give me a hug. I shall cry without one. #
  • Viagra may fix your pecker, but it cant fix your fucked up face or the stench of ass that surrounds you. #
  • Have you used our cell-phone waiting area lately? Its in the parking lot, in the path of oncoming traffic. #

Angry Tweets for 2011-09-14

  • Pharmacists month should be renamed to "Thank fucking God coffee was invented" month. #
  • Help save energy and the environment. Drink your alcohol straight out of the fucking bottle. #
  • I wonder what overpriced bullshit me-too drugs are in the works that are going to make my fucking life hell. #randompharmthoughts #
  • I wonder what drug-rep is meticiously adjusting her bra to get that perfect buttcrack-like-cleavage look to sell her overpriced shit #RPT #
  • I wonder what piece of shit stupid fucker is pissed off right now at me because he forgot to call in his shit early and its my fault #RPT #
  • I wonder if crackheads dream of PRN refills…oh..sorry.. "Standing order" for their narc prescriptions & a 4 day month #RPT #

Angry Tweets for 2011-09-13

  • WTF Now @EricRPh is writing for @Pharmacy_Times? Guess I'm too awesome to write for magazines. 🙁 #
  • Fuckers will wait 30 min for food that cost them $100 but worth $10 yet wont wait 10 mins for meds that cost them $10 but worth $100. #
  • Hm, @nomnompaleo is an RPh. I'm a fan. #
  • Short of a drunk guy pitching a fit in the store because his VYKE-O-DANS weren't covered, it was a usual chaotic monday. Oh, im drunk. #
  • Today I received both barrels of humanity in the face. We need a national disaster, or a stupid-plague, or tainted 40's of malt liquor. #
  • If you are a pharmacist who likes to cook, follow @nomnompaleo – She has bacon, need I say more? #
  • Aww fuck. Isn't october "Pharmacists Month"? I wonder what sort of bullshit propaganda APhA is going to put out this year. #

Angry Tweets for 2011-09-07

  • Holy shit its the tuesday after a 3 day holiday. RT if you are going to get totally Farmacy Face Fucked at work today. #
  • I have no idea where I got FFF from. Seemed like a funny thing at the time. #
  • My retail peeps, come, stand around. *cue music* Together, we must unite against one against the infamous evil known as the crackhead. #
  • There will be losses to alcohol and self inflicted spatula wounds to the face, but we must press on. The war cannot be lost! #
  • So rally with me retail pharmacy peeps, be it pharmacists, techs, clerks, janitors. We must stand united as one. #
  • For if we lose this battle, they will have won. We do this for truth, justice, AND THE RENTS TOO DAMN HIGH. #
  • For those in retail: Im sorry. For those not in retail: Days like today are proof that you couldn't cut it in retail. #
  • Ugh, I think today gave me a case of PTSD #

How to succeed at retail pharmacy according to the chains

So during my 0.004 second lunch during the clusterfuck of a day after a holiday, I checked out this article on DrugTopics.  Nothing special at face value, however this paragraph really bugged me:

Several factors led Morton’s executives to make the decision to sell most of its retail pharmacy business. “It’s the declining reimbursement environment, mandatory mail-order plans, the closed networks that are starting to become popular across the country, $4 generics programs, and predatory audits,” Morton said.

Both health insurance companies and government programs are slashing reimbursements, according to Morton, a practice that is “not providing enough margins for us to serve patients.” In addition, the purpose of audits conducted by pharmacy benefit managers (PBMs) has changed from detection of fraudulent claims to making extra money for the PBMs, according to Morton. “They are looking for administrative mistakes so they can look to recoup claims. It is a revenue-generating technique,” Morton said.

For those not in the industry, Walgreens has a Pharmacy Benefit Manager called Walgreens Health Initiative.  This is similar to how CVS/Caremark work, and the infamous Merck/Medco.  Now for those of you who work retail, this whole article makes perfect sense.

  1. Have your PBM give ridiculous low reimbursement rates to kill the independents.
  2. Be first in line to “take your failing pharmacy off of your hands for you”
  3. If they refuse, audit the shit out of them for every little fucking thing until you bankrupt them
  4. See step 2
  5. Profit!

Funny, how it’s technically illegal for a bunch of independents to meet to discuss if they are going to take a PBM contract due to antitrust laws, but the major chains and their PBM backers can pull this kind of bullshit.  Of course the major chains can bribe (yes, I said bribe…er.. LOBBY) the corrupt government to look the other way.

Having gone through a dozen+ audits, the article is 100% right.  The auditors aren’t looking for blatant fraud and abuse, they are looking to generate profits.  When you fill an Rx, if you mark a faxed back OK as ‘written’ in your software (instead of a ‘faxed’), that’s grounds for them to take the entire cost of the Rx out of your next check.  I bet, with a bit of digging, you’ll find that these auditors actually get an incentive-pay based upon how many ‘errors’ they find on the pharmacy end.  I will also bet that Caremark doesn’t audit CVS stores, WHI doesn’t audit Walgreens, and Merck doesn’t audit the Medco mail-order chains.  Even if they did audit them, do you really think they would take the money out of their next check? Isn’t that taking money away from themselves?

Sometimes the audits pick up things that are just mistakes, like when you have a Robatussin-DM in your computer as 1 bottle of 273mL and your floater bills 273 bottles by mistake thinking that it’s in the computer as per-cc instead of per-bottle.  Those I can see, but taking back the ENTIRE reimbursement over a 28 day supply vs 30 day supply for eye drops is petty and bullshit.  We have the Rx, its legit, yet you are back-charging us for the entire amount due to a clerical error (and a stupid one at that).  The Rx wasn’t filled fraudulently, and it was filled in good faith with no intent to fraud.  However try to argue this point with the auditors and you’ll just get a blank stare and 100 more ‘errors’ that will make your next reimbursement turn into a bill.

So the million dollar question is: Where is APhA in this mess?