Happy May Everyone!
Your patients didnt decide to all change to another MediCare Part D plan today
Argus will remain up (yeah, i hear your laughter)
All of your patients medications will continue to be on the formulary and not require a prior-auth
New insurance cards were issued with the correct ID/Group # on them
The PBM’s didnt cut our reimbursement rate
Its still early as I write this (you all probably arent open yet) but I want to wish you all a very happy May 1st (that falls on a monday, ugh).
May 1st wishes:
Oh, and hug your Pharm Tech. Even though they dont deal with as much of the crap as we have to deal with, they are still there to cover for you when you’re sobbing in the back room (“he’s got new contact lenses, he’s fine”) or throwing vials at the wall. I wouldnt be here if it wasnt for my Techs, i would be in jail for strangling an idiot.. 🙂
Why cant patients be upfront with us? Here we are with virtual control over their lives, and they are too stupid to be upfront with information that would save us both time and money.
You went mail order to save a few bucks and are out. Who do you turn to? Your retail pharmacist!
You got medication from Canada or Mexico and it was siezed by the feds. Who do you turn to? Your retail pharmacist!
You got out of the ER at 3am and need an Rx filled right now. Who do you turn to? Your retail pharmacist!
You have a question about a medication, but dont want to wait on hold. Who do you turn to? Your (non walgreens/rite-aid) retail pharmacist (sorry fellas 😉 !
Your daughter got drunk and didnt take it in the butt during a fraternity orgy (Actually she told you “the condom broke” riiiiiiight). Who do you turn to? Your retail pharmacist!
Your bitch ass was too cheap and too stupid to use common sense to support the people who could bai you out. Who did you just fuck over and piss off? Your retail fucking pharmacist!
Case in point: I had a long time patient come in the other day to get meds refilled. They recently switched insurances so things were sorta whacky. In the process of filling their medications, I got a DUR reject from the insurance company that this was a “duplicate billing”.
For all you non-pharmacy people out there; the insurance companies (when we transmit the billing info) sends us back warnings once in a while that we have to override. Usually its because its an early refill, a late refill, the crackhead got it 4 days ago at another pharmacy, etc. They are somewhat useful, but intentionally made vague just to fuck with our heads.
So I’m checking the other terminals thinking that maybe the Rx came in via fax and it was already billed from us. Spent 10 min interrogating everyone if they filled an Rx for this person. Then I interrogated the patient asking if they filled it at another pharmacy, etc. Of course the patient said those magical words “You’re the only pharmacy I go to”. Right, and I shit gold.
So I call the insurance company on the vague chance that it somehow got transmitted but our computer system didnt receive the response and record it. On hold for 15 min. At this point the patient starts whining about the medication and I fight the urge to throw my shoe. Get someone at the insurance company, who looks it up and tells me it was filled at a mail order pharmacy.
I hang up the phone and ask the patient: “Are you sure you didnt get these filled somewhere else?”
“Oh, we go to mail order.”
I mentally pictured my size 12 shoe fly across the counter and smack that dumb fucking ass right between the eyes. I had visions of me pooping in the sunroof of his/her car. I wanted to rend her/him limb from limb and play jump rope with his/her intestines. I wanted to cram lightbulbs up his/her ass and give a good kick. I wanted to give papercuts on his/her eyeballs.
“But they give us 3 months for one copay!”
I felt like saying “And thats fucking worth the 30 min you wasted of mine?” but instead said “im sorry, but you’ll have to pay cash on these Rx’s if you want them filled. *add a 30 buck waste-of-my-time fee*”. If there is a Heaven, I just earned a place in it by not saying what I was thinking. Of course I just lost it by making all of this public. Whoops.
When he/she left the store, I screamed to my boss “Do people like to waste our fucking time? Is it fun to them?” He just said “Yup” and kept on eating his lunch.
Now I can understand why people go mail order. 3 months of Rx’s for 1 copay does appeal to those who are lacking in braincells and are cheap. But who has to bail their asses out when the mail is lost or late? Me. Thats right, you are now expecting the guy you shafted to bail your ass out when you need it.
No wonder why pharmacists drink.
Apologies to any pharmacist that I may insult with this post. Ah what the hell, you deserve it.
Working in retail, mail order pharmacies really piss me off. I mean its not enough that us poor retail people get the “3 months for 1 copay” bullshit rubbed in our faces by our patients, but when you jerkoffs lose the prescription in the mail (or its late), who has to cover your ass when the patient is out of medication? Its the retail guys thats who!
You asshole chumps get special “mail order pharmacy” pricing on Rx medication, and super low pricing on shit like test strips and other diabetic supplies, but expect us retail folk to explain to the patient how to use their new shiny blood glucose machine for free.
You know what, eat shit! Shove that stamp up your ass!
I have half a mind to tell patients when they come in with your empty vials pleading for a few days supply of medication because their has not come in yet to go piss up a rope. Im not here to cover your mail-order ass. When a ignorant 80 year old comes in with that shiny new One Touch SuperElite Deluxe Model with 10000 buttons asking how to use it, I feel like telling them to go pay your asses a visit in your dark warehouses with fancy security doors.
I’m not here to pick up the pieces after you (or your patients) drop the ball and end up out of medications. I’m not your bitch when you’re getting 150 bucks for that 29 dollar glucose machine from MediCare and dont have to deal with the patient coming in 5 times becuase they cant match the code on the bottle with the code on the machine.
So the mantra for the mail-order pharmacy should be “do a half-ass piss-poor job because the retails chumps will cover your ass”. Reminds me of government workers.
I had a shitty day today, so I think i’ll rag on my own profession a bit.
wasting her money
First and formost let me get out of the way that I’m licensed to write for planB. Thats right, I took the fruity CE class and got my dr protocol (whom ive never met, but I guess he’s a nice guy?) which allows me to dispense PlanB without a doctors prescription. I even have a nice piece of paper with my name on it that says im smrt!
I’ve seen enough abused, neglicted and mentally fucked up kids to have no moral problems giving the morning after pill. If you dont want that kid, and its going to grow up not loved or cared for and be ‘someone elses problem’ then by all means go ahead.
However, I do have a problem with fucked up uppity pharmacists who confiscate prescriptions and lecture the poor girl on God and Morals and how abortion is wrong and shes a murder, blah blah blah.
Now I have no problems if you have moral objections in filling and you give the Rx back and tell her where to go. You sir/maam are doing the proper and professional thing. Refuse to fill but let them go someplace else. You are excused from this posting.
However, if you are one of those other Rx-snatching doucebag pharmacists, please wash down 100 elavil with a glass of fine Gin and check yourself out of the profession. Actually, dont do that. Post on here how much i’m going to burn in Hell and how I dont care for my patients so I can pubically make fun of you and just hammer my point closer to home as to how much of a douche you guys are. If you dont want to fill, hand the Rx back and tell them where they can fill it. Is that so fucking hard? No, you guys cant do that, you need to make a big stink and shit in the company pool for the rest of us to swim through.
When the girls come in for those medications, they are usually scared, embarrassed, and dont need your harassment. I feel sorry for the poor things because they are usually on the verge of tears because they dont know what else to do. They dont want the kid, they didnt plan on this, and they need help. Exactly what your fucking job is, to help these people, not teach them about God.
I usually take them aside, tell them its going to be okay. I explain what the procedure is going to be and how to take the medication, and 90% of the time they calm down and quit crying.
Now if the girl comes every week to buy a new package of PlanB, I start to ask questions like what the fuck she is doing and why does she need it so much. I then inform her that if shes using PlanB as a form of contraception shes:
I dont see what the hooplah is about with these uppity pharmacist. I mean, its just a higher form of regular birth control! It has the same MOA as the damn birth control tablets! Its not abortion or killing or anything else the whackos say, you’re just flushing out a cooch-full of man-spooge and Ctrl-Alt-Del’ing the girls menstral cycle! (Did I just use a ‘cooch-full of man-spooge’ in a sentence? My mother hates me right now, sorry mom!).
If you’re one of those pharmacists who likes to confiscate PlanB Rx’s, please let me know your rationale for doing so and letting these poor girls go through more hell then they already are going through. Oh, and the moment you use the word God, Jesus, Bible, or quote anything that ends in Name Number:Number i’m just going to shut my brain off. Pharmacy isnt involved in religion and vice versa. You are here to do a job, now do it. You probably sell candy bars to fat kids and diabetics, you probably dispense Vicodin and Soma to a unproven addict, so I dont see what the big deal is. You guys probably turn away vacationers who need a few atenolol tablets until they get home because they dont have an Rx there and their store is closed (but they brought in their old bottle).
Sometimes pharmacists really really make me mad (though then I wouldnt be the angrypharmacist now would I 😉
The DrugNazi over at http://drugnazi.blogspot.com pointed me to this site:
Its some pharmacist from Georgia talking on the radio about drug stuff.
Now on the surface this sounds like a good idea, but realistically, do you want to be giving advice to some random person on the internet without knowing any prior history? Sounds like shes painting a huge target on herself for some lawsuits if someone takes her information, twists it around, and uses it to cause harm on him/herself.
Disclaimer: This entry might offend certain readers, so please dont think im a bigot or anything like that. I’m not, really.
I dont have to talk to you
You dont have any patient contact what so ever
I dont have to talk to you
I dont ever have to talk to you.
If I could magically wave my little pill counter tray and have one thing changed in the world of pharmacy, It would be harder language requirements during admission to pharmacy schools.
On more than one instance, I have called to get copies from another pharmacy only to find that I can understand what the fuck the pharmacist on the other end of the phone is saying. I’m sorry, but if you cant differeniate the words hydroxyZINE and hydrALAzine (like those retarded letters?) then you really really shouldnt be in pharmacy. If you are, then please be somewhere where:
If I have to ask you to repeat something 4 times because your accent is so thick that I cant make out what you are saying, what the fuck are your patients going to think when you consult them about how to take the medications?
This applies to pretty much everyone during the Doctor -> Rph -> Patient drug pathway. I’m sure you are very intellegent. I’m sure you were #1 in your class. I’m sure you can quote LexiComp or Facts and Comparisons verbatem, but ya know what, I can clearly say the names of medications and you can’t, therefore I win in the world of pharmacy. Sure you can dance circles around me with quoting the therapeutic levels of gentamycin in a patient with a CrCl of 15.6437632. However when Lamitcal and Lamisil both sound like Ramassassil 9 out of 10 patients and PIC’s prefer this 2.8 GPA native who can speak 1 language really well than 4 languages that all sound like vowels.
Again, i’m not a bigot, if you think I am, then take a step back and ask yourself if you would want YOUR mother getting her Rx’s filled by someone who mush-mouth’s drug names.