Medicare Part D – Day 2

Day two of the MediCare part D fiasco has come and gone.
I must say, that this is the biggest clusterfuck in the last 40 years of pharmacy.
For example: Argus Health Systems (a billion dollar company) had its servers taken down for some reason all day. Unfortunally Humara and HealthNet uses Argus’ servers to process their prescriptions.
This means that nobody who was signed up for HealthNet could get prescriptions today. Only 1/2 of Humara patients could get their prescriptions today.
Pharmacies are turning people away without medication because they dont know if the cards are good, and arent going to risk the 100 bucks worth of medication to find out.
Patient care has taken a back-seat to gun-shy pharmacies who are getting fucked over by cost+$2.00 reimbursement fees. Cant say I blame them, patient care doesnt put food on the table or pay for the power.. I tipped the pizza boy more than we get per Rx via MediCare part D.
So the pharmacies get fucked and the patient gets fucked.. Who comes out ahead? The insurance companies thats who (who are recording record high profits last quarter).
I’m amazed at the lack of preparedness that the insurance companies have shown. You would think that a good 6 month prep-time and “record high profits” could prepare them with the necessary hardware and personel to take the phone and transmission load that was expected on the first.
I’m waiting for the blame on Bush or the republicans to come out, even though its the private sector that totally fucked over everyone. Last I checked the government didnt have control of HealthNet, Argus, Blue Cross or any private third party. But I guess someone has to have the finger pointed at them. If the government would of just managed it itself like they did the state welfare program, everyone would be in the same boat, and we wouldnt have 50 companies with 50 standards and 50 formularies to deal with.
There is no excuse as to why Argus’ computers were down all day today. If this was a single man operation, then I could see. But this is a multi-billion dollar corporation. You would expect a bit of forethought and preparedness.
But it gets better! Who gets blamed for Argus’ systems being down, the copays where there was none, and all this chaos? ME! Thats right, your local neighborhood pharmacist who has nothing to do with this whole batshit gets blamed. People want to blame someone they have access to, so they blame us. As if I control argus’ systems (I could probably do a better job administrating them) or control their copays.
So fuck you Argus and fuck you Heath Net for dropping the ball during the time of need. People will die because of your fuckups, its the blood of the elderly (and the frustation of every pharmacy out there) will stain your ‘record high profit’ reports (as if you care).
Its a sad sad day for pharmacy today.

Medicare Part D – Day 1

In the words of my boss:
“More people will die because of MediCare Part D than Hurricane Katrina”.
In the words of me:
“This is a complete and utter clusterfuck”.
Its horrible, examples:

  • Patients are being sent to the pharmacy with cards that have the WRONG ID number on them, which forces us to call the insurance company to wait on hold for a half hour or so.
  • The central eligibility server is down, so you cannot online check to see which of the 90 plans the patient is signed up for.
    Since all of the Medicaid (welfare) patients with Medicare are moved over to Medicare part D now, they have copays. They are used to getting their medication for free, so they bitch and moan when they have to pay a measly $1 for generics and $3 for brand name. My reponse to them: “Get the fuck over it, you should of saved your money when you were young. I’m tired of paying into a system that will benefit you and no longer be around for me. Personal responsiblity begins young and at home. Remember the story of the grasshopper and the ant. You douchebags are the grasshopper and i’m the ant. My grandparents came to this country with nothing and have enough investments to retire on. They didnt even speak english when they came here! So suck it up, be a man/woman and forgo the one night eating out at hometown buffet to pay the $17 for all of your monthly medications. People who dont qualify for government assistance have to pay cash, and you dont see them bitching about it you fucking whiners.”
    I feel better now.

  • Math is HARD! Im not SMRT!

    I’m far from being a mental bigot. I understand that a ton of people did not go to college and dont have the in-depth knowledge that I have with regards how medications and the human body work.
    But some people act so stupid, that a 4th grader could out-do them. For that, I must make fun of said people. I’m sorry, but read on and you’ll see what i’m talking about.
    Example 1:
    You get 90 tablets of Vicodin. You take 3 per day. How long will this supply of vicodin last you? ***BONUS! It says on your bottle “Must last 30 days”***
    Now all of you at home, since you obvously are reading this over a computer will say that the supply will last 30 days, because 90 / 3 = 30. HOWEVER ghetto-math says otherwise. Ghetto math says to call the pharmacy after 10 days and ask for the refill, because you sold 9 vicodin a day, thereby leaving you short.. Oh, and also you need to get really mad when I say that you cant have them early and threaten me. Pharmacists like to be threatened when you your narcotic refills early.
    Example 2 (this one is harder):
    Today is 9/25/05. The pharmacist says that your Somas are due in 1 month. What day would that be?
    Now a normal person would guess 10/25/05. Even if one of the months had 31 days, you would be within 1 day and close enough. However ghetto-math says that 1 month has exactly 10 days, so thats when you should get your pain-pills refilled. Ghetto-math is never wrong, remember that!

    Help! Bail me out!

    Nobody can honestly say that they dont like culture. Coming from the United States we are a hodge-podge of different cultures all mingled together. However when your culture ends up costing me money is when I start to have a problem with it.
    Within the past 10 years or so, there have been a massive influx of pacific-rim type folks coming here. Now thats 100% cool with me, everyone needs a chance for a new beginning, and just because your own country is fucked, why not come here and do the same to ours. Its the American way.
    Now I draw the line when you come into my pharmacy looking for 10cc syringes and 18G(!!) needles for which to inject your herbal shit. It bugs me even more when you are asking for these so you can inject your pregnant wife/daughter/goat/etc with this shit.
    On more than one occation i’ve seen a few very fucked (medical wise) children being brought in this world. When we ask the mother what happened, she tells us that she was taking this herb or mystical shit that caused all of these birth defects. Now I feel sorry for the poor kid, but I also feel sorry for the state that has to PAY for this womans fuckups for the rest of this poor babys life.
    I rate all of said people on the same field as crackhoes with their crackbabies. We have to pay for their mistakes and their fuckups.. So let all now take a big swig of Bicardi 151 while pregnant for the great USA! Because we know the land of milk and honey will cover our ass no matter how stupid we are!

    Uhh, I dont want that.

    On a roll today. Had a list of shit I needed to bitch about! Onward!
    Its perfectly normal for people to bring in their used pill bottles for refills. In fact, we prefer that better than the old “I need my regular medication” or “The one for my heart” bullshit (more on that at another time)..
    However in more than one case, I have recieved a pill bottle that really made my asshole pucker. Actually, it wasnt a pill bottle but a cream container.
    Now I dunno about you, but if I managed to cram a whole tube of Monistat 7 up my vagina (if I had one), and pulled it out (sucking off a few loose pubes in the process) I would NOT want this to be shown publically. Well, someone decided they did.
    So I got presented (handled with a clothespin) a nasty ass tube of Monistat 7 one day. The stench alone warranted a hazmat team to quarantine the area. The tube itself had this greasy like overfilm that I was afraid (actually smart enough) not to instinctly grab. The Rx label looked like it had been soaking in lard (yanno how paper gets clear when exposed to grease). There were a few loose pubes hanging under the Rx Tape. I was afraid to ask what happened to the cap. Although I will say that the tube was 100% completely empty (like her vagina sucked the life out of it).
    To make matters worse, I had to unbend the tube to read the name and Rx number (it was folded onto itself). Some people say that there is nothing meaner in life than Cat Shit. I had something to prove them wrong.
    There are only 2 things that would make matters worse:

  • She was ugly, very very ugly
  • She wanted the tube back.
    I’ll leave the rest to your imagination.

  • Are you sure you’re really John Doe?

    Heres the situation.
    You have a medication ready for John Doe, so you yell out “Medication is ready for John Doe”. Someone comes up, signs for the medication, leaves, only to have you realize that the person picking up the medication didnt speak english, and isnt John Doe. For the rest of this rant, “John Doe” will be used because I dont want anyone to think im a bigot for using “Juan Valdez” or “Mai Hung Troung”.. whoops.
    Now this isnt meant to be taken as a statement of bigotry or racism, just a statement of fact. The biggest problem seems to stem from anyone who’s first language is not english. We have asshats who will come to pick up medication no matter what name is called. We have to continously watch for them and tell them to sit the fuck down because they are NOT who we shouted out. It gets better. Due to a lack of understanding, they will just answer “yes” to any question to ask them. How can you fucking not know your own name? Even in 10 tounges I can undersand when someone tries to say my first and last name.. Oh wait, here in the United States we dont care if people are fucking idiots, we only care if they are poor and fucking idiots.
    Do you have insurance? “Yes”
    Are you Mystery Person X? “Yes”
    Do you speak english? “Yes”
    Are you an asshat? “Yes”
    The whole situation is very frustrating, so because we need to protect idiots from themselves, we require an ID card at every pickup. I cant comprehend how mad I get when I shout out a name (to consult someone on some wierd medication) and I see two people walk up. Not only is this stupid and dangerous, but its really fucking stupid and dangerous!
    People make me mad. 🙁

    Welcome to India!

    Insurance companies have hit an all time low. Not only do they:

  • Change card info without telling anyone
  • Pay us cost + $1.50 for medications
  • Leave you on hold for 30 min before they tell you the card info was changed.
  • Did I mention they change the damn card information and dont tell anyone?
    But they also outsource most of their call centers to India!
    Now what sort of fucked up shit is that? Here you are, swamped to all hell, trying to get some dildo’s prescription filled for that whole cost+$1.50 only to get some douchebag in India who cannot speak english (or speaks english like a robot)..
    Not only are insurance companies totally fucking over the consumer (it’ll cost you $200/month to cover those whole 20 drugs), and the pharmacist (AWP-35% okay?) but they are also fucking over the working class (you know, the people who sign up and pay these people their paycheck) by employing people in another country rather than hiring the hard working men/women who’s brothers and sisters help pay the power bill. No wonder why they are bragging about huge profits each year, they fuck over everyone in the process!
    So next time you’re on the phone with some (un)helpful customer service rep, ask them where they are located… If they say “India”, thank them for their kind service, and promptly change your personal insurance to one that does not oursource that crap out.

  • Rants from the most trusted profession.

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