Tuesday, January 27, 2015

Hydroxycut WINS over Simvastatin

Just today one of my patients chose to pay $25 plus tax for a 30 day supply of Hydroxycut, an over the counter product containing herbals for weight loss which has not been evaluated by the FDA. She declined refilling her cholesterol medication Simvastatin (Zocor) which was $10 for a 90 day supply.

Sometimes patient choices really puzzle me.

Monday, January 26, 2015

Advice for NEW Pharmacy Patrons...

If you step up to the counter and no one helps you within five seconds, do one or more of the following:


Drop your keys on the counter

Clear your throat

Knock on the counter

Rustle your purse, bag, or keys

Say "Hello Hello" because one "Hello" just isn't enough

Look around the entire store like you need help

Look around the store like you're admiring the view of the Grand Canyon. Stand on your tippy toes while doing this

Whistle a merry tune

Lift your body up and look over the counter to see if anyone is back there

Do a fake cough

Sigh loudly

If you're chewing gum, blow a large bubble until it pops loudly

Drop your purse on the counter

Drum on the counter like you're in a rock and roll band

Say "I'll call you back, I'm at the pharmacy" while holding your cell phone to your ear. If it is a flip-phone, snap it shut loudly

Have your baby make noise or start to cry

Yell out, "Is [name of the other pharmacist] here?

Walk down to the other window briskly, look mad, and say "We need some help down here!"

If another ten seconds pass, try another item from the list above. If that doesn't work, immediately get a manager from the grocery. There's absolutely no reason why you should have been made to wait a minute or two.

Sunday, January 18, 2015

Attention Readers

I need some time away from the blog for personal reasons.

Thanks for your understanding.

Friday, January 16, 2015

This is me...


Talking about how things work in
Retail Pharmacy on Monday morning...

Thursday, January 15, 2015

Wednesday, January 14, 2015

The Pharmacist has ULTIMATE POWER over TIME and SPACE

Or at least some people think we do.

Consider if you will the story of Mrs. Advent, one week away from needing her Advair and Ventolin inhalers. Now I suppose you can't fault her for wanting them filled today, except for the fact she's already on Automatic Refill and we always have it ready for her in advance.

No, she wants them right now.

Aladdin the tech sends a claim. "Coverage Terminated as of 12/31/2014." He tells Mrs. Advent the results.

"No. It's not terminated."

Aladdin rubs his magic lamp again. No Genie. He tells her she must have a new card or a new ID number.

"No. It's the same number and still active. May I please see the pharmacist?"

He comes to get me. I was actually doing something important but Mrs. Advent needs to speak to me, immediately. By all means, let's distract the pharmacist while he's dealing with medications that save people's lives.

I step up to the window. Mrs. Advent starts by telling me about her asthma condition and that she can't be without her medication. Let's see, I've been filling for you for YEARS and you think I didn't know you have asthma? Really?

Then she tells me that the technician doesn't know what he's doing because her insurance information hasn't changed. She's sure that if I step up to the computer and process the claim, I will be able to use my almighty power over the heavens and earth to get it through. 

I'm up to the challenge. I send off the claim...

"Coverage Terminated as of 12/31/2014."

Now of course I have to tell her all the same stuff Aladdin already told her about her insurance. I even told her we'd be happy to call and confirm that information... AFTER we're caught up on the current SNAFU at present in the pharmacy.

Mrs. Advent gets upset and once again tells me she can't be without her medication... 

Thanks for that, I completely forgot what you told me like three minutes ago.

...in a week or so, because she's really not out yet. We're pre-emergency right now, and that's almost like an emergency when you're asthmatic.

I assure her that no matter what happens we won't let her go without her medication. I tell her to go home and relax then call her insurance and find out her new information. She agrees that she'll call the insurance, but only to find out why it's not working today or what we've done at the pharmacy to keep it from working.

The next day...

In walks Mrs. Advent. She called the insurance which told her about the change that was made and that they sent out new cards in late November. Fortunately she didn't throw away the envelopes and has the info for Aladdin to process.

He puts in the new info... sends off a claim...

"Claim Denied. Prior Authorization Required. Step Therapy Required."

He tells her the bad news, but because she's been on the medication for a long time her doctor will be able to call her new insurance and straighten it out, no problem.

And of course... she's NOT satisfied... and she asks...

"May I please see the pharmacist?"

Euthanize Me!