Thursday, June 22, 2017

It's Not All Bad


It's not all bad in retail pharmacy. It's mostly bad, but not all bad. Ok, maybe it's like only 98% bad and 2% good. Or maybe it's just Goofmart Pharmacy and the band of Ferengi I work for. Or maybe it's just my particular district. I'm rambling now.

But it's not all bad.

One time I had THREE people, on THREE different occasions, come up to me and PERSONALLY thank me for the medication advice I gave them. I don't even recall the specifics. But they felt I gave them excellent counsel and they came back to tell me they appreciated it.

So yeah, it's not all bad.

Another time I dispensed an SSRI to a teenager. It was new to the patient and I counseled both the teen and the mom about the medication and talked about Serotonin Syndrome. It's a rare but serious possibility with drugs that affect Serotonin. I've only seen one case of actual Serotonin Syndrome in the past but I always mention it.

My counseling paid off. Later that week the mother called me to thank me because she caught the symptoms early with her teen and the hospital confirmed that he was genuinely affected by the condition and were able to treat him immediately. Because I counseled the mother, the issue was caught early and she thanked me over and over again.


So yeah, it's not all bad. Keep your chin up, fellow pharmacists. The company thugs we work for may mock us for not putting profit above patient safety, but you and I both know what's most important.

Tuesday, June 20, 2017

The Scariest Part? These People also Vote!

"Where's your adult Benedryl? I only see the children's Benedryl," she said.

"It's at the OTHER end of the counter, FAR RIGHT, BOTTOM shelf," I reply.

The lady steps back to the children's Benedryl at the far left and starts looking there.

"No, the far right, bottom shelf."

The lady steps to her right to the middle of the counter and starts looking there.

"No, the FAR RIGHT, bottom shelf."

The lady steps to her right to the right side of the counter and starts looking on the top shelf.

"No, BOTTOM SHELF," I spit out, stunned.

I continue processing prescriptions. Ten minutes later, and I'm not kidding, TEN MINUTES LATER I look up and there she is, still looking.

I go out to the floor and point to the bottom shelf.

"Oh," she said.

These are the kind of people that are also looking for the big savings with GoodRx.

Monday, June 19, 2017

Another Not-So-GoodRx Story

The following story is yet another example how @GoodRx WASTES everyone's time for purported "amazing savings" that just isn't there:

"I've got a story for you that explains the biggest issue that I have with GoodRx. My last shift was on a Saturday and was fairly slow. We had a lady coming in to pick up Effexor and Hydrocodone. She had just been out of surgery, and had had a very rough week. The price on her Venlafaxine was something like $48. This was with our most senior PhT having spent most of last night on it. Now we turn to the Venlafaxine. GoodRx says she can get it at $28 through us with this coupon. I want to help her, so I plug it in. Cost actually goes up to $74 for her month's supply. She panics. She does not have enough for $48, why is it $74?"

"Lunch rush hits. She's upset but understands I need to work with other customers, so she calls. She's very cooperative with us helping other customers. Eventually things calm down and I'm put on the phone with the support for the coupon company who she's been on with for 5 min. The rep tells me to tell the person to call the GoodRx number, then wishes me a good day & hangs up." 

"I get to break the news to this lady that she needs to call someone else because our system is right, that coupon does have a $74 copay. She's even more upset; doesn't understand why the email lied to her and why there's a difference. I help her find the number & she calls. She finally gets a tech at GoodRX who tells her without a doubt it will be $28. She's happy. I'm happy. I get on the phone and she very matter of factly she tells me all the information. I already notice a problem. This is the program our senior tech found... the $48 one. I cooperate and punch it all in. Yup, $48. I tell her that. "...oh." she stammers and asks for the claim number. I give it. "Your prices must have gone up!" Yes its my fault. Then she tells me that a change in price changes the copay (no shit) & leaves me on hold."

"Shortly after the phone call _cuts off_ leaving _me_ to deliver the bad news to the patient who has heard enough to know she was lied to. We are now back to square one with a patient even _more_ upset, with me having to break bad news twice, and a solution I already had."

"I then explain what I was going to explain in the first place. The senior tech had already reached out to other pharmacies. We found her one for $20 for her supply with some cards their tech used, and we'd be happy to transfer it. I had already started to explain this but she was _so insistent_ she had this nice email that said she could get it here."

"While on hold for those few brief seconds I noticed a wonderful message in GoodRx's hold music. "If the price at the pharmacy is different than the price on the coupon, the pharmacy is correct." If GoodRx hadn't sent this woman this email getting her hopes up we could have saved her a _lot_ of fucking grief. They provided an experience so bad this woman was in _tears_ and could not understand why they had "lied" to her."

"GoodRx empowers people to think that the mystical internet knows more than the pharm techs at the store. You might save 2-3 bucks but if there's a card for 80% we probably have the info already written down, and we probably use a universal identifier for it. for ex: FMLWZ. I was done with them by the time i was done trying to help this poor lady. She couldn't understand why the lady hung up. She couldn't get an answer, leaving it to _me_ to explain _their_ fuck up. _That_ is a bigger problem to me than the privacy issues. _That_ experience that I was made complicit in. I can't put into words how terrible I felt for this lady. When I screw up (saying i can fill a med that's out of stock) I personally call. I own my mistake. I had two people in two parts of the GoodRx machine pass the buck to me, and in doing so confuse this poor woman even more.

My thanks to Natalie Spencer on Twitter as @Zyradyl for tweeting this story just yesterday.

By the way... we're still waiting for Doug Hirsch to respond to my open letter blog post on June 10.