Friday, August 18, 2017

This is me...

Trying to keep up with the
workload on Monday morning...

...and failing.

Thursday, August 17, 2017

The FUTURE of Pharmacy

Eventually, all co-pays will be zero. 

We see it now with birth control and a lot of Medicare patient medications. Once we're all on government assistance with the New World Order, all co-pays will be reduced to zero. Reimbursements from the government will fall below the cost to fill the medication as mandated by law. Pharmacies will fail to make a profit. Many will close. The remaining ones will be taken over by the government... one by one, until all pharmacies are government-run. 

There will be no more brand medication and no incentive to create new drugs because there will be no profit. Without profit, no one will invest in drug development. The only drugs available will be shoddy generics, and the government will only allow the purchase of the cheapest of the cheap in their newly owned pharmacies. 

Getting medications filled within minutes, or even the same day, will be a relic of the past. Without any incentive to work, your pharmacist and technicians will move just slightly faster than your local worker at the post office or DMV. We'll all have that same expression on our face... dull, tired, and worn out... and a lot worse than you see now. 

Without new drugs... and consequently new antibiotics, bacteria will mutate... and will get stronger and tougher to kill. More people will die because there will be no incentive to create better drugs.

Eventually, we'll all die from a Super Bug, all because no one wanted to pay for medication.

Tuesday, August 15, 2017


I answer the phone. 

"Is this a Pharmacist?" an elderly lady asks. 


"Yeah you fill a prescription for my neighbor. She needs a refill."

Ok. What's her name?

"Adeline. Are you a temporary pharmacist? The regular people know her."

Last name?

"Uh, I can't remember, but you would know her. She gets all her stuff there."

I'll try and figure it out. What's the medication?

"Uh, I don't know. But you should know. She gets all her meds there. It's for Adeline."

I've been working here since 2008. I don't recall a patient named Adeline. Maybe you're calling the wrong pharmacy?"

"No. She gets all her stuff there," she says, then raises her voice as if that's going to help. "IT'S FOR ADELINE."

There's another Goofmart Pharmacy down the road. They do a lot of meds for care homes. Maybe if you call them they will recognize the name. That number is...

<Click> she hangs up on me. 

Friday, August 11, 2017

Monday, August 7, 2017

Adderall Adam is Angry Again

Friday afternoon, 3pm:

Adderall Adam comes in with a new prescription for Adderall. According to the computer we had just filled it TWO WEEKS ago for a 30 day supply. This guy claims that someone else picked up his meds one week ago using his name and birthdate. He had the printout Mickey (our pharmacy manager) had printed which shows it was signed out and picked up last week. He said it wasn't his signature and he's mad, mad, mad that we would let someone else pick up his medication. He insists that he did not pick up his medication. He further insists that Mickey told him if he got a new prescription from the doctor that we would fill it. He also stated said the physician personally called Mickey that morning and told him it was ok to fill the medication early. 

If any of this is true, it wasn't shared with me. Mickey had not mentioned any of this during our overlap when we went over the other issues of the day. That's something you would immediately tell your pharmacy partner. So all I have to go on is an angry pharmacy patron insisting that I fill a new prescription for Adderall that was filled and picked up a week ago.

I apologize and tell him I'm not going to do it. I tell him why. I tell him he'll have to come back on Monday after 3pm to talk to Mickey. Instead of listening to me, Adderall Adam starts from the beginning, explaining the story he just told me... again. In this version of the story he claims he desperately needs the medication to help him with his job.

When he's done, I tell him once again that I'm not going to fill the medication. I tell him it's not an "emergency" medication and he'll be ok until Monday when he can talk to Mickey.

"Well why can't you call Mickey?" he asks.

"Because he just left to go out of town," I tell him. 

"Well you're not being helpful," he states. THEN he proceeds to start from the beginning, explaining the story again, somehow thinking that at some point I'm just going to give in and say "Oh, ok, here, have some Adderall." This time the story changes, as he now says the medication is to help him study for an exam on Monday.

And once again, I tell him no, I'm not going to fill the medication.

"Where's your business card?" he asks.

For those of you playing the home game, this translates to "If you don't give me what I want I'm going to complain about YOU to your superiors and get you in big big trouble so you better give me what I want."

I hand him a business card. I don't do well with threats. I tell him that when he calls 1-800-GOOF-MART to complain that he should be sure to add the conflicting details about how the first time he told me it was for his job and the second time it was for school.

He looked at me, bewildered, and mumbled to himself as he walked off.

Monday morning, 12pm:

Adderall Adam is back. I'm fiddling on the computer processing the nine e-Scripts that have just appeared on the computer. I guess physicians go to lunch but make the staff stay and send off the scripts. Or maybe they're typing them up themselves while they enjoy a tasty sandwich. All I know is that I have scripts to fill, scripts to type, and e-Scripts to process and not enough tech help... and that I don't have a tasty sandwich.

I can hear Adderall Adam mumbling to Tim the Tech. I just roll my eyes because I'm sure there's a third version to the story now. It's not Monday at 3pm, so Adderall Adam's listening skills suck.

Tim comes to ask me if we can fill Adderall Adam's script. I'm shocked. Did this guy really not listen to me on Friday? Does he think I'm just going to suddenly fill the prescription after the discussion we had on Friday? I'm mean, seriously, WHAT ON EARTH goes through these people's heads? Really.

I just shake my head. I tell Tim to tell Adderall Adam to come back at 3pm and talk to Mickey since apparently Mickey is the one that talked to the physician who said it was ok to fill the medication early... you know, because some random person came in last week with knowledge of Adam's birth date and the fact he had an Adderall script to pick up. Sure.

I can't stand the public. I really can't. There's absolutely no doubt in my mind that this guy is trying to work the system to get more Adderall. He either ate them all or sold them and he's trying to scam the system. A quick look at the PMP website shows he goes to pharmacies all over town. I'm not going to be a part of it.

So Adderall Adam can just be angry again. I don't care.