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Started By
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re: Pharmacies and the long wait... what am I missing?
Posted on 2/4/17 at 3:55 pm to SlapahoeTribe
Posted on 2/4/17 at 3:55 pm to SlapahoeTribe
First and foremost, you're in a brick and mortar environment that works like your common cable carrier 800 number for service. First in first out unless adjudication issues arise which is often by Plan design, not the pharmacy.
Secondly, the adjudication process isn't something the pharmacy has control of. It's the PBM, the Plan/Group benefit setup and then comes the actual rules of pharmacy, period. Things like contraindication, DAW, PA, Step, Exclusions, copay or OOP issues, calls to plan for refill too soon override you name it... then interpretation, consultation, fed regulation and on and on and on.
Ever been to a car wash with cars in front of you with no drivers in them? Did you bitch because you couldn't just jump in front? Oil change places with a waiting room full of folks? Tires? Banks? Taco Bell?
Wait your turn. Rx isn't any different than any other societal sit and wait operation in the country.
Posted on 2/4/17 at 3:59 pm to SlapahoeTribe
Work loads, insurance dealings, phone that never stops ringing, computer that never stops printing from Dr. offices, patients with questions. Need I go on?
Posted on 2/4/17 at 4:02 pm to SlapahoeTribe
Retail Pharmacist here. I work at an independent pharmacy in Baton Rouge. For every paper Rx that is handed in we get an equal number faxed to us, some called in and ten times this amount sent in electronically. We also have to spend time coddling stupid people such as yourself, counseling customers and communicating with doctors and hospitals. We fill an average of 800 scripts a day and if we make a mistake someone can die. Our average wait time is 20 minutes but we are well staffed with 4 pharmacists and techs all over the place. Walgreens makes their money by severely limiting payroll. These unlucky chain pharmacists get kicked in the teeth every day by their workload. By the time your average idiot customer walks up, they have been behind all week.
Posted on 2/4/17 at 4:03 pm to MBclass83
quote:
Work loads, insurance dealings, phone that never stops ringing, computer that never stops printing from Dr. offices, patients with questions. Need I go on?
All that makes sense, yet when im at the pharmacy most emmployees seem to be bullshitting with eachother and working at a glacial pace.
Posted on 2/4/17 at 4:09 pm to northshorebamaman
quote:
All that makes sense, yet when im at the pharmacy most emmployees seem to be bullshitting with eachother and working at a glacial pace.
Where is this? I want to get a job there. Most of the time I have to put off taking a piss for hours.
Posted on 2/4/17 at 4:10 pm to Vastmind
You're supposed to check for correct medication, dose, etc for all these people.
What do you do when a vet sends you an Rx? Never met a pharmacist who knew our doses so you just go with it?
Also, stop asking for the NPI number, we don't have them
What do you do when a vet sends you an Rx? Never met a pharmacist who knew our doses so you just go with it?
Also, stop asking for the NPI number, we don't have them
This post was edited on 2/4/17 at 4:12 pm
Posted on 2/4/17 at 4:12 pm to AubieALUMdvm
We got vet scripts occasionally when I was retail. I only questioned those scripts if I knew something was bad wrong (dosage form mismatch, stuff like that that would make me want to dbl check what the intent was)
Posted on 2/4/17 at 4:14 pm to Tiguar
How did you check? Do pharmacists keep veterinary drug formularies? If this is the case it makes me wonder about some of the incidents I've had.
Posted on 2/4/17 at 4:22 pm to AubieALUMdvm
Well we know what's available and what's not. Some doc's (not just vets) order doses not available by any divisible unit of the drug they wrote for, which makes us wonder what the intent was. May be transcription error by the nurse/vet tech. One vet wrote for aminophylline PO which we can't do so I had to call and get it changed to theophylline. shite like that.
Some independent pharmacies do keep veterinary resources around to provide actual clinical support.
Some independent pharmacies do keep veterinary resources around to provide actual clinical support.
Posted on 2/4/17 at 4:26 pm to Tiguar
As an aside, the only thing I remember of veterinary pharmacy (I think) is the dose of benedryl for dogs and that they can't have ibuprofen
This post was edited on 2/4/17 at 4:27 pm
Posted on 2/4/17 at 4:31 pm to SlapahoeTribe
I do mine online and just go pick up when I get a "ready" e-mail.
It's a Walgreen's on Magazine in Uptown so they might not get too much traffic.
It's a Walgreen's on Magazine in Uptown so they might not get too much traffic.
Posted on 2/4/17 at 4:35 pm to Vastmind
quote:damn, what a trend you Baws in the medical field are on......
We also have to spend time coddling stupid people such as yourself, counseling customers and communicating
Yall medical profession people are easily the smartest people in America and everyone envies you
Posted on 2/4/17 at 4:36 pm to Sao
It was years ago, I dont remember. I do remember telling the woman on the phone that aminophylline and theophylline have a 0.8 dose conversion due to bioequivalency in people and wanted to be sure they still wanted the same dose, but she wasn't very interested in the discussion
Posted on 2/4/17 at 4:38 pm to Tiguar
Wish you would have given her a suppository and said freeze it, cut and guess and oh, good luck
Posted on 2/4/17 at 4:46 pm to Quatre Pot
quote:
Go to a community pharmacy.
Yup, I use my boy Vincent Nguyen at Raceland Express Pharmacy. I've never been in there longer than 10 minutes. He has a few pharmacist who are retired from CVS, Walgreens, Eckerds..... they are all quick too.
Posted on 2/4/17 at 5:34 pm to SlapahoeTribe
With all of the regulations out there, you see a lot of pharmacy techs filling the scripts, while the pharmacist is on the computer and verifying what's in the pill bottle.
I get frustrated too, but I still do Walgreens drive-through.
I get frustrated too, but I still do Walgreens drive-through.
Posted on 2/4/17 at 6:16 pm to AubieALUMdvm
quote:
How did you check? Do pharmacists keep veterinary drug formularies? If this is the case it makes me wonder about some of the incidents I've had.
Honestly if Fido goes muerto, Im not that worried.
Posted on 2/4/17 at 9:12 pm to CHEDBALLZ
quote:
Vincent Nguyen at Raceland Express Pharmacy.
funny story... we almost went in on that pharmacy when he opened down there... Raceland is my hometown, so i figured i knew enough about the place to know not to do it... don't know how well he's doing to know if we missed out or not...
Posted on 2/4/17 at 9:51 pm to SlapahoeTribe
It took an hour for them to put 10 pills in a bottle at CVS. She asked if I wanted to wait. Wtf will I do in CVS for an hour? Luckily I live nearby.
This post was edited on 2/4/17 at 10:03 pm
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