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re: Pharmacies and the long wait... what am I missing?

Posted on 2/4/17 at 3:55 pm to
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
65697 posts
Posted on 2/4/17 at 3:55 pm to

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 by MBclass83
Baton Rouge
Member since Oct 2010
9358 posts
Posted on 2/4/17 at 3:59 pm to
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 by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 2/4/17 at 4:02 pm to
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 by northshorebamaman
Cochise County AZ
Member since Jul 2009
35482 posts
Posted on 2/4/17 at 4:03 pm to
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 by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 2/4/17 at 4:09 pm to
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 by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 2/4/17 at 4:10 pm to
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
This post was edited on 2/4/17 at 4:12 pm
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/4/17 at 4:12 pm to
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 by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 2/4/17 at 4:14 pm to
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 by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/4/17 at 4:22 pm to
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.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/4/17 at 4:26 pm to
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 by QuietTiger
New Orleans
Member since Dec 2003
26256 posts
Posted on 2/4/17 at 4:31 pm to
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.
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
65697 posts
Posted on 2/4/17 at 4:33 pm to

Did the pet has asthma?
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140462 posts
Posted on 2/4/17 at 4:35 pm to
quote:

We also have to spend time coddling stupid people such as yourself, counseling customers and communicating
damn, what a trend you Baws in the medical field are on......

Yall medical profession people are easily the smartest people in America and everyone envies you
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 2/4/17 at 4:36 pm to
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 by Sao
East Texas Piney Woods
Member since Jun 2009
65697 posts
Posted on 2/4/17 at 4:38 pm to

Wish you would have given her a suppository and said freeze it, cut and guess and oh, good luck
Posted by CHEDBALLZ
South Central LA
Member since Dec 2009
21922 posts
Posted on 2/4/17 at 4:46 pm to
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 by damnedoldtigah
Middle of Louisiana
Member since Jan 2014
4275 posts
Posted on 2/4/17 at 5:34 pm to
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.
Posted by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 2/4/17 at 6:16 pm to
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 by chRxis
None of your fricking business
Member since Feb 2008
23600 posts
Posted on 2/4/17 at 9:12 pm to
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 by TigerNlc
Chocolate City
Member since Jun 2006
32494 posts
Posted on 2/4/17 at 9:51 pm to
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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