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

Posted on 2/4/17 at 10:07 pm to
Posted by tigerpimpbot
Chairman of the Pool Board
Member since Nov 2011
69234 posts
Posted on 2/4/17 at 10:07 pm to
quote:

Why can they not fill my prescription right in front of me?


Bro, have you ever tried to count pills while someone is standing over your shoulder watching you? #stagefright
Posted by Lawyered
The Sip
Member since Oct 2016
38761 posts
Posted on 2/4/17 at 10:11 pm to
So pharmacist here... A great example of why it takes so long... I get a script for a child from the ER for augmentin.. The dose looked high and my gut told me it wasn't right. So I've gotta call and see what's what... Hold for a doctor and verify and he said "oh wow yeah that's way wrong, good catch." And we change the dose. So while trying not to OD and make some 4 year old violently ill....

Other customers are coming in and it essentially bogs down with me while trying to make sure I take care of this child's health. So someone is going to have to wait and be a tad inconvenienced...I would hope you people complaining would be ok for other people to wait if the roles were reversed and I was looking out for your child .
Posted by SamuelClemens
Earth
Member since Feb 2015
11727 posts
Posted on 2/4/17 at 10:23 pm to
Insurance verifications and DEA filters slowing down the process.
Posted by MottLaneKid
Gonzales
Member since Apr 2012
4543 posts
Posted on 2/4/17 at 10:24 pm to
Because everyone is on drugs. CVS keeps their costs down by over loading their employees. They usually need more help in the pharmacy but do not want to hire enough staff. Its a nationwide policy.

I have pissed enough of their technicians off bc I wait for 20 minutes for a script and then they tell me that I need a prior authorization. Or you have a situation where I know I have refills on a prescription and the woman looking at her computer screen says that I don't. I call the pharmacist over to the computer screen and SHE finds that I am correct and that I do indeed have refills. This usually wastes about 6 or 7 minutes of my time.

I have to take an Ativan just to calm myself down to go to the CVS.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 2/4/17 at 10:44 pm to
quote:

I get a script for a child from the ER


People who infrequently write weight-based scripts (mainly in children) and you guys checking them for error has to be one of the most frustrating things (actually dealing with medicine, excluding paperwork and payment stuff) you guys deal with. It's so easy to get wrong, especially if you're in a hurry.


Also, for those who are confused as to what takes so long and where the problems lie: medicine is weird and cumbersome. There are a near inumerable number of nuances which we could spend all day talking about.
Posted by OKellsBells
USA
Member since Dec 2016
5264 posts
Posted on 2/4/17 at 10:45 pm to
I'm a pharmacist.

If this happens to you a lot you are probably going to an overwhelmed and understaffed pharmacy.

My patients usually wait 5 - 30 minutes for a new prescription depending on what else is going on. Just choose a better, maybe smaller pharmacy. Grocery chains and independents are more likely to have helpful, experienced, efficient cheerful pharmacists/staff who really care about you.

My job is nothing like the pharmacies you all are complaining about. If someone has to wait longer than 15 minutes because we are very busy they are usually understanding because they are our loyal customers and we spoil them with great service.

Every now and then, random jerks whine about waiting. I tell them "I want to be fast but I need to take my time. We are helping others too and don't want to make fatal errors." That usually shuts them up.

Posted by Lawyered
The Sip
Member since Oct 2016
38761 posts
Posted on 2/4/17 at 10:48 pm to
^^^ agree with all of this. I do my best to safely get them in and out in 20 minutes at the most or less. Also people don't understad how busy we are at the first of the month when everybody gets their check and heads to the pharmacy.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
45512 posts
Posted on 2/4/17 at 10:56 pm to
By 2023 most pharmacies will have switched to the new robo-pharmacist and your worries will be a thing of the past.
Posted by joey barton
Member since Feb 2011
11468 posts
Posted on 2/4/17 at 11:16 pm to
It's kind of frustrating. I mean, finding a true error as a pharmacist is never that frustrating. That's one of the reasons why we exist.

The biggest problem with weight-based medications is that they're only as good as the weight. Been included in multiple med error discussions where the hospital pharmacists fricked up, and the community pharmacists saved everyone's asses because our initial weight was wrong. Makes me throw every weird peds weight into a growth chart then confirm with the nurse if necessary.
Posted by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 2/4/17 at 11:33 pm to
quote:

Some doc's (not just vets) order doses not available by any divisible unit of the drug they wrote for,


Couldn't speak to all drugs but there are some strengths and concentrations I often stock in house that are never carried in a regular pharmacy. Could be a reason for the odd doses.


------
Open question to any pharmacist reading this thread. Do retail pharmacies place major markups on certain medications to make up for the deals they cut on other drugs? Example: I can script out some cephalexin for dirt cheap (thinking those $4 specials). But if i send someone to get some cefpodoxime, ketoconazole, or fluconazole (just a few examples) they are paying insane amounts which is why I never script those out. Way way more than I would sell it for with my normal markup (which is almost the same across the board on all meds I sell).
Posted by SamuelClemens
Earth
Member since Feb 2015
11727 posts
Posted on 2/4/17 at 11:42 pm to
quote:

So pharmacist here.


Question. Why not pre-bottle the majority of your stock? You know certain things are going to be #10 #30 #60 #90 4oz 6oz 8oz etc. you can still keep inventory. Seal it up after pre-bottling/packaging to make it tamper-proof.
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
68469 posts
Posted on 2/4/17 at 11:50 pm to

I don't think pharmacists can manipulate AWP or systems like First DataBank. 100% OOP is what it is.
Posted by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 2/5/17 at 12:28 am to
I can't make sense of the differences in drug prices. Everything from me is of course OOP and its the same for any Rx I write. For some drugs the difference between me and a pharmacy is 5-10x. It seems to be the same drugs almost every time. Never figured out what I'm missing.
Posted by JabarkusRussell
Member since Jul 2009
15825 posts
Posted on 2/5/17 at 12:43 am to
They need machines to replace pharmacists.
Posted by SamuelClemens
Earth
Member since Feb 2015
11727 posts
Posted on 2/5/17 at 1:50 am to
quote:

They need machines to replace pharmacists.


That's already in the works. We will see them before 2023 (as another predicted). Last year MSN had an article on automated technology and the job fields these technologies will replace (or dwindle down significantly) and pharmacists were in the top 5.

Primary care physicians were side listed as being remote (Skype) for non emergency illnesses. And they will find a way to legislate around any legal issues most certainly.
Posted by tidalmouse
Whatsamotta U.
Member since Jan 2009
30706 posts
Posted on 2/5/17 at 3:55 am to
I deal with a family owned.I take 8 meds.Only 1 is Controlled.

I,along with their other customers,put our present Pharmacist through College.

If I carry a prescription in someone gets it and starts filling it right away.I'm sure it's not just me.

I usually only wait for 1 or 2 of them.5-10 minutes.

It'd be 30 minutes to an hour across the Hwy at CVS.

I'm sure it's not just me.

I've been taking the same meds,with little change,for 10 yrs.I'm usually getting prescriptions on file refilled.







This post was edited on 2/5/17 at 4:08 am
Posted by CHEDBALLZ
South Central LA
Member since Dec 2009
23345 posts
Posted on 2/5/17 at 11:05 am to
quote:

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...


You missed out, he's doing great.
Posted by Mindenfan
Minden
Member since Sep 2006
4825 posts
Posted on 2/5/17 at 11:20 am to
Insurance, medicaid, medicare part D, prior approvals from the doctor required by the insurance company, etc. You wouldn't believe what a pain that stuff is.
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