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re: Walmart to limit opiod scripts to 7 day supply

Posted on 5/8/18 at 2:52 pm to
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 5/8/18 at 2:52 pm to
quote:

Plus I have questions on how this will work -


Someone will come in with a script for 30 days of norco. They will tell them they can only fill for 7 days and the rest will be lost, or they can go to another pharmacy.
Posted by Volvagia
Fort Worth
Member since Mar 2006
52917 posts
Posted on 5/8/18 at 2:54 pm to
Is it a pharmacist making a call here using their judgement?


Or a corporate suit with a business degree making blanket policy based on optics?
Posted by nevilletiger79
Monroe
Member since Jan 2009
17570 posts
Posted on 5/8/18 at 2:56 pm to
So now a walmar pharmacy knows what's better than your doctor
Posted by Count Chocula
Tier 5 and proud
Member since Feb 2009
63908 posts
Posted on 5/8/18 at 2:56 pm to
quote:

It doesn't affect me as opiods are not my normal scripts but I see where this policy will just cause more issues for those who don't even use opoids redularly. ( only need them for surgery and kidney stones which is rare).



Sure....ahum.
Posted by el Gaucho
He/They
Member since Dec 2010
58515 posts
Posted on 5/8/18 at 2:57 pm to
I guess Walmart has never known anyone with a painful chronic disease. My cousin has a disease with no cure that he must take pain medicine for all the time called fibromyalgia. If he can’t get his medicine he gets nausea, diarrhea, can’t hardly get outta bed, almost like he has the flu

It really is a terrible disease
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 5/8/18 at 2:58 pm to
Walmart's pharmacy divsion's policy makers are generally pharmd's with MBAs.

It's probably a combination of recommendations of lawyers and the current political climate.


Disclosure: I'm a clinical pharmacist in a hospital and I'm a little wary of this decision. There are a significant number of patients that actually need consistent opiate administration for chronic pain issues and Walmart is essentially saying we don't want the risk associated with accommodating those patients- we're fine losing that business to avoid legal issues that could arise from filling inappropriate prescriptions.

There are serious issues and I'm not sure how to fix them. We just had a guy coming in to the ER withdrawing and narc seeking. I looked him up on PDMP and he had filled 49 scripts for opiates in the past year from 14 different prescribers at 5 different pharmacies.

How none of the doctors or pharmacies caught onto this is beyond me.
Posted by dfintlyHmmrd
Jigga City
Member since Dec 2016
1408 posts
Posted on 5/8/18 at 3:01 pm to
quote:

Is it a pharmacist making a call here using their judgement?


Or a corporate suit with a business degree making blanket policy based on optics?


Corporate suit
Posted by MoarKilometers
Member since Apr 2015
20628 posts
Posted on 5/8/18 at 3:08 pm to
Brilliant! We needed more opiate dependent people driving more frequently to walmarts.
Posted by SEClint
New Orleans, LA/Portland, OR
Member since Nov 2006
49479 posts
Posted on 5/8/18 at 3:19 pm to
Again, I'd rather step into and shop at DeAndres' crib for my opioids, than at wal mart.
Posted by Breesus
Unplug
Member since Jan 2010
69549 posts
Posted on 5/8/18 at 3:22 pm to
quote:

So now a walmar pharmacy knows what's better than your doctor


There are plenty of examples of pharmacists knowing drugs better than doctors. People vastly underestimate and undervalue pharmacists.

I had a doctor prescribe my grandfather two drugs that counteract with another medicine he's taking that could've killed him. Thankfully the pharmacist caught it.
Posted by Breesus
Unplug
Member since Jan 2010
69549 posts
Posted on 5/8/18 at 3:24 pm to
quote:

Walmart is essentially saying we don't want the risk associated with accommodating those patients- we're fine losing that business to avoid legal issues that could arise from filling inappropriate prescriptions.


Sounds like a completely reasonable and sound business decision. There are plenty of other pharmacies to go to.

Posted by Sao
East Texas Piney Woods
Member since Jun 2009
68469 posts
Posted on 5/8/18 at 3:27 pm to

This is smart business. It forces the patient to go direct to the Plan of they have insurance and request a max day supply override. Plan and PCP have to work together to get it entered. If you're abusing the med, it limits abuse. If you're not, then you have nothing to worry about.
Posted by BobLeeDagger
In Your Head
Member since May 2016
7432 posts
Posted on 5/8/18 at 3:31 pm to
If you’re an adult male and need opiods for kidney stones, you should just go ahead and get a sex change operation.
Posted by icegator337
Lafayette
Member since Jan 2013
3704 posts
Posted on 5/8/18 at 3:33 pm to
quote:

If he can’t get his medicine he gets nausea, diarrhea, can’t hardly get outta bed, almost like he has the flu



this also describes anyone that's dope sick from opiates.

I'm all for anything that helps the opioid crisis. Don't know that this does much and seems more like a PR move.
Posted by Puck82
Baton Rouge
Member since Mar 2009
23948 posts
Posted on 5/8/18 at 3:36 pm to
quote:

WalMart gets folks into their stores weekly to feed both WalMart’s and their clientele’s fixes.


First thing I thought too. Gets those addicted to come in weekly.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
37571 posts
Posted on 5/8/18 at 3:38 pm to
quote:

If you’re an adult male and need opiods for kidney stones, you should just go ahead and get a sex change operation.

quote:

gingerkittie


Considering the username I'd assume she is either a woman by birth or already had the operation.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
37571 posts
Posted on 5/8/18 at 3:40 pm to
quote:

Gets those addicted to come in weekly.

I wouldn't be surprised at all if this was the true motivation.
Posted by Howyouluhdat
On Fleek St
Member since Jan 2015
8928 posts
Posted on 5/8/18 at 3:43 pm to
quote:

I had a doctor prescribe my grandfather two drugs that counteract with another medicine he's taking that could've killed him. Thankfully



No you didn't
Posted by Titus Pullo
MTDGA
Member since Feb 2011
28567 posts
Posted on 5/8/18 at 3:44 pm to
quote:

this also describes anyone that's dope sick from opiates.


No shite?
Posted by Sao
East Texas Piney Woods
Member since Jun 2009
68469 posts
Posted on 5/8/18 at 3:48 pm to
quote:

First thing I thought too. Gets those addicted to come in weekly.


Or releases the MD from overprescribing which is where medicine is going. This change will eventually develope good rx writing habits. No one needs a 30 DS for a tooth extraction. No one.
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