Apr
I Feel Cheap - Very Cheap
Posted by The *Angriest* Pharmacist as Lazy People, Stupid People, True Story, Work Sucks
I’m back. Sorry for the lapse. I’ve been busy and somewhat injured making it hard to type.
Has any pharmacist out there ever sucked up their pride and done something they normally wouldn’t do for a patient because that patient brings in a lot of scripts (and income) into the pharmacy? I did that today, and it made me feel sick.
A *long* time patient came in today. My keystone tech took his script. He was just diagnosed with Type II Diabetes Mellitus. He’s not overweight, so it was somewhat surprising to me. He already has a meter and lancet device. He didn’t get that from me. The script was one of those generic scripts (Glucose Test Strips + Lancets #qs for one month +PRN Refills) Keystone tech had a conversation with him about exactly which meter he had and what kind of lancets he would need.
They settled on the Accuchek Comfort Curve and our store brand lancets which are made to fit pretty much any lancet device. We put the strips on hold — he still had some of those. So, we merely filled the strips and Metformin 500mg po BID. Easy enough right? Right. He was comfortable with the price — his insurance knocked off very little, but the cost on the strips was 5 bucks and his metformin was 5 or 6 bucks.
He got home, and pretty much immediately called back. He wanted to speak to a manager. I have gotten to the point where I don’t like to handle complaints. I like to let keystone tech handle it — she’s great at it. I’m usually a dick. Go figure. But, he wasn’t having it. He wanted to talk to me.
I got on the phone and he was angry. He didn’t yell. He didn’t curse. Lucky for him, because if he would’ve gotten hostile, I would have not been as nice as I was. I was shocked I didn’t call him a fucking asshole as is…Anyway, he has the nerve to tell us that his lancet device is a Accuchek MULTICLIX (which has some sort of drum-type lancet where one drum has 5 or more lancets in it so there’s less handling of sharps). He then tells me that he told this to my keystone tech and the prescription CLEARLY states that — we screwed it up. He then goes on to tell me that he drives out of his way to get to us because he gets good service from us. Then he started with the “here’s what is gonna happen A — you all are gonna do this. B— you are gonna do this” bullshit. I was having none of that. I offered to fix it, eat the difference and mail it. That wasn’t good enough. He needs the lancets now. He needs to be checking his blood sugar 5 times a day (WHICH IS FUCKING BULLSHIT AS TAP SAYS). Then he tells me I have to pay for his gas to get back out there.
So, I looked at his profile. We fill 10 scripts a month for this guy, and we get pretty good return on his stuff. I also know that he buys a ton of vitamins, assorted OTC vitamins, and other stuff from us. So, he’s a pretty valued customer. I sucked up my pride. Rather than tell him I heard the entire conversation and that he told my keystone tech that the store brand lancets would be sufficient AND that the prescription merely says lancets and nothing more, I folded. I told him I would refund the 5 bucks. I also told him I would get the Multiclix ready and edit the price to zero. The difference between the two would cover the cost of his gas and troubles as the Multiclix are much more expensive (They are like 14 bucks per 100 whereas the store brand is 4-5). So, I returned the store lancets (I told him to just pitch them as he refused my offer to GIVE him a lancet device that they would work in — he wasn’t comfortable with that since he’s used to the Multiclix…that also pissed me the fuck off). I then filled the Multiclix, billed it to his insurance (to at least cover a little bit of the loss), and I changed the price to zero. My net loss was 18 or so dollars.
So, anyone that is familiar with business knows that 3% net profit is ideal after all is said and done. That’s unrealistic in pharmacy, but it’s a decent gauge. So, to make back that $18, you have to sell ~33x that amount to cover the loss. So, I have to do close to $600 worth of business to make that back…That’s exactly why shrink/theft is such a huge deal and horrible for business. Now, I’m not saying it’s theft, but I damn sure bent over backwards here.
I know that I’ll make that money back, but I feel like a freaking spineless piece of shit for kissing this guy’s ass like I did. But, word of mouth goes a long way in my area — and I’m sure that he’ll let it be known to everyone how nice we are and how we made things right.
Then again — I did make a note in his profile that he gets no more favors…:-)
Well, I would have done the same thing, I would not have given him any extra money back, but to take care of a good customer goes a long way with a lot of people. If he were someone that filled on Rx every 3 months and was non-compliant with it, what is the big deal if he is pissed off and transferrs it out…oooo scare me.
Reminds me of a guy that was in today and he demanded that I match the price of his lisinopril 40mg rx to another pharmacy. Now, my price is $14.99, the other pharmacy is…you guessed it $4.00. Now anyone who would come in and ask nicely to help save them some money and if I could PLEASE match the price from the other pharmacy, I will gladly do it. But to come in and demand that I give him the price….sorry cannot do it, let me transfer it over there for you, will be the answer I give you! Keep in mind he had filled this rx for 30 tabs 4 months ago…ooo I would lose an average of $2 per month…bite me!
Also angriest another way to look at it is the fact that he is now a diabetic….bring on the drugs…within a year he will have at least 3 diabetes meds, and ACE, a statin and whatever else they will throw at him.
In his defense as a new diabetic he may be testing 5 times per day to get an accurate idea of how his blood sugars are running through the day and how he is responding after meals. A lot of physicians around here will do this for a week or two, then add a drug or two based upon these readings, keep up the 5 time checks for another week, if it is all good, tjeu then back them down to BID testing and check an A1c in a couple months.
Okay enough for me for one night, you did the right thing, you saved a patient and gave him a good feeling about you and how you handled the situation. It was not spineless, it was in the interest of keeping business.
Angriest
A couple of thoughts -
First, he probably didn’t know what he needed and didn’t know which lancet to ask for, when he was in your store. When he heard your brand was < 5 bucks, that’s probably *all* he heard, and probably didn’t realize that it was the wrong one until he got home. That’s why he got all “…you’re gonna’ fix this for free” in - your - face’ish. He messed up - he was embarassed about it - and he made it out to be you (and keystone tech’s) fault.
My problem is with how he dealt with the story - had he called you up and admitted he had asked for the wrong thing, you probably would have felt a lot better about doing him the favor. He burned some “good karma” points at your store today - and he probably realizes that he’s been a good customer and felt that he could walk on you that way.
My second point is this: Did you do what is “right”? Well, from an absolute right/wrong perspective, I would say “no”. He blamed YOU and DEMANDED that you fix *his* mistake for free. Now, there is “absolute” right/wrong, and “business right/wrong”. And (unfortunately, sometimes), business right/wrong is a whole different set of rules than what I learned in Sunday School. Business right/wrong is all about the repeat business and the (total) profit. That means that a business owner needs to “suck it up” and “kiss —” to remain successful in business. You definitely did the right buisness thing today (IMO) - and we must all remember, that no matter how much we may hate it, those in retail must serve their company’s bottom line in the end.
He may have burned some “good karma” points (in that you are now upset at him, and the note you put in his profile), but you are savvy enough to realize the “good karma” points you earned your store via the word-of-mouth express. Good on you. ;)
My .02. Hope your tomorrow is better!
Grrr I hate people who tell me what I am GOING to do. I have a “friend” like that @@
That was nice of you!! I know if I had a pharmacist that helped me like that, I would tell everyone and their brothers about them and tell em to go there :)
Wow…No offense on the following, but I didnt expect that from you. I know he’s a regular, he’s been a customer a long time, but you work for a chain store, right? I could understand it if you’re an independant and his business is integral to your well-being, but in a chain setting, they are expendable. If I were in your position, I would withhold from him and make him see how in err he is, just to make sure he doesn’t get a sense of superiority.
I can’t remember who said this quote (Either you, TAP, or the Drugmonkey), but it’s something to live by:
“Treat your pharmacist as if he were your drunken stepfather holding his belt, and you just broke something expensive. That’s the respect they deserve.”
i know how you feel angriest one….i had to make peace with that feckin surgery because they provide most of our scripts and hence income….
what a big bitch buisness is….and people today dont respect a pharmacist; for in my first blog, they feel they are always right-bastards……
WoW, Angriest. I’m so glad I’m the temp! I would have told the patient that it’s illegal to return things for resale on items that are already opened, especially if blood products might possibly be involved. I would have showed the guy the script and told him that it had been ascertained by Keystone in a discussion that the product that had been filled was what had been discussed. I would have apologized that we were not able to make the patient happy, but that there was no reason to believe that we’d filled the prescription incorrectly. Depending on my degree of assertiveness that morning, I might have done other things, but it’s my firm belief to make sure I stand up for the techs, and what is correct. I would have made that patient admit his mistake at the very least. Depending on Keystone’s personality, I probably would have gone along with supplying the Multiclix and had the patient come back when the manager was there to straighten out the charges. I don’t believe in losing scruples in business, but then again I’ve never taken managerial classes and have never had aspirations to that rank.
Angriest — Kudos for the restraint you showed in handling the matter. I’m sure Keystone understands that we all must “live to fight another day” regardless of the asswipes we encounter daily.
Dude, this kinda shit happens to me all the damn time. I once had a similar customer not able to come get her Rx on Christmas Eve, so after work I delivered them to her fucking unmarked apartment complex. Only to have this same patient four months later call me back all pissed off after her caregiver got home without all her meds (they were in a different bag in the will call). I told her to take a hike, that it was not my responsiblilty to make sure all her Rx’s are picked up that it was her responsibility or her agent’s that picks them up. She tried to argue this point with me too!!! That was the boiling point and I told her to go somewhere else. Sometimes enough is enough.
Anyways, if you get a chance to read the 4/12/08 edition of Drug Topics, make sure you read the viewpoint article on page 72. It’s about an RPh in Wisconsin who got fined by the board for some pretty petty ass shit.
congrats on holding your tongue.
present a photocopy of the offending prescription to the patient and ask him where it says “accucheck multi clix” on it.
I had my own moment: Dr wrote a bunch of diabetic supplies on one rx. VERY SPECIFICALLY, down to the gauge and lenght of the needle tips. He showed up about 2 hours later with his bag and wanted to return/exchange the needles. He used ‘mini’ tips and not the ones the dr wrote. I gratefully declined to refund/exchange the Now-opened package and told him that had we made the mistake then I would refund, but the dr was specific about what she wrote and I filled it correctly. he could either buy another box or use these (they do fit) and get the other ones next month. He chose the latter. It was the dr’s (or the patients mistake) when the rx was written.
@Bluetech: It was me… http://www.theangriestpharmacist.com/2008/01/06/a-retards-guide-to-visiting-a-pharmacy/
Sigh.. I understand why you did it, but honestly, I wouldn’t have done it, but I’m just a damn Irish-Italian Tech who would have told him to stick it where the sun don’t shine!
But yeah.. good job..
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