14

May

AMA No Dice

Posted by The *Angriest* Pharmacist as Work Sucks

I got a fax today from the local E.R.

“Patient XXX left the ER today at 1800 after receiving a morphine shot Against Medical Advice. At this time it was discovered that a pad of ER prescriptions was found to be missing. All prescriptions from this ER need to be verified via phone call and will hereafter be pink rather than white.”

Holy. Fucking. Shit.

This drug seeker has found herself a world of trouble. This fax went to every pharmacy in a 50-mile radius as well as every hospital within a reasonable distance. All for what? A fucking shot a morphine that will get her a buzz for less than 6 hours. On top of that, any script she tries to fill at any pharmacy will be scrutinized, verified, and likely canceled.

I sincerely hope she has insurance too. If that’s the case, she’ll have to pay the ENTIRE bill. That’s right folks, if you have insurance and leave AMA, your insurance will not pay a single fucking dime. You get to pay the entire ER/Hospital bill….

What’s the going rate on a shot of Morphine these days? My guess is about $600 when all is said and done.


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With the new tamper-resistant deal in effect, my E.R. has ceased to use traditional prescription pads, thank you Lord God and Medicare. They are issuing ALL outpatient RXs on a computer word processor and printed on tamper-resistant paper. I suppose it will be a while before this technology becomes commonplace, but it’s on the way.

Insurance? Try Medicaid. You’re footin the bill for this one.

It’s funny that you think 1) that the person has insurance and 2) that the person would pay the bill either way.

May God have mercy on us all….
We get faxes from the local health board daily about missing prescription pads-but we never get told stuff like that!!
Utter madness….
Which makes me wonder what is the motivation-do they want to be caught? Surely they’d know there would be a call-and-catch out on them? Defies logic.

How hard would it be for her to go 55 miles and get the scrips filled?

Do you normally check up on out-of-town scrips with the prescriber?

I’m obviously not a pharmacist

Thats kinda sorta like the hispanic chick who wrote herself a prescription for Methadone 40, no directions, and 5 refills. Signed w/ a Dr.’s name who at the time was on vacation.
Like I’ve always said, if you’re gonna do something stupid, at least do it right.

Touche all…but I just found out about the “AMA no pay” policy and thought it was fucking cool. Shoot me for sneaking it in there…

PS - ER scripts filled outside of 50 miles would be questioned and prolly called on unless we’re in a weird rural area…

Stupid idiot. She must have been desperate to steal from an ER. I wonder what she’ll try to get. The smaller pharms may want to watch it, If she does suspect she has narced on (the pun was phun) she may go to a smaller pharmacy, thinking that the pharmacists won’t know. Her thinking “walgreens/cvs is huge they can transmit to every walgreens in the country if necessary, if I go to a small pharm I won’t get caught because they probably have no damn clue”

The last time I went to ER I left AMA. Insurance paid.


You are the exception to the rule, Bob.

I live in Oregon and the last fraudulent rx I got, the patient had medicaid, and I called them and told them what happened and they said he would no longer will eligible for Medicaid. and they would file fraud charges….hahahahahahha one less dumbfuck we have to foot the bill for

It depends on the insurance policy. Not ALL insurance companies are the same! Some policies have a clause that says if you are IP for substance abuse and leave AMA without finishing the full course of treatment they won’t, but usually there is no such clause for normal ER or IP stays.

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