Jul
Let me explain something
Posted by The *Angriest* Pharmacist as Drug Companies, Me being a dick, Stupid People, Work Sucks
I don’t mind prescription coupons. I don’t really give a crap about putting them in. The info on them is always pretty self explanatory. Here’s what I hate about coupons though, being expected to keep track of them by drug reps and having to explain to people why they can’t use them — which pisses them off.
When a drug rep gives me coupons, most of the time I pitch them. Sometimes, I’ll slide it on the shelf next to the drug. However, I rarely remember I have them when a patient presents a script. I just forget or don’t care. So, they help no one!
The thing that pisses me off most of all is when a patient brings a coupon, and it’s expired. It says plain as day right on the front the expiration day. These assholes just think they are gonna sneak one by the dimwitted pharmacist. Not quite…Now, I’ve heard that sometimes they extend the dates on the coupons, so I input them and run them anyway just in case, but I inform the patient to not get their hopes up.
Then you have the older breed. The entire older generation is concerned with every single penny. They are the most frugal generation this world has ever seen. They have their social security, their Medicare, and their savings…and gosh damnit ‘you put that fucking coupon on there and I don’t care how the hell you do it’ — Tight wads. Little do they know, the coupon cannot be used because they are on Medicare Part D. They don’t understand the concept of that being illegal — against the rules — they just know that they have a 20 dollar coupon and the pharmacy is trying to cheat her out of it! We must get a cut of every coupon we cheat people out of. Hell, you can even show them the fine print on the coupon. They don’t care.
“Take off the medicare and just use the 20 dollar off coupon,” they say.
“But, ma’am this is $90 worth of medicine. Your copay would only be $28. It’s in your best interest to just forget about the coupon.”
“My doctor said to use it. He’s God and always right. So, call his office and maybe they can give you the machine code to get it to work.”
“Well, alright - it went though. Your total is $70.”
“I knew if you’d call ole Doc Cartwright he’d set you straight. He’s the best. Put you in your place didn’t he?”
“Ohh, yes ma’am, he gave me a grand scolding. Told me to kiss his ass!”
So, to sum things up:
Cash Customer = Coupon Great cost savings
Insurance Customer = Run on Insurance, Coupon covers copay
Medicare Part D = No coupon allowed, won’t understand why
Medicaid = No Coupon allowed, doesn’t give a shit because they don’t pay regardless
At my store, they get shoved in a drawer and forgotten about until someone decides to clean it out and throw away all the expired ones. The doctor’s offices must never purge their stacks though. Most the the patients I have with expired coupons aren’t trying to pull one over on me, but the doctor was dumb enough to get their hopes up by giving them an expired coupon. I’m not sure who’s to blame for the people who try to use the same coupon multiple times though.
I agree with this entire post, as I do most!!! I actually was working at another big chain store (other than my own “home store” to help them out a few weeks ago, as I am also a float tech since my lovely company cut hours….but I digress…Sorry, A lady comes in and she uses medicare and medicaid….. she has a coupon….I nicely (I am always nice at least in the beginning) that it cannot be used since she has two govt. insurances (medicare and medicaid) but I’ll be glad to fill her RX for her. She sits down says “ok thank you” and gets a book or something. About 15 mins later the RPH checks it and I bag it and tell her its ready….She then preceeds to flip out cause she saw no coupon on there…after I told her it’s illegal to use, she has me call the manager on duty and for once they actually back me and my RPH up saying they won’t allow it because….it’s illegal!!! She says the normal pharmacist and staff let her, (did I mention my RPH was from my store also, and helping out that day too) and we tell her if she wants to wait til tomorrow when the normal RPH will be there then he can handle it however he wants……
Yours
Blonde CPht
I personally get a little gripey about the split bills, especially the ones that offer month after month usage, like prevacid and aciphex. I cannot remember every single split bill and the staff doesnt’ always read the notes in the screen corner marked “split bill loyalty card” SO Joe Schmoe just about pops a vein at the cash register when its accidentally forgotten. I tell these folks (nicely) that its THEIR responsibility to assure that their prescription is split billed, not mine. Please ask (before they pay, not after) if the rx was billed and dont be a dick if it was forgotten. We do our best but we cannot be expected to keep track of this kind of junk.
I guess I’m lucky, my computer system always does what was done last time. So, if it’s a one-shot card, I find myself deleting it out…which just bothers me and keeps the patient from flipping out!
Here’s the real ass-kicker on coupons. They are for sale on E-Bay! yep, everyone is making money on pharmacy’s back. Think about that the next time your employer suggests that 3.5% raise is sufficient.
Holy crap. I had no idea. That’s insane.
The coupons are also available on most of the websites for each individual drug. I myself have been on the receiving end of my doctors handing out expired coupons. Then I’m left standing red faced at the pharmacy counter with an expired counpon for a free nuva ring! oh the insanity.
Generic medications are a great way to keep your prescription drug costs down. I’ve seen ads on TV for Caduet. It has two ingredients. One is Amlodipine and the other is Atorvastatin. With my RxDrugCard I can get 30 tablets of Amlodipine for $9 and 30 tablets of Simvastatin for $9. I’ll bet they are charging more than $18 for this new drug! The unthinking public is going to pressure their doctors into giving them something just because it’s new, when something old or generic would do the job for cheaper.
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