The *Angriest* Pharmacist You want your prescription filled when? Eat shit…

My turn…

Posted on April 3, 2008

Just about everybody has taken their shot at "Why does my prescription take so long to fill?" Now, I will end this argument once and for all. For starters, here is the short version: "IF YOU WANT M&M's, BY ALL MEANS - GTFO! KTHX"

Now, I really like PharmacyTales Version (WHERE DID YOU GO, PT?), but the problem with it is that it is much too wordy. A visitor to the normal, American pharmacy would see that, scream TL;DR and run away screaming. The American public wants lists and pictures. I will now provide the perfect document to give to patients explaining WHY THEIR PRESCRIPTION TAKES SO DAMN LONG TO FILL!

==========================

Dear Pharmacy Visitor,
Recently, we've noticed an increase in prescription wait time due to many factors. To ensure all our patients have full knowledge of our policies and procedures, we've developed this list-type document so that each and every person knows the time and effort put into every prescription.

Prescription Filling Process: 
Drop-off of Prescription(s) by Patient [Usually 1 to 15 New Rx's or Refills]
New Patient Addition (OR Existing Patient Information Verification)
New Insurance Addition
Scanning of New Prescription (In some of our locations)
Input of Prescription into Computer System
Pharmacist Verification of Typed Prescription
Computer-Based Drug Utilization Review (DUR)
Pharmacist Acknowledgement, Review and Resolution of DUR Issues
     - These range from wrong/missing drug, dose, route, quantity, to drug interactions, poor doctor handwriting, unsigned prescriptions, and early/late refills.
Billing and Insurance Adjudication via Online Processes
Resolution of Various Insurance Issues (or Lack Thereof) via Phone Call to Insurance
Resolution of Other Ins. Issues via Phone Call to Doctor's Office for Info/Change
Selection of Correct Drug/Dose from Shelf
Counting of Correct Quantity
Placement in Bottle/Labelling
Pharmacist Verification of Tablet Dispensed to Original Rx
Printing of Supplemental Patient Drug Information
Bagging of Prescription(s) With Correct Pamphlets
Cashier Verification of Correct Patient
Ringing of Prescription/Additional Store Items
Correction of "Patient Issues" with Billing Amount
Patient Signing for Insurance Payment/HIPAA Policy
Patient Payment for Rx/Other Items
Pharmacist-Patient Private Consultation

Other Pharmacy Related Tasks -- Not *Directly* Related to Your Prescription:
All of the Above Steps for the Person(s) in Front of You in Line
Numbering/Sorting of Older Prescriptions for our Filing System
Shelving of Incoming Drug Orders/Stock Replenishment
Stocking/Straightening of OTC Drug Shelves
Calling of Drs. for Rx Refills for Other Patients [as a Courtesy]
Calling of Drs. for Order Clarification/Prior Authorizations/Etc
Answering of Patient OTC Drug Questions
Answering of Assorted Store-Related Questions
Answering of Phone Calls Concerning ANY Issues
Taking Refill Requests from Pts Refusing to Use Computer-Automated Refill
Taking of NEW Prescriptions from Doctor's Offices
Ringing out of Items Not Related to Rx Sales
Ringing out/Logging of Pseudoephedrine Sales
Printing Rx History Forms for Patients for Tax Purposes
Cleaning of Pharmacy Area
LUNCH - We get one just like you!
Bathroom Breaks - We gotta go sometimes, too!

If you think you can help us optimize any of these steps, feel free to give our toll-free number a call at 1-888-ANG-REST.

Sincerely,

Your Phriendly Pharmacist

 

Funniest. Message. Ever.

Posted on February 15, 2008

I got a REDONKULOUS message today left on my voice mail. I couldn't believe it. I had to listen to it twice. You've GOT to read this. This is EXACTLY what it sounded like. Note: The (...) typed below represent actual PAUSES in the message.

Hello. This is Dr. Houston. I'm calling in a prescription for...uhh... Angela Edwards from myself, Dr. Houston. It's for Amoxicillin 500mg 30 of them taken po TID, and this is Dr. Houston. I also want to call in a prescription for Angie Edwards for...uhh...uhh... Promethazine with Codeine...one teaspoonful po every 3 to 4 hours. Give her...uhh...4 ounces. And this is Dr. Houston. So once again that is for Amoxil 500mg po every 8 hours and promethazine with codeine every 4 to 6 hours. This is Dr. Houston for Angela Edwards. Her date of birth is January of 1976, the first. Uhh... My name is Dr.Houston. My call back number is 555-5555 and my DEA number is AE111-1119. This is Dr. Houston. Thanks.

Holy shit. Wow. He said his name 7 times. He's sure proud of this name of his. I could understand that if his name was something cool like Dr. Sledgehammer or Dr. Whoopass. Anyway, everything was out of order. He gave me different directions on both prescriptions when he repeated them (Granted that TID is the same as q8h). He even said the 'DASH' in the DEA number (there's not really a dash in DEA numbers, it's NOT a phone number). I thought for a second it might've been a fake call or something - but no one calls in antibiotics and promethazine on fake calls. If it woulda been a farse, it would've been 10/650's an Xanax. I know a doctor I'll never go to now...

Here's how the call should've sound for those of you reading along (or not in pharmacy and not seeing any problems with the call). First, he should KNOW what he's going to prescribe a priori... Second, he should call like this:

Hello. This is Dr. Texas Houston. I'm calling in a prescription for Angela Edwards. Date of Birth January 1st, 1976. Prescription is for Amoxicillin 500mg po TID #30 and Promethazine with Codeine - one teaspoonful by mouth every 4 to 6 hours as needed - 4 ounces. My office number is 555-555-5555 and my DEA number is AE1111119. Thank you.

And that, my friends, is how you do it. 2 minutes versus 20 seconds...and the 20 second version is easier to transcribe. The first version needed translation...:-)

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