Logical Rage

Posted by The *Angriest* Pharmacist as Courtesy, Drug Seekers, Insurance Companies, Just a question, Lazy People, Me being a dick, Me hating others, Patient Education, Rude, Stupid People, True Story, Work Sucks

I’m sitting here desperate to post something. I’ve literally stared at this empty text box for going on 10 minutes. All I’ve typed amounts t0 25 words…no 29…wait, 30.

My thoughts have staggered and stammered here and there, back and forth. I started to post about a lady, angry at me because she had to drive 8 miles both ways twice because her doctor’s office sent in 1 eRx at 1pm and another at 5:45pm….totally my fault. She also had to wait each time. Totally my fault. What was her gripe? Gas money. Gas money? I drive a car that get’s 26 miles per gallon. Even if she drives a truck getting 16mpg, she’s out what? $2.50 — That’s the cost of being sick. Going to the doctor and then them being inconsiderate and doing a crappy job at clicking OK.

I also thought about bitching about that same doctor’s office sending ALL their eRx’s for the day at 5:45pm — when my main staff was all gone and I had around 50 prescriptions to process with a young, untrained, skeleton crew at best. One called in sick. It was loads of fun. I (and every other pharmacy) let them know of our displeasure with that practice and how it would stop. I went as far as telling them I would make it known to their patients that if they continued that practice, having no respect towards my staff and business practices, those prescriptions would not be filled until the following morning. [Which is of course bullshit. I would just have 2 or 3 hour waits -- finishing most sales and Rxs up after close]

I’ve also, for a long time, wanted to write a post about some weird ambitions I’ve had for some time. I’ve considered converting some of my stories and anecdotes into a short comedy routine / spot and going to an open mic night somewhere. I know it sounds absurd. I’d probably bomb.

Ya never know though. I’m a funny guy outside of my serious job. I can make up bullshit to make people laugh on the spot. But, can I make pharmacy funny? Can I convert my anger, hostility, and, most recently, pain, into something enjoyable? Something to brighten someone else up? As a reader, you might quickly say — “c’mon of course you can this shits hilarious dood!” And it is…to us. The average reader reads my stories an empathizes with my plight. Can a layperson empathize? Can they even sympathize?

It’d be much easier to convert to a tv show…like “The Office,” which is perhaps one of my most favorite shows. Or perhaps a different concept. Maybe three short 8-minute episodes in a half-hour spot. Pharmacy is 15 minutes or less anyway right?

So, whose going to pay for her fucking gas money? I don’t know what hit me in that moment, but I was struck by the rod of golden logical rage.

“Who’s going to pay for your gas money? Well, I guess I will. But, from now on, I’m going to start charging you for all the free services I once provided. Next time you have a question about whether you should take APAP, Ibuprofen, or Aspirin, call me with your credit card number ready, and I’ll be glad to help. When your daughter has the flu and you have no clue what to do with the 7 different types of Triaminic, Tylenol Cold, Tylenol Sinus, and Motrin Cold and Sinus you have in your closet, I’d be glad to help you for a price.You see, you expect me to always be here for you — always free. You pay for your prescriptions, yes, guaranteeing you a certain set of specific services, but I’m so much more to you — whether you realize it or merely respect me so little you don’t care. I’m your “doctor said” fact-checker, your pill identifier, your prescription insurance problem finder AND fixer, your store-next-door-phone-number finder, your late-night fever buster, your icky medicine flavorer, your idea man for reducing rx costs. Always there….a phone call away. Do you really want to bother me with 3 dollars worth of gas? Is it so important to you that you simply must rant and rave until I dig a few dollars out of my pocket? I thought not. ”

PS — Go check out THE RAGING SERVER. He’s back and cooking up some good shit…

PPS — Since it’s the Christmas Season, T-shirt sales have shot through the roof. Apparently, pharmacists enjoy getting bomb ass shirts for Christmas.

The *Angriest* Pharmacist Store

Liberal is too Liberal

Posted by The *Angriest* Pharmacist as Doctors, Drug Seekers, Just a question, Laws, Patient Education, True Story, Work Sucks

I’ve got a problem. There’s a physician in my town wreaking havoc on the livers of everyone in the entire area. Drug seekers rejoice! If your drug of choice is Fioricet (Butalbital/Acetaminophen/Caffeine), Soma (Carisoprodol), or Ultram (Tramadol) you are in luck.

I’m not joking when I say that he has put them in the ground — 6 feet under. He’s got more people addicted to more drugs than should be possible. I’ve been told by several of his “patients” that do their trading with me that they enter his “exam room,” state a problem that they have, and he begins writing. He doesn’t touch them. He doesn’t ask any questions. I couldn’t tell you the number of times folks have gotten to the counter and not known what X-drug was written for as they aren’t having that problem at all — for instance, Detrol LA for a 24-year old male.

He’s also a big fan of Nubain, Promethazine, and Syringes. I call it the SCUZ-BALL COCKTAIL! They give they Phenergan so you can inject more NUBAIN! It’s a GREAT idea!

But, TAestP, why on earth is he writing for Nubain and Fioricet when he could write for Demerol and PERCocet. That’s because this fuck wrote so many controls (and neglected to chart a single word) that they took his DEA license from him! So, he’s been reduced to writing drugs that SHOULD be controlled rather than drugs that ARE controlled.

What I hate about this situation is that I feel like I am an accessory to his negligence. I don’t fill things early. I don’t do cash prices after insurance rejects. I make notes about an (8 per day max) on Tramadol even though his 1-2t po q4-6h prn pain #240 clearly suggests 12 per day. [Seizure anyone?]I don’t fill anything above the Tylenol limit per day.

I’m doing everything by the book on my end. What type of liability falls to me (and every other pharmacist in my area filling these scripts)? I’ve got documentation outlining reports / complaints that I’ve made to the DEA and Medicaid Fraud and Waste Department. I’m trying to get this felon off the streets — or at least get his pad taken from him!

Pharmacists are fighting tooth and nail to get just PPIs or Statins as behind-the-counter / prescriptive-authority drug classes for RPhs and this jackass can’t get his taken away fast enough!

Pick-2 Pharmacy

Posted by The *Angriest* Pharmacist as Drug Seekers, Errors, PHARMACY SECRETS!, store

The question every person should be asked prior to getting a prescription filled.

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This is more for the readers

Posted by The *Angriest* Pharmacist as Courtesy, Doctors, Drug Seekers, Education, Just a question, Lazy People, Me being a dick, PHARMACY SECRETS!, Rude, Stupid Nurses, Stupid People, True Story, Work Sucks

I got this from a reader recently. Let’s have a little bit of discussion on the double standard which applies to pharmacy (hereafter known as ‘gimme gimme gimme!’)

Friday night, a guy comes in. Wants a refill on omeprazole 40mg. Naturally, he didn’t call ahead or even have his bottle with him. He’s obnoxious and rude, balks that it will take TEN MINUTES to fill, and proceeds to stare at me thru the glass like I’m some sort of animal. The claim comes back prior auth, with the reject that the insurance will pay for X number capsules in 90 days, then they require prior auth.

I explain this to said jerk, who naturally flips out and calls me incompetent. Then he’s going to sue me because I won’t fill his medication and he NEEDS it. Riggggggght. I explain I’ll fill whatever he wants, but his insurance isn’t paying for it at this time, so he’ll have to.

Normally, I would’ve fronted someone 3 pills for the weekend. But I play by the golden rule, so this dude was paying, no favors from me. He pays for 5 capsules and leaves in a huff.

That’s all pretty typical, now we get to the good part..Monday morning I get a call from jerk’s doctor’s office. The nurse asks why I wouldn’t fill his prescription. Uhhh, I did fill it and he paid for 5 capsules. THEN SHE TELLS ME I SHOULD’VE JUST GIVEN HIM THE PILLS AT NO CHARGE. Ok. I don’t know about anyone else, but anytime I’ve EVER been to ANY doctor’s office they have about 6 million different signs posted stating, “PAYMENT IS DUE AT TIME SERVICES ARE RENDERED.” Last time I went I had to SIGN A FORM stating that I understood that I WOULD BE FINANCIALLY RESPONSIBLE for paying for any service that my insurance did not cover.

I told her it’s not my practice to give out medication for free. If the request is denied, then who is paying for those capsules? She really had no answer for that.

I’ve been thru the prior auth, front a-couple pills song and dance a million times..what gets me is the GROSS HYPOCROSISY and DOUBLE STANDARD here. This nurse scolded me for refusing to give medication away for free. As far as I know, no doctors are EVER giving their services away for free, they make sure they’re getting paid. Why should it be any different at the pharmacy?!

Any thoughts you might have on this particular incident/topic would be appreciated.

Thanks,

Frustr8ed Pharm

I’m sure we’re gonna all agree that we will give 3 days or so if it’s a maintenance meds, but is there more to the situation then that?