The Angry Pharmacist
@theangrypharm
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First Angry Pharmacist Blogger. Foul-mouth, offensive, but 100% right. The Patron Saint of Retail Pharmacy. [email protected]
Crying behind the counter
Joined May 2009
Time for the real questions! You get an Rx for Doxycycline 100, exactly like that. Do you fill it with:
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@possum_simp @SarasCrazyLife I'd be really leery about doing that with a C2. By leery I really mean I wouldnt touch that with a 10 foot pole.
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@BadMedicalTakes 6 months unrefrig? Awwww hellllll no. Imagine how that shit smells when you pop the top.
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Regulatory Boards: Here is the law, you must follow it Me: Okay but the law says this, so I should be able to do that right? RB: We cant give you legal advice. Me: Okay, but what if I do this, is that okay? RB: We cant help you. Me: Okay RB: We are here to investigate that you broke this law Me: The one I asked you about that you couldn't clarify? RB: Yes Me: So you can clarify it enough to ding me on it, but not give clarification on how I can not break it RB: Yes.
IRS: you owe us taxes Me: how much do I owe? IRS: you get to figure that out Me: can I just pay what I want? IRS: no we know exactly how much you owe but you have to guess the number too Me: what if I guess wrong? IRS: jail Happy tax season!
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So me calling an MD's office to have an MA/receptionist say "oh thats fine" when I ask to switch from protonix to prilosec is fine right? Not even asking the MD, just giving me a verbal approval for something like that. Should I demand to speak to the MD to get the verbal auth to get it changed? What about Ventolin to Proair? Or the different flavors of Glargine that technically arent FDA approved to be interchanged (but they are all the time)? Some common sense has to be applied here, whats the line between "not good practice" to "why is the pharmacy wasting my time with this".
@theangrypharm That would be illegal, at least in PA. Substituting for a generic of a branded drug is fine. But "sub to whatever is covered" is not good practice.
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@TRae764357 Involve pain pills, a new part-D plan, and the 7 day inital fill override that wont take PPS codes. They start calling EVERYONE.
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I generally agree with you about the coddling and patients not taking an active part in their own care w/r/t refill requests. However experience tells me that the patient will end up fucking it up and causing more work for both us and the MD, so its easier to just do it for them.
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Shotgun Scripts Inc (ShoScripts) (tm) Just send the therapeutic category, ballpark dose, and if they have compromised renal or hepatic function and any clinically relevant information. I'm in.
@theangrypharm I’m going to start a company called triple scripts which sends a script for all meds in the class and lets the oharmacy pick their favo
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@notaproviderMD So I take it you're gonna be the one who's going to do all the prior auths then?
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Word on the street here is a local hospital has a triage tent up outside the ER just for RSV cases. Seems like every other person coming into the pharmacy has RSV or whatever crud is going around. Shit im about to give myself the RSV vaccine even though im way below the approved age.
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@DanielBarkerMD Like I said before, your results will 100% depend on the pharmacist. Just ask they fax you what it was changed to for the chart
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RT @DanielBarkerMD: @theangrypharm I didn’t know you could do this and it should be for every prescription.
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RT @ESutRx: @theangrypharm One of my doctors would just automatically ok refills with a post it note. I told him to stop that. I was givin…
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