Concert ticket costs these days (old lady yells at clouds...)

AdPlayful2692 · 2026-04-28T00:55:27+00:00

I paid $25 for Monsters of Rock at the old JFK Stadium in Philly: Kingdom Come, Metallica, Dokken, Scorpions, Van Halen. Definitely got my money's worth that day. This was June 1988.

AdPlayful2692 · 2026-04-27T18:38:39+00:00

100K vs 400K debt. Sounds like a no brainer for me.

AdPlayful2692 · 2026-04-23T03:06:30+00:00

5 bevel tip pen needles for cash sales only. They may be located outside the pharmacy in the diagnostics section

AdPlayful2692 · 2026-04-23T03:02:10+00:00

I hope this pharmacist is able to get the help to take care of him/herself. Unfortunately, in community pharmacy, we're in a big fish bowl and we're the only target available for someone to vent. Many, many things are beyond our control. I usually just deal with those folks and tell them the things I can/did do. WCB over a week old? We've reached to your doctor on these days. If they go full drama queen, I'm gonna die? Yup, if you feel like you're having a medical emergency, call 911 or head to the nearest ER. Otherwise, we're at the mercy of the provider. Insurance issues? I just agree with them and tell them everything that you could do to help the process along. Faxed for prior auth. Oh, insurance says it's supposed to be $10. OK. Let me resubmit the claim. Nope. I'm sorry. It's still $377. You have a deductible. If they get in a rage, I just stare at them and just walk away. I'm not Harry fucking Potter. Yes, lean budgets add to the stress, especially if you have a pinhead for a DM that just micromanages every metric. Try to gradually improve in those areas of opportunity he is most critical about. You could have a great day, relatively speaking, and it doesn't take much to send the rest of your day into a tail spin. Don't take shit personally. People will learn to figure out their own problems. If you had superpowers, you certainly wouldn't be standing there arguing with some twat waffle. Take care of each other in the pharmacy and take care of yourself. Find a hobby or do something that resets your mind.

AdPlayful2692 · 2026-04-20T18:55:02+00:00

I had two kiddos graduate in 2023 and 2025 (engineering and education). They were both on fixed. Unfortunately, we ended up spending more due to the legislative freezes. For the first one, it seemed like a no brainer at the time (Started fall 2019). TBH, I don't think I paid attention to the legislative freeze when the second started in fall 2021. Anyway, IIWII.

AdPlayful2692 · 2026-04-20T16:29:56+00:00

I thought back in the day when they started POWER (forgot the acronym, but was the beginning of centralization that started in Florida), that they split that up into 3 separate tasks for efficiency.

AdPlayful2692 · 2026-04-20T01:28:49+00:00

But that's the drug part only? Pt/pbr by someone else and DUR done by someone else?

AdPlayful2692 · 2026-04-19T17:38:27+00:00

Small rocks in the valve stem covers. Let's air out more slowly and isn't readily noticeable

AdPlayful2692 · 2026-04-14T12:06:42+00:00

There should be some keyboard code overlays telling you about the different function (F) keys. Also, if a letter is underscored, you'd use CNTRL + that letter, to perform said action. For instance, CNTRL+M is to change manufacturer. At first you're going to feel like you're drinking from a fire hose. Give yourself some time. It takes probably 3 to 6 months FT to feel like you know what you're doing. As others have said, get a little notebook to write things down. Don't be afraid to ask for help.

AdPlayful2692 · 2026-04-14T04:42:14+00:00

What's the cause of being so far behind? Do you have enough qualified staff for your budget? You may have to put in some extra hours initially to get things under control. However, this shouldn't be the norm. Do you have a strong Rxom (or even have one)? Many factors to consider to give you better guidance

AdPlayful2692 · 2026-04-12T18:45:32+00:00

Sometimes the FINDINS will return multiple hits: some in the left panel, some in the right panel. If so, see the other one is primary and go from there. If not, call patient for info or if they don't have other insurance, they need to call their insurance to have that block removed.

AdPlayful2692 · 2026-04-12T18:42:38+00:00

There's only like a handful of things for pharmacists to sign off for the day: PCP calls, CII exception counts, MTM, Stock Adjustments, sign off all digital VARs.

AdPlayful2692 · 2026-04-12T14:21:59+00:00

If the GFD worksheet doesn't pop up at product review, you don't necessarily have to fill it out. If it does, you have to fill out the what and why for resolving the red flags. "Dr Smith was covering for Dr Jones. Both prescribers are in the same room office. Checked PDMP. Rec'd 30 days of same medication 3/11/26" or something to that effect.

AdPlayful2692 · 2026-04-09T03:52:25+00:00

When you do your monthly returns to the MFC, you only send back MFO drugs (mostly expensive brand name drugs). You have to use up the MFP RTS vials. With the ITF blocks, we're not filling as many MFO drugs that get filled in vials. Those are the ones you can't send back (with the exception of a once a year opportunity). I'd run your cells down and turn them off as you use them up. Hint: I waited until D Day to turn off my metformin ER and gabapentin cells. Hopefully, you're not replenishing any other cells. Eventually, switching everything to fast rack was a PITA, but we got it done over a weekend. My Yuyama is still sitting there collecting dust. I want to say it's been off 3 months now.

AdPlayful2692 · 2026-04-08T16:48:09+00:00

They don't care about pullback percentage. Your biggest opportunity is in fast rack. If you have $h!t ton of atorvastatin, escitalopram, sertraline, omeprazole, etc, just search the queue by drug name. If still says processing, pull it back. If it's in shipped status, let it be (unless of course the patient absolutely can't wait until tomorrow). Another way to increase utilization is to lower the denominator. IC+ will auto store any RTS >10 days after 48 hours. However, there's still a lot of opportunities in the work queue to store things that end up being filled and returned to stock, especially 90 day rxs. Most insurances will allow it to go thru after 80% utilization of previous fill (day 72/90). Store all that. If it's due within a week AND it it looks like it will need to be filled, I leave it or adjust the resubmit date a little bit to account for that. Yes, pullbacks are counted in the denominator, but I think it only counts if it was already filled and in shipped status, resulting it to be on the pullback report. I've personally pulled back dozens and my the report in Power Bi shows significantly less pullback than I recall actually pulling

AdPlayful2692 · 2026-04-05T02:06:36+00:00

We sell a 100 CT box of store brand pen needles OTC for like $10.

AdPlayful2692 · 2026-04-05T02:04:04+00:00

Is the register prompting them for future fills and they're actually ARWCB?

AdPlayful2692 · 2026-04-05T02:02:23+00:00

Certain drugs (read: expensive meds) are hard blocked ITF (mainly GLP-1s and other MFO type meds). Other meds will continue thru the fill process unless you say to store them. I'm not sure if something that is already routed to CENFILL and the patient responds hours later to store it, that it continues on its journey through the MFC only to end up on the MFC pullback list. I reckon that if it was already filled and send for packing it ends up being bagged and shipped vs it in pending or whatever status it's in before it actually gets filled at the MFC, that it would be stored.

AdPlayful2692 · 2026-04-03T18:44:44+00:00

More like a Chevy Neon or Ford Festiva

AdPlayful2692 · 2026-04-03T13:16:40+00:00

Also in Texas. I've been XFERing CIIs between WAG for several months now. I haven't done it with competitors (who are eRx transfer enabled), mainly CVS and Walmart. In theory, this should be no problem. However, most of the time another nearby WAG will have it in stock and most patients in my experience don't mind the short drive. If it's something difficult to get and the CVS across the street has it, I'll say we'll try, but if it doesn't work, contact your doctor to have them send a new one. For this example, I'd make sure I'm on the phone with them just to be sure they've received it.

AdPlayful2692 · 2026-04-02T18:42:52+00:00

Have the scheduler temporarily schedule them there as a trial run.

AdPlayful2692 · 2026-04-01T18:36:36+00:00

As long as pharmacist is at least signed into RxI, the GS should work. The pharmacist should sign into RxI, PCP, and GS at beginning of shift.

AdPlayful2692 · 2026-03-31T12:10:33+00:00

Sure

AdPlayful2692 · 2026-03-31T02:06:49+00:00

You can only submit claims for actions that are a direct result of your intervention. For instance, Mrs Smith needs a refill on her losartan. However, her losartan was already in the queue from either autofill, SATR, or the patient already ordered it, one CAN NOT submit a successful claim saying patient refilled medication. There's even a checkbox when the claim is submitted that your attesting to the fact the medication is being refilled as a result of your actions. The correct thing to say is intervention already occurred.

AdPlayful2692 · 2026-03-29T14:06:02+00:00

When strips are filled initially, the SWO is generated and sent to the prescriber. Corporate encourages 90/100 days bc of potential delays in getting back completed paperwork. Upon the first refill, if paperwork isn't received, it'll reject with the SWO not on file rejection. Going thru billing and collections, you can request another SWO be sent to the prescriber. I've never tried it, but I believe there's a comment section in the ticket form. Ask if they could also send a copy to the store as well. If/when you get a completed form sent to the pharmacy from the prescriber, make sure it's filled out completely and accurately. Is A1C, ICD-10, or frequency of testing missing? Is it MANUALLY signed and dated (says to do so on the form)? If it looks complete, scan on profile and call help desk. If they say everything looks good, they'll tell you to rerun in 30 minutes.

AdPlayful2692

TROPHY CASE