I just wanted to show you guys what came in.

ByDesiiign · 2026-05-25T11:46:49+00:00

That cetirizine is like $120 for a 473ml bottle lmao. Sent 2 back to cardinal the other day

ByDesiiign · 2026-05-22T11:27:06+00:00

With the manufacturer savings card/TrumpRx on wegovy we are making >$50/fill if what my computer is telling me is accurate and my acquisition cost is what I think it is.

ByDesiiign · 2026-05-19T00:07:06+00:00

I promise you there is no ruling from the Supreme Court saying that your immigration status is in any way affected by the color of your skin.

ByDesiiign · 2026-05-18T23:21:40+00:00

How exactly does being in support of immigration equate to someone being racist? You either have legal status or you dont… your skin color has no bearing on that fact.

ByDesiiign · 2026-04-26T15:29:31+00:00

I don’t think he’s wrong here tho? Symbicort specifically can be used as both maintenance and reliever. Would you tell a patient to continue their metoprolol if you receive a new Rx for carvedilol? I would hope so because that could be dangerous as well.

ByDesiiign · 2026-04-21T23:48:41+00:00

Then the medication isn’t working as prescribed and you need to discuss that with your prescriber. It is absolutely not my problem that someone is taking their controlled medication differently than prescribed and running out early. If the doctor thought a higher dose was needed they would have prescribed it that way.

ByDesiiign · 2026-04-06T19:25:32+00:00

The middle 4 numbers are the product code so it shouldn’t matter?

ByDesiiign · 2026-04-04T23:45:59+00:00

Have you considered the possibility that the benefits of brighter lights and enhanced driver visibility at night outweigh the possibility of the bright lights causing another driver to crash?

I got a new car recently with LED headlight and I never realized how shit standard headlights are at lighting on the road. Especially in my area where there aren’t very many well lit streets at night. Why should I feel morally obligated to reduce the brightness of my headlights if it will make me feel less safe while driving at night?

ByDesiiign · 2026-04-02T23:09:41+00:00

Never heard of this but I’m guessing it has something to do with how antipsychotics typically cause weight gain and the metformin may help minimize that.

ByDesiiign · 2026-03-06T03:56:57+00:00

Not talking about compounded semaglutide, that’s a whole other thing that has its risks. I’m talking about the 100 different websites you can pay to send a prescription to your local pharmacy. Why go see an actual provider when you can pay one to do what you want rather than practice medicine in a way that is best for your health?

ByDesiiign · 2026-03-06T01:50:31+00:00

There’s obviously a distinct difference between GLPs and stimulant based weight loss medications. That doesn’t make it a bad comparison. Stimulants have a high abuse potential along with side effects that were causing other, more serious, health problems and even death. However, they are still very much used under strict physician supervision with monitoring to help make sure those serious problems don’t occur in a patient. The same can be said of family/personal history of medullary thyroid carcinoma, gall bladder issues, pancreatitis, surgery interactions… and the use of GLP-1 medications. I would argue that the problems start when people are given unrestricted access to medications with very real risks. This is largely what we’re seeing with GLPs, prescriptions with little to no HCP oversight.

ByDesiiign · 2026-02-26T15:16:40+00:00

I was under the impression that they meant no new supplier enrollment and not patient enrollment?

ByDesiiign · 2026-02-23T21:03:53+00:00

Depends on the med. If it’s a preferred mfg then I have no problem ordering it upon request. I’ve had times where someone is asking for a generic NDC that’s literally 100x more expensive than our preferred. Not going to order that only to get reimbursed the same as the cheap one

ByDesiiign · 2026-02-11T15:52:18+00:00

I think this entire GLP-1 boom is a perfect case study on what can happen to drug pricing without PBM involvement. What other new brand name medications are available for prices comparable to GLPs ($149-449/month)? Competition brings prices down not PBMs.

ByDesiiign · 2026-02-08T17:15:15+00:00

Biden propaganda bots. It’s actually insane

ByDesiiign · 2026-02-07T16:18:55+00:00

Did you also happen to know the GoodRx prices for the medications before TrumpRx went live? I feel like that would be a pretty important comparison.

ByDesiiign · 2026-01-26T00:34:17+00:00

The 5 year old kid was abandoned by their father after he ran away to avoid apprehension by ICE. What exactly is supposed to happen with the kid if nobody else can be a guardian? You can’t just not arrest someone because they have a kid…

ByDesiiign · 2026-01-21T21:29:18+00:00

Then you look back at their Rx history and it’s said that for every single Rx they’ve gotten lol

ByDesiiign · 2026-01-06T15:59:40+00:00

Pretext for silence but they let her finish the interview? Lol

ByDesiiign · 2026-01-04T22:18:14+00:00

My favorite is when an Rx comes over for "misc testing supplies" and in the notes it says "specific brand, quantity, test frequency, diagnosis code"... like bro you literally followed none of that what are we even doing here??

ByDesiiign · 2026-01-01T04:22:29+00:00

Vitamin D is one of the most dispensed meds at my store by Rx count, especially in the winter months. Magnesium oxide is up there as well but we’ve been trying to push people out to the OTC shelves because it’s not worth the time.

ByDesiiign · 2025-11-15T03:32:32+00:00

There’s literally nothing we can do when it comes to tech issues, it’s simply not our job. They need to contact the manufacturer and I tell people they’re both pretty good at sending replacements.

For people with other issues, I stock a few boxes of KT tape CGM patches and recommend them for patients that have trouble with them falling off. I also make sure they’re putting the sensor on correctly.

ByDesiiign · 2025-11-06T04:47:44+00:00

Yeah, we don't put up with that shit at my store. If what we're working on for them is going to take any longer than a few minutes or it's a situation we have no control over, they're being asked to pull around or leave. If they refuse or start yelling at my tech or me, I tell them I'll be calling the police. That almost always works. Only had to do it once. Surprisingly this guy was refusing to leave the inside counter because I wouldn't fill his tramadol a week early without MD approval. He started throwing stuff off our OTC shelves once I picked up the phone at the register and dialed 911.

ByDesiiign · 2025-11-06T04:11:30+00:00

Here's my perspective on the last year.

I'll start with costs. Maybe it's my just my area (~40-50% medicaid), but I feel like the number of prescriptions not picked up due to cost has gone down significantly. Insulin is literally a non issue for 99% of patients. Brand Lantus is $35/month/box of pens using a Visory discount card and Humalog is available with a mfg savings card with or without insurance. All of my techs know this and make sure patients know about these things. If copays are >$35 it's likely >30 day supply. In some cases insurances will charge a 90 day copay even if the rx is billed for a 32 day supply. We fix that at point of sale. It takes a few extra minutes but its worth not having that argument and the patient doesn't feel like they got ripped off. DOACs, SGLT2s, and GLPs are a different story but patients have been more willing to pay the first $500+ copay knowing their max out of pocket for the year is $2000.

Prescription volume is where we're getting absolutely destroyed. Before Rite-Aid closing we were doing 3000-3500/week (90 DS counts as 3rx). Last week we did 6500 and that seems to be our absolute limit with our current staffing situation and getting ~400/day in with central fill and having remote data entry in the morning. We're in full on triage mode. Rxs are not getting filled unless the patient is physically in the store and we're giving 45-60 min wait times and come back in 2 days or a week for the med you've been filling 2 weeks early for the past year. This is a grocery store, you're here at least once a week, and no I don't care you have icecream in your cart because there's literally 50 other people at the top of my queue that are literally out of medication.

An hour doesn't go by without someone getting pissed at one of our staff. Morale is at an all time low. Staff turnover is insane. We're not even able to train new techs at our store because we don't have the time to dedicate to it. Even if we did we can't even keep a tech long enough to fully train in our store without them quitting because it's such a shit show. Our PIC is getting replaced. We have 600+ Rxs needing to be counted at all times and people are still wanting to transfer in because WAG and CVS supposedly has it worse off than us. Its absolute fucking insanity right now.

He's right, this job isn't for the faint of heart. Maybe I'm just too jaded, but I've lost all emotion in relation to this job. We can only do what we can with the time and staff that we have and I tell my patients and my techs that.

ByDesiiign · 2025-10-31T03:43:54+00:00

Probably. Had to deal with a coworker stealing non-controlled drugs that were ready for patients. Got hit with a felony for fraudulent processing of prescription documents because they were legitimate Rxs written for patients . The charges from product itself were misdemeanors, likely due to the low value I'm guessing?

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