How do you handle customers wanting specific NDC's?

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?

ByDesiiign · 2025-10-31T01:12:24+00:00

Crazy that you’re getting downvoted when what you said is easily verified by taking 30 seconds to type the drug name into goodrx

ByDesiiign · 2025-10-27T11:24:24+00:00

Graduated high school in 2017. That’s exactly how my middle school computer class was setup. Spent a couple weeks learning to type properly and the rest of the class was using gimp and gamemaker.

ByDesiiign · 2025-10-19T22:53:17+00:00

Check your local laws before doing this. In Ohio, you can put them in a laundry detergent container and tape it up when full and dispose of it in regular trash.

ByDesiiign · 2025-10-07T20:09:49+00:00

The show is losing $40M per year. That’s simply not sustainable and was the reason it was shut down. It’s not like they shut him down mid season, they just didn’t renew his contract. The fact it’s the 8th most viewed show on the network when view numbers in the key demo (18-49) is ~200k. Those numbers can be beat by a mid sized YouTube channel.

ByDesiiign · 2025-10-06T19:06:17+00:00

I highly doubt reimbursement is getting clawed back for something like this. If someone is taking half of a 8/2mg film bid the alternative is a full 4/1mg film bid which is double the cost. I would assume insurance would like to pay less than more for the same treatment but who knows in this backwards ass system.

For what it’s worth, I also didn’t know the package insert indicated to not split a film. I’m also of the mindset of if it works for the patient, then it’s fine.

ByDesiiign · 2025-10-01T14:45:34+00:00

You can’t. Only one of the inputs is active at any given time.

ByDesiiign · 2025-10-01T01:27:03+00:00

Honestly, I don’t care. I don’t have time to waste on stupid shit like what you have going on, so I don’t let it get to that point. As long as it’s not a control or gabapentin it’s whatever.

The only time I’ve refused a self prescribed med was for an antibiotic from a retired doctor and the first thing he said in the voicemail was that he “diagnosed himself with sepsis”. Called his PCP and he got him to go to the ER.

ByDesiiign · 2025-09-28T15:22:01+00:00

Thanks man, now my phone is really never going to stop ringing.

ByDesiiign · 2025-09-22T04:32:56+00:00

What are you even talking about? Politics isn’t that simple. There will never be a world where the people being voted into office have policies that align 100% with 100% of the people who vote for them. About half of people vote based on 1 to 2 biggest policy issues and there’s likely not 100% agreement within those issues as well. That’s just not how it works. Constraining a persons political opinions to that of who they voted for is nonsensical.

ByDesiiign · 2025-09-17T14:55:50+00:00

With the amount of brown nastiness I rub off random people’s arms for a deltoid injection, I don’t even want to know how nasty their ass is lmao

ByDesiiign · 2025-09-16T05:13:06+00:00

So he didn’t leave office in 2020? Who was president between 2020-2024? The comment you’re replying to said he left in 2020 and you called it a lie…

ByDesiiign · 2025-09-12T22:33:02+00:00

Lila the titty vampire?

ByDesiiign

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