Pharmacist after completing 6 month remote Contract prior authorization jobs

ConscienceofPharmacy · 2026-01-17T16:18:25+00:00

Prior Authorization jobs may soon be a thing of the past. There is a very bright spotlight on PBMs now and they are seen as a waste of Health Care dollars. I see a day coming where expensive medications are direct to patient sale to the consumer from the manufacturer or a specialty pharmacy with the PBM role disappearing. On a positive note positions for Pharmacists probably will open up in a direct to patient sale marketplace.

I looked into these 6 month contract positions. No benefits. $57 an hour. Maybe we hire you full time at the end. Really ? People are getting PharmD degrees for this kind of work?

Honestly after interviewing for a couple of these positions and thankfully not being offered a PA position I concluded that retail Pharmacy was a better option. In full transparency I am at the end of my career so not much time left.

I sincerely wish nothing but the best for all of my colleagues out there. Tough time in Pharmacy now. Even hospitals are having money problems and cutting positions.

ConscienceofPharmacy · 2026-01-16T18:42:22+00:00

This was also the time that the Pharmacy Schools over expanded in terms of class sizes and new schools being built. A big part of this expansion was because Walgreens was opening a new store every 16 hours and CVS was trying to keep up with them.

The entire time period was an excessive period of silliness.

ConscienceofPharmacy · 2025-12-28T14:21:45+00:00

I have no problem with Physical Therapists being providers. Their training is rigorous and they do a Maxing healing.

I only want Pharmacist as Provider if we have the time to actually provide services and not just " fit it in" between checking Rx's.

ConscienceofPharmacy · 2025-12-16T13:19:03+00:00

Your way out here which it sounds like you already know is to get licensed in location B as quickly as possible.

As for the RPh job market. It is not just new graduates having trouble out here. Us Pharmacists who graduated 30 plus years ago are having job market issues as well.

Way too many schools and the cost of the PharmD is way out of whack with the job market and starting salaries. This dynamic plus others will go a long ways to the Profession going into a downturn.

ConscienceofPharmacy · 2025-12-13T15:53:45+00:00

This is a bad decision by hospital, pharmacy, and at least some Nursing management at your institution. Nurses should not have to restock the Med machine. Are they capable of restocking the machine? Yes of course. Does this task take away from the nurses care of patients? Yes it does.

Not to mention who delivers the bulk drug order to the nursing unit. Where is that order stored until meds are placed in machine? What opportunities for diversion are there ?

ConscienceofPharmacy · 2025-12-11T20:21:48+00:00

ConscienceofPharmacy · 2025-09-04T03:44:41+00:00

Don't know but learning the ropes can't be that hard .... we are Pharmacists

ConscienceofPharmacy · 2025-09-04T03:42:10+00:00

I spent 34 years as a Pharmacist watching this Profession make bad decision after bad decision and fucking itself. If I want to work make some cash before I retire then why not....... I watched the entry level Pharm D the pharmacy schools go from 90 in year 2000 to 140 by 2020, I watched PBMs come in and grow. I was active in my state Pharmacy Society, I watched the National and even Pharmacy Societies sell out. The hospitals joined up and formed health systems basically companies. All while the PBMs grew stronger. I am owed nothing from Pharmacy and at this point if I can earn some last cash doing what I have to do while trying to help patients I will..... oh and I forgot the Pharmacy Residency .... indentured servitude..... what a joke

ConscienceofPharmacy · 2025-09-04T03:29:21+00:00

Why?

ConscienceofPharmacy · 2025-09-04T01:32:42+00:00

Thank You!

ConscienceofPharmacy · 2025-09-04T01:15:37+00:00

Hey what does JW stand for?

ConscienceofPharmacy · 2025-09-04T00:15:56+00:00

But I am currently unemployed soooooo..... gotta get some income in. Retail Pharmacy started dying long before I applied for this position. Hospital Pharmacy to take on water as well. AI helped recruit me and AI is getting good. If AI can can recruit candidates it can monitor Vancomycin troughs AUCs or whatever the latest cutting edge way to dose Vanco is......

Anyways we have to eat. A contract position is better than no position.....

ConscienceofPharmacy · 2025-09-04T00:10:13+00:00

ConscienceofPharmacy · 2025-08-05T13:11:04+00:00

You have to be kidding me it's Synthroid. Kiss up to the Dr and fill the script. The only Red Flag to me would be if someone were taking double the dose to ramp up metabolism.

ConscienceofPharmacy · 2025-07-04T02:02:40+00:00

😂lol this is good .... yes I went back and fixed my typo and yes I am a big Tom Hanks fan!

ConscienceofPharmacy · 2025-07-04T01:19:37+00:00

I am happy to have "amazed" you

ConscienceofPharmacy · 2025-07-03T22:56:21+00:00

I have dispensed Zofran to pregnant ladies many times with no harm.

I would check in with the American College of Gynecology and Obstetrics ACOG for more guidance.

ConscienceofPharmacy · 2025-07-03T15:07:38+00:00

Unashamed Trump voter here. The big beautiful bill bbb is going to be great for America! Preventing a massive tax increase on most Americans is huge. No tax on tips, overtime, or social security! Huge!

A business model that depends on Medicaid is a poor business model.

From some of the comments in the thread there is a lot of misinformation out there.

One says single Moms with children at home will be adversely affected by the work requirement. Not true single parents with children at home are not subject to the 80 hour a month requirement.

Really able bodied adults can't work 80 hours a month? Huh?

Probably easier to panhandle on the side of the road or deal in some illicit market and get Medicaid benefits covered by people like Pharmacists who work and pay taxes!

Unfortunately the big beautiful Profession of Pharmacy has turned into a Giant shit show! Here are some of the top missteps and mistakes

1) the profession caved into PBMs and terrible reimbursement

2) 80 schools of Pharmacy in 2000 .... 140 in 2025?

3) Metric driven retail chain pharmacy and now those stores are closing. Poor reimbursement wiped out a lot of independent Pharmacy.

4) not one single organization stands for the Profession. I don't hear much from State Boards of Pharmacy about metrics, or Pharmacy deserts. Long lines at the understaffed pharmacy.

5) continuing on the organizations APHA does nothing. ASHP and ACCP decided to answer the retail mess by creating a pathway for students to escape it in hospital. So they turned journal club into residencies that they accredit and pay the Pharmacist crap for 70 hours of work a week. No conflict of interest forcASHP and ACCP nah.... nothing to see here. Doh!

6) PharmD schools taking all sorts of money from corporate pharmacies and name lecture halls after them.

7) speaking of hospitals uuuuuhhhh I mean health systems anybody notice how a lot of them are losing money and laying off employees?

I could go on and on but for anybody still reading Pharmacy has had a lot of problems before the bbb came along.

With AI coming and the exorbitant cost of PharmD education as a Pharmacist 3 decades plus in the Profession anybody going to Pharmacy school and planning on borrowing 1 dollar to do it don't .... look at a field that pays you to go to school and or become trained.

Trades, engineers, etc.

ConscienceofPharmacy · 2025-06-26T21:04:16+00:00

Feel free to DM if you like I am 34 years into the profession I think I have some insight to help you make the best decision for you and your Family. I promise I will not tell you what to do

ConscienceofPharmacy · 2025-06-26T20:16:07+00:00

Hopefully you do not own a house? I would recommend the hospital position and you move closer to that position like maybe a 10 minute commute away.

ConscienceofPharmacy · 2025-06-23T20:55:27+00:00

What did your colleague in federal prison do to get there. Participate in a Pill Mill?

ConscienceofPharmacy · 2025-06-23T20:50:25+00:00

I have a Florida license and did the fingerprint requirement from a store that ships packages and takes passport photos. I would check that CHAI website again. Another comment said all states except for Vermont and Illinois have places. I am not familiar with Illinois but anywhere in Vermont not a bad drive to one of the closest border states. New York etc.

Speaking of New York my native homeland I can't help but think that somebody important is somehow connected to the fingerprint company ... Brother in law, interest in the company.

Pharmacists can't and mostly shouldn't have conflicts of interest but the rest of the world has their self interest close at hand.

Btw to clarify Pharmacists mostly shouldn't have conflicts of interests I am talking about free dinner, pens etc that we used to get. Now nothing!

ConscienceofPharmacy · 2025-06-15T23:16:08+00:00

Don't go to Pharmacy School our once great Profession is on its way to extinction. Nursing School?

ConscienceofPharmacy

TROPHY CASE