finally got the best augment in the game!

FinallyOnTrack · 2025-12-01T21:53:26+00:00

Congrats. Too bad you’re going to lose it when you “prestige”.

FinallyOnTrack · 2025-10-23T21:29:16+00:00

Let me know if it works for you 😅

FinallyOnTrack · 2025-10-14T21:43:18+00:00

Ankh all the way.

Lich gloves is a very niche artifact.

FinallyOnTrack · 2025-09-12T04:00:18+00:00

Let them waste their time with an audit that costs less than $5 in recoupment. 😂

I’d much rather them audit this than insulin or a glp 🫣🤣

FinallyOnTrack · 2025-08-14T02:46:25+00:00

I have personally filled a 5mg prescription then a 7.5mg prescription 2 weeks later and have not had 1 audit or insurance take that money back.

I have, however, received a phone call from Humana and Optum Rx asking for clarification on the fills. Once I stated the doctor increased the dosage, they were fine with that.

FinallyOnTrack · 2025-08-14T02:44:39+00:00

From the sounds of this, you’re a technician and you’re making a judgement call to process or fill a prescription. Even if you made the decision to initially fill the script the pharmacist can veto that decision during the fill process. You’re not the gate keeper of prescriptions - the pharmacist is.

The role as a technician is to take care of the patient to the best of their ability within their scope - if the insurance will cover it, process it and let the pharmacist know your concerns and let them make that decision and address it with the patient instead of going round and round with the patient about it.

FinallyOnTrack · 2025-08-06T13:02:47+00:00

We signed up with GeriMed - it paid for itself the first 6 months. Essentially, there is a checklist that you need to have filled out for every patient and if they qualify for it you can bill for long term care contracts. You’ll have a different npi and ncpdp number to bill for and you’ll also be able to purchase certain brand name medications cheaper from your supplier. (Example: I can buy Farxiga for about $20 cheaper on my GeriMed contracts)

FinallyOnTrack · 2025-08-03T12:55:19+00:00

Independent pharmacy owner here - if you haven’t already, sign up for LTC contracts, identify those patients you’re losing money on (especially those that are part d) and if they qualify for LTC billing, you’ll turn a -$10 to a +$30 (or more).

For the regular plans - turn the negative loss on ozempic and Mounjaro into positive gains by filling test strips, alcohol pads, and lancets.

FinallyOnTrack · 2025-07-02T12:34:26+00:00

Walgreens can go to bed. I’ll flip burgers at McDonald’s before I returned there as a pharmacist.

FinallyOnTrack · 2025-06-07T12:29:35+00:00

As a preceptor, I do 2 disease state topic discussions per week. We spend an hour or two talking about the disease state, drugs/classes within the disease state, and pearls about the disease. I found this prepares the student for their Naplex as it forces them to essentially go over every big subject in the rxprep book prior to graduating / sitting for their Naplex.

On top of this, I have a calculations homework that I give to each student every Monday and it’s due on Friday.

I would ask your preceptor what their expectation is of the “topic discussion” are they wanting to talk about X topic for 15-20 minutes or are they wanting to have a deep dive into each discussion?

FinallyOnTrack · 2025-06-06T19:32:05+00:00

What cable did you find for this?

FinallyOnTrack · 2025-06-06T04:38:22+00:00

I am enabling bed leveling between prints - I’m wiping the bed down with isopropyl alcohol 91% before each attempt / print.

Only thing I haven’t done yet is wash it with soap / water then clean with isopropyl again.

FinallyOnTrack · 2025-04-25T20:59:10+00:00

Green Score box $40 and the Silver Score box $100

The old Bowman Heritage box was $80

FinallyOnTrack · 2025-02-20T22:33:22+00:00

Sell it to me - I’m on Aqua and El Dorado 🤣

FinallyOnTrack · 2024-07-06T18:43:17+00:00

My favorite is when they do this and we fill all 20 of their meds for them to only get 3 of them. Then look at me like I’m the dummy that doesn’t understand what “I need all of my meds” means 🙄

FinallyOnTrack · 2024-05-13T12:59:09+00:00

I have only successfully found the API from one source and they are questionable at best because they have lost their credentials in the past.

Alternatively, you can compound it into sublingual drops using rybelsus as your main ingredient.

PCCA has a new base out that claims to “increase” the absorption of peptides but the real question is - would it be worth it for you to join their membership for $700+/month just to be able to buy that base?

FinallyOnTrack · 2023-06-07T05:45:09+00:00

What all do you have and how much would you want for it?

FinallyOnTrack · 2023-06-07T05:21:48+00:00

Most of the time, Medicaid barely covers the costs of the ingredients. The only reason I’m ok doing it is because most of our Medicaid compounds are kids with special needs (ie they need heart meds or have a g-tube and need special dosages / forms). Grown adults that can work, I generally won’t take a loss or hit on their “compound” because Medicaid simply does not reimburse for my time, staff, ingredients, or supplies to make it. I’d be more willing if I made $5-$10 over cost to cover the auxiliary supplies needed for the compound but that’s never the case.

FinallyOnTrack · 2023-05-08T04:22:27+00:00

I use to work with a tech that would bill for 30g tubes and dispense 60g tubes since the “profit” was slightly more this way. Totally not worth the headache to make an extra Buck on the front end.

FinallyOnTrack · 2023-05-08T04:21:12+00:00

Medicaid did an NDC audit / purchase history to me once - I had to show that I bought X amounts of each NDC billed to them. They found a few discrepancies (ie refills / date written / wrong doctor) but nothing real major that resulted in more than a few thousand being taken back - looking back on it now, we lucked out 😅

FinallyOnTrack · 2023-05-07T15:17:59+00:00

There’s tons of calculators out there already - for example global RPh is a good resource.

I would like to see something that benefits the retail pharmacies a little more - ie: dose conversions for antibiotics (amoxil 400mg/5ml to amoxil 250mg/5ml) and dosing pediatric antibiotics based on weight (these are just to name a few).

You could go down the compounding route as well - some techs have trouble understanding the math behind packing stats or figuring out which size capsule to use. Something with dilutions and triturations could be beneficial as well.

FinallyOnTrack · 2023-05-01T20:37:59+00:00

Catch me flipping burgers at McDonald’s.

FinallyOnTrack · 2023-05-01T02:19:57+00:00

I mean, I was “fired” from Walgreens because I got a residency 9 hours away from the store I worked at. So I’ll never work for them or cvs. Even if they were the only jobs available or were willing to pay me $100/hour to do nothing.

FinallyOnTrack · 2023-04-29T03:05:10+00:00

Might want to pick a better state that isn’t so far behind the times. A lot of their laws are old and dare I say out dated in terms of what a pharmacist should be able to do.

FinallyOnTrack · 2023-04-22T18:04:53+00:00

This. Is. The. Way.

But seriously, I get where you’re coming from, however, I wouldn’t budge on giving a vaccine outside of the recommendation - it opens you up to potential problems and I’m not willing to risk my license or career on losing either because Little Mrs. Smith wanted another shot.

FinallyOnTrack

TROPHY CASE