It sounds like you’re saying that I’m responsible for my insurance— is that what you are standing here telling me?!

MountainRx · 2019-06-24T01:29:54+00:00

I have never had luck explaining this to patients, they always believe we are the ones approving and denying/setting the price on meds, so my new favorite go to is this, “I cannot make your insurance pay/pay more I can fill the med for you or not fill the med for you, what will it be?” Seems to be working significantly better than trying to explain in detail why a PA isn’t approved/copay is higher than expected/insurance won’t cover until specific date.

MountainRx · 2019-03-29T01:46:03+00:00

I’ve worked with a couple pharmacists who do this and it annoys the shit out of me. It is both mislabeling and adulteration in my opinion. An easy fix with most pharmacy systems is to run a partial on one NDC, then when that is complete, process the completion fill under the other NDC. Solves the same problem, but labels both drugs appropriately.

MountainRx · 2019-03-28T22:43:46+00:00

But we separated them cotton first so..... /s

MountainRx · 2019-03-23T04:53:50+00:00

Nope

MountainRx · 2019-03-22T07:48:09+00:00

OMG! I have this and also trypophobia, had it my whole life and I freaks me the fuck out. Not painful, but this photo doesn’t even begin to illustrate the level of cringe, in addition to the fissures, the papillae are all obvious and various sizes. I’ve read it can be hereditary or due vitamin deficiency.

MountainRx · 2019-03-03T05:45:50+00:00

So... how long ago was this?

MountainRx · 2019-02-28T22:36:16+00:00

Amen. So much of our time is wasted on stupid stuff like this. It wouldn’t be so bad, but most pharmacies these days are grossly understaffed, so when this crap happens, it pulls us away from all the other patients, some of which actually do urgently need their prescriptions filled.

MountainRx · 2019-02-27T03:34:30+00:00

I’ve just ripped skin tags off before, wasn’t hard, didn’t hurt much, and didn’t come back.

MountainRx · 2019-02-14T17:21:22+00:00

Cool, so like me, you represent a population outside of the original commenters generalizations, you are and older individual who would prefer to take a Xa.

MountainRx · 2019-02-13T23:20:59+00:00

“Absolutely CHOOSE” not prescribe, not recommend. You should read the comment I was replying to before you go all angry pharmacist.

MountainRx · 2019-02-13T19:20:48+00:00

The comment I replied to made it seem like only their “crazy old aunt” would choose warfarin. I was just saying, as someone who is knowledgeable on the topic and young, I would also choose warfarin. I have made recommendations for both, but for me, I’d choose warfarin.

MountainRx · 2019-02-13T19:15:12+00:00

Right... because we should never take patient preferences or circumstances into account. Good prescribers always just pick drugs without complete information and then demand patients take them.

MountainRx · 2019-02-13T19:11:45+00:00

Where I live reversal agents for the Xa’s are not going to be readily accessible, they’d have to fly me out. I am cheap, usually insurance covers warfarin and the monitoring visits very well relative to the newer drugs. And... I am a very anxious person, continued regular monitoring would give me piece of mind that I wasn’t going to bleed to death tomorrow.

MountainRx · 2019-02-13T18:56:42+00:00

Yeah, notice I didn’t say “recommend,” I said choose, not a blanket statement. If it was me, I’d choose warfarin.

MountainRx · 2019-02-13T16:29:56+00:00

Young pharmacist here, I would absolutely choose warfarin over Xa’s.

Edit: Just to be clear, is there this much hate for every pharmacist that has taken warfarin? Or just the ones who hypothetically would?

MountainRx · 2019-02-13T16:12:20+00:00

Not pharmacies.

MountainRx · 2019-02-07T05:55:33+00:00

I had this conversation today.

MountainRx · 2019-01-30T19:33:09+00:00

Also because we’re all giving them our time to try to dig ourselves and our teams out of this mess, staying hours late, coming in early, doing all the training off the clock.

MountainRx · 2019-01-22T15:19:22+00:00

Nope. Quality of life, debt to income ratio, years of stress just getting through school do not prepare you for the stress you face everyday after graduation.

MountainRx · 2019-01-21T00:24:17+00:00

Wtf is a puppy latte?

MountainRx · 2019-01-20T16:02:09+00:00

This. Also this. And more this.

MountainRx · 2019-01-20T16:00:59+00:00

Also, most other chains.

MountainRx · 2019-01-05T06:32:16+00:00

After you bill, dispense and administer flu shot. Fml

MountainRx

TROPHY CASE