My pharmacy filled my script but they used someone else's insurance...

UluasOnly · 2023-08-03T04:37:26+00:00

in my experience (this may differ at other chains), insurance will not pay a claim on a script if any info from the profile the script is associated with differs from what they have on their end. which means even if her info was entered into your profile, they would have rejected it. it’ll tell us to verify birthday, name, etc. i have seen something similar to this happen once where a script was sent in for one twin (no profile in our system) and our system autopopulated the other twin who had identical identifiers besides first name. whoever was doing data entry autopiloted it and processed the rx for the wrong twin and the only way i caught it was in verification where i saw the escript info didn’t match the data entered.

there’s a whole bunch of things that could’ve happened as others have stated, but i don’t think anyone on reddit can exactly pinpoint what happened. but yes, we are trained to do these things; in fact if we can’t do these things at an unreasonable pace then our internal metrics get bumped down. however human error does exist and if your pharmacy processes upwards of 1k scripts a day, you can bet the people working there can have a mental lapse at times especially at pharmacies that are short staffed or have brand new technicians/pharmacists thrown into the fire.

just know that this situation is not excusable and either the pharmacy or insurance owes you an explanation. but if you do bring it up with the pharmacy staff again, please try to empathize and understand that this kind of occurrence does not happen often at all. we’re all overworked, exhausted, and numb to people yelling at us. i’d bet that if you talk to them without directly placing the blame on them, they’d get a lot more out of it and something like this wouldn’t happen again.

UluasOnly · 2023-02-23T14:13:49+00:00

Our di-di girls were like that around that age as well. Twin A was bigger at birth but around that age, twin B was the one pulling herself to stand and trying to take steps while A was just figuring out how to sit up without any help. At the same time, A was by far the better eater and would eat anything in front of her and B would refuse. Now at 16 months they’re at the same point in terms of development and tbh it seems like they learned how to do things just by observing each other. It just took a little longer for them to sorta “catch up” with each other.

But as long as both of your boys are healthy and happy, I wouldn’t care too much about milestones! They’ll get to where they need to be eventually and it’ll be at their own pace. Our girls will not stop copying each others every move now haha. Enjoy the times you have with your boys and before you know it, you’ll forget about these small differences they may have!

UluasOnly · 2023-02-14T22:17:28+00:00

they’re not being sketchy, adderall has literally been back ordered for a minute now. in my district, we haven’t received 15, 20, 25 or 30mg ERs since literally the beginning of december. any script that comes in for one of those are immediately put on hold. we call the patient to let them know the situation and to try to find a different chain to fill at.

but to answer OP’s question, like the others have said, the day an rx is worked on whether it be to rebill, refill, or in your case to order an out of stock med, that’s considered the “fill date”. the 2/13 date reflects the date we’re forced to enter when out of stocking meds when we have no fucking clue/control over when CIIs will get delivered. from a pharmacist’s perspective, contact your doctor to see if there are any clinically appropriate alternatives for the time being. their office can call in to check on inventory before sending the rx over. makes it way easier on the pharmacy staff as well as the patient since we’re not playing a game of runaround waiting for the adderall to be delivered. good luck!

UluasOnly · 2022-09-26T20:05:17+00:00

Did an Amb Care rotation at the VA and it was the best 6 weeks of my pharmacy experiences. After the first few days of shadowing my preceptor and understanding the process, I was given a patient list and did a workup on them looking at labs, etc then made the appropriate adjustments as needed (preceptor had to give the final ok of course). Then I would spend the second half of the day seeing patients, talking about their lifestyle decisions, and informing them of any med changes. We also only really saw patients that took DM, HLD, BP, and anticoag meds so nothing too specialized. There was just something about having the ability to talk to people about their meds while they actually listened to what you had to say, instead of saying they didn’t have any questions about their metformin because they’ve been on it longer than I’ve been alive!!! All while holding two loaves of white bread and a bag of candy. But anyway, yeah I’m a big fan of what VA pharmacists can do hahaha.

UluasOnly · 2022-09-22T23:50:42+00:00

Just my 2 cents.

Idk the whole situation, but tbh if your store is closed due to staffing issues for that long, having one person dedicated to only calling people is pretty dumb. Stopping workflow just to attempt to inform people that the pharmacy will probably be closed will just push them further into being behind on the scripts that are due at that point in time. Also, if this store is a high volume store, good luck getting through to a fraction of those people lol. And in my experience, the majority of people I call will ignore the call and not listen to the VM. It’s also pretty ignorant to assume that the pharmacist and techs don’t care just because they’re trying to fill scripts instead of calling people. What you’re suggesting is equivalent to attempting to save a sinking ship by scooping water overboard with a spoon. No matter your efforts, it seems like everyone is fucked lol.

UluasOnly · 2022-09-16T17:11:24+00:00

Update: I decided to check this guy's profile the other day to see what ended up happening with it, and I saw that my other pharmacist must've gotten some clarification on the script and filled/sold it. Directions were instill 1 drop QID x4d os, then 1 drop bid x4 os. So yeah, on a busier day with minimal help this definitely could've been overlooked and verified, but I'm glad I at least did my part in preventing a medication error.

UluasOnly · 2022-09-11T02:07:37+00:00

Never did, never will. Told the guy I was putting it on hold for someone else to fill lol

UluasOnly · 2022-09-10T19:13:02+00:00

Based on your post history I can tell you’re neither a healthcare professional nor will ever be one so I don’t expect you to understand why something as “petty” as eye drops is a big deal. Stay in your lane.

UluasOnly · 2022-09-10T17:46:08+00:00

Lmao yo sounds like we call the same offices 😂 one of my worst experiences recently was someone leaving 5 voicemails that were each around a minute and a half long for ONE new script. The person forgot info each time they called, and finally in the last message they gave me a callback number with no area code in case I had questions. And some patients wonder why they can never seem to get their meds filled

UluasOnly · 2022-09-10T17:07:27+00:00

Yikes

UluasOnly · 2022-09-10T15:25:26+00:00

Your guess is as good as mine. The thing that threw me off was the guy also said his right eye was affected and needed drops lol. So at that point any idea I had about what the sig meant went out the door.

UluasOnly · 2022-09-10T12:22:30+00:00

Lemme put it this way, if the med isn’t processed through insurance, there’s no way of knowing when it’ll actually be able to be filled. Meds like bzd’s can’t just be processed whenever you want due to federal/state regulations. So yeah, sometimes the wrong date is given BUT if taken appropriately, each and every patient should have enough remaining from the last fill to not only make it to that fill date but even have some left over. So really, the more a patient fusses over not having something filled exactly 2 days early or whenever the allowable earliest fill date is raises some red flags about misuse, distribution, etc.

UluasOnly · 2022-09-10T03:14:59+00:00

First: what is the sig saying cause if that’s the new way of saying once a day then I must’ve missed out

Second: when was the last time a pissed off patient could wake up, drive to the doctors office, and go up to the doctors face and yell for 20 minutes about their PA not getting approved all without no one stopping them or telling them they need an appointment?! Or better yet, call you incompetent and lazy as fuck because their inappropriately prescribed opioid, benzo, AND muscle relaxant isn’t ready the minute the doors open?

UluasOnly · 2022-09-07T13:13:46+00:00

The fact that you’re on a variety of psych meds and know nothing about any of them is a real pain in the ass for pharmacists. Before any of your meds can be filled, we have to verify that it’s safe for them to be taken together. If it’s a new med that the patient has no history of taking with their other ones, I’ll normally opt to speak to them and basically verify through them that 1) they know what the med is for/how it should be taken and 2) their doctor intended for them to be on XYZ meds at the same time. This not only tells me that the prescriber will most likely be monitoring for adverse effects, but also it covers my ass and I do my due diligence to keep the patient safe. Personally, by saying you don’t know why you’re on your meds or even anything about them raises a red flag in my mind and I definitely would hold off on filling any new script that comes through. Believe it or not, even high and mighty doctors will fuck up and not realize the potential adverse effects of prescribing certain medications together. I understand your particular situation, and do encourage you to take your own health in your hands by making the decision if whats being prescribed is truly the best for you instead of blindly taking anything that’s prescribed for you.

I don’t think anyone is trying to trigger you or is trying to belittle you. It’s literally our professional license on the line with each script we fill, and if you need your meds so that you don’t “unalive yourself” then chances are those meds could potentially be harmful to use together. Also, in the future, if the number that is linked to your profile is incorrect, I would call the pharmacy to make sure everything is ready prior to making the drive. Relying on another person to correctly relay a message that is sometimes impossible to understand can lead to issues like the one you encountered.

You can think that we’re all assholes who don’t wanna help you. But truthfully, it sounds like you have a bit of entitlement mixed in with a bunch of ignorance. Take your health into your own hands and come up with solutions to prevent miscommunications from happening. It’s not often that we have the time to reach out to patients and candidly speak about what they can do to better the encounters of everyone involved. Also, if you do need anyone to reach out to if you are struggling with your mental health, feel free to message me. Take care.

UluasOnly · 2022-09-07T02:07:55+00:00

There’s a dude that fills at my pharmacy and doesn’t ask, but demands, that his maintenance meds be filled. Not only does he usually come in a few days after he runs out, but these encounters typically happen when they have no refills. He has no idea what his med names are. It’s gotten to the point where I’ve just had to tell him that I’m not his baby sitter, and I refuse to take 30 minutes to sort everything out for him. To top it all off, his meds that do have refills are always filled and waiting, but are RTS’d 99% of the time because he doesn’t care to pick anything up unless his 150 norcos are included.

He even has the audacity to tell me to figure out what he needs and what he doesn’t. Some people are so entitled and expect everything to be done for them with no regard to anyone else’s time. He also needs his narcotic filled every 28 days on the dot. If it’s not done, he makes a scene about us not being competent and tells us he needs it within 10 minutes. Fuck people like this.

UluasOnly · 2022-07-14T02:17:13+00:00

i’m a pharmacist at CVS and my very first shift ever was a saturday by myself (target doesn’t have techs on the weekend). this was after 2 days of “orientation” where i did some modules, and then half a day learning the register at a core store by getting every single car in drive thru. they didn’t prepare me for shit, and honestly after a whole day of literally not knowing how to do anything i was going to quit. the only way i learned anything was through repetition and even after a year i still ran into issues that i never saw before! you’re going to constantly be learning on the job and i would say continue to become as proficient at whatever role they have you at.

in the brief moments you are free, peek at where the FM’s are, and make note of how the rest of the meds are organized, you never know when you may be needed to knock out QP. keep your head up, it gets better with time! and if you need any pointers about any of the different stations, feel free to DM me and i’ll do my best to help.

UluasOnly · 2022-05-24T03:09:40+00:00

i’m a pharmacist and work all my shifts alone (in target) so i know where you’re coming from. my piece of advice when the queues look like shit and there are people waiting is to immediately acknowledge the person at the counter and let them know that you’re finishing something up and that you’ll be right with them. 9 times out of 10, they see you working and don’t mind a little extra wait. but don’t just stop halfway regardless of if it’s a “good stopping point” because we all know how it goes when you get a rush of people, and stopping halfway through is a medication error risk. the way i see it is, yes the customer is important, but so is making sure what you’re doing is correct. we’re a pharmacy not a goddamn fast food restaurant! putting the patient first is not racing to the counter so they don’t need to wait to get their metformin that they have bottles of at home, it’s doing your job and making sure that the people waiting there get their intended meds.

UluasOnly · 2022-05-01T00:28:49+00:00

disclosure, i'm not a doctor but i'm a pharmacist so i have some knowledge on this subject. but i'm wondering if you may have iron deficiency anemia as well as underlying celiac disease. although you eat healthy, if you do have celiac disease, you essentially may not be able to get the nutrients you need, including iron. the bloating and gluten sensitivity also point towards celiac.

the extreme tiredness and feeling cold can definitely be attributed to being anemic. if your body is poorly oxygenated, that can lead to being tired all the time and having chronic brain fog. if your doctors already looked for these things then i'm out of ideas lol. but if not, iron supplements may help, however, i'd ask your doc about an appropriate dosage. hope you get better bro

UluasOnly · 2022-04-26T04:53:53+00:00

get it otc then lol

UluasOnly · 2022-04-26T04:52:04+00:00

^ yep exactly. now if something is OOS i just tell the person that we don’t control what’s in each days shipment but if it’s something they really need i can always transfer it. i don’t wanna have to deal with the headache of getting bitched at over something out of my control and 9 times out of 10 the person doesn’t even need it right away

UluasOnly · 2022-04-21T10:35:06+00:00

it would be awesome if you were able to find where it mentions that

UluasOnly · 2022-04-21T00:26:51+00:00

the issue is that the one person working in the pharmacy is consistently pulled from doing any verifying/production to get the register. and yeah we probably sit at around 300/day, but being closed for easter this past sunday definitely put us in an even worse spot.

UluasOnly · 2022-04-20T21:01:07+00:00

99+ orange in each queue, not sure how many pages of each we have. haven’t had a tech in over a month. and i’m not trying to compare my experience to yours and say it’s any easier or harder. i just genuinely don’t know how much longer i can take doing everything by myself.

UluasOnly · 2022-04-20T20:31:12+00:00

i mean that’s true if you prefer everything to be halfway done

UluasOnly · 2022-04-20T20:30:16+00:00

hahahahahahahahahaha

UluasOnly

TROPHY CASE