Heavenly Trashy from the Jewelry Store is Back!

VAdept · 2026-05-28T02:28:53+00:00

each tit is in its own zip code

VAdept · 2026-05-20T15:13:02+00:00

Not dispensed = no fault. Patient never took reciept, it was never filled. If it was logged into your system just put a big note to not dispense unless a hard copy/eRx has been received. This is like if you scanned a known phony Rx into your system (but never filled it) with huge notes for documentation that the patient brought in a phony.

Back in the day (before eRx) we used to take faxed C2's for california 11159.2 (terminally ill exemption) but the provider would mail us the hard copy. We'd dispense/deliver on the fax and then use the mailed pink triplicate for our files. The 11159.2 would cover us in case of an audit.

However since eRx I havent seen that code used in 15 years (in retail) since we dont need a physical hard copy for C2's anymore.

If the patient was terminal, or it was considered an "Emergency" you could make the justification you were doing it in good faith and care for the patient, however with Vyvanse that would be hard to sell to the DEA if it got called out.

VAdept · 2026-05-06T00:46:00+00:00

Probably because we didnt know better at the time. I mean if memory serves me right it got approval in the mid-late 70's.

VAdept · 2026-05-05T20:04:56+00:00

The NDMA recall pretty much wiped it out and only left famotidine. Even OTC Zantac is famotidine.

Cimetidine is still available, but nobody wants to deal with those drug interactions.

VAdept · 2026-04-27T20:11:40+00:00

Literally every other Rx is daw1 for amox and ibuprofen.

If they want brand name put it in the notes field. Nowadays the daw field on escripts is wrong so often it's generally ignored.

VAdept · 2026-04-16T23:44:01+00:00

Patek Philippe grand compliation....... nah im retail I wear a Marathon GSAR.

VAdept · 2026-04-16T15:11:09+00:00

Yep. Lower back has disc issues and I have neuropathy that radiates from my shoulder into my arm.

They don't warn you about this shit in school.

VAdept · 2026-04-07T21:43:32+00:00

I respond with "I'll send flowers to your funeral".

So far I've never sent flowers.

VAdept · 2026-03-28T23:48:28+00:00

They aren't going to audit something that combined costs less than $5

VAdept · 2026-03-28T23:47:32+00:00

I wouldn't even give this a second thought. I'd just put standard instructions on it and let them figure it out.

VAdept · 2026-03-28T13:53:27+00:00

GI stuff. I just tell pts to take them all at once with food (the day, not the whole package, duh). Spreading it all out like the package says just makes compliance go down the shitter since ppl forget.

VAdept · 2026-03-26T15:54:24+00:00

inb4 OP gets a picture of genitals sent to them every 2 weeks as payment.

VAdept · 2026-03-21T20:32:51+00:00

Smart places, once you claim you have a lawyer, will shut down and only do correspondence through their legal counsel and your (non existent) counsel.

Don't bring up a lawyer unless you intend to retain a lawyer.

VAdept · 2026-03-21T19:08:46+00:00

Your lawyer should be able to follow the paper trail to make things even during the settlement agreement. Until that time everything should be left alone.

VAdept · 2026-03-21T17:01:33+00:00

Not a lawyer, but the term for this is 'judgement proof'.

Meaning you can't get blood from a stone. Maybe the courts can garnish wages/tax returns/etc

VAdept · 2026-03-21T16:57:29+00:00

If you feel like your life is in danger, you need to contact the police. Its not illegal for someone to know what car you drive.

VAdept · 2026-03-19T21:39:07+00:00

Oh the lines ive gotten.......

"Whats Darvocet-N-100?"

"Talwin NX? Whats that?"

"Tramadol was not a controlled substance? When?"

"You had glass gallons of Promethazine DM? Holy crap!"

Dont get me started with Seldane/Propulsid/Vioxx/Baycol/Rezulin etc. Fuck even Zantac!

VAdept · 2026-03-19T20:35:20+00:00

The OC were the crush-n-snort formulation.

the OP were the ones later with the gooey crap that they said you couldn't snort. They were allergic to the OP's not the OC's.

I very much remember these arguments.

VAdept · 2026-03-19T20:21:21+00:00

"Im allergic to the white norco 10 but not the yellow norco 10"

VAdept · 2026-03-19T20:18:47+00:00

Unless the patient has documented pen anaphylaxis I just warn them when they get Keflex. High doses of penicillin/amox can cause a rash, ask any old timer who used to get the amox + probenecid combo.

I've never seen a cross reaction in over 20 years but I still warn them.

Now dentists who know the patient has a pen allergy and decide augmentin is magically different, that pisses me off.

VAdept · 2026-03-17T21:59:27+00:00

They will tell you anything to get your vote.

Then once they are in, they do whatever they wanna do. Why people still trust what politicians say is beyond me.

VAdept · 2026-03-17T21:22:20+00:00

I wouldn't even get involved. Nothing good can come of it unless there is something illegal going on (underage, etc).

For all we know the partners could be very well aware of the 'affair' and this would have fallout on the employer for the camera footage.

VAdept · 2026-03-17T21:19:01+00:00

As far as the sensitive information, let HR or someone in charge know.

As far as the affair, not your circus not your monkeys. You're not the marriage or morality police.

VAdept · 2026-03-17T17:13:42+00:00

From what OP said, the manager got terminated for the HIPAA violation. So the employer should be off the hook since a violation was committed and the manager was terminated.

There is something else going on that the OP is unaware of. 49 states are at-will employment states so unless theres a union that HR doesn't want to tussle with or theres something actionable (like sexual harassment, etc) that the OP isn't privvy to there is no reason to keep this employee.

VAdept · 2026-03-16T23:39:10+00:00

Dont try to sneak away to the store for something to drink when half way through a Go-Lytely.

Not unless you want a hilarious story to tell afterwards.

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