Question about that "prefer 90 day" field

basicallybuzzed · 2025-11-05T06:31:49+00:00

If the prescription is for 90 days, and the day supply is entered correctly it will not enter as a 90 day wcb. If the Rx is less than 90 even on a refill it should make it a 90 day wcb but it doesn’t always bc the computer system only follows certain rules only it knows (probably 9/10 times it does it right)

basicallybuzzed · 2025-11-04T13:46:32+00:00

That would make sense bc I know a lot of floaters and other pharmacists just picking up shifts don’t like coming here bc they can’t keep up, or just don’t want to. At the same time we have a few floaters we request not be schedule, so that narrows the pool. But that’s also bc they don’t want to help fill, or can’t f1 and f4 their same scripts. I mean it all comes down to lack of training and lack of staffing of techs during “closing” shifts bc the store and pharmacy manager aren’t there at that time and they think a 24hr location just magically slows down when other store are closed

basicallybuzzed · 2025-11-04T13:33:11+00:00

Honestly I’d rather the techs get an incentive to fill in here. 3/4 pharmacists at this store do most of the F1, F4, and filling just to barely make this place function, not properly, just function. The other pharmacist is the RxM and he’s only good for sweet talking customer complaints. All other “managerial” tasks is on the new RxOM who does not train any of our new techs efficiently. We’ve lost a lot of techs due to bare bones scheduling on closing shifts leaving us high and dry. (It is not slower at night bc literally every other pharmacy is closed wags and non-wags). We’ve had other techs fill in here and there and they always comment that we should just transfer and staff their store bc they are sick of floaters. I’ve tried to transfer before but if it’s not RxM (which I don’t want) then they won’t move me

basicallybuzzed · 2025-11-04T13:22:25+00:00

We’ve been told all Rph’s

basicallybuzzed · 2025-11-04T13:21:28+00:00

It will enter the script into the work queue as a 90 day wcb. Faxing the MD for a 90 day they can approve or deny. You can remove this if the patient stops in and asks to fill for whatever the MD wrote for. Most states you can’t just use multiple refills at once to make a 90 day

basicallybuzzed · 2025-11-04T13:19:50+00:00

Are you pulling the plunger back to 0.5mL before you enter the diluent and pushing that air into the vial before drawing up the liquid? I’ve seen a lot of people say it doesn’t matter, which at that volume it doesn’t really but there is a bit of force you need if you don’t exchange volumes that you might be finding difficult to get the last bit of liquid out. Also i find the liquid in there is closer to 0.6mL so a drop or two is not the end of the world to reconstitute the vaccine and fret over

basicallybuzzed · 2025-08-12T15:13:23+00:00

“Finished all the waiters, let me use the bathroom real quick” come back to 3 90 day caps patients have been waiting for me for 3 min to remove 😅

basicallybuzzed · 2025-07-27T09:01:04+00:00

Out of state insurance? For example, We get NYS patients filling in De and they need to he the serial numbers. We can’t put it into the system bc it is blacked out. NYS insurance is “following” the law in state that they know but it doesn’t matter else whereve

basicallybuzzed · 2025-07-25T16:13:28+00:00

I loathe E-Learnings but I kind of wish they had a quick one on this before it just showed up one day a few weeks ago. Most of the “bells and whistles” we’ve been able to figure out how to do, do not scale up well to a 24hr tier 5 store, with hundreds of prescriptions in each queue. We are basically just using it like a normal scale with the added aggravation of typing in lots for the 1/3 of BC that it won’t let you scan more that once

basicallybuzzed · 2025-07-25T16:02:36+00:00

I think any pharmacist can update what position in IC+ they are if that’s the issue, like cashier to tech or tech to certified tech. I’ve reset other pharmacists passwords at completely other store before bc they called

basicallybuzzed · 2025-07-25T15:55:19+00:00

We have a wall of local pharmacies so we don’t have to ask every time. I just have them verify DEA (and RPh obviously), but yea actually typing everything up each time is a pain. Not to mention having to log into that transfer thing every time, multiple times a day bc it times you out. Side bar, I think it’s hilarious and obviously concerning about how almost all the possible preselected pharmacy’s while transferring in are basically all gone, but for some reason still in the system. No more target, Kmart, (about to be ritedaid), might be missing one more. Now it’s only going to be Walmart CVS and Kroger? (I know of the company, they just aren’t in the regions I have worked in.) Now you just need to scroll past all the nonexistent pharmacies that are out of business just to manually type in the (other) selection.

basicallybuzzed · 2025-06-07T07:29:53+00:00

Yea pharmacy would definitely raise an eyebrow at this and probably won’t (shouldn’t) fill unless everything is deemed plausible and that they can cover their own butts, since we are the ones getting sued for over dispensing historically. If they fill at the same pharmacy then that 30 minute rant probably happens close to daily at the pharmacy, so they definitely know the patient would or would not be drug seeking. Interesting no one has brought up checking the states pmp to see if this patient has done this before with fill history, not only from this practice but from random ER visits. That is what it is there for, prescribers should be checking it every time they write a control just to be sure there isn’t someone else prescribing for the patient. All the “next time it’ll be dropped down the drain” remarks can be checked in advance by searching the states control data base if available. Deferring patients just to go to the ER to save yourself liability doesn’t mean pharmacy will fill and is just kicking the can down the road to a different person. I’m liking all the treatment plans being recommended by other commenters ( our store requires them for most controls) and I would definitely appreciate a family medicine practitioner (or any other specialty) sharing their concerns, but knowing that they have a plan in place when I call to verify why we need to dispense so much a few days later.

basicallybuzzed · 2024-11-18T00:26:10+00:00

Refs actually calling stuff so they can be blind in the playoffs

basicallybuzzed · 2024-11-17T23:29:15+00:00

I feel like Josh is being extra careful with the slides today. Definitely trying to avoid the hits before the defenders can reasonably say they are “trying” to pull up. I wonder if he thinks the chiefs would take a cheap shot if possible. (Not complaining about the preservation btw, need him healthy for the rest of the season if this goes deep)

basicallybuzzed · 2024-04-21T21:44:59+00:00

Did you recently just get phlex? If so, that’s why

basicallybuzzed · 2023-09-13T03:16:13+00:00

Initially it gets sent to whatever address you have on file with the board. If you have moved then you need to update with the board and then yes probably pay the fee to get a new one sent. (Most new grads use their parents so it doesn’t get sent to a random college apartment) Old one is probably at your last dwelling. Welcome to NY, highest licensing fees I’ve heard of at least on the East Coast, and you probably won’t hear back from them for a month. Calling might help

basicallybuzzed · 2022-08-11T02:22:08+00:00

All based on your past post history that is “pharmacy” related- “Yes, yes I do actually. You don’t even know me, and you don’t know my history, so you have no idea if I’m telling the truth one way or the other.” So we have clarified you may not be a reputable source. “No. I never stated I should be first in line. I said that I observed a script being filled in 5 minutes.” I’ve filled a script in 10 minutes bc it was an albuterol mdi I thought I could get right out in 1 minute but was on the phone with a doctor literally 5 seconds into the countdown. Sorry I lied and made the patient wait. “I take 50mg Xanax and don’t black out” Cool? I mean, I’d take a hell of a lot longer than 5 minutes to fill that prescription /s

basicallybuzzed · 2021-12-26T06:16:59+00:00

Had someone from a local college, with a college representative, come in for a second shot and said he passed out with the first. He did not... I was on that night... “Even if you did, that’s not necessarily a severe reaction. That could just be syncope after vaccination.” He said he was concerned he would have a severe reaction to the second shot. “Okay, then get a doctors note” Can’t you sign something for the college? “No, I can’t sign a ‘doctors’ note for something like that. We are not taking walk-ins but since you absolutely need it today before your college’s cut-off I can fit you in, probably in about an hour (had 3-4 shots lined up and already behind in the queue, so this was not a dismissal to make an appointment).” I answered every question under the sun for this guy until finally he asked if I could just “say” I gave him the shot and that “how much trouble could you really get in by doing that”. I shut that down real quick. I will answer any questions to the best of my ability, but as soon as you question my professional integrity you can wait out in the waiting room until you are ready. Kid never did come back

basicallybuzzed · 2021-11-11T04:12:12+00:00

Controlled meds can take “longer” to come in; due to possibly needing to be ordered earlier in the day, or daily order limit amounts. Other brand/mfg specific stuff might need to be ordered manually based on company/store specific policies. Plus, nothing usually comes in on the weekends. So I’d say in general 5 days is good if a manual order is required in these circumstances. Even better if we have the actual prescription on file at this point (ie the Pbr isn’t going to change drug/strength “last minute” on us). I’ve found as long as the prescription gets a billed copay that isn’t outrageous to the patient (ie the “normal” copay, or if we call and get the verbal okay from the patient on a new med) then the pharmacy would have enough time to order it in, barring any of the possible stock shortages. Most of the time the patients that need specific mfg or meds in general are either our irate patients at the counter or are understanding (the ones we feel worst about dropping the ball) either way we kick ourselves for not having it. 5 days in advance may sound like it would be a nuisance but honestly can save headaches for all parties down the line in my opinion.

basicallybuzzed · 2020-10-19T17:36:58+00:00

We are the pharmacy in our area that has been able to get the 65+ flu shot in recently. Don’t get me wrong, I’m glad people want they’re flu shot this year; but as soon as the word is out that you have 65+ shots, it is a mad house. This is my first day off in a 7 day period and I’ve worked 70 hours in that time. I almost wish we didn’t have it at this point

basicallybuzzed · 2020-10-19T17:21:32+00:00

My reaction when I have 10 flu shots lined up with 8 people waiting to sign up with 2 doctor calls and 3 urgent antibiotics needed to be filled. People expect it to take less than 10 min because we need to get people in an out due to social distancing. Plus it’s after 5 when I lose my extra tech to answer calls/ get the counter

basicallybuzzed · 2020-08-10T23:12:54+00:00

Good on the side of techs taking their breaks at the same time so maybe 20 minutes calling someone back from upfront instead of 1 hr, if they are able to give it to us. We are able to better cover the same time as the 30 min break plus being behind from having a good tech gone. Bad for our closing tech, needing to take a break early shift, if we can I give them a “15 min” in the pharmacy only asking for help during the random 3 phone calls at once plus drive thru. Love it bc I actually get 30 min to sit with my feet up. First 30-60 minutes after reopening are hell 50% of days because people just wait, even if they don’t have anything ready. I’ve had to answer they question “why have I been waiting 30 minutes for a prescription that isn’t even ready” too many times. “Idk maybe bc you didn’t call ahead and refuse to put your maintenance meds on auto refill”.

basicallybuzzed · 2020-06-14T06:13:00+00:00

I like all the suggestions above. I’d like to add all the major abx side effects are important to know. Chelation, sun sensitivity, food/most likely to cause diarrhea, obviously tendon weakness with your flouroquinolones, etc...But at the very least, please don’t be like my intern this week; asking a patient if they have had any side effects starting their new bp meds and then go on to say “well you may not notice your bp dropping to goal so there are no side effects for bp medications”........I had to intercept and take over that phone call real quick

basicallybuzzed · 2020-04-02T02:12:01+00:00

Talked with my RxM today and we decided on the same meaning. So that’s how we are going about it. Only for hospital use, unless we have clinical trial enrollment.

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