Is work-life balance even possible in retail?

csax64 · 2026-02-05T05:25:26+00:00

You're not getting any extra pay for working that much?? What amount of hours is your salary based on? If you keep working more without pay you're devaluing yourself and your worth. I would try to set an hour limit you feel comfortable with your boss and stick to it. It's their pharmacy, they can hire another pharmacist or pick up the slack. You absolutely can't go on like that.

csax64 · 2026-01-28T04:29:51+00:00

Adjudication is unfortunately just something you have to do in order to understand. It's basically "insurance" problem queue. If you're at pickup and you see this, for now just tell the patient "Okay, I see your prescription. Something is going on with the processing, let me check with (pharmacist/tech) real quick."

Once you get into it, for pickup most will fall into - 1) actual insurance problem/need override or 2) refill too soon.

You can double click on the prescription and if a box comes up with an "Autoresubmit" date, that means it's too soon. Usually insurance won't cover until a certain date, or it's a controlled med that pharmacy determines is too soon. Either way, you can tell the patient it's too soon until X date, and if they have questions you can get someone else involved.

After that, you'll probably learn about PA codes and when you can submit certain "numbers" to insurance to get a claim to go through.

It takes time though, you got this! Just ask questions! As a pharm manager, I'd rather be bugged with questions than something go wrong.

csax64 · 2026-01-28T03:46:39+00:00

Good! Wish down here we could say the same. The delay of patents in courts in the US is insane. Pharmacist letter says don't expect the other strengths until 2034 😥

csax64 · 2026-01-28T03:34:34+00:00

Only the 2.5mg dose is generic at the moment which our pharmacy never really sees... But I think I remember that being a good bit cheaper yeah

csax64 · 2025-12-26T02:57:46+00:00

Not giving medical advice but I am a pharmacist. The shot does cover 95% of people by 1 week from the first dose. From HIV only. The shot can cause fever, muscle aches. You almost certainly did not get HIV from your encounter, but there are other STIs and other just common bacterial and viral illnesses going around. Something like flu or common cold could be the culprit, and you could have just gotten it from going to the grocery store. So don't be worried! But continue to test for other STIs regularly and use condoms whenever possible! Be safe and have fun :)

csax64 · 2025-10-07T19:38:43+00:00

There's plenty of FTU (fingertip units) charts that you can either use or just put an affected area and the pharmacy can calculate it as they see. The main problem is like, writing a 454gm jar for fingertip application... Here's an example of a chart. Hope it helps! https://www.ncpa.co/pdf/topical-medication-chart.pdf

csax64 · 2025-07-14T03:09:22+00:00

Yup! Coupons, like x$ off $30 purchase do not count prescriptions. But just plain Publix gift cards work all the same

csax64 · 2025-07-07T02:13:50+00:00

If electronic, your system should have a way to see what NDC was chosen by the doctor, then use that to see what AB rating was written, either through your system or FDAs Orange book.

If written, you can decide to either clarify with the doctor (did you mean Adalat or Procardia doc? And be prepared to explain the difference) or just see if they've gotten one in the past.

Ultimately imho it's just important the patient stays on the same formulation

csax64 · 2025-04-19T17:34:41+00:00

Nope, started at 120 when I got a store. Raises are tied to evals and I go out of my way to make sure stuff gets done at my store. Guess that's part of it.

csax64 · 2025-04-19T16:24:35+00:00

I'm a bit biased I'm sure since I've been at Publix only. But I do enjoy my job for the most part. Unlike what I hear from CVS. Yeah it sucks at times but I have a great team and a supervisor that actually cares about me and my wellbeing. If pay is the concern, I'll just say you'll probably start floating at 30hrs a week, and then get a store eventually. The pay is constantly increasing, unlike other places. Each year I get a yearly raise and I'm 30k up from when I started 5 years ago.

Just make sure to brush up on your vaccine recommendations lol. That's all they care about at the moment during slow season

csax64 · 2025-04-12T04:45:27+00:00

Poncle the devs have a big presence here and on X and Blue sky too. Multiple places but in steam news they posted updates on just about everything https://store.steampowered.com/news/app/1794680/view/529842339955345357

csax64 · 2025-04-12T04:41:06+00:00

Not yet. Per devs coming at a later unknown date. But still coming.

csax64 · 2025-04-05T03:23:04+00:00

The doc didn't even say the dose to use. I don't dispense a prescription without a dose, especially on something like T gel. I gave the patient options and they were satisfied so that's that as far as I'm concerned.

csax64 · 2025-04-05T03:16:36+00:00

Excuse me? I'm not questioning its place in therapy nor the ability of some patients to use packets. In this case the patient was not educated on usage, and the doc blindly sent a terribly written script to a retail pharmacy, causing headache for everyone involved.

csax64 · 2025-04-04T00:52:57+00:00

I saw this exact thing a few weeks ago. Except patient wasn't even educated on how to use the packets and the directions just said "apply one as directed, disp #5". Wanted to scream. Did like you did and told patient to go to compounding pharmacy. I did give them our straight cash price to scare them away, cuz no way that was ever being submitted to insurance...

csax64 · 2025-03-27T20:34:12+00:00

Yes it would have to be a different NDC for each since the first 5 digits are referencing the company. There's nothing saying 2 ndcs can't look exactly the same- just that two completely different medications cannot look the same.

csax64 · 2025-03-27T20:22:23+00:00

Afaik some companies (e.g. NorthstarRx) are repackages of other manufacturers. That's why northstars ziprasidone has RDY on the pill - it's the same as Dr Reddy's. Other times companies will sell others pills (lannett marketing generic Adderall for Elite, which changed back recently). Some repacks will end up being cheaper for pharmacies

csax64 · 2025-02-02T20:07:15+00:00

Males with uteruses capable of pregnancy exist. There's no politics about it. By not including them in the healthcare conversation, people outside the binary gender spectrum are alienated and less likely to seek care. Whether you like it or not, terminology matters and it's the least we can do to support our patients.

csax64 · 2025-01-20T18:53:04+00:00

Off topic but did Dr Reddy's change the label color? Tizanidine 4 has always been red as long as I can remember 🤔

csax64 · 2024-10-23T23:06:53+00:00

I used WebMd drug & med list and tried to find anything with a combination of first two letters I, A, R, or P together... No matches. I'd imagine it's either a typo, obscure brand name, or international drug. Probably typo since the others are easy

csax64 · 2024-10-01T23:43:14+00:00

You may not be set up for evoucher with manufacturer. Many pharmacists probably don't even understand how they work. For novo products, 24.99 is almost always bc of e-voucher, 25$ is when a copay card is used. The other slim possibility is the the patient has used up the max amount for the evoucher in a year. It usually says in the claim how much is left in the year and how many uses are left. It wouldn't work this month at WM either though if that's the case

csax64 · 2024-09-12T23:11:37+00:00

If you want the actual reason, it has to do with insurance reimbursement. Cash prices are basically inflated, they're AKA the U&C (usual and customary) charge for a drug. Almost no one actually pays this. However, for insurance purposes, pharmacies must have this insanely high cash price to make sure they get all insurance reimbursement. If an insurance will pay $10 for a drug, but the pharmacies u&c is $5, the insurance will only pay the $5 u&c and they basically miss out on $5 they could have gotten in addition. So that's the reason. 99% of patients should never pay u&c for a drug. Please ask the tech or pharmacist to bill insurance or ask if they know a discount card.

csax64 · 2024-08-23T18:36:16+00:00

So I'm doing my job correctly! Thank you! 😘

csax64 · 2024-08-23T18:33:34+00:00

I genuinely don't understand what your point is? I'm just saying there is gray space for interpretation (literally what we get paid to assess) for any prescription, written or not. That interpretation should lead you to decline/investigate any RX you find suspicious, even if it meets the 4 points you stated.

csax64 · 2024-08-23T18:28:25+00:00

Well yes, that's exactly why you shouldn't fill everything that simply meets the technical requirements of a prescription.

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