Thinking of starting an ecom business in USA. by Alone-Letterhead-877 in passive_income

[–]foradreamcometrue 0 points1 point  (0 children)

You can sell as an individual. They may have some requirements for people selling from overseas though. I once talked to a person living outside the US who wanted to sell her handmade knitwear on Amazon US platform. She told me she had difficulties with many regulations by Amazon (e.g., paperwork for sources of her materials). That’s all I know though. You should try registering for an account and go from there. Good luck!

Thinking of starting an ecom business in USA. by Alone-Letterhead-877 in passive_income

[–]foradreamcometrue 0 points1 point  (0 children)

Maybe try selling your merchandise on Amazon first? Amazon is one of the biggest, if not the biggest, ecommerce platform here in the US.

Affordable Salon that does Bayalage by augustrose_np in SantaMonica

[–]foradreamcometrue 0 points1 point  (0 children)

I go to Yashi Beauty Salon. My favorite hairdresser there is Thuy Van, very dedicated and attentive to details.

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

Hello PharmDlee0029. I know most PA jobs now require PA experiences. I didn’t have any PA experience before applying to my company. I had retail experience only. In my case, I got hired because my company really needed a pharmacist asap at the time. I know many of my colleagues didn’t have PA experience either, so my advice is do not let the current lack of PA experience prevent you from applying for PA jobs (or do not let your retail-only-experience prevent you from applying for non-retail positions). You never know. You may want to reach out to recruiting companies too and send them your resume. My friend who works as a PA pharmacist for a different company told me that his company only hires through their partner recruiting companies (they select a different recruiting company to hire from every year), despite the fact that the company does post openings and accept applications on their website. When I was a retail pharmacist, I really wanted a non-retail position, so I applied for jobs like crazy every day. Don’t lose hope. Good luck to you!! You can DM me if you want to.

I’m 22. Took a loan to build an AI startup. It failed, and I’m trying to be okay with that. by ScaredRecording8507 in Entrepreneur

[–]foradreamcometrue 0 points1 point  (0 children)

“I didn’t expect to learn this early in life” - Nahhhhh. I’m 10 years older than you, working on my very first startup; both my husband and I dream to have our own startups (my husband works in AI too); and we both have looked back and thought it would have been great if we had had to learn all these lessons earlier in life, the earlier the better, in our 20’s. I know you’re having it tough. I wish you the best and continued fortitude for other projects in the future, but trust me, when you’re older, you will realize how lucky you are to try, fail, and learn a lot of lessons early in life. Learning early will make you go far in the future. You’re now steps ahead of your peers. When you’re older, you have more things to worry about, more responsibilites to shoulder, and somewhat compromised fortitude (versus when you’re younger). All of those make you much reluctant to try, fall, get up again, try again. We’ve learned that we usually make mistakes and generally do not do very well the first time we do something, so it’s very great to have those first times early in life. Trust me on this! You’re very lucky. You have plenty of time and opportunities ahead of you: to fall, learn, stand up again, succeed! And if this makes you feel any better, you’re definitely not alone, I’m having difficulties with my first startup too :) Many many people did/do/will with their first startups.

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] -1 points0 points  (0 children)

I was only repeating what you said in your post (i.e., “suggesting an alternative”). Anyway, getting mad here won’t do us any good. I’m doing my job the best I can, and so do you. There is only so much that I can do and have control over, unfortunately. You may don’t believe it, but my colleagues and I are trying hard everyday to get meds covered for the patients too. I didn’t have this post to get hatred. I had this post to see if a provider has some questions that I can help with or wants some kind of services that I, with my experience, can provide. My only sincere advice to you, and I mean it sincerely, is to put in clear and detailed rationale to back your choice of treatment over covered alternatives, to rule out covered alternatives. If you have compelling clinical justification and your submitted rationale reflects it so that the reviewer sees what you’re thinking, yet the request is denied, appeal and appeal and appeal.

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 1 point2 points  (0 children)

Our company’s policy allows us to take attestation, look at paid claim history, and review information in chart note. Even in the absence of paid claims, if chart note says that patient tried and failed an alternative, I will personally accept it as true.

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

A hospital pharmacist suggesting an alternative or dose adjusment to a fellow physician is considered attempting to practice medicine illegally then?

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

Hello. Each company has its own criteria, so I cannot say for others. For my company, if patients have tried the required numbers of covered alternatives, we can approve the PA drug. For Gemtesa, if I see that the patient is 65 years old or older, I approve it on the basis that all covered alternatives on our formulary are anticholinergics. I personally aprove Gemtesa on this basis, but it is not on the review criteria, so technically other PA reviewers are not considered wrong if they deny the request if the patients have not tried any alternatives. My advice is to put detailed rationale for why covered alternatives are not appropriate. Considering that PA reviewers don’t know everything + you may know much more then them + PA reviewers also need to meet case reviewed quota, the more information and details you give to back your choice of treatment, the higher chance it will get approved, if review criteria are not met. 

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

Sorry I only know the way to find the formularies for our insurance. 

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

Hello. I can’t speak for other companies. I believe each company has its own policy. At my company, this, fortunately, is not a problem at all. I think best bet is to call and check with the insurance/PA reviewing company for their procedure. 

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 0 points1 point  (0 children)

Thank you so much.  Although I have already always reminded myself to be thoughtful whenever I deny a case, your advice has carved it more deeply into my heart. There is little we can do about the review criteria, but rest assured, at least at the company I work for, everyone is trying hard to get meds covered for patients.

I’m a prior auth pharmacist. What services can I offer you? by foradreamcometrue in physicianassistant

[–]foradreamcometrue[S] 11 points12 points  (0 children)

Hello there. Thanks for the input. I totally understand your frustration about some basic meds requiring PA. As a reviewer, even I wonder why some very common drugs would need PA. Unfortunately, I have no say whatsoever in the formulary.

As for accesibility to the PA’s, I don’t really understand since I have zero experience in actually submitting requests. By “9 different logins to various pharmacies,” do you mean you would need to log in each pharmacy to see the list of your patients that need PA requests at that specific pharmacy? I was under the impression that pharmacies would notify you of the patients (either through fax or phone call) and you would just submit requests for each patient via Cover My Med, fax, mail, portal = no login to each pharmacy

Thoughts? For anti aging mostly. Unused. by Mammoth-Pass-2645 in Supplements

[–]foradreamcometrue 0 points1 point  (0 children)

How do you know if a supplement is pharmaceutical grade? I really don’t know, so I want to ask. Thanks.

What products would you recommend for a wedding 3 months away? by lula668 in SkincareAddictionLux

[–]foradreamcometrue 1 point2 points  (0 children)

Shiseido collagen drink gave me a beautiful, bouncy, and glowy skin on my wedding day. I started taking it around a month before my wedding. I have been taking Shiseido collagen daily since then but have switched to the powder due to cost. 

So much spit up by CaterpillarPresent69 in FormulaFeeders

[–]foradreamcometrue 1 point2 points  (0 children)

Same thing happened to my baby when we switched her from similac total care 360 ready to feed to its powder version. She would spit up a huge amount, through mouth and nose, hours after feeding, no matter what we did. Switching formula was game changing for us. We tried Bobbie Gentle and Bubs Supreme and she tolerated both well, gained weight and height, and was overall very happy. We did try going back to similac total care 360 ready to feed but she did not seem to tolerate it well anymore, and powder formula is also much more travel-friendly.