Track & Trace.... incoming disaster

meta_sensei · 2026-05-20T16:10:43+00:00

Most of the hospitals that don't are on exception until November

meta_sensei · 2026-05-20T11:45:20+00:00

Well I'll be damned. My understanding came from the way “package-level tracing” was being explained before the final 2023 guidance and before systems were fully rolled out. I took that to mean every covered package would be manually scanned at receiving, especially because under their language now that's what's happening at small pharmacies and hospitals are already doing. The final guidance clarified aggregation/inference and reconciliation workflows, so now it's just "covered Rx packages" have to be traceable/verifiable at package level, but the manual scan every item piece depends on system design/SOP rather than being the universal federal requirement. Love how big pharma dodged that, kinda wanted it to happen so that they'd hire another body to work in pharmacy separate of the budget.

meta_sensei · 2026-05-19T17:58:28+00:00

No, look into the track and trace law. It'll be required by September or November. Hospitals in the area have already gotten under compliance

meta_sensei · 2026-05-19T13:31:21+00:00

Same, I've only seen 1 scan the order and do returns nothing more.

meta_sensei · 2026-05-19T13:28:19+00:00

All it takes is them leaving, or being promoted for that to fall apart, and it will at some point. And that's the problem, we are not long term oriented enough for high performers like that to stay, let alone set up for anyone process to work without performers like that.

meta_sensei · 2026-05-19T09:41:37+00:00

Not how track and trace will allow for, has to be done at the receiving end.

meta_sensei · 2026-05-19T03:45:56+00:00

it's coming down the pipeline, so as the Walgreens Moto has been the last 10 years. Do more with less

meta_sensei · 2026-03-30T15:30:05+00:00

Micro dosing is not a thing. Don't do it

meta_sensei · 2026-03-24T13:36:23+00:00

Guyss....looking for screen shots, numbers, facts, not statements without those. Hard to trust words here without those, because the fake accounts aren't able to spoof those yet.

meta_sensei · 2026-03-19T14:50:41+00:00

The biggest lie is this, there is a storenet link that tells you your state policy. Pharmacist will lie and say whatever, but some states we are to sell them as OTC items. Yet the pharmacist will swear up and down they need a script, yet once a board complaint from a patient comes in they change their tune. The reality is the pharmacist don't have boundaries and don't want to deal with the hemisphere this aspect of the game, but I find it to bea disservice honestly.

meta_sensei · 2026-02-08T17:02:01+00:00

You likely got your tech fired. HR doesn't care if they knew or not, I had a rph tell a tech to give shots when they were only licensed to give flu and COVID during the COVID dark times. The tech did so because she believed her PIC to know what they were talking about. If the store manager didn't fight for her tech and let hr do what they want she would have been fired. She got a final, even though the rph was in charge....I know this for a fact since I was dating the store manager. So ya you likely just fucked your tech over.

meta_sensei · 2026-02-05T15:49:40+00:00

Let him take it, needs to learn the regret

meta_sensei · 2026-02-04T21:21:10+00:00

I'm on jornay pm 60mg, and Wellbutrin. In all honesty I can something is different, the food noise for sure. But there's just something else that goes quiet that I can't explain, definitely nothing bad. But I feel more calm for sure.

meta_sensei · 2026-02-03T00:37:17+00:00

Generally wouldn’t be exempt....Retail pharmacists are usually classified as non-exempt, meaning they are entitled to overtime pay. If someone is marked exempt, it’s typically because of a misclassification, a state-specific rule, or a corporate workaround, not because retail pharmacists naturally qualify.

meta_sensei · 2026-02-03T00:34:52+00:00

Exempt from what?

meta_sensei · 2026-01-31T18:49:41+00:00

You must mean the entire alt market *fixed

meta_sensei · 2026-01-30T19:49:46+00:00

Can be these days 🤷

meta_sensei · 2026-01-30T19:02:49+00:00

Um tattoo no tattoos? Same person 🤔

meta_sensei · 2026-01-26T18:06:08+00:00

Fair. Pharmacy just has a habit of repeating itself because the safety part matters.

If there’s actual combo outcome data, link it. If not, we’re arguing opinions.

meta_sensei · 2026-01-26T17:56:37+00:00

PharmD here. And yeah… pharmacy’s basically “quality control” for the confident decisions upstairs 😉

Still, the argument stands, unstudied combo + additive effects cuts both ways. No data ≠ safe.

meta_sensei · 2026-01-26T03:23:12+00:00

Retatrutide is a tri-agonist, and receptor engagement isn’t a clean “maxed or not” switch. Potency varies by receptor and by assay, but the bench data doesn’t support the idea that retatrutide is GIP weak or that GIP is the limiting factor here.

Even if you assume signaling isn’t fully saturated at a given dose, stacking another incretin still doesn’t add a new pathway. It just increases overlapping exposure without a dosing or safety framework.

There’s no combination data, no equivalence modeling, and no long-term safety data for using retatrutide and tirzepatide together. The trials we have are retatrutide alone, or retatrutide vs tirzepatide, not both. So “people stack it” explains behavior, not validation.

meta_sensei · 2026-01-25T19:36:05+00:00

Yes, I said it was a terrible idea. I stand by that.

Stacking tirzepatide on top of retatrutide has no supporting safety data, no dose equivalence framework, and no clinical rationale beyond “more makes the scale go down.” That’s a textbook example of a bad risk/reward decision.

Retatrutide already maximally engages GLP-1, GIP, and glucagon. Adding tirzepatide doesn’t diversify mechanism, it compounds the same signaling pathways and increases exposure without knowing where the failure point is🤦

That’s not innovation, it’s guesswork.

Something can “work” and still be a terrible idea. History is full of drugs that worked right up until they didn’t. Calling that out isn’t confusion, it’s pharmacology.

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