What’s The Point of Voicemail Anymore?

There used to be this nifty little thing called a voicemail. If someone didn’t answer their phone you could record a message with your voice and they could play it back later. Apparently half the country has forgotten this thing exists. Twice today I had a situation where a patient or doctor’s office wasted my time because they refused to listen to their voicemail.

The 1st patient was a classic. Happens all the time. She showed up to pick up her prescription only to find we didn’t have anything ready. “But I phoned in my refill and you guys called and told me it was ready.”


Reader Stories: The Patient Did What?

Everyone who works in a pharmacy has some interesting stories. We encourage everyone to use the contact us link above or social media to send us yours. Here is one of my favorites that was sent in by Melissa (with some added background from myself):

So we had a patient come in last week with a script from her doctor for Norco. Everything appeared to be legit except for one pretty significant problem. It didn’t have a strength.


Crazy ICD 10 Diagnosis Codes

Diagnosis codes are pretty much exactly what they sound like. They are used to indicate what a diagnosis is and the reason for a visit/treatment/test/ect. They are commonly used for billing insurance. They aren’t commonly used in the pharmacy, but we do see them occasionally. Mainly for billing test strips to Medicare.

The ones we see in the pharmacy are commonly normal though. Codes that mean things like “type 1 diabetes”. Turns out there are some extremely weird ones though that make you wonder what the story is that led to the code’s existence. Here are the ten that I found entertaining.


Medicare B Scripts Will Be the Death of Me

Medicare B scripts are the bane of my existence. Could I please just get through one day without have to deal with a Part B script that is written incorrectly. I know the rules are dumb as fuck, but it’s really not that hard people.

For those of you who aren’t aware, Medicare Part B has additional requirements for prescriptions that must be met in order for them to be covered. They include the following:


Top Tweets

Yes, I’ve been a little lazy the past week and haven’t posted any classic rants about all of my favorite pharmacy encounters. I’ve been a little busy. But I haven’t been too busy for twitter, where I’ve still been going strong. If you haven’t kept up on there, here are some of my top tweets from the past couple of weeks. And if you don’t have twitter, don’t worry, you can like me on Facebook as well. All of the tweets (minus replies) are copied over to there as well.


Getting a Prescription is YOUR Responsibility

We are a pharmacy. We are in the business of filling prescriptions. We are not in the business of acquiring prescriptions. It is not the pharmacies responsibility to make sure you have a valid script for your medication. Let me say that again. Obtaining a prescription is the responsibility of the patient!

This means you shouldn’t act like the lady I had yesterday. I told her after refilling her medication that she had no more refills and she would need a new prescription for next month. I was trying to be a good, proactive pharmacist and remind her a month in advance. Her reply? “I don’t care about that. That’s your job to get that for me.”

The fuck it is. I’m more than happy to hit that button on my computer that faxes your previous prescriber for more refills. But that’s it. That’s all you get out of me. I have enough shit to do. If that isn’t enough to get you a prescription that isn’t on me. It’s your job to make sure you have a prescription for your medication.

That also means I don’t call the doctor for refills. You know why? Because you are perfectly capable of doing that. There is no special line that allows for pharmacists to instantly get through and talk to a doctor or get a refill approved. When I call a prescriber’s office I get to talk to the exact same people you do. Usually this means leaving a voicemail on the refill line, just like you can do. So you know what would be quicker than calling me and bitching because I didn’t get your refill approved? Calling the doctor and actually taking care of it yourself!

And this doesn’t just apply to refills. We often get customers who come to pick up medications only to find out nothing has been called in for them. I can’t tell you how many times the response is, “You need to call Doctor Smith and get the prescription.”

Uhh…no…I don’t. And unless you come in during a 10 inch snow storm when we are twiddling our thumbs with nothing else to do, I don’t plan on calling for you. Getting your prescription is not my job, and I don’t have time to hold your hand and walk you through life. Do you want a script? Then get off your ass and do something about it yourself.

Seriously people, take a little bit of initiative in your life. The pharmacies job is to fill your medications without killing you and make sure you get the maximum benefit out of them. We are perfectly happy to help you understand your medications and answer whatever medication related clinical questions you might have.

But the pharmacy is not your personal butler service to wait on you hand and foot. You have some responsibility in your own health care. It’s about time some people started acting like it.

The Great Hydro Mix Up

You know the type of patient. The one that comes up with gauged ears, green hair, tattoo sleeves, and looks higher than a kite. As they are walking up you play a little game in you’re head. Which do they want? Sudafed? Xanax? Norco? Some cocktail with any of the above?

Last week one of these customers came up and rudely interrupted me at the counsel station while I was with another patient. I bet the cunt wouldn’t walk into her doctor’s office and cut off one of his patients, but I’m just a pharmacist. Apparently our conversations with patients simply aren’t important (he was probably yaking on his cell phone anyways).


Top Tweets

I know, I know, this is a pointless blog post. All of you already know how awesome I am and are following my every word on twitter. Or you like the Facebook page, which is linked to my twitter and displays most of my tweets as well. But just in case you missed it, or maybe you are just discovering this Crazy Pharmacist, here are some of my top tweets from the past few weeks, as judged by total likes/retweets:


Accept or Clear?

Customers are stupid. If this isn’t the 1st post you’ve read on this site then you no doubt already know that. Or if you’ve ever worked anywhere retail in your life. You can observe this all over the place. At the pharmacy, though, there is probably no better place to see this than watching a patient trying to sign for their medication at pickup. This is assuming some of these bird brains actually manage to find the pick up counter.

It’s the simplest thing really. When picking up a prescription a screen pops up with a bunch of legal shit on it no one really reads. I don’t even know what it says at our pharmacy, no one cares. After clicking through it there is a box to sign. Below that are two buttons that read “Accept” and “Clear”.


Meme Monday