Wednesday, May 28, 2008

Yer Out!

Lady comes in and wants,"The rest of her Percocet". Oh and my clonazepam and Seroquel too.

Turns out the doctor wrote for her Percs every 14 days and it's been....5. Strike one.

Clonazepam and Seroquel both come back from insurance with a "duplicate pharmacy" rejection message. Strike 2.

Oh, but her Celexa come back accepted. Riiiight. The 3 drugs with a street value are too early, but the one that isn't (to my knowledge anyway) is just fine. Except, I'm not gonna fill it either. Clearly you are doing something fishy. Strike 3.

Piss off, lady.

That specific rejection message from that drug plan only comes if you filled that exact prescription TODAY at another store. If you filled it yesterday, the plan kicks back a "too soon" message.

So don't piss and moan at me, it's not my problem. Maybe you shouldn't be defrauding the system. Or should I say attempting to.

Don't tell me it's "impossible". Clearly it is not.

And I ain't playing your game.

Monday, May 19, 2008

I've Been Busy!

Like you haven't heard THAT before? Or maybe I should've called this post,"Where's my matter transmitter?"

I had a client call for a refill on her eyedrops at 10am. She had no refills, but her doctor will take faxed in requests for stuff, so I dutifully printed the form and faxed it. Client came in at 2pm wondering where her drops were. For the billionth time, she was informed that, according to her DOCTOR (not us, you will please note), it may take 48 hours for a refill request to be approved. Client whines that she has some and can't we call the doctor. It was quiet, so even though I knew what the answer would be, I played along. I called the office and recieved the information that the doctor wasn't in the office until tomorrow. So no refill till then. Client stomped off in a huff to the office. Where she sat for an hour to see the other doctor in the office. Client storms back with the prescription.

She was all het up because she is going to be on this med for "the rest of her life" and why can't they give her a bunch of repeats. I tried to point out that her condition may change over the years, or there may be a newer drug that is more appropriate, but she wasn't having none of that. As she stormed off, she was heard to be muttering,"Useless pharmacist. Can't jsut give me the meds".

This embodies the attitude that drives me crazy. I am NOT A DOCTOR. I have NO prescribing rights. Some nurses do. Don't get me started on the inequality there. But I do not. I do not have to "just give you a few" because you didn't pay attention to your supply of meds. In fact, technically, I am not allowed. I may on occasion give you a few. If it is a life-threatening condition and going off your meds would be deadly. That is it. and I don't have to do that either. I do that because I don't want my tax bill to climb even higher when you wind up in emerg because you couldn't plan ahead a couple of days and ask for a refill.