Sunday, November 9, 2008

No, I will not grovel at your feet

RANT 1
I'm not going to grovel at your feet when you threaten to 'never get your prescriptions filled here again.' I don't want your business if you can't respect me. The I in IVR (filling your prescriptions via the phone) doesn't stand for immediate/instant. If you refill your prescription via IVR, please allow at least 24 hours to have it filled. It's not going to be ready if you come in 10 minutes after you IVR'd.

I have no problems apologizing to you if it's my fault. However, if you're just going to come in looking all pissy at me because you used the IVR while you were driving down to the pharmacy I'm not at fault, and I am not going to beg for your forgiveness when it's not filled yet. When I'm the only person working in the pharmacy (with no assistant on Sunday mornings), I can't fill your prescription in FIVE minutes when I have to answer the phones, enter in prescriptions, make recommendations, count, check and COUNSEL on prescriptions. I only have 2 hands and 1 mouth, I'm not Bodhissattva (thousand hand Buddha).

RANT 2
Are doctors in hospitals completely oblivious to the concept of LU (Limited Use) codes? I called St. Mike's today and the nurse I spoke with thought I was speaking alien. "What is this code you speak of? Why does this patient need this code? If I figure out the code can I tell you what it is?" She probably doesn't really care whether the drug is covered by the patient's drug plan or not.

Later, when a doctor was finally reached they called back and said the patient did not qualify for any of these LU codes in order for the Fragmin to be covered by ODB. Lucky the patient didn't mind paying cash for it. But what about those 80 or 90 year old patients who can't afford that specific medication? I wish people in the hospital would be more considerate and didn't write the first drug that popped into their head. They should think about the patient's economic status as well as put that into consideration. Fragmin is used very frequently in hospitals, but community pharmacies do not regularly stock this medication.

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Can I see myself doing this for the rest of my life? I dunno man.... but I'm sure it's better to be the pharmacist than to be the pharmacy assistant. They deal with a ton more crap than I do. Man, I'm only in my 2nd month working as a full time pharmacist and I'm already getting bitter... it's not a good sign.

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