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Another meme I cannot relate to because I have the privilege of not living in america
Yeah, my pharmacy texts me to confirm I want a refill, then I go pick it up. One extra confirmation text and wait a couple days if there are no more refills
I'm currently stuck in prior authorization hell and used the last dose of my med yesterday. Ugh. I hate this fucking country.
I had to set an annual reminder to call insurance to get that sorted out because the pharmacy doesn't know why they rejected it and after a year my ADHD would forget that prior auth was a thing. So good of the insurance company to decide they need to interfere once a year with the medication I have been taking for over a decade!
You Americans...I just order my shit wherever I want and have it tomorrow for the best price.
Listen pal, we have the god guven RIGHT to buy our medicine at extremely inflated for no reason prices
I'm sorry man, of course you can!
But in case you'd get it cheaper suddenly, without being asked, you could maybe just throw away the difference or donate it to an evil cause?
I had this bullshit happen in Florida at a Walgreens....I had a doctor put a prescription for me...we had worked together for a good while and finally found a script that works for me. Walgreens tells me they dont carry it, except I've had it filled in the past at that location.
Then this way over stepping mother fucker starts trying to diagnose me and then had the audacity to say, "have your doctor call us and we can see if we can work something out."
Bitch what the fuck do you think the PRESCRIPTION is, that IS the communication between the pharmacy and the doctor, last time I went to Walgreens
Walgreens is just generally the worst pharmacy in the country. I'm convinced they intentionally create delays in picking up the prescriptions that are supposedly already ready to get you to buy more stuff in the store part, plus the store portion is always so chronically understaffed good luck being able to buy anything. Oh and now everything is locked up so you can't even pull stuff off the shelves to attempt to buy anything. And then they wonder why profits keep going down...
Pharmacist here. It's not our fault as much as you think. Basically, the insurance companies invented something called "Pharmacy Benefits Managers" who basically act as a middleman between you and your doctor on what you can get, and how much they will reimburse the pharmacy if you do.
If your doctor says you need atorvastatin, but your PBM says they only want to pay for simvastatin, you can either get your doctor to pay for simvastatin, or pay for atorvastatin yourself with a discount card. The cost for a generic med like that is probably about your copay anyways, so no big loss to you to skip the headache.
Surprisingly, they invented fees for pharmacies! If you choose the route to get your doctor to change you to simvastatin, we get the privilege of managing that for you, and once we finally reach your doctor and make the change, they will give us maybe $10 to fill it for you! Plus you have a $10 copay, so there is some money... But of course we have to source the med. It probably costs us like $12 for this example, maybe less maybe more, depending on the manufacturer. So if we do all of this then it seems like we made $8, but SURPRISE, your PBM charged us a fee for utilizing them. It might be $6. It might be more if we don't meet certain criteria, like percentage of diabetic patients on statins.
So okay we have our nice $2 to pay for shipping your med to the oharmacy, renting our location, and filling it (I think it's less than half that on average, I just don't know the actual figures) with our staff. It should come as no surprise that we have very limited options on manufacturers now.
You might say "well at least the PBM fought to make my meds cheaper in the end" but no! They now get to say to your insurance company "okay we managed getting your patient another month of lower cholesterol, please pay us $100 for our efforts". So, indirectly, you paid an extra $100 on this whole thing through your insurance premiums. Not sure on if this part is true I just heard it as a rumor.
But wait there's more! The insurance company actually owns the PBM all along! They paid themselves to offer themselves this service for you!
So anyways I'm getting out of retail pharmacy. Thanks for coming to my ted talk.
I didn't need to get this upset before 8am. I don't even take medications, but this is the exact type of nonsense that gets my blood boiling. That there's anyone between a patient and their doctor (or perhaps a patient and a pharmacist) is just screaming for some forced changes.
me scrambling every month to get adhd meds in nyc:
first time? 🫠
Hell, in Kansas I can finally get there scripts sent to the store but I have to talk to someone to get it filled. If they have it in stock. No, their checking isn't always reliable. No, I can't call two days earlier than the hard 28 limit on getting it refilled. I must call no more than 28 days ahead of time.
Also to call and speak to someone I have to spend 2 minutes telling the automated phone system that no, I can't do it on the website and listen to their hours and all the other shit they put in the way of speaking to a human being.
Are you going to Walgreens? If so, entering 771 as soon as you hear something will take you straight to a human.
I have found that going to literally any other pharmacy besides walgreens or cvs is a significant improvement in competence and convenience.
CVS and Walgreens pharmacies are staffed like dollar generals. They can’t handle the load but they won’t hire more pharmacists.
I had a small pharmacy I loved I had to give up on when I got a new job and they weren’t in network. I was not going to CVS or Walgreens.
So I went to the hospital pharmacy that is in network. Can’t imagine that’s any cheaper but whatever insurance.
the thing that annoys me is they don't care that you have a chronic condition. it's not going to change. i'm going to need this med for the rest of my life.
but they need my doctor to re-up the prescription every 6 months all the same
They do care if you have a chronic condition. If you do, they can charge you as much as they want.
I pick up prescriptions for people and CVS always fascinates me, they have like 6 people running around looking busy but somehow very few prescriptions are being filled.
Your CVS is staffed? The CVS and Walgreens around me are chronically understaffed. Like one pharmacist and one tech filling prescriptions and handing them out.
Weirdly, the Safeway pharmacy is always very well staffed. 2 pharmacists, 4 techs. I wonder how much better their benefits are than Walgreens.
I always see the same thing. Im guessing a big part of the job is inventory and paperwork
Yeah, don't blame the staff. While I was trying to get a printer fixed so they could print my order at a Walgreens, I overheard someone really berating the staff. He was getting personal.
America: Land of the Free, Home of the decreasing average lifespan because people can't get access to routine medications that are affordable in most other countries.
You forgot the pharmacist who thinks they know more than your doctor and has the gall to opine on your prescription.
But thats like their main point. Pharmacist do know a lot about drugs. It's important to know about negative drug interactions and a pharmacist is more likely to catch it since they most likely know all the drugs you are taking. Your GP might not know about the drugs your psychiatrist gave you or that off-label drug your dermatologist gave you because people are horrible at knowing what drugs they are on and for what purpose.
Honestly I've always been surprised how much education is required to be a pharmacist when all they do is put pills into a bottle (obeying whatever the doctor wrote on your prescription) and pass it to you through the window. Then imagine going through all the years of University to get a master's degree to work in the back of a CVS.
Seriously? They source the drugs, in the correct dosage, or they have to compound a drug, they have to know what other drugs you are on for conflicts that could kill you. They also teach you how to take the drugs correctly.
Why do people who have no fucking clue make comments?
If you are in the US and have a Costco membership, try getting your prescriptions without entering in your insurance. They will put you in the Costco Member Prescription Program. My pills were 75% cheaper. Also this works if you don't have insurance.
My wife recently had an issue where it was either an anaphylactic reaction or scombroid poisoning. They treated her at urgent care and prescribed an EpiPen in case it happened again. The pharmacy comes out and says sorry it's $120. I know my wife has very good insurance so I had to fight with them, surely there's a generic or something? Then they look into it and say well we have a different kind of one that this prescription covers that's $5 but it expires in September. I'm like yeah, obviously I'll take the one that's 24x cheaper. Like why do we have to do this whole bullshit? Why didn't you offer that one 1st? Fuck for profit healthcare.
Doctor: for condition A use med B in C manner.
Pharmacist: Oh no, what is he nuts? Never use med B for condition A as it contains flixadidlian cortemolezeum which will react badly to manner C. No you’ll need med D.
i mean occasionally the pharmacist is right.
Excuses are the one thing that's always in stock. Ask your doctor if ℞~cuse~ is right for you.
We should consult the best and knowledgeable unlicensed pharmacist in 46 states, Grant Harting, on this phenomenon.
https://www.inhousepharmacy.vu/
https://www.alldaychemist.com/
Some old school sites that allow ordering of certain rx medicines without an rx. You can't order scheduled substances like opioids, but they have a lot of common prescription medications.
Blaming pharmacists for things they have no control over, nice. Biggest brain
contrast this me picking up my dog's prescription meds: "ah, shit, that was his last pill!" "hey, could I get a refill of gabapentin and vetmedin? Let's toss in some canned food. Sure, I can swing by after work. Thanks!"
From my point of view, the difference is there's no insurance involved, so I pay out of pocket and no one has to deal with insurance companies. (pet insurance exists, but I've done the math and it doesn't make financial or logistical sense for me.)
I do like my human pharmacy, but all my human meds are generic and not super controlled or abusable. I gave up on ADHD meds.