Current Events > Any Pharmacy Technicians on here? Could use some advice/guidance/whatever.

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gadgaurd
04/05/17 12:45:38 AM
#1:


I was recently hired at CVS Health. This is both my first time working in a pharmacy and my first time working in retail. Ironically, despite my introverted nature I find dealing with customers surprisingly easy. The real problem is the Rx system.

I dunno if CVS's system is different from others or what, but whatever the case I find it difficult to use. I try to enter a prescription using the exact name written, the system says "please enter a valid drug". Try to enter in the "sig code" or whatever it's called and put exactly what's written("one tablet a day, oral, etc), that's wrong too.

There's been a lot of little stuff I don't know how to do, and because of how busy the pharmacy gets I don't really have time to learn it. Those tasks are usually passed on to other techs while I go to handle drive-through or pick-up. More than half the time, if they try to teach me something, they're breezing through the options as fast as they would normally and not explaining most of what's going on. The training modules weren't any help either, since they covered the bare minimum.

I want to be able to do everything involved with this job, but so far that's not happening and it's getting me down. I feel like a joke being the only person in the damn pharmacy who can't fill out a new prescription or properly navigate the system.

Okay, that turned into a bunch of whining. tl;dr: Job's kicking me in the balls, is there a way I can actually get down and explore the Rx system in my own time?
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TheLazyChampion
04/05/17 1:01:52 AM
#2:


gadgaurd posted...
is there a way I can actually get down and explore the Rx system in my own time?


Nope. They're crazy protective of that stuff. The best thing you can do is carry around a miniature notebook and just write everything down.

I'm sorry, but I didn't really understand the question. It sounds to me like you're running into a problem with NDCs. Sometimes, the same drug, same strength, etc., can have a different number depending on the manufacturer. In those cases, you have to go back and edit the original number to get the new one to work. But that's not something I could easily explain over the internet and I'm sure it'd be some sort of confidentiality violation if I did.

All I can really say is to take notes. Mental ones are actually better than written ones. Everything in a pharmacy takes at least four tries to remember. Pharmacy will give you an inferiority complex, but you'll get the hang of it eventually.
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gadgaurd
04/05/17 1:04:29 AM
#3:


TheLazyChampion posted...
gadgaurd posted...
is there a way I can actually get down and explore the Rx system in my own time?


Nope. They're crazy protective of that stuff. The best thing you can do is carry around a miniature notebook and just write everything down.

I'm sorry, but I didn't really understand the question. It sounds to me like you're running into a problem with NDCs. Sometimes, the same drug, same strength, etc., can have a different number depending on the manufacturer. In those cases, you have to go back and edit the original number to get the new one to work. But that's not something I could easily explain over the internet and I'm sure it'd be some sort of confidentiality violation if I did.

All I can really say is to take notes. Mental ones are actually better than written ones. Everything in a pharmacy takes at least four tries to remember. Pharmacy will give you an inferiority complex, but you'll get the hang of it eventually.

There are a ton of questions and it all comes down to not really knowing how to operate the system, or getting any proper teaching on that subject. Still, thanks. I'll just have to keep at it.

And I laughed at the inferiority complex bit, because I'm definitely feeling inadequate right now.
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Mmmmlibtears
04/05/17 1:05:25 AM
#4:


Honest it's not worth it. CVS/Walgreens/retail in general don't do raises, and unless you get a degree and become a pharmacist, there's nowhere to advance to. No offense, but it's a joke job as far as pay to bullshit/workload ratio.
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truly_FLCL
04/05/17 1:06:42 AM
#5:


can you guys explain why it takes hours to fill a prescription
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Behaviorism
04/05/17 1:08:40 AM
#6:


Pharmacy Techs work their assets off and get paid jack for it. They do more than the pharmacists, including counseling (despite legally not being allowed to)
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BadassblackTA
04/05/17 1:09:05 AM
#7:


Mmmmlibtears posted...
Honest it's not worth it. CVS/Walgreens/retail in general don't do raises, and unless you get a degree and become a pharmacist, there's nowhere to advance to. No offense, but it's a joke job as far as pay to bullshit/workload ratio.


This. It's an entry level job and you'll be better off just using it as a stepping stone or something
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gadgaurd
04/05/17 1:14:34 AM
#8:


Mmmmlibtears posted...
Honest it's not worth it. CVS/Walgreens/retail in general don't do raises, and unless you get a degree and become a pharmacist, there's nowhere to advance to. No offense, but it's a joke job as far as pay to bullshit/workload ratio.

I wanted to do this while going to school to become a pharmacist. I wanted to get a good experience with a pharmacy before I started classes(and I need money).

truly_FLCL posted...
can you guys explain why it takes hours to fill a prescription

Because we're working on like a hundred different prescriptions at any given time. :(
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TheLazyChampion
04/05/17 10:20:55 PM
#9:


truly_FLCL posted...
can you guys explain why it takes hours to fill a prescription


A prescription takes 5 to 15 minutes to fill. With dozens of prescriptions to fill, that adds up rather quickly. But that could still be handled in a timely manner if not for complications. Of which, there are two primary culprits:

1) people won't stop calling

When a patient calls, the person filling the prescriptions has to stop everything so that they can bring up the patient's file and answer their questions to satisfaction. If the patient isn't satisfied with the answer, they might choose to stay on the line and try to argue.

2) everything gets scheduled to be filled at the same time

If it's 2:30 PM, and it becomes clear that everything has been set for 3:00 PM, you're just gonna have to temporarily give up on some of those scheduled prescriptions and hope that the patients don't come back and yell at you before you can finally get around to filling them.
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gadgaurd
04/05/17 11:28:36 PM
#10:


Got another question, some of you guys may have been in a similar situation. Not sure how much I'm legally allowed to disclose so I'll keep it vague. Under certain circumstances I, as a tech, am supposed to direct the patients to consultation even if they themselves don't have any questions. But the pharmacists at my job have essentially said "just ask if they have any questions, don't send them to consultation otherwise".

So should I do what they say or send them to consultation? Either way I'd be going against the instructions of someone over my head.
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LanHikari10
04/05/17 11:34:08 PM
#11:


I'm a pharmacist, so perhaps I can help? What system does CVS use? I have experience in SpeedScripts and PharmaServ.
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LanHikari10
04/05/17 11:39:55 PM
#12:


truly_FLCL posted...
can you guys explain why it takes hours to fill a prescription

Most CVSes are very high volume. It doesn't help that they prioritize the number of scripts filled rather than patient satisfaction. No offense to TC or anyone else who works there, but their priorities are just different.

Behaviorism posted...
Pharmacy Techs work their assets off and get paid jack for it. They do more than the pharmacists, including counseling (despite legally not being allowed to)

Yeah, technicians are usually the backbone of the pharmacy, but yeah I don't want my techs doing any counseling or giving any medical advice. I caught one of them trying to give a consultation to a patient new to insulin the other day when I was trying to have some lunch. >_>



gadgaurd posted...
Got another question, some of you guys may have been in a similar situation. Not sure how much I'm legally allowed to disclose so I'll keep it vague. Under certain circumstances I, as a tech, am supposed to direct the patients to consultation even if they themselves don't have any questions. But the pharmacists at my job have essentially said "just ask if they have any questions, don't send them to consultation otherwise".

So should I do what they say or send them to consultation? Either way I'd be going against the instructions of someone over my head.

It's really tough since you're working in a different environment than I am, but my technicians will usually ask if the medication is new to them. If they say yes, then that's an absolute consultation unless they overtly refuse. If it's a chronic medication they've been on for a while, I'm less worried about them unless there's something peculiar such as a dose change, instruction change, etc. At that point they might even know more about their drug than I do lol.

It'll be something you pick up as you move on.
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#13
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LanHikari10
04/05/17 11:45:45 PM
#14:


Asherlee10 posted...
Would you say that dealing with insurance plays into this, as well. I recently had a prescription for Zofran (sp?) and my insurance fought hard to only give me 12 of the 15 pills prescribed. Pharmacy spent a considerable amount of time going back and forth with them over this.

Oh god yeah insurance can be awful sometimes. Some insurances will throw a fuss if you try a refill too early, some won't do more than a 30 day supply, occasionally it'll just reject for seemingly no reason and you gotta figure it out. Insurance is like a whole different world. There has gotta be a better way to do it, because I don't think anyone really likes dealing with it.
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#15
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LanHikari10
04/05/17 11:53:33 PM
#16:


Asherlee10 posted...
I'm not in the industry, but I don't understand why insurance is like this. Is it really just about the bottom dollar?

I'm not sure what their objective is. I guess ultimately they want as much money as possible, hence why both pharmacies and patients get nickled and dimed so much. But I just don't get the reasoning why some insurances have to make things more of a hassle. Why does patient X NEED to have only a month's worth of their medicine they've been on for over a decade at a time? Why can't they get a 3 month supply? Why do they HAVE to have this inhaler (which they are allergic to), but not this one? Silly stuff like this.
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LanHikari10
04/05/17 11:56:07 PM
#17:


By the way, TC, feel free to PM me with any questions you have. I'll try my best to answer them.
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#18
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gadgaurd
04/06/17 12:10:09 AM
#19:


LanHikari10 posted...
I'm a pharmacist, so perhaps I can help? What system does CVS use? I have experience in SpeedScripts and PharmaServ.

I think we use ScriptSync. I haven't even been told the system's proper name. :/
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LanHikari10
04/06/17 12:12:30 AM
#20:


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#21
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gadgaurd
04/06/17 12:13:15 AM
#22:


LanHikari10 posted...
By the way, TC, feel free to PM me with any questions you have. I'll try my best to answer them.

Will do. I'm totally lost here, feel like my coworkers are treating me like an idiot, hell I feel like an idiot dealing with that system and I hate that.
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gadgaurd
04/06/17 12:14:05 AM
#23:


LanHikari10 posted...
It doesn't say the name on the computer anywhere?

Unless "Rx" is the name I haven't seen anything. I'll take a closer look tomorrow.
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#24
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LanHikari10
04/06/17 12:17:48 AM
#25:


fenderbender321 posted...
We should be able to just buy our drugs over the counter. Sorry, but society doesn't need pharmacies.

I'm sorry, but no. We don't need a bunch of people diagnosing and treating themselves with information they hear from a friend or on the internet. Plus that'd just make the antibiotic resistance problem that much worse.



gadgaurd posted...
Will do. I'm totally lost here, feel like my coworkers are treating me like an idiot, hell I feel like an idiot dealing with that system and I hate that.

I doubt they think you're an idiot. If your CVS is anything like the ones in my area, they're simply too busy for anything else. >_>

gadgaurd posted...
Unless "Rx" is the name I haven't seen anything. I'll take a closer look tomorrow.

Sounds good.
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hockeybub89
04/06/17 12:26:58 AM
#26:


Have you not done your drop-off training yet, TC? They cover this stuff there. There is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that. I'm sure you could Google a cheat sheet.

As for the drugs, a lot of it just comes with experience. I am fairly new myself, so I still get hung up on a few, but I just ask someone else to clarify. It seems daunting, but it is actually pretty idiot-proof once you get into it.

With the consultation thing, I just make it a habit to ask patients if they have questions or if this medication is new. It seems like half the time there is an automated prompt, it's just a new prescription for a drug someone has been taking for years. My pharmacists do a pretty good of indicating on the script if they have things they want to talk to the patient about.

The thing hanging me up right now is insurance. Learning how to properly enter that info and work out issues requires a lot of trial and error and shaking your fist at insurance companies for being difficult.
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hockeybub89
04/06/17 12:28:51 AM
#27:


fenderbender321 posted...
LanHikari10 posted...
Asherlee10 posted...
I'm not in the industry, but I don't understand why insurance is like this. Is it really just about the bottom dollar?

I'm not sure what their objective is. I guess ultimately they want as much money as possible, hence why both pharmacies and patients get nickled and dimed so much. But I just don't get the reasoning why some insurances have to make things more of a hassle. Why does patient X NEED to have only a month's worth of their medicine they've been on for over a decade at a time? Why can't they get a 3 month supply? Why do they HAVE to have this inhaler (which they are allergic to), but not this one? Silly stuff like this.


My insurance company likes to surprise me by saying my 'prior authorization' expired, and that my doctor needs to send a new one...even though I've been taking the same meds for years.

Not exactly sure why, but a lot of insurance companies want those every calendar year for certain meds.
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hockeybub89
04/06/17 12:30:51 AM
#28:


gadgaurd posted...
LanHikari10 posted...
I'm a pharmacist, so perhaps I can help? What system does CVS use? I have experience in SpeedScripts and PharmaServ.

I think we use ScriptSync. I haven't even been told the system's proper name. :/

It's RxConnect. ScriptSync is the program where you get patients' prescriptions all ReadyFilled on the same schedule.
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smoliske
04/06/17 12:31:05 AM
#29:


hockeybub89 posted...
here is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that.


that's entirely dependent on what software he uses, where I work that's just 2bid
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hockeybub89
04/06/17 12:32:24 AM
#30:


smoliske posted...
hockeybub89 posted...
here is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that.


that's entirely dependent on what software he uses, where I work that's just 2bid

I'm fairly sure all of CVS is one big system.
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gadgaurd
04/06/17 12:34:24 AM
#31:


hockeybub89 posted...
Have you not done your drop-off training yet, TC? They cover this stuff there. There is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that. I'm sure you could Google a cheat sheet.

As for the drugs, a lot of it just comes with experience. I am fairly new myself, so I still get hung up on a few, but I just ask someone else to clarify. It seems daunting, but it is actually pretty idiot-proof once you get into it.

With the consultation thing, I just make it a habit to ask patients if they have questions or if this medication is new. It seems like half the time there is an automated prompt, it's just a new prescription for a drug someone has been taking for years. My pharmacists do a pretty good of indicating on the script if they have things they want to talk to the patient about.

The thing hanging me up right now is insurance. Learning how to properly enter that info and work out issues requires a lot of trial and error and shaking your fist at insurance companies for being difficult.

Actually, I haven't gotten drop off training. The Lead Tech doesn't want me doing drop off or anything with the system at all right now, the pharmacists will tell me to do something with the system, watch my fumble around for a bit and then take over. If I'm lucky they may explain part of the process, but usually it's "Here, I got this. Get pick-up/drive-through". And last but not least, another tech there I thought would help me out has largely been insulting. So yeah, no real training on drop off.
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smoliske
04/06/17 12:36:45 AM
#32:


hockeybub89 posted...
smoliske posted...
hockeybub89 posted...
here is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that.


that's entirely dependent on what software he uses, where I work that's just 2bid

I'm fairly sure all of CVS is one big system.


ah, i missed the part where he said CVS
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gadgaurd
04/06/17 12:37:40 AM
#33:


As a matter of fact, I got three work packets that I was supposed to go over with a pharmacist during one of my shifts. Basically me following them around while they worked and taking notes while they explained things to me. I showed them, they said "not right now", and we never actually got down to it because it's always busy. They even had me work before I finished my modules. >_>

I know, I'm whining again. :(
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gadgaurd
04/06/17 12:38:52 AM
#34:


hockeybub89 posted...
gadgaurd posted...
LanHikari10 posted...
I'm a pharmacist, so perhaps I can help? What system does CVS use? I have experience in SpeedScripts and PharmaServ.

I think we use ScriptSync. I haven't even been told the system's proper name. :/

It's RxConnect. ScriptSync is the program where you get patients' prescriptions all ReadyFilled on the same schedule.

Ah, thanks.
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smoliske
04/06/17 12:39:58 AM
#35:


i don't miss CVS, i much prefer using a fingerprint to auth stuff than having a barcode on my hand lol
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BlackHorse6969
04/06/17 12:40:46 AM
#36:


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hockeybub89
04/06/17 12:46:32 AM
#37:


gadgaurd posted...
hockeybub89 posted...
Have you not done your drop-off training yet, TC? They cover this stuff there. There is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that. I'm sure you could Google a cheat sheet.

As for the drugs, a lot of it just comes with experience. I am fairly new myself, so I still get hung up on a few, but I just ask someone else to clarify. It seems daunting, but it is actually pretty idiot-proof once you get into it.

With the consultation thing, I just make it a habit to ask patients if they have questions or if this medication is new. It seems like half the time there is an automated prompt, it's just a new prescription for a drug someone has been taking for years. My pharmacists do a pretty good of indicating on the script if they have things they want to talk to the patient about.

The thing hanging me up right now is insurance. Learning how to properly enter that info and work out issues requires a lot of trial and error and shaking your fist at insurance companies for being difficult.

Actually, I haven't gotten drop off training. The Lead Tech doesn't want me doing drop off or anything with the system at all right now, the pharmacists will tell me to do something with the system, watch my fumble around for a bit and then take over. If I'm lucky they may explain part of the process, but usually it's "Here, I got this. Get pick-up/drive-through". And last but not least, another tech there I thought would help me out has largely been insulting. So yeah, no real training on drop off.

I'm sorry that you seem to be working with dickheads. Technically, you shouldn't be doing any drop-off until you actually take that class and I don't know what the point of telling you to do something if they're just going to wind up having to do it themselves anyway. I don't know how busy your store is, but they aren't speeding things up by dumping things on a poor newbie.
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BlackHorse6969
04/06/17 12:48:43 AM
#38:


hockeybub89 posted...
gadgaurd posted...
hockeybub89 posted...
Have you not done your drop-off training yet, TC? They cover this stuff there. There is shorthand you can use that automatically turns into a SIG when typed. Take 2 capsules by mouth twice a day? Just type 2C;PO;BID and it will become that. I'm sure you could Google a cheat sheet.

As for the drugs, a lot of it just comes with experience. I am fairly new myself, so I still get hung up on a few, but I just ask someone else to clarify. It seems daunting, but it is actually pretty idiot-proof once you get into it.

With the consultation thing, I just make it a habit to ask patients if they have questions or if this medication is new. It seems like half the time there is an automated prompt, it's just a new prescription for a drug someone has been taking for years. My pharmacists do a pretty good of indicating on the script if they have things they want to talk to the patient about.

The thing hanging me up right now is insurance. Learning how to properly enter that info and work out issues requires a lot of trial and error and shaking your fist at insurance companies for being difficult.

Actually, I haven't gotten drop off training. The Lead Tech doesn't want me doing drop off or anything with the system at all right now, the pharmacists will tell me to do something with the system, watch my fumble around for a bit and then take over. If I'm lucky they may explain part of the process, but usually it's "Here, I got this. Get pick-up/drive-through". And last but not least, another tech there I thought would help me out has largely been insulting. So yeah, no real training on drop off.

I'm sorry that you seem to be working with dickheads. Technically, you shouldn't be doing any drop-off until you actually take that class and I don't know what the point of telling you to do something if they're just going to wind up having to do it themselves anyway. I don't know how busy your store is, but they aren't speeding things up by dumping things on a poor newbie.

all pro pharmacists act that way though. its the nature of the job. pharmacists hate their job.
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gadgaurd
04/06/17 12:52:08 AM
#39:


BlackHorse6969 posted...
https://www.youtube.com/watch?v=Zo4DsjzUNMg

I'll definitely be watching this on my way to work tomorrow. Thanks.
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giantblimpN7
04/06/17 12:54:54 AM
#40:


Sounds like your pharmacy is like mine was. New people didn't become even competent at drop off until like a year in, they only really start doing stuff other than pickup months into it.It sucks because there is no time for hand holding, which is what people need because it's a lot to learn. Just don't get discouraged, unless they're just assholes, your coworkers aren't frustrated with you, there just isn't any time to help you learn in a proper manner. jUst do what you're told and you'll pick up more and more and when you do new stuff don't be afraid to ask questions. Also RXConnect sucks, a lot of stuff at CVS sucks, have you done PCQ yet?
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gadgaurd
04/06/17 12:55:57 AM
#41:


giantblimpN7 posted...
Sounds like your pharmacy is like mine was. New people didn't become even competent at drop off until like a year in, they only really start doing stuff other than pickup months into it.It sucks because there is no time for hand holding, which is what people need because it's a lot to learn. Just don't get discouraged, unless they're just assholes, your coworkers aren't frustrated with you, there just isn't any time to help you learn in a proper manner. jUst do what you're told and you'll pick up more and more and when you do new stuff don't be afraid to ask questions. Also RXConnect sucks, a lot of stuff at CVS sucks, have you done PCQ yet?

I literally have no idea what PCQ is.
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the_rowan
04/06/17 1:00:30 AM
#42:


LanHikari10 posted...
Oh god yeah insurance can be awful sometimes. Some insurances will throw a fuss if you try a refill too early, some won't do more than a 30 day supply, occasionally it'll just reject for seemingly no reason and you gotta figure it out. Insurance is like a whole different world. There has gotta be a better way to do it, because I don't think anyone really likes dealing with it.


Speaking of this: Let's talk long-acting insulin. Say Lantus Solostar.

Some patients on it only use around 10 units a day. So a box of pens (15 mL/1500 units) lasts well over 90 days. And probably the majority of patients use less than 50 units a day, so a box lasts more than 30 days.

Sanofi, if asked, will explicity direct you that Lantus Solostar should always be dispensed as a sealed pack of five pens. Insurance companies, however, will limit patients to 30 or 90 day supplies, as always. Additionally, it's very common than Medicare D plans charge another monthly copay (often $47 or so) the moment the days supply exceeds 30 days or 60 days (so 31 days costs the patient literally twice as much as 30).

So do you:
a) Incorrectly dispense the product as individual pens to satisfy insurance limits and minimize patient costs
b) Falsify the days supply because there is no way to dispense a 30 day supply or less to a patient that only uses a little insulin
c) Call up the insurance company each time this occurs and explain that you cannot dispense the days supply they are asking for and get them to override it
d) Something else

I already know it's not c because that's a joke option, so maybe you have some idea as to how this farce is supposed to work.
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giantblimpN7
04/06/17 1:05:49 AM
#43:


gadgaurd posted...
giantblimpN7 posted...
Sounds like your pharmacy is like mine was. New people didn't become even competent at drop off until like a year in, they only really start doing stuff other than pickup months into it.It sucks because there is no time for hand holding, which is what people need because it's a lot to learn. Just don't get discouraged, unless they're just assholes, your coworkers aren't frustrated with you, there just isn't any time to help you learn in a proper manner. jUst do what you're told and you'll pick up more and more and when you do new stuff don't be afraid to ask questions. Also RXConnect sucks, a lot of stuff at CVS sucks, have you done PCQ yet?

I literally have no idea what PCQ is.

Patient Care Queue. Was more of me joking, basically you'll call a list of patients to ask questions, but it pretty much becomes harassment. I'd say do your best in general and if you really like it, there are much better places than CVS for pharmacy and much better places for other if you don't, but you've got like 3 people now you can answer questions if you need, just ask away.
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hockeybub89
04/06/17 1:07:19 AM
#44:


gadgaurd posted...
giantblimpN7 posted...
Sounds like your pharmacy is like mine was. New people didn't become even competent at drop off until like a year in, they only really start doing stuff other than pickup months into it.It sucks because there is no time for hand holding, which is what people need because it's a lot to learn. Just don't get discouraged, unless they're just assholes, your coworkers aren't frustrated with you, there just isn't any time to help you learn in a proper manner. jUst do what you're told and you'll pick up more and more and when you do new stuff don't be afraid to ask questions. Also RXConnect sucks, a lot of stuff at CVS sucks, have you done PCQ yet?

I literally have no idea what PCQ is.

Patient Care Queue. It's the patients you're supposed to call about medication adherence and such. It's typically only done on weekends. I've only done it a few times and you just get yelled at or don't get an answer most of the time. It makes me feel kind of dirty.
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the_rowan
04/06/17 1:17:33 AM
#45:


hockeybub89 posted...
Patient Care Queue. It's the patients you're supposed to call about medication adherence and such. It's typically only done on weekends. I've only done it a few times and you just get yelled at or don't get an answer most of the time. It makes me feel kind of dirty.


Three words: Medicare Star Ratings
You HAVE to do this or Medicare (and other third parties) threaten to not play ball with your entire company anymore
Gotta micromanage Mr. Smith's life and make sure he really is taking his atorvastatin every day, because that's YOUR job, after all.
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"That is why war is so tragic. To win means to make victims of your opponents and give birth to hatred." - Kratos Aurion, Tales of Symphonia
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