above and beyond for customers

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Tonyg89

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I'm a technician at my pharmacy I work at (its a retail chain) and I often find myself being the only person actually trying to help a customer out with a prescription cost. Mainly with name brand prescription drugs like crestor, tradjenta, viagra, lunesta, azor, etc..... Most of the people who take these are older and have medicare or some sort of HMO from medicare and for the most part their prescriptions are covered for a good amount of the cost, but then they fall into the dreaded donut hole. "Oh hi sir, coming to get you Tradjenta? Ok it will be $265. Patient: WHATTTT? I paid $15 for the last 6 months?"

This happens all the time around this time of year. My store has a decent size retired population clientele. So I often try to help them out by getting some manufacture coupons for them since most require you to sign up online or call which most retired people in their late 60s (not trying to discriminate) do not know how to access the internet. So I often let them know I will try to take care of it for them. Usually at work I will be Googling or registering them as I am doing my other tasks. I've been addressed several times by the lead tech and a Pharmacist that I should stop wasting time on re-billing and just move on to the next thing. I'm never doing it in front of any other customers, only when I'm fixing any insurance issues with other scripts, on the phone with insurances or waiting for a customer on the phone to stop rambling on about how they need there Adderall 5 days early cause they are going to Europe tomorrow and during some downtime in the graveyard shifts.

I find that helping a customer to save as much money on a medication as possible goes a lot farther to help keep them coming back to your store than just smiling and addressing them by their name lol. I have noticed recently that some of our customers have asked for me on my days off to help them with their prescriptions and would come by another day when I was working or heard from a family or friend that they were paying X amount for a medication before but are now only paying Z amount because I took some time to help them out. Made me feel a bit more appreciated at work by the customers.

Recently I had a regular customer that I often see each month come to our drive-thru. First time ringing him up, got his prescriptions, saw they were his 4th fills of those medications and saw the prices for each. Crestor was $165 billed to only the manufacturer card, Nexium $118 billed to insurance but with no discount card on it, and Jamunet was $273 billed to RX discount card with no discount card on it. I addressed him about these issues and he was shocked. He thought each one was being billed to his insurance and that he just hasn't met his deductible yet. I check the history for the 3 prescriptions and since January he was paying these prices! That's about $2600 that didn't go towards his deductible. He was extremely mad about finding this out and that no one ever mentioned it to him and wanted the corporates number. I gave it to him and also said I will apply his insurance and the coupons to those scripts. I ran his crestor through and was rejected and required a prior authorization on it. I told him that and again he was shocked no one told him that it was needed. I billed it temporarily to a RX discount card and the manufactures coupon and brought it down to $131, applied the nexium card and got it to $68 and got him a free month of Janumet with the online coupon and he will be saving $100 each month on that as well with the voucher and being billed to his insurance brings it down to $48 a month. He was very thankful that I caught that and told him about it and the coupons. He said he would call the corporate line and complain about this issue but would also tell them my name and that I was the only person to notify and help him with this situation.

I don't mind taking sometime to help someone save a few bucks especially when they are on a limited budget and I enjoy seeing their reaction when they see the difference in prices. I just get annoyed that I'm being yelled at for doing my job which is to help the customer.

Well that's my rant for the day. Anyone else feel the same about this as I do?

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I think it's great to ensure that patients can get their drugs cheaper and to make sure things were billed properly, but it is not the tech or the pharmacist's job or priority to scan the internet for discount cards and sign people up for them (this may even be illegal if you are signing something in their name). Rx savings cards, manufacturers coupons, and all those things are great but that's the patient's responsibility. Sometimes there will be manufacturer discount cards given to the pharmacy that don't require any kind of registration and that's fine to use if the patient wants that (some may want it only on insurance for some reason). Your priority is to fill the prescriptions, not to take up time and do something that the patient is responsible for.

The blunder with the insurance thing was wrong, but ultimately the patient does get their print out with the script that tells them the price and how it was billed so he can't say he was completely uninformed. I'm not excusing the improper billing, but ultimately the patient is primarily responsible for discount cards, manufacturer coupons, and their insurance. Not the pharmacy staff.
 
For most of the medications with coupons I know them by heart and often let the customer know before I go out of my way to help them that they exist and what to do and where to go to get them. Most come back with the printed coupons and then are just re-billed. Even some of the ones we have in the store still require activation via the phone which most people can do. I always ask them before I do apply them to avoid any of those issues. On our scripts they print out with the bin only sometimes or just say medco or caremark even tho they have a Blue Cross/Blue Shield insurance and even those people still ask if it went under insurance even if the script comes to $10 for Serequel XR.
 
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Every coupon I've ever seen says something like "do not process if patient is a beneficiary in any government plan" so that would be Medicare and Medicaid. By using the discount card, you're defrauding Medicare into believing the patient has paid $X while in the donut hole, when they actually have not, and were paying the discounted rate.
 
Be careful, if they have Part D my understanding is they cannot use those cards. It is against Part D law.

I used to do this so much. I don't do it as much as it takes time and mostly just causes me grief. For example I did it today for someone getting a Zpak and Tesslon pearls. It was >$50 for them together and a discount card cut it in half. The pharmacist got pissy about it. I am not going to do it anymore. I figure why should I put my job on the line for something the patient can do on their own? I hear a lot of techs just saying to people to run an internet search, maybe I will start doing that.
 
You are not helping Medicare Part D by using discount cards, which are not supposed to be used by Medicare Part D recipients. They are not going to get out of the coverage gap and enter catastrophic coverage unless the claim is billed to their Part D.
 
I'm a technician at my pharmacy I work at (its a retail chain) and I often find myself being the only person actually trying to help a customer out with a prescription cost. Mainly with name brand prescription drugs like crestor, tradjenta, viagra, lunesta, azor, etc..... Most of the people who take these are older and have medicare or some sort of HMO from medicare and for the most part their prescriptions are covered for a good amount of the cost, but then they fall into the dreaded donut hole. "Oh hi sir, coming to get you Tradjenta? Ok it will be $265. Patient: WHATTTT? I paid $15 for the last 6 months?"

This happens all the time around this time of year. My store has a decent size retired population clientele. So I often try to help them out by getting some manufacture coupons for them since most require you to sign up online or call which most retired people in their late 60s (not trying to discriminate) do not know how to access the internet. So I often let them know I will try to take care of it for them. Usually at work I will be Googling or registering them as I am doing my other tasks. I've been addressed several times by the lead tech and a Pharmacist that I should stop wasting time on re-billing and just move on to the next thing. I'm never doing it in front of any other customers, only when I'm fixing any insurance issues with other scripts, on the phone with insurances or waiting for a customer on the phone to stop rambling on about how they need there Adderall 5 days early cause they are going to Europe tomorrow and during some downtime in the graveyard shifts.

I find that helping a customer to save as much money on a medication as possible goes a lot farther to help keep them coming back to your store than just smiling and addressing them by their name lol. I have noticed recently that some of our customers have asked for me on my days off to help them with their prescriptions and would come by another day when I was working or heard from a family or friend that they were paying X amount for a medication before but are now only paying Z amount because I took some time to help them out. Made me feel a bit more appreciated at work by the customers.

Recently I had a regular customer that I often see each month come to our drive-thru. First time ringing him up, got his prescriptions, saw they were his 4th fills of those medications and saw the prices for each. Crestor was $165 billed to only the manufacturer card, Nexium $118 billed to insurance but with no discount card on it, and Jamunet was $273 billed to RX discount card with no discount card on it. I addressed him about these issues and he was shocked. He thought each one was being billed to his insurance and that he just hasn't met his deductible yet. I check the history for the 3 prescriptions and since January he was paying these prices! That's about $2600 that didn't go towards his deductible. He was extremely mad about finding this out and that no one ever mentioned it to him and wanted the corporates number. I gave it to him and also said I will apply his insurance and the coupons to those scripts. I ran his crestor through and was rejected and required a prior authorization on it. I told him that and again he was shocked no one told him that it was needed. I billed it temporarily to a RX discount card and the manufactures coupon and brought it down to $131, applied the nexium card and got it to $68 and got him a free month of Janumet with the online coupon and he will be saving $100 each month on that as well with the voucher and being billed to his insurance brings it down to $48 a month. He was very thankful that I caught that and told him about it and the coupons. He said he would call the corporate line and complain about this issue but would also tell them my name and that I was the only person to notify and help him with this situation.

I don't mind taking sometime to help someone save a few bucks especially when they are on a limited budget and I enjoy seeing their reaction when they see the difference in prices. I just get annoyed that I'm being yelled at for doing my job which is to help the customer.

Well that's my rant for the day. Anyone else feel the same about this as I do?

Be careful of what you do as state funded insured patients do not qualiy for manafacturer coupoun. if you read the fine point on those coupons, you can see that.
 
I know that they don't work for medicare part-D, Tricare and medicaid it rejects it if you try to process it with it. With other private insurances and HMO's it works fine with tho and is perfectly legal.
 
We have some discount cards we frequently use when patients have no coverage or a lapse in coverage, but mfg coupons and other programs I will let patients know that they exist and they are welcome to look for them, but I don't have the staff to scour the web (or the web access for that matter) looking for these discounts. I have some cards for Lipitor and a few others, but when the generic runs $10, I'm not going to waste profits to save the patient $6 unless I have a good reason. Do I think CVS makes tons of money, sure, but my responsibility is to the company financially and to the patient when it comes to safety.
 
Mainly with name brand prescription drugs like crestor, tradjenta, viagra, lunesta, azor, etc.....

HAHAHAHAHAH. None of these drugs seem necessary or therapeutically unsubstitutable with a generic.
You like to get coupons for people on this crap?

Pathetic.

Drug reps should send you free food and flowers.
 
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