A first for me!

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

All4MyDaughter

SDN Mommystrator
Moderator Emeritus
Lifetime Donor
15+ Year Member
Joined
May 7, 2005
Messages
22,783
Reaction score
346
I haven't been working in a pharmacy that long (6 months) but tonight I saw something that was new for me. Our pharmacist fired a patient!

Probable drug-seeker who had been using multiple pharmacies and doctors - got busted by Worker's Comp today and they notified us. Patient had been in our pharmacy every day this week and had been verbally abusive to staff. Would pull up to the drive through, buzz once, buzz again, honk his horn and start pounding on the window. Patient pays cash for benzos, cough syrup and OxyC - but won't pay insurance co-pays for his blood pressure and prostate meds. Habitually comes in for loaners but then never actually picks up the filled prescriptions so we never get paid for the pills we give him.

He had been told no more controls until he picked up his maintenance meds. Tonight he came in and wanted to buy one pill (of an order totaling $70+ that he owed for). Thought if he bought just the one "water" pill he could fill his controls before getting the rest of his meds. Nope!

The pharmacist told me to tell him that it wouldn't work. He gets mad and drives away from drive-thru. Five minutes later his wife is on the phone, cussing and threatening me. Then the pharmacist got on the phone with them and told them NOT to come back to our store. The pharmacist called the store manager who came over for the incident report. Guy calls back while manager is in the pharmacy so she got to hear him and his wife rant, cuss and threaten. Tomorrow the district manager is getting into the loop, but it's a done deal. He won't darken our door any more!!!
 
This has happened to me more times than I care to remember. I never, EVER loan controlled drugs - EVER!!! And..if I give out 1 or 2 tabs of a rountine medication & the guy never comes back - I bill out what I gave.

Just my opinion on your experience All4, I would never have put you in that situation. I would not put a ancillary person in a potentially dangerous circumstance, which it might have been. I don't mean to imply you or your pharmacist did anything wrong, but I would have handled it myself.
 
sdn1977 said:
This has happened to me more times than I care to remember. I never, EVER loan controlled drugs - EVER!!! And..if I give out 1 or 2 tabs of a rountine medication & the guy never comes back - I bill out what I gave.

Just my opinion on your experience All4, I would never have put you in that situation. I would not put a ancillary person in a potentially dangerous circumstance, which it might have been. I don't mean to imply you or your pharmacist did anything wrong, but I would have handled it myself.


Yeah, I agree with you. If I were the pharmacist I wouldn't put a tech/intern in that position either. Heck, if I were the pharmacist this guy would have been cut off the FIRST time he asked for loaners and then didn't pay for the full prescription. If not that, he would have definitely heard from me before today about his verbal abuse and threatening demeanor.

To be fair, I only talked to the guy at the drive thru and on the phone for a short time. When he and his wife started cussin' and hollerin' I told the pharmacist he had to take the call. I don't get paid enough to listen to that crap.

Maybe the pharmacist let me handle it because he thought I'd like it? Maybe he knows I'm a closet hard-ass? :meanie:
 
I just find drug addiction so sad. He needs to get help.
 
dgroulx said:
I just find drug addiction so sad. He needs to get help.

Drug abuse is tragic. This particular person is unlikely to get help without some type of court order though. I don't think court-mandated treatment is very successful, unless the individual wants to get clean.

I also wanted to add that this (and many other) individuals seem to have no trouble paying big bucks for brand name OxyC but won't pay for their other meds. Did you know the street value of OxyC is $1 per mg?
 
All4MyDaughter said:
Drug abuse is tragic. This particular person is unlikely to get help without some type of court order though. I don't think court-mandated treatment is very successful, unless the individual wants to get clean.

I also wanted to add that this (and many other) individuals seem to have no trouble paying big bucks for brand name OxyC but won't pay for their other meds. Did you know the street value of OxyC is $1 per mg?

Shrug, Vicodin is the big money. A tablet can go for 8 to 12 dollars. Cost the pharmacy 10 cents
 
yep...Vicodin is the in drug for street money which is why it is now followed by the DEA like CII's. You can't really track patients since they give false info, but you can track prescribers. Not many prescribers know it is monitered online in real time now...so the ones who write rxs for money will eventually get busted. It will just take a bit of time....
 
The pharmacists I work with have gotten rid of, like, two dozen people since I've started. Always drug seekers. It's one of the few professions where you can literally be encouraged to tell trouble patients off because you don't want the DEA/state board after your ass.
 
Aznfarmerboi said:
Shrug, Vicodin is the big money. A tablet can go for 8 to 12 dollars. Cost the pharmacy 10 cents


We move a lot of vicodin too. I just don't see how it can be as profitable for the seller when you can sell OxyC for $40/tablet. Of course, I can't say I've really looked at how much the patient pays for it vs. how much they are going to sell it for. Maybe Vicodin is more profitable? It's a little easier to get than the CIIs.
 
Top