CVS WeCare Upgrade

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Just curious if anyone who works for CVS has the new enhanced upgrade roll out? If so what do you like and dislike?

Hows the emerging leader program going? Just by name of that program, im soooooo glad i quit CVS. What is that program?
 
We are going live early September so I will know more then. The thing that I am most questionable on is the temporary back tags issued from QA and drive thru and trying to reconcile them. Another problem I foresee is using the touch screens on the register to type people's names/dob, the technology just is not there yet to make it efficient, I would rather a keyboard.
 
CVS will be using it as another tool to replace highly compensated pharmacists from what I understand.
 
Heard from another friend who is also a night RPh that he now gets raped by Readyfill at night because the pick up tech's now control who'll be enrolled in Readyfill by the touch of a button on the screen. For any PIC, actually for all PIC's, they just want their numbers up and tell techs to enroll everyone. So if you have tech's simply enroll everyone they ring up without asking, the night RPh gets raped up the a** every night, thats what my overnight friend says. They want to make the days more focused on "calls"...

This company is going somewhere stupid..

I'm a night RPh and I don't like what I"m hearing but I guess we'll all see
 
Just curious if anyone who works for CVS has the new enhanced upgrade roll out? If so what do you like and dislike?

I'm not too fond of the Drive Thru backtag, especially if I'll be typing up the script right away. Sometimes I find myself just scanning the script and then typing it directly over at drop off, which I guess isn't efficient use of the system because I should be scanning it right when I receive it.

Pick up...customers need to be trained that we'll be asking them to confirm address, DOB, etc because of how they're so used to us asking for the name, grabbing the bags and ringing them out. If we had keyboards instead of the touch screen, pick up might be faster.

Honestly, the system isn't that difficult to learn, but if you have people who don't know how to use the dashboard to prioritize (or are generally slow), then you might be tempted to bang your head.
 
Heard from another friend who is also a night RPh that he now gets raped by Readyfill at night because the pick up tech's now control who'll be enrolled in Readyfill by the touch of a button on the screen. For any PIC, actually for all PIC's, they just want their numbers up and tell techs to enroll everyone. So if you have tech's simply enroll everyone they ring up without asking, the night RPh gets raped up the a** every night, thats what my overnight friend says. They want to make the days more focused on "calls"...

This company is going somewhere stupid..

I'm a night RPh and I don't like what I"m hearing but I guess we'll all see

That's fine. Then I won't have to do every single little god damned thing, the day people can do it, and I can just count by 5s all night.

I actually like working at the stores that do 15 pages of readyfill a night. I can just turn my brain off for the evening and count by 5s. I'd go from being pretty much responsible for a good 33% of the metrics to about 5% of it.
 
What's the average # scripts a CVS graveyard pharmacist do a night?
 
What's the average # scripts a CVS graveyard pharmacist do a night?

I'd say the same as WVU with around 150. You do what you can and whatever you don't finish just leave it for dayshift as long as they don't have anything due with an hour or so of them getting in. I don't set a goal of clearing the queue unless I know it's possible.
 
I'd say the same as WVU with around 150. You do what you can and whatever you don't finish just leave it for dayshift as long as they don't have anything due with an hour or so of them getting in. I don't set a goal of clearing the queue unless I know it's possible.

You work all night long to do 150 rxs with no downtime (2-3 hours of thumb twiddling)?
 
You work all night long to do 150 rxs with no downtime (2-3 hours of thumb twiddling)?

Nah, there's about 30 mins of downtime, which is my lunchtime. Then, you do other stuff that's left from the dayshift that needs to be done. It all varies from store to store. At mine, I do return to stocks and fill the script pro machine, then just find random stuff to do (cleaning or putting the hard copies in order, etc). I always find things that need to be done to help out the dayshift. If I didn't, I'd be bored having an hour or so of downtime.
 
Is this a computer program? Replacing RxConnect? More details please...
 
Our store went live last week, I'm just a tech but I'll give you what info I have...
Big changes are of course at register before you scan RX, you have to type in their name, verify address, and then verify date of birth..it takes a lot longer, especially if they are picking up for more than 1 person. This has resulted in the lines at pick-up being a lot longer.

At drive thru, you "pre-enter' a script now, putting a pick-up number, 3rd party info, and scanning rx right away when it is dropped off..the same "pre-enter" is done when a Rph takes a voicemail..the problem is that stacks of scripts are getting left at drive-thru and at QA station...so at the end of the day we are having lots of Rx's that need backtags and need to be filed.

Nothing comes on the fax machine. Everything that would be in the fax is now going straight to QT...which is que triage. All faxes, e-rxs, pre-scans from drive-thru and qa are going here..they are all sorted by time, except faxes. The problem is that if you have a lot of faxes, it just says "potential rx" but can't tell who it's for. So if Susie Jones says "did you get a fax for me?" you have to either print out all of QT's faxes or look up each one to see.

PCQ calls and refill request calls now show up in the Que Production and you are supposed to stop filling and make these calls.

As someone said, you are prompted to ask for readyfill and hit "enroll" at the register.

Overall the system seems like it is just designed to make people work harder/smarter..whatever. Also it is carefully made so that readyfill will increase and PCQ calls will be done without fail.

What is aggravating is that we are currently being made to wear a dollar bill on our smocks with a button that says "play my game..did i say your name?" and if we don't say a patient's name, they get the dollar. I always say patient names, but it feels degrading to be made to wear a dollar.

I'm sick of the corporate bull. But I need health insurance. Arrghh.
 
Heard from another friend who is also a night RPh that he now gets raped by Readyfill at night because the pick up tech's now control who'll be enrolled in Readyfill by the touch of a button on the screen. For any PIC, actually for all PIC's, they just want their numbers up and tell techs to enroll everyone. So if you have tech's simply enroll everyone they ring up without asking, the night RPh gets raped up the a** every night, thats what my overnight friend says. They want to make the days more focused on "calls"...

This company is going somewhere stupid..

I'm a night RPh and I don't like what I"m hearing but I guess we'll all see
No disrespect but if your friend wants to be employed at night he would hope that the Ready Fills increase- CVS is not going to keep a store open Over night if it is only averaging 3 to 4 pages a night. Why pay a pharmacist a six figure salary to do 4 pages of Ready Fills and perhaps 5 New Rx's a night???? In my district, the over night pharmacist is expected to do 25% of the business. There is at least 1 store in my district that's a 24 hour store and I have worked Over night at that location about 10 times this year and never had more than 5 pages- on average it was 3 & 1/2 to 4 pages- are you kidding me??? I was finished 3 am each night with the RF's. The only reason why I think it remains open is because the Walgreens across the street is 24 hours. However, I have no pity on Over night Pharmacist complaining about too many ready fills- hell you actually have 3 days to complete them.
 
No disrespect but if your friend wants to be employed at night he would hope that the Ready Fills increase- CVS is not going to keep a store open Over night if it is only averaging 3 to 4 pages a night. Why pay a pharmacist a six figure salary to do 4 pages of Ready Fills and perhaps 5 New Rx's a night???? In my district, the over night pharmacist is expected to do 25% of the business. There is at least 1 store in my district that's a 24 hour store and I have worked Over night at that location about 10 times this year and never had more than 5 pages- on average it was 3 & 1/2 to 4 pages- are you kidding me??? I was finished 3 am each night with the RF's. The only reason why I think it remains open is because the Walgreens across the street is 24 hours. However, I have no pity on Over night Pharmacist complaining about too many ready fills- hell you actually have 3 days to complete them.

I don't mind doing readyfill all night, i would prefer to just fill, fill, fill. but then everything else doesn't get done. you know how long it takes to file 900 rx hardcopies that comes from 3 different spots? well more than an hour. or you know how long it takes to return 60-70 rx's that are day 14's? an hour. then you gotta return everything to script pro and fill up a 200 cell script pro is another god damn hour. wait for systems to shut down, wait for script pro to shut down, but then its 6am, 7am.

who has time to do the c-ii inventory of 7 books every other month, or do warehouse returns every other month of boxes and boxes.

pharmacies have been open 24 hours for ever. you know what rph's would do back in the day before readyfill? nothing, and that was the good life.

don't get me wrong, i work in a very busy store, but i like when i have 1-2 hours of thumb twidiling time so at least i know if i have to do something else like c-ii inventory or warehouse returns or take out the goddamn trash that i am at least able to.

and no man, you don't have 3 days to complete them, when was the last time you did an overnight? they are all due for that day, midnight, so if you don't finish, then your day staff is stuck with it.
 
Our store went live last week, I'm just a tech but I'll give you what info I have...
Big changes are of course at register before you scan RX, you have to type in their name, verify address, and then verify date of birth..it takes a lot longer, especially if they are picking up for more than 1 person. This has resulted in the lines at pick-up being a lot longer.

At drive thru, you "pre-enter' a script now, putting a pick-up number, 3rd party info, and scanning rx right away when it is dropped off..the same "pre-enter" is done when a Rph takes a voicemail..the problem is that stacks of scripts are getting left at drive-thru and at QA station...so at the end of the day we are having lots of Rx's that need backtags and need to be filed.

Nothing comes on the fax machine. Everything that would be in the fax is now going straight to QT...which is que triage. All faxes, e-rxs, pre-scans from drive-thru and qa are going here..they are all sorted by time, except faxes. The problem is that if you have a lot of faxes, it just says "potential rx" but can't tell who it's for. So if Susie Jones says "did you get a fax for me?" you have to either print out all of QT's faxes or look up each one to see.

PCQ calls and refill request calls now show up in the Que Production and you are supposed to stop filling and make these calls.

As someone said, you are prompted to ask for readyfill and hit "enroll" at the register.

Overall the system seems like it is just designed to make people work harder/smarter..whatever. Also it is carefully made so that readyfill will increase and PCQ calls will be done without fail.

What is aggravating is that we are currently being made to wear a dollar bill on our smocks with a button that says "play my game..did i say your name?" and if we don't say a patient's name, they get the dollar. I always say patient names, but it feels degrading to be made to wear a dollar.

I'm sick of the corporate bull. But I need health insurance. Arrghh.

I hope to God I never have to go back to retail. The stupid **** they think up never ceases to amaze me.
 
No disrespect but if your friend wants to be employed at night he would hope that the Ready Fills increase- CVS is not going to keep a store open Over night if it is only averaging 3 to 4 pages a night. Why pay a pharmacist a six figure salary to do 4 pages of Ready Fills and perhaps 5 New Rx's a night???? In my district, the over night pharmacist is expected to do 25% of the business. There is at least 1 store in my district that's a 24 hour store and I have worked Over night at that location about 10 times this year and never had more than 5 pages- on average it was 3 & 1/2 to 4 pages- are you kidding me??? I was finished 3 am each night with the RF's. The only reason why I think it remains open is because the Walgreens across the street is 24 hours. However, I have no pity on Over night Pharmacist complaining about too many ready fills- hell you actually have 3 days to complete them.


You were the fill in. All we expect of you is to do the Readyfills. But otherwise, the regulars do more. All the inventory. All the outdates. All the bookkeeping. All the filing. RTS. Maintaining the QR. Cleaning. Scan in and put away Cardinal. And so on. The day shift at 24 hr stores literally just do scripts all day in my district.

And talk to me after you work in a place like the Harbison Ave store in Philadlephia that literally has 15 pages of Readyfill EVERY NIGHT. Literally a LINE of crackheads at 12:01AM waiting to see if their oxys will go through Keystone Mercy. Hell, their 2AM is like 4PM at some stores.
 
I hope to God I never have to go back to retail. The stupid **** they think up never ceases to amaze me.

I havent experience the new system yet but it doesnt sound stupid to me.

I always believe that technicians should verify address at pick up for safety reasons. I had incidents where they didnt (verified dob against company policy) and one customer being hurt as a result of it. In addition, I also heard that the system can identify scripts that are being in process or in different areas so that we make sure they got all of their medications before they leave.

I am a big fan of readyfill. If this system drives up my readyfill, I will be ecastic. Stores that do well usually have good readyfill practices in place. Everytime I get a phone call asking me to refill a med that is readyfill elgible, i want to bang my head on the counter because I just wasted 2-3 minutes helping the customer. Same for PCQ calls... readyfill eligible and now I have to call them 2-3 times and get them to pick up their meds.

Faxes should be entered asap. I hate it when we lose scripts at a busy store because it came over the fax machine and no where to be found. Also, at busiers stores that I have worked at, technicians do not designate the fax a time. So the doctor might fax over a zpack in the morning. The drop off tech gets overwhelmed with other prescriptions and leave a pile of faxes and doctor phone calls on the side. The customer comes in at night and the pick up technician cannot find the script. That tech spends 5-10 minutes looking at need info and then finally finding it in the pile of fax. Spends 1-2 minute trying to convince the customer that we will rush it out... etc.

The only thing that concerns me is the backtagging. I shall see how the new system works out.
 
You were the fill in. All we expect of you is to do the Readyfills. But otherwise, the regulars do more. All the inventory. All the outdates. All the bookkeeping. All the filing. RTS. Maintaining the QR. Cleaning. Scan in and put away Cardinal. And so on. The day shift at 24 hr stores literally just do scripts all day in my district.

And talk to me after you work in a place like the Harbison Ave store in Philadlephia that literally has 15 pages of Readyfill EVERY NIGHT. Literally a LINE of crackheads at 12:01AM waiting to see if their oxys will go through Keystone Mercy. Hell, their 2AM is like 4PM at some stores.

Oh no you are mistaken- and let me remind you that I once was on over night for 7 months so I know the responsibilities- I know all about the RTS, clearing the QR and at some stores keeping the Script Pro filled- now at my base store- they average 6 to 11 pages of Ready Fills on any given night, but 5 of those 12 days they have a tech until 3am.
However, you are going to have a few select 24 hour stores where they will have more walk-ins- especially those that are near Major Hospital and ER facilities.

Also, you do have some daytime Pharmacist who will not verify anything after their shift- for example if they get off at 9pm and their are scripts for the next day are 10pm- they won't verify them- I think that's wrong just to leave all of that for the over night guys. I believe Pharmacist should keep verifying until their relief gets there- it's only fair.
 
I havent experience the new system yet but it doesnt sound stupid to me.

I always believe that technicians should verify address at pick up for safety reasons. I had incidents where they didnt (verified dob against company policy) and one customer being hurt as a result of it. In addition, I also heard that the system can identify scripts that are being in process or in different areas so that we make sure they got all of their medications before they leave.

I am a big fan of readyfill. If this system drives up my readyfill, I will be ecastic. Stores that do well usually have good readyfill practices in place. Everytime I get a phone call asking me to refill a med that is readyfill elgible, i want to bang my head on the counter because I just wasted 2-3 minutes helping the customer. Same for PCQ calls... readyfill eligible and now I have to call them 2-3 times and get them to pick up their meds.

Faxes should be entered asap. I hate it when we lose scripts at a busy store because it came over the fax machine and no where to be found. Also, at busiers stores that I have worked at, technicians do not designate the fax a time. So the doctor might fax over a zpack in the morning. The drop off tech gets overwhelmed with other prescriptions and leave a pile of faxes and doctor phone calls on the side. The customer comes in at night and the pick up technician cannot find the script. That tech spends 5-10 minutes looking at need info and then finally finding it in the pile of fax. Spends 1-2 minute trying to convince the customer that we will rush it out... etc.

The only thing that concerns me is the backtagging. I shall see how the new system works out.

I agree with most of what you stated, but the program should have a way to check for duplication- for example if John Doe was on Simbasatin 20 mg and you had in on Ready Fill- if the MD writes for a new strength Simvastatin 40mg and you put it on Ready Fill- the system will allow and fill both meds.
I had a Pharmacist tell me a patient was complaining that she was bruising a lot- come to find out they had 2 different Warfarin's on Ready fill- she was 87 years old and just assured she was supposed to be taking both strength's- but the MD had increased the strength on the Warfarin, but the other strength was still on RF.

Also who in corp thought it was a good idea to put Rescue Inhalers as well as Allergy nasal sprays like Nasonex, and Flonase on Ready fill? Those meds are not maintenance meds and should not be eligible for the program.
Also pain medications like Vicodin, soma, ultram if written for 30 day supplies and refills will be eligible for Ready fill- bad idea-
 
I agree with most of what you stated, but the program should have a way to check for duplication- for example if John Doe was on Simbasatin 20 mg and you had in on Ready Fill- if the MD writes for a new strength Simvastatin 40mg and you put it on Ready Fill- the system will allow and fill both meds.
I had a Pharmacist tell me a patient was complaining that she was bruising a lot- come to find out they had 2 different Warfarin's on Ready fill- she was 87 years old and just assured she was supposed to be taking both strength's- but the MD had increased the strength on the Warfarin, but the other strength was still on RF.

Also who in corp thought it was a good idea to put Rescue Inhalers as well as Allergy nasal sprays like Nasonex, and Flonase on Ready fill? Those meds are not maintenance meds and should not be eligible for the program.
Also pain medications like Vicodin, soma, ultram if written for 30 day supplies and refills will be eligible for Ready fill- bad idea-


Ummm...do you just skip the DUR screen? 😕
 
I don't mind doing readyfill all night, i would prefer to just fill, fill, fill. but then everything else doesn't get done. you know how long it takes to file 900 rx hardcopies that comes from 3 different spots? well more than an hour. or you know how long it takes to return 60-70 rx's that are day 14's? an hour. then you gotta return everything to script pro and fill up a 200 cell script pro is another god damn hour. wait for systems to shut down, wait for script pro to shut down, but then its 6am, 7am.

who has time to do the c-ii inventory of 7 books every other month, or do warehouse returns every other month of boxes and boxes.

pharmacies have been open 24 hours for ever. you know what rph's would do back in the day before readyfill? nothing, and that was the good life.

don't get me wrong, i work in a very busy store, but i like when i have 1-2 hours of thumb twidiling time so at least i know if i have to do something else like c-ii inventory or warehouse returns or take out the goddamn trash that i am at least able to.

and no man, you don't have 3 days to complete them, when was the last time you did an overnight? they are all due for that day, midnight, so if you don't finish, then your day staff is stuck with it.
I worked an over night shift 2 weeks ago- unless they do something different in your part of the country but if I were to work Overnight today(12 am-8-31-12) The Ready Fills the pick up time will be 11:59 on 9-2-2012. The Ready fills go into the Queue 3 days before it's due. What I was actually saying is if you are working over night and you didn't get to finish your Ready fill- let's say you had 1 page to finish or 2 pages- the day shift really has no rush to complete them because the completion date is 2 to 3 days away- are you telling me if you didn't finish 2 pages of Ready fills and let's say for whatever reason the day shift didn't touch them that when you return the following night those pages will be Red(orange)???? No, they will still be there with 2 days to complete them.
Also, something else that no one has mentioned, but when the old system the Ready fills didn't go into the Queue until after 3 am - now they populate a little after 12am- so barring any major breakdowns it gives Over night Pharmacist in most cases 7 hours to complete Ready fills. Majority of stores that I know have Script Pro or the Kirby Lester automation machine- and most of the Ready Fill meds are the most popular medications so most should come out of the automation machine.
When I was over night for 7 months on average I was done by 5 am- with 2 hours to twiddle- the only times when I ran into problems is when they did software upgrades, Waiting Bin inventory and in my area the major insurance companies computers are down early Sunday morning for about an hour so I had a lot of prescriptions go into reject for an hour or 2 until those insurance carriers are back online.
 
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Ummm...do you just skip the DUR screen? 😕

The DUR screen will not always catch this and the DUR screen will not even prompt if a person is on 2 different Warfarins.
If a person is prescribed Lisinopril 5 mg today and 1 week later the MD prescribes Lisinopril 10mg it will go through without a DUR reject- trust me a lot of over night Pharmacist have complained about this because they are filling meds that have changed strengths- this is a major Flaw with Ready Fill- it will not prompt a DUR reject- it will prompt one if it's the same strength.
 
I don't mind doing readyfill all night, i would prefer to just fill, fill, fill. but then everything else doesn't get done. then you gotta return everything to script pro and fill up a 200 cell script pro is another god damn hour. wait for systems to shut down, wait for script pro to shut down, but then its 6am, 7am.

I restock Script Pro every week only to max capacity, the day after your big order load comes in. This is usually enough to last for 4-5 days in a busy store, or entire week for slow store.

The amount of readyfill depends on your rxs volume during the day.
#300 rxs daily - 70ish ready fill
#600 rxs daily - 150++ ready fill

Readyfill totally sucks if your store is a busy store. I work at a store that does 600 avg couple times, I did 180-200 at night and I am still not done with the queue... no downtime there... Luckily, my regular store only does 300+ rxs daily...

The Ready fills go into the Queue 3 days before it's due. What I was actually saying is if you are working over night and you didn't get to finish your Ready fill- let's say you had 1 page to finish or 2 pages- the day shift really has no rush to complete them because the completion date is 2 to 3 days away- are you telling me if you didn't finish 2 pages of Ready fills and let's say for whatever reason the day shift didn't touch them that when you return the following night those pages will be Red(orange)???? No, they will still be there with 2 days to complete them.

Sure, it does not turn red, but this is not realistic application of readyfill. Graveyard pharmacists are the most under appreciated staff because daytime staff thinks you do jack ****. You are expected to finish Ready Fill and you really want to finish them yourself. If you do not finish Ready Fill, daytime people will eventually have to take care of it and they gonna say chit behind your back.

If you are behind on Ready Fill (i.e, waiting until the last day to finish it like you mentioned), most customers will start calling and ask day time crew to to do their refills. That's the whole point about readyfill, you are really supposed to be finish readyfill before the due date to prevent customers from calling their own refills.
 
The DUR screen will not always catch this and the DUR screen will not even prompt if a person is on 2 different Warfarins.
If a person is prescribed Lisinopril 5 mg today and 1 week later the MD prescribes Lisinopril 10mg it will go through without a DUR reject- trust me a lot of over night Pharmacist have complained about this because they are filling meds that have changed strengths- this is a major Flaw with Ready Fill- it will not prompt a DUR reject- it will prompt one if it's the same strength.

Just today it stopped me from filling a simvastatin 20mg and 40mg together. And I recall it stopping me on tons of other things in the past.
 
I restock Script Pro every week only to max capacity, the day after your big order load comes in. This is usually enough to last for 4-5 days in a busy store, or entire week for slow store.

The amount of readyfill depends on your rxs volume during the day.
#300 rxs daily - 70ish ready fill
#600 rxs daily - 150++ ready fill

Readyfill totally sucks if your store is a busy store. I work at a store that does 600 avg couple times, I did 180-200 at night and I am still not done with the queue... no downtime there... Luckily, my regular store only does 300+ rxs daily...



Sure, it does not turn red, but this is not realistic application of readyfill. Graveyard pharmacists are the most under appreciated staff because daytime staff thinks you do jack ****. You are expected to finish Ready Fill and you really want to finish them yourself. If you do not finish Ready Fill, daytime people will eventually have to take care of it and they gonna say chit behind your back.

If you are behind on Ready Fill (i.e, waiting until the last day to finish it like you mentioned), most customers will start calling and ask day time crew to to do their refills. That's the whole point about readyfill, you are really supposed to be finish readyfill before the due date to prevent customers from calling their own refills.

Ready fills theoretically have nothing to do with the vlume you do during the day- Ready Fill depends entirely on who you enroll in the program- if you are a busy store and you do very little enrollment than you are not going to have too many Ready fills- it's that simple. All the scripts that come up in ready Fill are because of ENROLLMENT it has nothing to do with the script you fill during the day. The store I was talking about that averages about 3 & 1/2 to 4 pages of Ready fills- does typically 3100 scripts a week, but their RF enrollment is like 15% because the techs/staff do not enroll customers or the customers are declining them.

Back to your response on Ready Fill- you answered my question- if you missed a few pages of Ready Fill you don't have to panic and can simply do the the next night- for every RF that gets missed you have 72 hours to get it done- so if you can't finish a project in 72 hours working a 10 hour shift than you got some big problems. Ready fills is a lot different from a customer who at 1 pm dropped off a script and they tell you we will be back at 8pm to pick up.
 
Just today it stopped me from filling a simvastatin 20mg and 40mg together. And I recall it stopping me on tons of other things in the past.

Well that would be a first- what was the DUR Reject- it surely couldn't be a dosage DUR because MD's do prescribe 80 mg- which is still 20mg less than the both together. I will test it out tomorrow, but I know for sure it will not be a hard stop- have seen those 2 go through without a DUR reject- and last week I recalled returning a Metformin 500mg because it was being filled alongside a Metformin 1000 mg and there was no hard stop DUR reject. Again, may I ask what was the DUR message?
 
Well that would be a first- what was the DUR Reject- it surely couldn't be a dosage DUR because MD's do prescribe 80 mg- which is still 20mg less than the both together. I will test it out tomorrow, but I know for sure it will not be a hard stop- have seen those 2 go through without a DUR reject- and last week I recalled returning a Metformin 500mg because it was being filled alongside a Metformin 1000 mg and there was no hard stop DUR reject. Again, may I ask what was the DUR message?

There are multiple DUR messages with the title "Therapeutic Duplication" I get them daily especially if you get a dosage change, two insulins, two antidepressants, 2 strengths of warfarin, etc......
 
There are multiple DUR messages with the title "Therapeutic Duplication" I get them daily especially if you get a dosage change, two insulins, two antidepressants, 2 strengths of warfarin, etc......

Yep this.... You gotta check if this is a change in strength or patient really takes 2 different strength of the medication... Warfarin is the one that I always have to be cautious of since a mistake can kill someone... I caught tons of these therapeutic duplication when I do auto fills and take them off from auto fills (For example: lipid meds, levothyroxine, BP meds).
 
Yep this.... You gotta check if this is a change in strength or patient really takes 2 different strength of the medication... Warfarin is the one that I always have to be cautious of since a mistake can kill someone... I caught tons of these therapeutic duplication when I do auto fills and take them off from auto fills (For example: lipid meds, levothyroxine, BP meds).

Yes anytime I fill a Warfarin prescription- I always hit F% and look at the patient's history- so you are right in performing those checks.
 
Oh no you are mistaken- and let me remind you that I once was on over night for 7 months so I know the responsibilities- I know all about the RTS, clearing the QR and at some stores keeping the Script Pro filled- now at my base store- they average 6 to 11 pages of Ready Fills on any given night, but 5 of those 12 days they have a tech until 3am.
However, you are going to have a few select 24 hour stores where they will have more walk-ins- especially those that are near Major Hospital and ER facilities.

Also, you do have some daytime Pharmacist who will not verify anything after their shift- for example if they get off at 9pm and their are scripts for the next day are 10pm- they won't verify them- I think that's wrong just to leave all of that for the over night guys. I believe Pharmacist should keep verifying until their relief gets there- it's only fair.

where are these stores that have a tech till 3am!?>!? dammmmmmmn, i need to work there. we do 4300/week and i get 1 tech till 10 and 1 tech until 11pm, then they are all gone. fridays and saturdays are worse, 1 tech till 9pm and 1 till 10 pm, then i'm by myself getting raped till only god knows when



ALSO, does anyone else take off an Rx from readyfill if you are doing the day 14 RTS on it? or do you just do it 2 months in a row, then let it automatically decline?
 
where are these stores that have a tech till 3am!?>!? dammmmmmmn, i need to work there. we do 4300/week and i get 1 tech till 10 and 1 tech until 11pm, then they are all gone. fridays and saturdays are worse, 1 tech till 9pm and 1 till 10 pm, then i'm by myself getting raped till only god knows when



ALSO, does anyone else take off an Rx from readyfill if you are doing the day 14 RTS on it? or do you just do it 2 months in a row, then let it automatically decline?

Yes, my store Monday thru Friday has a tech and a very good one that comes in at 6pm and leaves 3am- I know of another one that does about 5000 week has a tech from 12am to 6am 5 days a week.

We were told to take it off if they miss 2 months in a row- but I take inhalers and pain meds off of Ready fill for the obvious reasons.
 
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