Hodge Podge operations going on at a CVS

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PharmD0102

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Hello all, I am a tech in NY writing this post because I do not know what to do regarding the situation that I am in.

I work at a CVS in New York. Recently we got a pharmacist in charge who is apparently friends with the supervisors above him. He comes in and just tears our pharmacy apart. HORRIBLE attitude, plays devils advocate with you in every single way. But, that's to be expected. New Boss, thats not what I am concerned about. I am concerned about the illegal stuff that he does.

1. He overturns all day 14's every single day. That is to say, instead of deleting them, he just changes the date on them to today's date and rebills them through insurance. He does this to increase script count. What's worse, is he makes the interns in the store do this and verify them out using his credentials. So, basically, the interns are verifying out day 14's and rebagging them all.

2. ANY Day 15's that we don't find in the bin, he tells us to reprint a label and just ring it through the register if its a medicaid script or something with a low copay. Again, this is MEDICAID FRAUD.

3. Adherence phone calls. He makes the interns in the store TELL the patients to just come in and pick up their scripts. They don't ASK the patient if they want their medication refilled. They TELL them to come in and piick it up. So therefore, every single week we have about 300 scripts going through because each and every script on the adherence sheet PCQ is just put through.

4. Not giving workers their breaks. If you ask this guy for a break, he just looks at you like you're an idiot. He does this because theres always 9-10 pages in the queue at a time, which I will explain why in the next paragraph. But still, you just can't take a break with this guy here. He doesn't schedule enough people to work because he has to "watch his hours" so we don't get to take our breaks. Ever.

5. Putting in ALL OF THE QR's without calling the MD! This is probably the worst one. He comes in everyday and does NOT call the doctors on the refill requests. He just authroizes them himself with whatever the hell he wants to put on there for number of refills. And I mean ALL OF THEM. Sometimes theres about 4 pages worth of QR's for the pharmacy to call the doctor for, but he just puts them ALL through.

6. Phone calls. This guy ties up a tech or intern the majority of the day in the corner just making phone calls to patients asking them to come pick up their script. So, if theres 3 people there, the guy at pickup is doing pickup, the normal production person is making phone calls and the drop off guy is doing drop off. He just sits there on a chair verifying and reading emails. So basically, no production gets done.

7. Making us STAY WAYYYY Past the time that we are scheduled. He doesn't do this with me because I have a set schedule every week, but this is ridiculous. Some of the guys and girls here are scheduled to leave at like 5 and end up staying until 10:30. Some people scheduled to leave at 9:30 end up staying until 12 each and every single day. Why? Because if your shift has ended and you tell him you're leaving, he gets pissed off and tells you to come back in and do something.

We can't even complain about this guy to the DM's because they are all buddies. They like what he does because he gets the numbers up across the board. That's all he cares about, numbers. But it creates a living hell for us who work under him. And if you dare question his motives, he starts yelling at you and even threatens to cut your hours or terminate you from the company. It's complete utter tyranny.
 
99 days for the thief and 1 day for the owner! All it takes is one day.....and when that day comes, all y'all gonna go down with him, especially if you're proving on a public forum that you were aware of such practices, but did not blow the whistle. I know jobs are hard to come by, but litigation will take lots of time away. Time is money, and I say either blow the whistle or change stores just to be on the safe side with uncle sam. 😉
 
call Human Resource or the ethics line
 
You must call the Board of Pharmacy. You know it's going on, your on the hook as much as the PIC if you don't report it.
 
And now since you have post this on a public forum, it's a matter of time before he learns about this post and takes retaliative actions. Blow the whistle now and protect yourself.
 
call Human Resource or the ethics line
I would not recommend this route. They will definitely retaliate against you. You will have a big note on your file & they will come up with other reasons to fire you. Been there! I agree with the need to be a whistleblower on this. Line up another job first, then report these concerns to state board of pharmacy. Good luck to you.
 
I would call the ethics line. I would also refuse to do anything I found unethical (rerunning 14 day scripts doesn't sound so bad to me, ringing up scripts that the patient isn't picking up - no way). I would only call the board of pharmacy after the ethics line and if the situation did not improve, but that is up to you.

Never, ever do anything that compromises your integrity. Pray your boss fires you when you refuse to do something illegal, your lawyer will make sure you never have to work another day in your life. Oh yeah, that brings me to my next point: document everything! Dates, times, exactly what he told you to do, repercussions for not doing so, etc.
 
I would not recommend this route. They will definitely retaliate against you. You will have a big note on your file & they will come up with other reasons to fire you. Been there! I agree with the need to be a whistleblower on this. Line up another job first, then report these concerns to state board of pharmacy. Good luck to you.

They most certainly will not, unless they want to be sued.
 
Anonymous tip to State Board of Pharmacy is your best option.
I agree with ^

You probably don't have the time or money for litigation and it could take years to compensate you after you're fired anyway,
 
I agree with ^

You probably don't have the time or money for litigation and it could take years to compensate you after you're fired anyway,

Don't you think you are more (or just as) likely to have retaliation from a tip to the board than you are from a tip to an internal line? They can both be anonymous, the biggest difference I see is that if you call the ethics line the company at least has a chance to handle it internally. Calling the board is quite a bit more serious and that pharmacist could end up losing his license. I am no lawyer but I bet the company could be fined (or worse) for some of those violations as well.

They are both perfectly acceptable responses to the above scenario of course, but I would hope that if someone took issue with me, they wouldn't go to the board first. That is the maximally serious response. Of course some people would conclude that the above scenarios calls for the most serious response, but I would still give the company a chance to handle it internally.
 
Don't you think you are more (or just as) likely to have retaliation from a tip to the board than you are from a tip to an internal line? They can both be anonymous, the biggest difference I see is that if you call the ethics line the company at least has a chance to handle it internally. Calling the board is quite a bit more serious and that pharmacist could end up losing his license. I am no lawyer but I bet the company could be fined (or worse) for some of those violations as well.

They are both perfectly acceptable responses to the above scenario of course, but I would hope that if someone took issue with me, they wouldn't go to the board first. That is the maximally serious response. Of course some people would conclude that the above scenarios calls for the most serious response, but I would still give the company a chance to handle it internally.

I agree both are good. But with the ethics line you're not anonymous
 
I agree both are good. But with the ethics line you're not anonymous

You can report anonymously on the ethics line I think. I mean I have never done so, but I think you can. What are they gonna do, insist you give them your name? Maybe, but I doubt it.
 
"Handling it internally" might mean the ethics line tells the DM... and the DM is BFF with the pharmacist.

Well first of all, I doubt that very much. But even if it is true, the company is not going to ignore claims of insurance fraud. And if they do, you can still go to the board next. That's the nice thing about internal reporting, you are giving them the chance to fix it internally. If they don't you still have the option of going to the board.

I wouldn't say it's wrong to go to the board, but I wouldn't make it the first thing I did. It's somewhat like reporting errors; I would give my pharmacist the chance to fix it before I went to the board. Not a perfect analogy, but it's somewhat similar.
 
BTW OP, what you described isn't really "hodge podge". That phrase usually refers to a collection of random/unorganized/unrelated things, I have never heard it used to refer to a collection of illegal/unethical actions. Just FYI.
 
BTW OP, what you described isn't really "hodge podge". That phrase usually refers to a collection of random/unorganized/unrelated things, I have never heard it used to refer to a collection of illegal/unethical actions. Just FYI.

THEHOFF.gif
 
And now since you have post this on a public forum, it's a matter of time before he learns about this post and takes retaliative actions. Blow the whistle now and protect yourself.

How would the OP's boss find out about this unless it was posted on a work computer, or the OP tells someone they posted on here?
 
You can report anonymously on the ethics line I think. I mean I have never done so, but I think you can. What are they gonna do, insist you give them your name? Maybe, but I doubt it.


They can tell by caller id etc. who you are. It will go to the DM who is in heaven because scripts are up.They can ignore any of those that they want. Most of them they do. I would go to the state board. Most of them have online reporting and they will investigate it.

If the pharm is doing this stuff, as you say, he is a fool. They(CVS , DM etc) might be cuddling up to him now because of sales but if he gets caught they will not stand behind him in any fashion leaving him hung out to dry. he violated the law and will be entirely on his own according to CVS policy. They don't care about him-just sales and money. Probably thinks he is on the fast track to promotion- the fool. They are just using him.
 
You guys are missing the point, if such things are going on, you are REQUIRED to report to the Board of Pharmacy, that's not up for debate.

Calling the ethics line is a whole other thing, I probably wouldn't.
 
If you work in a pharmacy where someone is breaking the law then you have a duty to report it. If you do not report it you are guilty right alone with the one breaking the law. I do not believe you can make an anonymous tip to the state board. If I were a staff pharmacist there I would call the ethics line and then I would file a formal complaint with the state board.

I am not surprised by any of this. CVS creates a culture where stealing, lying, cheating and unethical behavior is not just expected but is the norm. Look at all the recent fines agist them and look at all the ongoing investigatios. I agree with the previous poster this guy will probably be CEO someday.
 
Document what information you have. Then:

1) Call the ethics line. If you are paranoid block your number.
2) Wait a short period of time, if nothing happens then call the State Board. You might also call the State Labor Board or dept as I am sure he is not paying overtime or making people work off of the clock & that's illegal.

Also, there are things you allege that don't add up. If you allege illegal activity by your superior, you had better be right. In any event, I would line up a new job because if what you is true somebody may already have reported him and trouble is on the way.
 
Well, looks like for my APPE Community I'm going back to CVS. I should probably tell my preceptor that I don't know how to use RxConnect even though I know how to use it so they don't use me for insurance rejections, PCI calls, Readyfill, etc.

Upside, my school streamlined the APPE Community sites they offered based on student feedback from IPPE, so basically if a student ever complained about something, the site was removed.
 
Sad if a preceptor would actually waste an APPE intern on tech stuff like that.. your role should be counseling all phone/pickup patients, making all the dr calls about changing drug therapy/resolving DURs, taking the voicemails, etc. I loved being the 'extra person' so I had time to be proactive at dropoff about changing a first time nasal steroid user from Nasonex to Flonase and the like.. makes patients happy when someone looks out for them like that and being extra you have the time to do it .

I dunno, patients at the store I'm going to be at will probably be in a rush. It's in Harlem, however I will probably be able to see a lot of cool cases going on:

1/30 people in Harlem have HIV, rates of asthma in children are also crazy here (no doubt because of the bus depots over with buses idling their fumes), low income too.
 
They most certainly will not, unless they want to be sued.
Been there and yes they did that exact thing. Of course, they masqueraded it as some other reason to put a black mark on my file.
 
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