sosoo

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does anyone know how to change store hours? we get random ppl from afar coming in after hours for narcotics, n so im thinking of changing store hours to closed so random ppl stop coming.. locals already know we never close.. but ppl coming out of town are annoying.
 

Dr Wario

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does anyone know how to change store hours? we get random ppl from afar coming in after hours for narcotics, n so im thinking of changing store hours to closed so random ppl stop coming.. locals already know we never close.. but ppl coming out of town are annoying.
You can't change store hours at store level except for holiday exceptions. By the way, if you did change hours, your phone would say you are closed and how long do you think it would take until that got to corporate?
 

josh6718

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You can't change store hours at store level except for holiday exceptions. By the way, if you did change hours, your phone would say you are closed and how long do you think it would take until that got to corporate?
In addition to the above (depending on the state you are licensed in) you would also be required to notify the Board of Pharmacy for a change in pharmacy hours.
 
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npage148

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Just don't fill sketchy narcs. Simple. After a week or so no one will bother you
 

ldiot

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Just tell them you aren't comfortable filling it. They will proceed to tell you some 5 minute story; I usually try to work on the QT while they are blabbing. When they finally shut up tell them you are still not comfortable filling it and they will have to try another pharmacy.

Once you fill one sketchy narc they will be back next month and they will also tell their 5 friends to come to your pharmacy. They multiply like rabbits.
 
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"Store policy is we do not fill narcotic prescriptions from new patients without first calling and speaking to the prescriber." Boom.
 
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sosoo

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we didnt have this problem in the past. but now several 24 hr pharmacies in the area closed their overnight service, random ppl from afar keep coming. i say no to everyone of them but its getting annoying.
 

BidingMyTime

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we didnt have this problem in the past. but now several 24 hr pharmacies in the area closed their overnight service, random ppl from afar keep coming. i say no to everyone of them but its getting annoying.
Is there a problem with the prescriptions they are bringing in, or are you just lazy and don't want to fill them? It makes sense if other 24 hour pharmacies have closed, that you will be getting new customers. If their RX's are legit, then fill them, and thank them for the job security they are bringing to your pharmacy (otherwise you might find your 24 hour pharmacy closed as well.)
 

mentos

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we didnt have this problem in the past. but now several 24 hr pharmacies in the area closed their overnight service, random ppl from afar keep coming. i say no to everyone of them but its getting annoying.
You're in luck 'cause there are rumors that CVS will close more 24 hours stores based on how many scripts they fill overnight! So keep turning down those scripts and you won't have this problem anymore.
 

NateRobinson

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Is there a problem with the prescriptions they are bringing in, or are you just lazy and don't want to fill them? It makes sense if other 24 hour pharmacies have closed, that you will be getting new customers. If their RX's are legit, then fill them, and thank them for the job security they are bringing to your pharmacy (otherwise you might find your 24 hour pharmacy closed as well.)
At CVS, all controlled substances and narcotics don't count as prescriptions. They don't add to the script count, aren't budgeted and therefore there is no additional demand hours budgeted to the store. For example, if you did 300 non controlled scripts and 300 controlled scripts today (unlikely, just making a point), it would only show on the screen that you did 300 scripts that day. Therefore, you get tech hours based on that 300 scripts besides the fact that you actually did 600 that day, not to mention all the time going into opening the safe, back counting, etc. There really is NO incentive in filling narcotic scripts anymore unless you have a regular or your patient is in a lot of pain.

Also, OP, corporate doesn't work like that. You don't have the authority to just change store hours as you see fit. You're thinking of attacking the problem the wrong way. Just refuse to fill the scripts. Yeah, people will yell and scream and throw a tantrum, but then they'll leave and they won't ever come back because they know you said no. Just deal with the initial outburst and then sit back and enjoy not having to fill all those scripts in subsequent months.
 
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Dr Wario

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24 hour pharmacies were never implemented because the company thought it would actually be able to directly justify the expense of the night hours with unique scripts filled during that time, it was simply a move to build goodwill for the company and allow them to swallow up the competition. Now that the big 2 are prettymuch the only game in town, it is no longer necessary to have night hours as a convenience to customers.
 
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Dr Wario

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At CVS, all controlled substances and narcotics don't count as prescriptions. They don't add to the script count, aren't budgeted and therefore there is no additional demand hours budgeted to the store. For example, if you did 300 non controlled scripts and 300 controlled scripts today (unlikely, just making a point), it would only show on the screen that you did 300 scripts that day. Therefore, you get tech hours based on that 300 scripts besides the fact that you actually did 600 that day, not to mention all the time going into opening the safe, back counting, etc. There really is NO incentive in filling narcotic scripts anymore unless you have a regular or your patient is in a lot of pain.
Um no, there are certain budget reports that controlled medications are not included in, but demand includes all scripts filled. This was a rumor that started awhile ago because CVS does have different script budgets (90 day as 3, w/ or w/o controls etc) they use to present to shareholders and pharmacists took this to mean that controls do not count toward tech budgets when this is simply not the case.
 
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Dred Pirate

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24 hour pharmacies were never implemented because the company thought it would actually be able to directly justify the expense of the night hours with unique scripts filled during that time, it was simply a move to build goodwill for the company and allow them to swallow up the competition. Now that the big 2 are prettymuch the only game in town, it is no longer necessary to have night hours as a convenience to customers.
I worked overnight shifts when I was doing my time in purgatory that is retail pharmacy - agree with the majority of this, but I was at the busiest store in the district and adding me really did not add to the overall budget to much as the two overnight Rph's essentially replaced one RPh during the day because we would do ~150 or so ready fill rx's (or whatever the hell my store called them). That plus the business we did do (we were right next to a huge 900 bed hospital and had 2 very busy ER's within 5 miles of us) would probably make it cost effective or actually make a little $ despite adding the RPh salary
 

Apotheker2015

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does anyone know how to change store hours? we get random ppl from afar coming in after hours for narcotics, n so im thinking of changing store hours to closed so random ppl stop coming.. locals already know we never close.. but ppl coming out of town are annoying.
It sounds like the "candy man" tweet already went out and every narc addict got it. Do no mess with store hours. That sounds like a bad. You could change what you during those hours and how you run the store, though. There are several things you can implement here:

1. You have to do it all with the CVS stamp of approval. Whatever you say to them must be what CVS policy wants you to say to them. If you go online to the pharmacist training modules, you will find a conversation between a pharmacist and someone with a bogus script. That scenario includes a nicely written statement on how to say to a patient that "by law you are not required to fill the prescription order but that you are required to verify the patient - prescriber relationship. CVS policy requires me as a pharmacist to do x, y, z." I am paraphrasing there. Print it and do not even bother telling them the statement. Just hand it to them.

2. Tell your technicians to get you or the pharmacist on duty before accepting a C-II script and saying: "It will be ready in 15 minutes". Tell them to get you every time a C-II script comes. Unless they are on crutches and coming from the ER, tell them it's an hour and PMP the hell out of that script ONLY after you've xeroxed their government issued ID AND the prescription side by side. This will deter the majority of people with questionable scripts.

3. Eliminate the 12:00 am line of people begging for their narcs 2 days early. You have to make it very inconvenient for them. Nothing before 10am. That way you eliminate the 8am line, as well. The only narcs you should be filling are those prescriptions coming straight from the local and closest Emergency Rooms that night. Of course, check the date.

4. Bottom line is that unless you can verify the patient-provider relationship, filling the script would be in violation of the law. In order to do that, you'd have to call the provider and verify it. Use your judgment. Be firm and assertive but professional at all times. There is no need to be a jerk.

5. You could also post a sign at each register and the consultation window stating:

For every prescription for a controlled substance:

1. We verify patient-provider relationship.
2. We photocopy your government issued ID and your prescription.
3. We report to the Prescription Drug Monitoring Program
4. We report to law enforcement any prescriptions confirmed to be forged, altered, or illegally possessed.*

*Check your state law. My state allows that. Check your state law. There are states that allow pharmacists to seize a prescription that may be forged until the pharmacist can verify its validity and if forged, then the pharmacist must report to law enforcement

Hope that helps.

Best,

Apotheker2015
 
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Old Timer

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At CVS, all controlled substances and narcotics don't count as prescriptions. They don't add to the script count, aren't budgeted and therefore there is no additional demand hours budgeted to the store. For example, if you did 300 non controlled scripts and 300 controlled scripts today (unlikely, just making a point), it would only show on the screen that you did 300 scripts that day. Therefore, you get tech hours based on that 300 scripts besides the fact that you actually did 600 that day, not to mention all the time going into opening the safe, back counting, etc. There really is NO incentive in filling narcotic scripts anymore unless you have a regular or your patient is in a lot of pain.

Also, OP, corporate doesn't work like that. You don't have the authority to just change store hours as you see fit. You're thinking of attacking the problem the wrong way. Just refuse to fill the scripts. Yeah, people will yell and scream and throw a tantrum, but then they'll leave and they won't ever come back because they know you said no. Just deal with the initial outburst and then sit back and enjoy not having to fill all those scripts in subsequent months.
True and not true. It shows in your daily counts and it shows in your demand hours. What it does not do is count towards your bonus. That's why the scripts VS budget for you SOS will vary from the KMI or the operating reports or the daily flash. The SOS takes out the controls so the pharmacists wont be incentivized to fill controls.
 

catalyzt

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Are controlled substance prescriptions counted in the weekly numbers that our sup faxes to us each week (i.e. there are 3 pages with the numbers for every store in the district - one has rx filled vs. demand, one has rx filled vs. last year's count and one lists the number of Rx above or under broken down by #/day and #/hour and #/week)?