Metoprolol tart vs ER

[Lnsean]

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Assumptions will work with insurance companies, *if* the doctors records match up what you fill. 0If they don't, then expect charge backs. And yes, ins companies can do charges back for filling "incomplete" prescriptions such as for "metoprolol" when the tartrate vs succinate is not specified. In reality, they are going to be looking at big ticket items and aren't going to pay their adjuster to be going through auditing metoprolol scripts. I have seen chargebacks when an insulin pen was dispensed instead of vials on an unclear script.

I have never had an issue... Not to say that it may not be one, but if it is, you're probably out a few dollars. I'm not going to let that bother me. There are more serious chargebacks such as incorrect day supply....and such.

 

[Deja]

Our staff pharmacist usually has a pile of 5-10 scripts for the PIC every morning to call on lol.

Flexeril 1t;po;tid for 3 days quantity #15... calls to verify days supply/quantity after acting like I killed a patient for putting a days supply of 5. Doctor wanted 5 anyways. Rinse and repeat 20 minutes later...

okay aside from how stupid that situation was....leave the scripts for PIC to call? what?! i thought it's common sense that if you find a problem, you try to take care of it, unless you are about to be off work and can't get hold of anyone

 

[zelman]

okay aside from how stupid that situation was....leave the scripts for PIC to call? what?! i thought it's common sense that if you find a problem, you try to take care of it, unless you are about to be off work and can't get hold of anyone

Don't you know? Every problem prescription is presented to the pharmacy at 5:01pm. Doctors don't have the same hours as retail pharmacies, so there are always piles of junk to resolve the next day.

 

[SClENCE]

okay aside from how stupid that situation was....leave the scripts for PIC to call? what?! i thought it's common sense that if you find a problem, you try to take care of it, unless you are about to be off work and can't get hold of anyone

Most doctors don't work 13 hour shifts and some clinics aren't even open 5 days a week. And we've all seen patients drop off an acute dated 2 weeks ago.

 

[BidingMyTime]

If I walk in and find stupid stuff left such as Flexeril 10mg TID x 3 days, #15....I fill as is, and carry on. I feel no obligation to call on something just because another pharmacist had qualms about it (although I have in the instances where the other pharmacist got the patient all worked up, in that case I call because of the patient's concerns.) I'm sure I have left stuff that I thought should be called on, that the following pharmacist had no qualms filling. We each have our own license, and perhaps our own comfort level based on experience.