Retail: How would you have handled this?

Started by newbierph
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newbierph

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Hello, all, I am a recent grad working for a big chain pharmacy. I have dealt with my fair share of unruly customers throughout my internship and my brief experience as a pharmacist, and I always seek feedback of my more experienced colleagues when things tend to go awry. I wanted to post about a situation I found myself in and am looking for feedback as to what I did right/what I should have done. Caution, strong language follows as I quote the customer.

Tonight, I had two customers come to my drive through window picking up prescriptions. These customers are apparently well-known to the staff and well-liked, but I do not know them personally. My technician answers the window as I am filling some prescriptions for people waiting in the store. Customer A (the driver)'s prescriptions were all ready to go. Customer B (passenger) had some problems. We had filled a prescription through our automatic refill program that he (or she) did not want to pick up at this time and remarked that "this **** happens all the time and I'm tired of it." My technician told him that he did not have to purchase the prescription and that we would hold it until he needed it. He then remarked that his doctor should have sent an electronic refill for one of his prescriptions 2 days prior, and that needed it that night. There was no record of a such a script in his profile. My technician told him this and he began to yell in the car across the driver's side that this happens every month and he is taking his business elsewhere. At this point, I tell the technician to trade me places so that I can speak with the customer. I apologized for not having his prescription on file and told him I would call his doctor in the morning to figure out what had happened. He then told me that he absolutely needed this medication tonight because he had not been taking it for 2 days (no explanation as to why he waited 2 days to pick it up). I asked him if he felt it was an emergency to which he responded that it was. I then asked him if he would like to me to see if I could call an after-hours line to see if there was a physician on call who might be able to call in a refill for later on in the evening. His response was that he could not wait and demanded that his passenger "give me the ****ing papers to sign and get the hell out of here." They signed for the scripts and peeled out of the drive through.

About 20 minutes later, customer A (the driver, who had been silent in the car before) calls the pharmacy and proceeds to tell me he (or she) has never been treated this poorly at my pharmacy before and that for the past decade or so, a pharmacist has given him a few pills/bottles/whatever to hold them over until a new prescription arrives. I told the customer that we do this as a courtesy to patients when all other options have been exhausted and that I would have no problem doing so if I cannot reach a doctor on-call. I again asked if I could try to call a doctor on-call and give them a call back. This customer agreeed.

I had to doctor on-call paged, who called me and authorized the refill. I called the patient's home and spoke to the driver of the car, who said he would come to pick up the prescription. Upon arrival, he reaffirmed what he had said on the phone about never being treated so badly at this pharmacy before but would continue to give us his business because I helped him. He went on to say that for a company that prides itself in customer service, I was not doing as such, and that he should not have had to come back to the pharmacy to get this medication. He did not apologize for what he had said on the phone or for what his passenger had said in the drive through.

I try my best to make every customer at my pharmacy happy, and I honestly think I do a good job of it. I hesitate to dispense anything without remaining refills because I don't want to risk my license each time I do so, but I think customers at my pharmacy have become accustomed to us bending over backwards for them each and every time they come in.

Should I have given this customer his prescription without trying to get a valid prescription first? The entire ordeal lasted a total of 45 minutes - from the time they rolled up in the drive through to the time they came back to get the prescription. I had a prior experience with a customer demanding that I call the pharmacist-in-charge (who they claimed would gladly give them a couple pills to hold them over) - when all it took was a phone call to a doctor who refilled the prescription within the hour. Not to mention, I hate calling doctors after-hours because they should not have to worry about refilling prescriptions during their time off.

Anyway, I'm looking for some advice here from the more experienced pharmacists who have dealt with a similar situation or who have some wisdom to share.

Thanks in advance - I look forward to your responses.
 
What you did was fine. Other pharmacists would treat it differently. Many will just give 2-3 doses and be done with it. I would say you handled it fine though. Each pharmacist practices differently. For me it would depend on what the medication was. And the history of that certain medication fill at my pharmacy. What was the medication?
 
Without getting into much detail, it was a unit dose medication and rather expensive. I have no problem spotting someone a couple lisinopril that would cost the pharmacy a few pennies, but we were looking at a $200-300 prescription that I couldn't split up. He had been getting it some time, so I knew he would most likely be back, but I don't like taking the unnecessary risk.
 
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totally depends on the med.

eta: sorry just saw the new post. rethinking answer..
 
First time any customer swears at me I immediately end the conversation by stating that they will not use that type of language. I inform them that they may speak to me again at a later time when they would like to act reasonably and I will do my best to help them. You would think I would get lots of complaints acting this way but I mostly get apologies (at least from the customers that are not un-rectifiable trash) and I go about helping them in whichever way I deem necessary.
 
First time any customer swears at me I immediately end the conversation by stating that they will not use that type of language. I inform them that they may speak to me again at a later time when they would like to act reasonably and I will do my best to help them. You would think I would get lots of complaints acting this way but I mostly get apologies (at least from the customers that are not un-rectifiable trash) and I go about helping them in whichever way I deem necessary.

👍👍👍 i like ur style. Will take this up when i graduate
 
First time any customer swears at me I immediately end the conversation by stating that they will not use that type of language. I inform them that they may speak to me again at a later time when they would like to act reasonably and I will do my best to help them. You would think I would get lots of complaints acting this way but I mostly get apologies (at least from the customers that are not un-rectifiable trash) and I go about helping them in whichever way I deem necessary.

I've done this myself.

As for the prescription...if its a cheap maintenance med, I loan them a few. If its an expensive medication that can't be dispensed dosewise, I basically do what you did. This is assuming I know the patient (or they have a history of getting said medication at my pharmacy.) If its some dude who shows up out of the blue because he's out of mediation and can't talk to his regular pharmacy( and only came to me because I'm the only guy open at 3AM,) I tell him as professionally as possible that he's simply SOL.
 
I would have done what you did, OP, but with a little of Dr Wario's approach thrown in. We learned this approach in our service recovery training. You don't have to tolerate people being hostile to you like that.

One thing I like to do when people threaten to switch pharmacies is pick up the phone and ask them which pharmacy they'd like me to call to transfer their prescriptions if my pharmacy is not meeting their needs. Said in a very calm and friendly manner, this is quite effective for shutting people up. I only do rare PRN work in retail which I think makes me put up with less BS. Another thing I do (which is exactly what you did) is that I absolutely will not let patients yell at the techs. While no one gets paid enough for that, they especially do not.
 
I would have done what you did especially with the attitude from the customer. I will only loan pills when refills are out when they are taking the medicine consistently and as directed. I've had people want a couple to hold them over when they should have been out 2 weeks ago (if taking it as directed), I explain this and tell them that since they are not taking it correctly we need to verify the rx with the doctor to ensure it's right.

I float only and the biggest problem for me is stores where the SP is a huge push-over either do to conflict avoidance or some other reason. The conversation typically goes, "Well Dick always gives me a weeks worth to hold me over when I'm out" and I simply respond "I'm not Dick, if you want to talk to him he'll be in tomorrow" I worked last weekend and had 4 of these calls in one day. Only one was legitimately out of medicine and refills. Makes me wonder what else Dick does to "help" his customers
 
The scenario that the OP depicts happens, unfortunately, quite often wherever I work. The moment I sense that someone are being unreasonable and refuse the options I offer them, I politely ask if they would like to speak to the store manager. I figure that the less I speak to them, the less of what I say could be used against me later on. Besides, it is much easier to deal with the manager later than to waste precious hours on these parasites while there are an infinite long line of legitimate customers to serve.
 
I float only and the biggest problem for me is stores where the SP is a huge push-over either do to conflict avoidance or some other reason. The conversation typically goes, "Well Dick always gives me a weeks worth to hold me over when I'm out" and I simply respond "I'm not Dick, if you want to talk to him he'll be in tomorrow" I worked last weekend and had 4 of these calls in one day. Only one was legitimately out of medicine and refills. Makes me wonder what else Dick does to "help" his customers
Totally. I get that, I mean I'm glad Dick has a good relationship with his patients but it does create problems for everyone else. And while Dick might be ok with floating $$$$ to patients since it's his store, I might not be.
 
You can't please everyone. People will blame their shortcomings on the pharmacy staff and claim they were treated horribly due to issues that the patient needed to resolve prior to coming to the pharmacy. You just have to take these people on a case by case basis and not let them ruin your job.

When I was a tech I was selling Sudafed to a gentleman that grumbled the entire time about having to show me his ID and filling out some information. The first time he filled out his information he did it incorrectly. I politely asked him to please correct the mistake or fill out another card. He proceeded to curse at me and tell me how much of a *****ic info thief I was... I let it go and dismissed him with a smile. My pharmacist noticed this and commended me on how I acted. Those people have issues, their issues spill over into the people they may interact with. Some are lazy and want to blame their problems on you or pharmacy staff, some are just impatient and see a pharmacy as nothing more than a McDonald's that shells out narcotics. I think you handled yourself very well, but don't beat yourself up over the character flaws in others.
 
The scenario that the OP depicts happens, unfortunately, quite often wherever I work. The moment I sense that someone are being unreasonable and refuse the options I offer them, I politely ask if they would like to speak to the store manager. I figure that the less I speak to them, the less of what I say could be used against me later on. Besides, it is much easier to deal with the manager later than to waste precious hours on these parasites while there are an infinite long line of legitimate customers to serve.

Do you work for chain pharmacies or a large grocery store pharmacy? I like to keep the store manager out of our business as much as possible. They tend to think of things at a retail level and don't know our rules/regulations. Example: we had a woman in the donut hole get a refill on 60 namenda. She paid several hundred dollars.. like around 600 or so if I remember correctly. She brought them back two days later wanting a refund. We wouldn't take them back because it had left the store and that was just too much shrink. Contact store manager, he agrees. Lady is unable to make house payment. We make it a point to be consistent in refusing to take back prescriptions that have left the store.

Fast forward to a week ago, some lady gets a 90 day refill on Lipitor 80 (brand name). Husband buys it, patients come back the next day screaming we filled 90 and that we should have known they only wanted 30 to get them through the donut hole. We refuse, saying we cant take it back. Customer complains. Store manager gets involved and he decides to take it back because "what's the 500 dollars compared to how much they will spend in the future filling here."

So I tell the pharmacist this isn't right, especially with refusing to take back the Namenda. So the pharmacy manager agrees, calls back the Namenda person and we give her money back. Now we've opened up the opportunity for anyone to bring their meds back if they don't want them because we've done it for some of the most expensive drugs in the store. Store managers are used to just giving stuff away for free or taking things back when they shouldn't just to appease the customers.
 
Fast forward to a week ago, some lady gets a 90 day refill on Lipitor 80 (brand name). Husband buys it, patients come back the next day screaming we filled 90 and that we should have known they only wanted 30 to get them through the donut hole. We refuse, saying we cant take it back. Customer complains. Store manager gets involved and he decides to take it back because "what's the 500 dollars compared to how much they will spend in the future filling here."

So I tell the pharmacist this isn't right, especially with refusing to take back the Namenda. So the pharmacy manager agrees, calls back the Namenda person and we give her money back. Now we've opened up the opportunity for anyone to bring their meds back if they don't want them because we've done it for some of the most expensive drugs in the store. Store managers are used to just giving stuff away for free or taking things back when they shouldn't just to appease the customers.
Every time I see something like this go down at my store, a little piece of my soul dies. The worst is when I see rphs do things that jeopardize their licenses in the name of customer satisfaction/fear of corporate. I think my favorite was seeing a long time rph back down to a patient over a three day expired CII ADHD script and change the date on it. Because customer satisfaction > your license 🙄
 
Do you work for chain pharmacies or a large grocery store pharmacy?

So I tell the pharmacist this isn't right, especially with refusing to take back the Namenda. So the pharmacy manager agrees, calls back the Namenda person and we give her money back. Now we've opened up the opportunity for anyone to bring their meds back if they don't want them because we've done it for some of the most expensive drugs in the store. Store managers are used to just giving stuff away for free or taking things back when they shouldn't just to appease the customers.

I work for a large chain. Of course each store operates differently. In my experience, most of the time the general unspoken rule is that if the medication is too expensive, we would not let the customers return them. However, if they are cheap pills like simvastatin we would allow the return for the sake of keeping the customer content, as long as the pills are quarantined and not returned to the shelf in compliance with our state law. How expensive is "expensive" is up to the pharmacy or store managers to decide. Is it unfair to the customers with the expensive medications? To me no, because when someone purchase a product from a business, he should not automatically hold the assumption that he can return the product anytime he wants. Consumers should also understand their responsibilities. Allowing customers to return a product is a business practice for the longterm profit of the company that can afford to offer it, which should not be taken for granted.
 
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Consumers should also understand their responsibilities. Allowing customers to return a product is a business practice for the longterm profit of the company that can afford to offer it, which should not be taken for granted.


Nothing teaches a customer about personal responsibility and intra-family communication than me refusing to take back an expensive mediation that they "didn't want" or got "picked up by accident". It's not a mistake they are going to be making twice.

And I love these topics to trot out my favorite Curb your Enthusiasm quote of all time
LD said:
An employee is told that the customer's always right and, in fact, the customer is usually a ***** and an a55hole.
 
I work for a large chain. Of course each store operates differently. In my experience, most of the time the general unspoken rule is that if the medication is too expensive, we would not let the customers return them. However, if they are cheap pills like simvastatin we would allow the return for the sake of keeping the customer content, as long as the pills are quarantined and not returned to the shelf in compliance with our state law. How expensive is "expensive" is up to the pharmacy or store managers to decide. Is it unfair to the customers with the expensive medications? To me no, because when someone purchase a product from a business, he should not automatically hold the assumption that he can return the product anytime he wants. Consumers should also understand their responsibilities. Allowing customers to return a product is a business practice for the longterm profit of the company that can afford to offer it, which should not be taken for granted.

I agree. However when the store manager overrules the pharmacy manager who has already told them they cannot return the drug, he effectively makes the pharmacist look like a *****. Those individuals will tell anyone they know just to go to the store manager and not the pharmacy manger for all future issues because he can override the pharmacy manager.
 
Do you work for chain pharmacies or a large grocery store pharmacy? I like to keep the store manager out of our business as much as possible. They tend to think of things at a retail level and don't know our rules/regulations. Example: we had a woman in the donut hole get a refill on 60 namenda. She paid several hundred dollars.. like around 600 or so if I remember correctly. She brought them back two days later wanting a refund. We wouldn't take them back because it had left the store and that was just too much shrink. Contact store manager, he agrees. Lady is unable to make house payment. We make it a point to be consistent in refusing to take back prescriptions that have left the store.

Fast forward to a week ago, some lady gets a 90 day refill on Lipitor 80 (brand name). Husband buys it, patients come back the next day screaming we filled 90 and that we should have known they only wanted 30 to get them through the donut hole. We refuse, saying we cant take it back. Customer complains. Store manager gets involved and he decides to take it back because "what's the 500 dollars compared to how much they will spend in the future filling here."

So I tell the pharmacist this isn't right, especially with refusing to take back the Namenda. So the pharmacy manager agrees, calls back the Namenda person and we give her money back. Now we've opened up the opportunity for anyone to bring their meds back if they don't want them because we've done it for some of the most expensive drugs in the store. Store managers are used to just giving stuff away for free or taking things back when they shouldn't just to appease the customers.

Couldn't you just take it back, put it in an empty Lipitor bottle and when expiration time comes, just send it back to the wholesaler or capital returns, etc? Just make sure not to resell it to another customer.

I'm not the owner of the chain, why the **** should I care if the company loses money on it? If it saves you a headache from customers yelling, just appease them.
 
Couldn't you just take it back, put it in an empty Lipitor bottle and when expiration time comes, just send it back to the wholesaler or capital returns, etc? Just make sure not to resell it to another customer.

I'm not the owner of the chain, why the **** should I care if the company loses money on it? If it saves you a headache from customers yelling, just appease them.

So you are suggesting misbranding of medication and fraud as an acceptable solution?
 
I'm not the owner of the chain, why the **** should I care if the company loses money on it? If it saves you a headache from customers yelling, just appease them.
A friend was telling me how he works with a pharmacist with that philosophy. He says "If I say no and save the store $500, the customer bitches and I get to have a meeting with the DM and so I get bitched at twice. If I take it back and the store loses $500, the customer is happy and it's all done with."

Kind of sad, but ultimately, it's true. What will get you fired faster? Customers calling the DM to complain about you, or having a smaller margin? The store is making money no matter what.
 
Cheao maintainence medication, no problem give the guy a few. I wouldn't even try to get a hold of the on-call doc. Expensive med in a unit of use container that you dont want to break up, no way. You did the right thing. The funny thing is that they will be back. They might try somewhere else for a month or two, but there is a reason they have been going to that pharmacy for ten years, location, nice staff, whatever it may be. They will be back and probably act a little nicer next time.
 
here's what I would have done. If it was in fact an expensive med that the patient fills on a regular basis, I would have spotted him 3 days worth and then once the refill approval comes in, fill the remainder of the Rx less 3 days worth.
This works best with those customers that you know well who are at your pharmacy on a regular basis getting the same drugs. I've done this with a guy who is taking seroquel for the past 2 years month after month, all filled at my pharmacy.
Expensive drug yes, irate customer (without his atypicals) YES. For me it's a low risk high reward situation. This shows them terrific customer service and you are almost guaranteed to have them back to pick up and pay the remainder, once ready.

Sounds like this was your situation, too.

Now, if some asshat comes in looking for loaners on some brand valtrex he hasnt filled since March 2011, I'm shutting him down. Same goes with refills that have been denied by the doctor.

When I was brand new, my perception was virtually all customers fell into that 'asshat' category, and any loaning on any medications was a big fat no-no. Once you work at the store more, the familiar faces will stand out, more of a trust relationship will be established, and loaning becomes easier to stomach.
 
Sounds like the OP was talking about a med that couldn't be doled out in small quantities, something like Saphris SL I would imagine.
 
I agree. However when the store manager overrules the pharmacy manager who has already told them they cannot return the drug, he effectively makes the pharmacist look like a *****. Those individuals will tell anyone they know just to go to the store manager and not the pharmacy manger for all future issues because he can override the pharmacy manager.

You guys arent speaking the managers lingo. You CAN take meds back! You just cant resell them. So if the manager decides to take $500 and throw it in the garbage, that is their decision to make. No need to get feelings hurt.

In a previous life I used to work in a lab. We would have irate patients DEMAND we run the tests at our lab as opposed to sending it someplace their insurance would pay for(b/c the other labs sucked).

Without getting into an arguement I would tell them that would be ok. I could help them and we could run the test wherever they pleased, but since their insurance wont cover our hospital they would have to pay for the test. Which was $200. Shut them the heck up.
 
I agree. However when the store manager overrules the pharmacy manager who has already told them they cannot return the drug, he effectively makes the pharmacist look like a *****. Those individuals will tell anyone they know just to go to the store manager and not the pharmacy manger for all future issues because he can override the pharmacy manager.

so much for being a professional when a "store manager" who is prob 22 can come over and make you the retail bitch. "most trusted health care provider" #aphabull****
 
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so much for being a professional when a "store manager" who is prob 22 can come over and make you the retail bitch. "most trusted health care provider" #aphabull****

I don't understand the logic. Being a professional means giving poor service? To give or not give a refund is a business decision, not a professional one.
 
You guys arent speaking the managers lingo. You CAN take meds back! You just cant resell them. So if the manager decides to take $500 and throw it in the garbage, that is their decision to make. No need to get feelings hurt.

In a previous life I used to work in a lab. We would have irate patients DEMAND we run the tests at our lab as opposed to sending it someplace their insurance would pay for(b/c the other labs sucked).

Without getting into an arguement I would tell them that would be ok. I could help them and we could run the test wherever they pleased, but since their insurance wont cover our hospital they would have to pay for the test. Which was $200. Shut them the heck up.

Yes I am aware we can take the medication back, we just can't resell it. Then what do you do with it? It's money in the trash. Granted it's not MY money but still. Patients are responsible for understanding what they are getting and the cost before they pay and leave. It's not my problem they change their mind the next day and bring it back. That's like driving a car off the lot and bringing it back the next day for a refund.

As for your example, I'm not seeing the comparison between the two situations. In your case, you have people wanting to spend the cash price at your lab versus someone wanting to return something. That's like someone whose insurance only pays for refills via mail order but they want to fill at our store so we charge them the cash price.

If you want a more accurate comparison, you would have someone get your lab to do the results, then a day or two later have them call you back and want you to refund them the money because they changed their mind.
 
Not giving a refund is a patient care issue? How exactly is that in the patient's best interest, medically speaking?

I wasn't necessarily speaking about this specific topic but more in general terms of profit-mongering corporations working pharmacists and techs into the ground. Being more concerned with totally minimizing labor costs and squeezing every last inch of life out of us until we make a mistake, then get thrown under the bus because the company holds you personally responsible. That sort of thing.
 
FWIW, I agree with the stance that no manager should be able to override a pharmacist. We are the professionals, not them. We have a license, not them. We hold are the doctoral degrees, not them.

But I don't think it is fair to hide behind the professional curtain for every issue - if it is a business issue it should be called a business issue. I still think the pharmacist's decision should stand, but I wouldn't call it a professional issue, unless it somehow was.

I wasn't necessarily speaking about this specific topic but more in general terms of profit-mongering corporations working pharmacists and techs into the ground. Being more concerned with totally minimizing labor costs and squeezing every last inch of life out of us until we make a mistake, then get thrown under the bus because the company holds you personally responsible. That sort of thing.
 
If you want a more accurate comparison, you would have someone get your lab to do the results, then a day or two later have them call you back and want you to refund them the money because they changed their mind.
Or they didn't like the test results, so they want a refund. That would nicely mirror "this pill makes me feel bad, so I don't want it, but I only took one so here are the rest of them I want refunded"
 
We have a policy that we NEVER contact the doc for refills. If it is for something like insulin, we might fill it but they will get a stern warning that this is the only time (and a note in their profile as well). People never give me crap. I just tell them, "Sorry, you have to contact your doc. We can't." And they say, "oh, ok" and move right along. I've never had it be an issue.
 
We have a policy that we NEVER contact the doc for refills. If it is for something like insulin, we might fill it but they will get a stern warning that this is the only time (and a note in their profile as well). People never give me crap. I just tell them, "Sorry, you have to contact your doc. We can't." And they say, "oh, ok" and move right along. I've never had it be an issue.
I like that idea. However, we have a few practices here that are weird about refill requests. One office leaves it all up to the patient, and tells us to make the patient call themselves, which is nice. However other practices tell the patients "don't call us, have the pharmacy call us," and others you can't fax but have to call their rx voicemail line. I would really like to not waste time asking for refills, though.
 
Or they didn't like the test results, so they want a refund. That would nicely mirror "this pill makes me feel bad, so I don't want it, but I only took one so here are the rest of them I want refunded"

That... or patient leaves the pharmacy... reads the patient insert and brings back the prescription because the possible side effects scared them. I generally tell them they HAVE to put it in there even if one person experienced it and it couldn't directly link it to the drug.
 
I remember once I worked an overnight shift and a customer called complaining she needed her insulin refill ASAP and it was our fault that the doctor didn't call it in yet blah blah blah. She made me page her doctor at midnight because it was an "emergency". Doctor actually called back and ok'd the refill and wasn't angry. Patient never came in that night to pick it up. Every day I work it becomes harder for me to see the good in people.
 
We have a policy that we NEVER contact the doc for refills. If it is for something like insulin, we might fill it but they will get a stern warning that this is the only time (and a note in their profile as well). People never give me crap. I just tell them, "Sorry, you have to contact your doc. We can't." And they say, "oh, ok" and move right along. I've never had it be an issue.
Our local clinics don't want calls from patients, only pharmacies.
 
So you are suggesting misbranding of medication and fraud as an acceptable solution?

How is it misbranding and fraud?

Give the customer the refund, reverse the insurance claim.

If you dispensed in an unopen original bottle and they didn't open it, I don't see what the problem is putting it back on the shelf.

If you dispensed in an unopen original bottle, they did open it, put it with the damages to be shipped back.

If you dispensed in a generic amber pharmacy bottle, find the original bottle that the drug goes with, and put it with the damages to be shipped back.
 
How is it misbranding and fraud?

Give the customer the refund, reverse the insurance claim.

If you dispensed in an unopen original bottle and they didn't open it, I don't see what the problem is putting it back on the shelf.

If you dispensed in an unopen original bottle, they did open it, put it with the damages to be shipped back.

If you dispensed in a generic amber pharmacy bottle, find the original bottle that the drug goes with, and put it with the damages to be shipped back.

The problem is that you have no idea what they've done with the drug since it left your store. What if they left it in their car at 110 degree Texas heat? What if their dog was running around with the bottle in its mouth and broke several tablets inside? Once it leaves the store I'm pretty sure it's against my state law to redispense.
 
That... or patient leaves the pharmacy... reads the patient insert and brings back the prescription because the possible side effects scared them. I generally tell them they HAVE to put it in there even if one person experienced it and it couldn't directly link it to the drug.
I remember a pharmacist I worked with a while back telling this to a patient, but a bit embellished: "If somebody fell off their bike and bruised their knee while in the clinical trials, they would report knee pain as the drug's side effect!"
 
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Yes I am aware we can take the medication back, we just can't resell it. Then what do you do with it? It's money in the trash. Granted it's not MY money but still. Patients are responsible for understanding what they are getting and the cost before they pay and leave. It's not my problem they change their mind the next day and bring it back. That's like driving a car off the lot and bringing it back the next day for a refund.

.

And if the dealership manager told you they would take the hit and accept it back...its THEIR problem.

To me, returning meds arguements sounds like it is blown out of proportion. Pharmacists arent using their "professional judgement." Were following federal, and in most cases, state law. So its pretty basic. We can refund meds, the store will eat the cost. Mr. 22 year old manager, if youre willing to accept this $500 loss to the store, Im fine with it as well. But I cannot break federal law and return these medications to the store shelf.

*shrug*
 
And if the dealership manager told you they would take the hit and accept it back...its THEIR problem.

To me, returning meds arguements sounds like it is blown out of proportion. Pharmacists arent using their "professional judgement." Were following federal, and in most cases, state law. So its pretty basic. We can refund meds, the store will eat the cost. Mr. 22 year old manager, if youre willing to accept this $500 loss to the store, Im fine with it as well. But I cannot break federal law and return these medications to the store shelf.

*shrug*

I agree. My problem is consistency. If we tell one person we won't take their meds back, the rule must apply to everyone. Doesn't matter if it's seroquel or lisinopril. That's not what's happening at my store now and it is frustrating.
 
If you dispensed in an unopen original bottle and they didn't open it, I don't see what the problem is putting it back on the shelf.

This isn't a toy that's still in its original box and people just don't get it. As was stated before, once it leaves the store it cannot be redispensed even if it is still in the sealed original bottle.
 
I agree. My problem is consistency. If we tell one person we won't take their meds back, the rule must apply to everyone. Doesn't matter if it's seroquel or lisinopril. That's not what's happening at my store now and it is frustrating.

The only judgement call were making is whether its to our long term benefit to accept a one time loss for future gains. This is a business decision. If a PharmD thinks they can make that decision better than a 22 year old Manager, so be it. But IMO either are adequately equipped.

The best way not to get frustrated is to tell the patient the truth. You can take the meds back but we would have to throw them away, so we cant do that. If they go back, find some dolt in corporate to approve it, fine. Youre in the clear with them because you never said you couldnt.
 
How is it misbranding and fraud?

Give the customer the refund, reverse the insurance claim.

If you dispensed in an unopen original bottle and they didn't open it, I don't see what the problem is putting it back on the shelf.

If you dispensed in an unopen original bottle, they did open it, put it with the damages to be shipped back.

If you dispensed in a generic amber pharmacy bottle, find the original bottle that the drug goes with, and put it with the damages to be shipped back.

Ask you law teacher before you hurt someone or end up with a sanction on yor license