it's kind of a bit to explain. california is mandatory counseling on all new rx's. so if you work at WAG they've implemented a block on the sale of any "new" rx. any rx that doesn't say the word "refill" on the label. so this includes obviously every c2, every renewal, every change in manufacturer as well, all vaccines excepet flu shots randomly. so the cashier will not be able to ring out the customer until a pharmacist clears the block. this is to avoid lawsuits from the board. so the standard operating procedure WAG implemented is that the consult must be offered and completed BEFORE you clear the block.
make sense now? lol
so it's super rare to not have a block to be honest. even someone getting their maintenance refills. how often do you think it was renewed (by the doctor after running out of refills) or a manufacturer was changed? BLOCK! (or in WAG terms, it's a CAP!)
if you don't offer consult and the board catches you, we were told it's a 3k fine. 1k for the rph, 1k for the pharmacy, and 1k for the pharmacy manager.
so the best place in this system for a pharmacist to work is actually the cash register. your techs can work uninterrupted for the most part. obviously this isn't perfect either because of doctor calls and having to focus on data entry. but you could do that in between customers too i guess. yes it's RIDICULOUS!