Walmart pharmacy question

[Prior_Auth_Denied]

---

Members don't see this ad.

Hello all,

I am a new graduate and recently started to work for Walmart. I am working as a floater and I have been going to very busier stores where the workflow is nonstop (IMZ, MTM RX companion ect). Since I am new, I am taking my time to Visual Verify (the final step in verification). I check everything at 4-Point , it then goes to DUR, the tech fills it and comes back to me at visual verify. This is where I check everything again (pt name dob, drug, dose, route, sig, # refills, correct medicine ect). It takes me so much time that one of the RPH had to call out on me (not in a rude way) that I needed to hurry up. He told me at VV, just check if the label matches the drug filled and move on. The RPH who does the 4pt is essentially responsible for the things that are checked at 4pt (Pt, DOB, Drug, Sig, #rfls), and its not part of VV. My market manager also told me to speed up, but I am too scared to make an error.

I don’t want to lose my job because I know I won’t be able to find another job easily. I hear as a floater I need to be making good impressions at other pharmacy managers so that I can be offered to work at a store. Am I doing something wrong? I Do not know how others are able to do it so quickly in 15 seconds or less. How others here were able to speed up? Thanks really appreciate it!

 

[owlegrad]

You need to develop confidence in yourself. Know that if you have checked it that it is right. You don’t need to look at the same thing over and over. Check it once and make sure it is right and move on.

I would flip it around on you actually - how can it take you longer than 15 seconds to look at a pill and see if it matches the image and/or description?

 

[VA77]

Welcome to McPharmacy. Connexus sucks

 

[Sine Cura]

There is more to 4-point if you're really paying attention:

Is the pt due for other maintenance meds? (this is especially relevant as they are hounding everyone to bring PDC up)
90-day conversion done if allowed?
Is the therapy logical? e.g., syringes don't go with insulin pens. Why is pt getting Freestyle test strips if they been on Libre?
Are the techs adding fax #? Did they pick the right profile with SPI?
Did the techs type the right NDC? Did they type what was covered? Did they put on hold OTCs payable by Medicaid if pt dual eligible? Did they type the wrong NDC that would cause a nominal loss of $1000+ if dispensed?

Verifying data entry is literally 20% of the time I spend evaluating an Rx. The other 80% is based on answering the question "does this make any ****ing sense if dispensed"?"

And that's before DUR. Did the tech process Tdap AGAIN even though pt got Tdap last year (yes the DUR ENGINE DOES NOT CATCH THIS currently!) They need to check the clinical services tab


VV - is it cashed out? wrong ndc if pt prefers specific NDC

If you ever get proficient you'll soon realize that any chain regards fast verification as a given since they're going to pile a ton of **** on top of the most basic/fundamental task of dispensing right drug to the right patient. And that's with Connexus being buggy as **** (RR is a joke) and "opioid stewardship," the implementation of which is also a joke? Oh and are you neat clean and organized while you work in a cesspool zip code? LOL

 

[rphola123]

There is more to 4-point if you're really paying attention:

Is the pt due for other maintenance meds? (this is especially relevant as they are hounding everyone to bring PDC up)
90-day conversion done if allowed?
Is the therapy logical? e.g., syringes don't go with insulin pens. Why is pt getting Freestyle test strips if they been on Libre?
Are the techs adding fax #? Did they pick the right profile with SPI?
Did the techs type the right NDC? Did they type what was covered? Did they put on hold OTCs payable by Medicaid if pt dual eligible? Did they type the wrong NDC that would cause a nominal loss of $1000+ if dispensed?

Verifying data entry is literally 20% of the time I spend evaluating an Rx. The other 80% is based on answering the question "does this make any ****ing sense if dispensed"?"

And that's before DUR. Did the tech process Tdap AGAIN even though pt got Tdap last year (yes the DUR ENGINE DOES NOT CATCH THIS currently!) They need to check the clinical services tab


VV - is it cashed out? wrong ndc if pt prefers specific NDC

If you ever get proficient you'll soon realize that any chain regards fast verification as a given since they're going to pile a ton of **** on top of the most basic/fundamental task of dispensing right drug to the right patient. And that's with Connexus being buggy as **** (RR is a joke) and "opioid stewardship," the implementation of which is also a joke? Oh and are you neat clean and organized while you work in a cesspool zip code? LOL

Can you elaborate(provide an example) of your statement
"Did they type the wrong NDC that would cause a nominal loss of $1000+ if dispensed?" I know that walmart usually wants pharmacies to order preferred selection of NDCs

 

[Sine Cura]

California fee-for-service Medicaid allows brand medication to be billed even if generic is available but the reimbursement seems to be based on generic NADAC, so for example if Abilify 30 nominal acquisition cost is $1200 you would eat a nominal loss of ~$1200 by dispensing brand

 

[rxkrafted]

Is English your first language? Maybe you are taking longer to read than others. Usually it is normal for new grads to be nervous and take extra precaution so you'll more likely get into the groove of things through repetition.

 

[RxPal]

Don’t push yourself beyond your capacity and risk making mistakes. A mistake will take valuable time to investigate, analyze the root cause, and write a SCRT. It’s the pharmacy manager who will have to deal with that. What do you think will piss off the RXM more, your being slow as a new grad or forcing them to do extra work and deal with angry customers because of errors you make?

 

[pencilandpen]

Better speed up or you will have no job. It's brutal but it's the truth

 

[APN-59 rph]

You REALLY have to think of it as an assembly line..with you part of the line....I don't really hear about getting the boot for mistakes...Chains will usually finesse that ..but slowing down the line is not as nicely handled....You HAVE got to resign yourself to the chain system..and realize that you are a highly paid (for now) cog in the great corp..This is where the boards APHA etc. should step in..but....., of course they won't