Would you fill this script for cash?

[wagrxm2000]

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lets not make up stuff shall we? i work at 24 hr store and i never seen anyone with 20 scripts. and no im not a manager, so the manager is responsible for selling expired meds. and by manager, i mean all cvs managers across the country at high volume stores.

Well would you sell or not?

Oh and I have quite a few patients that have broken the 20 script mark. We even work with them so they can get most on the same day.

actually once u weed out the bad apples, the pharmacy will run more smoothly and without dilemmas. u will be able to work at a faster pace. any tortoise can beat a hare if they can reach the finish line.

So what do you tell these "bad customers"?

 

[sosoo]

So what do you tell these "bad customers"?

since there are +/-100 scripts i have to play catch up with, obviously i have to sell them. thats what any cvs pharmacists do. they come in, they fill the stacks and stacks of scripts left behind. the question is, how am i to know which one expires in 1 month, 2 months, from the stacks of scripts on the floor and lining up the counters? and how am i to know which one the patient will not pick up, and RTS must be done? and when rts is done 14 days later, how am i to know which bottle and original expiration it came from? the system auto generates 1 year discard date, and rts "automatically" converts to 1 year expiration date.. even if 14 days ago it came from a bottle that expires in 1 month, 2 months.. // bla bla bla. i doubt u could picture what happens.

 

[BidingMyTime]

Perhaps he means like "should I try to get him to tip me for filling it for cash"? Or maybe he means "should I overcharge him and pocket the difference"?

Yeah, I keep feeling there must be more to the story that Sparda forgot to mention. It's not like Sparda to have ethical concerns over something everyone else one the board would easily fill.

I always thought cash for controls was suspect.

It is if the patient 1) has insurance but asks you not to use it 2) has never been to your pharmacy before 3) wants to pay cash for half the prescription and come back later to pay cash for the rest (obviously this wouldn't work with CII's) and so on. There is nothing suspicious at all if a patient honestly has no insurance, there are many uninsured people for a variety of reasons.

lets not make up stuff shall we? i work at 24 hr store and i never seen anyone with 20 scripts. and no im not a manager, so the manager is responsible for selling expired meds. and by manager, i mean all cvs managers across the country at high volume stores.

1) Seriously? People are admitted to the hospital all the time with 20 - 30 home meds.....and none of them fill at your CVS? Polypharmacy is a real thing and I find it hard to believe you have never seen that in a pharmacy.

2) YOU are responsible for medicines YOU fill on YOUR shift. Yeah, your manager is too, but if YOU are the one sending out expired medicines, YOU are the first one who will get in trouble.

since there are +/-100 scripts i have to play catch up with, obviously i have to sell them. thats what any cvs pharmacists do. they come in, they fill the stacks and stacks of scripts left behind. the question is, how am i to know which one expires in 1 month, 2 months, from the stacks of scripts on the floor and lining up the counters? and how am i to know which one the patient will not pick up, and RTS must be done? and when rts is done 14 days later, how am i to know which bottle and original expiration it came from? the system auto generates 1 year discard date, and rts "automatically" converts to 1 year expiration date.. even if 14 days ago it came from a bottle that expires in 1 month, 2 months.. // bla bla bla. i doubt u could picture what happens.

Seriously, what are you talking about? It's not that hard, RTS vials MUST be kept in the patient vial they were dispensed in and the expiration date on that patient vial remains their expiration date (a maximum of 1 year, but as previously discussed, will be shorter if they came from a bottle with a shorter expiration date.) NO NO NO you do NOT dump them back into any original prescription bottle, because as you said, you don't know what bottle they came from. You leave them in the patient vial and go back that expiration date!!!

I remember being flabbergasted at how the New England Compounding Center could have existed. How could pharmacists not know basic sterility? Now I see there is a pharmacist that has zero comprehension of expiration dates. I mean this is basic stuff. Stuff that technicians should know the first month working in a pharmacy.

 

[sosoo]

Yeah, I keep feeling there must be more to the story that Sparda forgot to mention. It's not like Sparda to have ethical concerns over something everyone else one the board would easily fill.



It is if the patient 1) has insurance but asks you not to use it 2) has never been to your pharmacy before 3) wants to pay cash for half the prescription and come back later to pay cash for the rest (obviously this wouldn't work with CII's) and so on. There is nothing suspicious at all if a patient honestly has no insurance, there are many uninsured people for a variety of reasons.



1) Seriously? People are admitted to the hospital all the time with 20 - 30 home meds.....and none of them fill at your CVS? Polypharmacy is a real thing and I find it hard to believe you have never seen that in a pharmacy.

2) YOU are responsible for medicines YOU fill on YOUR shift. Yeah, your manager is too, but if YOU are the one sending out expired medicines, YOU are the first one who will get in trouble.



Seriously, what are you talking about? It's not that hard, RTS vials MUST be kept in the patient vial they were dispensed in and the expiration date on that patient vial remains their expiration date (a maximum of 1 year, but as previously discussed, will be shorter if they came from a bottle with a shorter expiration date.) NO NO NO you do NOT dump them back into any original prescription bottle, because as you said, you don't know what bottle they came from. You leave them in the patient vial and go back that expiration date!!!

I remember being flabbergasted at how the New England Compounding Center could have existed. How could pharmacists not know basic sterility? Now I see there is a pharmacist that has zero comprehension of expiration dates. I mean this is basic stuff. Stuff that technicians should know the first month working in a pharmacy.

u dont have a clue what i was saying.

 

[CetiAlphaFive]

u dont have a clue what i was saying.

I don't think anyone who reads that post has a clue about what you're talking about.

 

[lane one]

i fill them responsibly. no large quantities of opioids. no combo of opioids/benzos at the same time. something along that line. at least limit the quantity of opioids. thats what the law makers are saying in congress, and how they want prescribing habits to be in the future.. do u not follow the news?

So your practice is based on what congress is "saying" about what they want for the future of prescribing?