Rumor has it.. that the large chain pharmacy/PBM… has removed controlled Rxs from the weekly Rx count to be met… so that RPH’s can feel free to decline any/all control Rxs without -supposedly – impacting any of their metrics..
Sure would make life easier for opiophobic RPH’s !
Filed under: General Problems
Why do we have doctors,we can all just go to the RPH’s and they can tell us what our health problem are,and hell,even come to the hospital and do their daily rounds,order our surgery that need performed,and then they will fill real confident in what RX they are filling for us.Besides it would save a lot of money for people who go to college to be a doctor,don’t need them,just become a RPH…
I would let them have it but the DEA and state drug control officers come down on pharmacists when we fill a script that we should have “know” was for a drug seeker. That makes all the pharmacists skittish about any controlled substance scripts especially if they are not one of our regular customers. I’m not trying to be high and mighty when I deny a script. I’m just trying to protect my job and license.
@Bluetowelboy… I have no objection to “profiling” pts – especially new pts.. but if your state has a PMP.. use it.. if the pt does not show up in the PMP report as a problem and their work/home/doc address is within 2-3 miles of your store.. there is little reason not to fill a controlled Rx.. that is one time. Of course, your state probably doesn’t give you the means of validating a driver’s license against the state’s database… so if the Rx & ID is forged.. you can check all the PMP’s in existence .. and you will find nothing… but.. that is all the bureaucrats give you to work with. Set up your “routine” pts on a four week schedule – if the doc is writing for a 30 days supply.. then their “fill date” will be the same day of the week every 4 weeks… balance them out so that all are to be filled on Mon-Thurs… while the docs are in their office and can respond on refills requests without having to deal with after hrs and weekend requests.. If the pts refuse to cooperate or understand.. kick them out of the practice.. they take up too much time.. and time is money…
With all this supposed declining legitimate scripts, why did they become pharmacists in the first place. Why not include declining diabetic meds for non compliant diabetics as well, or inhalers for those who still smoke. IMHO, the ‘war on drugs’ has been a failure. Those junkies that absolutely don’t want help/rehab or whatever should just be allowed to have at it and at the same time get a Darwin award for removing themselves from the gene pool.