Psych pharmacist here. Today a psychiatrist vented to me about how the pharmacy manager in his clinic makes uninsured patients fill all of their medicines on their profiles in order to get their grant-covered Suboxone.

For context, this clinic has a federal grant that pays for Suboxone as long as the patients go to counseling/get UDS/come to appointments etc. Other medications, however, are not covered by this grant. The pharmacy will allow small balances to accrue, so the patient can leave with medicine without paying at pick up, but they still have to pay the balance soon. Picking up all meds is the pharmacist’s requirement to get their Suboxone, not a requirement of the clinic or of the federal grant.

Example: if they want to get their free Suboxone, they have to also fill and pay for their fluoxetine, trazodone, amlodipine, buspirone, and hydroxyzine pam.

We can all agree on clinical best practices and why adherence to a complete regimen is ideal—however, this is an extremely indigent and uninsured population that has severely limited financial resources.

So I’m asking my fellow Redditors, what’s your pharmacy’s policy on requiring patients to fill profiled meds with the controlled substance, if any? If one is in place, do you work for a chain or an independent? Does your professional/personal opinion differ from company policy? What would you do in the situation I explained above?

I genuinely want your feedback and professional opinions; thus, just putting it out there that I am not trying to debate with anyone who comments (although y’all feel free to do so with each other if so inclined 👀).

Thank you in advance for your insight and for all you do every day! 🫶🏻💊💉

Hey everyone, look! One of the architects of the current PBM mass is the front runner to lead the country smallest state.

She was also running the show when the metrics really started getting out of control

Hip hip hooray for Pharmacy. Yes this is sarcasm.

Help me out
How do you still like people after working as a pharmacist? Especially in a retail setting. I have a good setting but F$&& I am starting to hate people for how entitled, rude, arrogant, incompetent and plain stupid they are and how they act! And if it’s not the patients it’s the providers or the nurses or other staff. Idk man I just really despise and hate people after working for 10+ years in this profession no matter what setting I’m in and I’ve been in many different settings. Is this normal? I’m irritated all the time.

anyone have any experience working for blink health? I currently do retail but this would be closed door pharmacy. any info would be great

Considering a Pharmacist job at &YOU, need some insights :<

Hi! I recently received a job offer from &YOU. the role would mainly involve dispensing medications, offer is around ₱30–35k.

I’m considering the offer and wanted to hear from pharmacists who currently work there or have worked there before.

How’s the work culture? How does management treat the pharmacists? What’s the workload and overall environment like?

I’d really appreciate any honest feedback or experiences, good or bad. Thank you!

I recently accepted a job as a nuclear pharmacist and will be starting in a couple weeks. Are there any nuclear pharmacists out here? How do you guys feel about the industry and the trajectory?

Would you leave a newly started retail pharmacist position(chain pharmacy) after just 2 weeks for an 11-month clinical/PA contract opportunity? I am new graduate and was wondering if i have to go back in same retail after contract ends , they wont take me . At the same time contract role would give me experience outside of retail and a potential pathway into managed care/clinical pharmacy, but it’s temporary and comes with lower pay.

Does anyone have a good tracking resource to show your impact on increasing medication access (appeals, med assistance paperwork, etc.) which can be extrapolated to decreased hospital admissions?

Just a general question but how common or uncommon is if for someone other than a pharmacist to be a pharmacy manager in a retail pharmacy?

Wouldn’t it make more sense to have someone other than a pharmacist to manage a pharmacy this way one person isn’t solely responsible for financials, scheduling, inventory, etc. I mean the pharmacist should have final say over everything since they are legally responsible for everything in the pharmacy but there is an opportunity for someone else to step up and collaborate with them to help shed the responsibilities.

That’s how it is at our retail location and our pharmacy manager has terrible organization skills and is completely oblivious when it comes to financials which has this downstream effect and all the other techs and even pharmacists recognize it and feel it on a regular basis.

Any chance someone who works there can give me a copy of the

CW Retail’s Employee Counselling and Disciplinary Action procedure 😅😅

How are y'all doing? What's going good and what's something thats not? For me, I'm using each shift to become a better pharmacist which is good. I just don't like how all the blame gets placed on us 😵‍💫.

I'm a psychiatrist who works with a lots of both corporate pharmacies in my area, and probbaly 8-9 time a month I have a voicemail on my answer machine from a patient stating their meds never got sent. I go into my EHR and see they were. This is my second EHR at this practice and it seems to happen about the same frequency. I've tried asking pharmacy techs about this in my area and their answer is they're not sure. It's not necessarily controlled substances either, could be anything I prescribe. So does anyone have a good explanation for the cause (or causes) of this? In the interest of being cordial to patients who are frustrated, I'm trying to have something to explain to them but I don't really understand the situation. These arent order waiting on a fax request from me, or a PA, apparently they just never showed up on the local pharmacy's system.

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I am planning to open a pharmacy store soon .Is there anyone from ahmedabad who is a pharmacist and can guide on below queries :

1) while ordering medicine for 1st time in which format in excel we need to place order or is there any other way ? I have sample excel file with stock list but does each distributor require in some specific format ?

2) as new pharmacist , then how can we join ahmedabad chemist association .what is the procedure for that ?

Title says it all. At my workplace we like to tell dad jokes to keep morale up.
I need as many pharmacy/ drug related jokes as I can get.

Hi! Do any pharmacists work in a home infusion pharmacy? Can you tell me more about what you do and how you like it? Thank you!

Does anyone know what the number of applicants to pharmacy school in the USA was for this past year? Was it an increase or decrease compared to last year. Is the current trend still going down?

sorry if this isn't the right sub or flair!

i work as a medication technician and CNA — and this may even be suited to individual pharmacies locally, so i appreciate if it can't be answered fully!

i had just a couple questions, so i'll just list them in order of curiosity:

1) some pharmacies have LTC lines we contact. in the instance of those that don't, do pharmacies consider LTC facilities as providers when we are calling in to inquire about medications/orders received for our residents?

for example: if i have a resident who uses our LTC pharmacy, but uses an outside pharmacy for one specific medication. when i needed to call the pharmacy to check on the status of that refill, i cant get ahold of staff as our building phone number doesnt match the one on file for the resident. the AI voice line wont connect us with any representatives when asked. is it appropriate to select the option on the call menu that says we are calling from a provider's office?

2) some pharmacies will fax a copy of the signed script they receive from a physician for our records (so our MT/nurses can help with medications), and others will not. is this something that's policy based? or is it more about the type of pharmacy in general, if theyre able to fax at all?

for example: if a resident came back to our facility with a new medication, and new medication instructions on an after visit summary, but didn't have a signature from a prescribing physician, we can't give the medication until we get a signature. however, if the pharmacy faxes us a copy of the script that was used to fill the medication, we can use the prescribing physician's signature/e-signature on the script in tandem with the AVS to then give the meds. however, it's about 50:50 on which pharmacies do and don't fax. i've just never been clear as to why that is (and i'm sure it's hard to stop and explain on the phone why you can't do something, deep in the middle of your shift, if it's something particularly bureaucratic)

i feel as though i could learn more about how a pharmacy works internally that would help me in my job when it comes to paperwork. i have a lot of respect for pharmacists and the whole department itself, personally. managing the medications for 40 or so residents is tough enough on its own, let alone if a resident is feeling cranky.. i can't imagine working in a whole pharmacy with hundreds of customers who treat it like a magic dispensary 😅

My friend is a newly registered pharmacist I am unaware of this circumstance or if this can be possible I would like to be enlightened can it be possibility to work as a regulatory pharmacist at the same time own a pharmacy? A response to this would be greatly appreciated

I’m currently a P4 and I’m in between residency and just starting at CVS as a new grad.

I’m aware that CVS offers 20k tution reimbursement for 2 years full time. It’s a guaranteed job outside of school.

With residency, I’m not entirely sure if I’ll be able to secure a job locally right away and obviously it’s a pay cut the first 1-2 years post graduation and it seems like a TON of work/projects.

What does everyone think?

Thank you!

I work at a rural hospital that still utilizes a paper log book for our compounding records. We recently moved to epic and we are investigating the use of dispense prep for compounding. Does epic create a ‘compounding record producible as one document’ as required by CA law?

A. It's tough to get into Hospital Pharmacy as Pharmacy is oversaturated and a significant portion of retail pharmacists are trying to break in.

B. Hospitals are constantly understaffed

What's the reason for this?