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10. Your doctor sent over the script via the E-Script system. Other doctors also love to utilize the E-Script system so that means at any given time, your E-Scribed script is one out of many that needs to be typed in at the moment depending on how busy it is. The same applies for faxed in or left on voice mail scripts.

9. You're standing in line to drop off a prescription. If you're unlucky, you're in a line 10 deep and it took you 15 minutes just to reach the counter. If you're lucky, there isn't a line because you came before/after the lunch/dinner rush.

8. This is the time of year where Corporate LOVES to cut hours. At *my* pharmacy, that means there's only 1 Pharmacist and 2 Pharmacy Tech's working most of the time. Because only the Pharmacist can take care of drug interactions, final review on scripts, patient consultations, give vaccinations and check blood pressure that means we let her/him handle the important stuff and the Tech's take on the rest of the work load. So there's only 2 people to take in prescriptions, type prescriptions, handle insurance issues, answer phones, fill prescriptions, put away prescriptions, sell prescriptions at the counter and the drive-thru, delete 10 day old prescriptions and walk out of the pharmacy to show someone where the Mucinex is because they just can't find it in aisle 11, towards the end of the aisle, on the 2nd shelf from the top, in the blue and white box.

7. On a busy day, we can fill 500 prescriptions. We're open 14 hours during the week. 14 hours to fill 500 prescriptions. If it's a slow day or the weekend, it's about 350 scripts. On the weekend, we're open 8 hours. 8 hours to fill 350 scripts. That's between 35 to 44 scripts filled in an hour. Remember, only the Pharmacist can do final review and verify a prescription. Most pharmacies have 1 Pharmacist working at a time. That means my Pharmacist is taking about 2 minutes to make sure each and every prescription she/he verifies is correct and does not interact with anything else you're taking so it does not kill you. *2* minutes. Let me repeat that: *2* minutes.

6. Oh dear, my replenishment order just came in. I have 11 large totes of drugs that need to be put away. Hopefully, we'll get that put away before 1pm because that's the time we tell people to come back when we were out of stock on their medication and had to order it for the next day.

5. Grandpa Hank is on the phone. He wants to know if we can set up delivery for today because it's too cold for him to come out to the pharmacy. He called at 11:45am. Gotta get his script ready and get online to our courier service by 12 because that's the cut off for same day delivery.

4. Jane is dropping off prescriptions for her 4 sick children. Unfortunately, Medicaid has enrolled her family under a managed care program, she claims she wasn't made aware of that and has no current insurance information. We have limited capabilities for looking up insurance information and unfortunately for Jane, nothing is coming up. Being that the children have respiratory infections, it's important that they get their medication today so that means spending an ungodly amount of time on the phone with Medicaid to find out who her new insurance carrier is.

3. Bob is dropping off a script but has no idea which of his 5 insurance cards is the current one. Time to play musical insurance cards.

2. Jim is dropping off a prescription for Oxycontin 30mg. Now, Jim has never filled prescriptions with us so we have to register him. Jim lives no where near our pharmacy and the doctor's office is located 2 hours away from us. He's more than willing to pay cash for 240 tablets. Time to verify that prescription with the doctor. Well, I'll be a monkey's bitch! It's a fake. You don't say?! Dr. wants the patient arrested. We call the police and the fun really begins when they come rolling in 5 deep, want to speak to everyone involved with the situation and all that jazz that's involved when they bust someone with fake scripts for C-11 narcotics.

1. Where the hell is my Pharmacist? In the rest room leading the Browns to the Superbowl. She's been holding it in since 8 am and finally got a chance to do so after spending 20 minutes on hold waiting for the doctor only to confirm that the dose he wrote for Heparin would've resulted in an overdose on an infant, spending 15 minutes explaining to a patient that Motrin does not work better than Advil because they're both Ibuprofen, reviewing and verifying 175 prescriptions, counseling patients and giving 15 vaccinations.

In short, you(collective you) are NOT the only patient. Everything that goes into filling a prescription and the distractions that take you away from filling prescriptions is what causes a long wait. Unfortunately, Corporate cares more about making shareholders happy than ensuring patient safety and properly staffing their pharmacies. Until that changes, it will take as long as necessary to fill a prescription regardless if it takes 15 minutes or 3 hours. If it was as simple as slapping a label on a box, Pharmacists wouldn't be spending 4-6 years in college and getting over $50,000 in student loan debt just for that simplicity and the FDA would just make such medication readily available over the counter. We're dealing with peoples lives and a mistake can harm or kill someone, which can result in the pharmacy staff losing their licenses and their jobs, so we're more concerned about getting the script filled right as opposed to getting the script filled right *now*.

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[pharmacyfollies]

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Well, spank my ass and call me Charles! The post I wrote about why it takes forever and a minute to fill a script went fucking VIRAL on Facebook!! In case you missed it, clicky here. I didn't want to edit it to add more things so this is part 2. These are situations that Pharmacy Folk deal with that can cause wait times to go up. Enjoy and be enlightened to the horror show known as the Pharmacy! :D

12. Sometimes, people bring the wrong insurance card and can't seem to understand that just because the scripts were written by a dentist, I can NOT bill your dental insurance. You are at the pharmacy now, so I need to see your pharmacy insurance card.

11. At the beginning of the new year, a LOT of insurances have deductibles. Even if you've never had a deductible in the past. This means they are going to charge you more for your prescriptions. Sometimes, it's a few bucks more and sometimes, they charge you the whole damn deductible at once. The pharmacy has no control over this. All we do is submit a claim by pressing "send" and the insurance sends back a price as to what to charge you. Any questions regarding that, you'll have to contact the insurance and speak to them. I won't speak for anyone elses pharmacy, but at the one I work at, we do NOT call insurances to question copay's or deductibles. That's a patients responsibility and quite frankly, I do not have time to do that.

10. Sometimes, insurances raise their prices. It happens. I know what you paid last year, last month or even last week. Insurances change their formularies all the time. Once again, the pharmacy has no control over that. Any questions regarding that, you'll have to call your insurance.

9. Sometimes, insurances change their formularies and what was covered last year, last week or yesterday is not covered today. The only thing the pharmacy can do is call the doctor to get a new medication or request your doctor do a prior authorization. Prior auths can take between 1-14 business days, from when the doctor contacts the insurance, for an approval or denial. Once again, the pharmacy has no control over that.

8. Speaking of doctor's offices, they're just as busy as we are. 99% of the time, they do NOT do refill requests over the phone. They prefer to be faxed, E-Scribed or a voice mail left on a refill request line. It's usually a 3 day turn around on a refill request. Calling the pharmacy and demanding that we call the doctor RIGHT AWAY, because you've been out of medication for a week and you're calling now for a refill request, will NOT guarantee that you'll get your refill right away as often times, the doctor's office will tell me to fax it/E-Scribe it/transfer me to the refill request line or will take a message and will call back later.

7. Speaking of doctor's offices again, if you drop off a prescription and there's some sort of issue regarding it that necessitates a phone call to clarify it, we will call the doctor to ensure that we fill the prescription correctly. Often times, the doctor's office takes a message and will call us back. Sometimes, they call back right away and sometimes, they don't. Keep in mind, they're just as busy, and they usually call back once the doctor has a chance to do so.

6. Speaking of doctor's, if you are seeing a new doctor and need us to send a refill request, make sure you tell us that you are seeing a new doctor. You must do this with every refill that still has the old doctor's name on it. If you do NOT tell us this, we will send the refill request to the old doctor who will end up denying the request. Trust me when I say I do NOT like getting yelled at when you come to the pharmacy only to find out your script was denied because we sent it to the wrong doctor. We're not psychic. Help us so we can help you.

5. Occasionally, we run out of medication or we do not have certain medications in stock. Asking me to "check in the back" is all for naught because despite what some folks think, we do NOT have a "back" where we have to go down a flight of stairs, swing on a vine over crocodile infested waters and pass through a secret door guarded by eunuchs that leads to a room with an unending supply of every drug on this planet. We run out of medication when there's a high demand for it, like Tamiflu, and sometimes, medication goes on back order, like Atenolol, which means the manufacturer isn't making enough to supply the masses. Sometimes, we don't carry certain medications simply because there's no demand for it. Not only that, we cannot "hold" medication. It's first come first serve. If you are on a medication and you find that the pharmacy is often out of stock on it, it's best that you give them at least 5 days notice, before you run out, so that they can order it and have it in stock by the time you need it. Do NOT wait until Friday and the weekend because most pharmacies do not get deliveries on the weekend.

Please don't scream at pharmacy staff because they don't carry some rare medication that costs $10,000, Dorzolamide eye drops is on a long term back order or because they don't have enough Oxycontin 30mg. At best, we can try to see if anyone else in the area has your medication or call the doctor to see if it can be switched to something else. If not, we can usually order it in for the next day. Screaming at us will NOT negate any of that and it's not like I got any stashed in my cooter. Seriously.

4. Speaking of Oxycontin, if you are on C-II narcotics, for whatever reason, please try to fill these at one pharmacy. Pharmacies have access to a database that keeps track of controlled substance prescriptions. So when we see that you fill controls at various pharmacies, especially if we see you paying cash price, it raises suspicions. This means we WILL be contacting the doctor to verify that your prescriptions were written by him/her and aren't fakes. The DEA is cracking down on the overuse of controlled substances which means doctors AND pharmacy staff can lose their licenses if things aren't legit.

Also, when it comes to controlled substances, most pharmacies will let you fill your scripts between 1-3 days early. Any earlier than that, we will have to get the ok from your doctor, HOWEVER, if the pharmacist sees that you are CONSTANTLY getting way too early refills, he/she is legally within their rights, as a licensed professional, to NOT release it early. If you constantly try to get your controlled substances early, it arouses suspicion, gets you put on the pharmacy's "watch for early fill" list and it may get you banned from filling controlled substances at the pharmacy. And don't bother with the excuses. We've heard them all ranging from they got stolen out of your car AGAIN to dropping them down the sink/toilet to leaving them at a hotel in another city to the doctor said it was ok to take 15 Norco everyday.

3. Please keep in mind that this is a pharmacy and NOT a doctor's office/emergency room. Do NOT come straight to the pharmacy if you cut your finger so deep that you're gushing blood and can see tendons. Do NOT come straight to the pharmacy if your baby has a 104 degree fever. Do NOT come straight to the pharmacy if you're having really bad chest pain. Do NOT come straight to the pharmacy if you accidentally gargled with Draino instead of Listerine. Do NOT show me a picture of the weird bump that sprouted on your tallyhoohoo. If you are in dire need of emergency medical care, I cannot help you more than directing you to the nearest ER/urgent care center or dialing 911 on your behalf.

2. Once upon a time, pharmacies ONLY filled prescriptions. For some ungodly reason, Corporate thought it would be a GREAT idea for Pharmacists to give vaccinations AND check blood pressure, glucose levels and do cholesterol testing. So when my Pharmacist is in the Penalty Box, hockey speak for the little privacy room, spending between 15-30 minutes with patients giving them a Zostavax injection, checking someone's blood pressure or drawing blood to see if their cholesterol is down the shitter, that means prescriptions are NOT getting verified.

1a. For the love of Sweet Merciful 6lb 14oz Baby Jesus, do NOT call the pharmacy and ask us to fill EVERYTHING in your profile. NO!! Not going to happen. Especially if I see that you fill prescriptions sporadically. You have to give me names of the medications. If you don't know the names of the medication, tell me what you're using it for. If you don't know that either, skip to 1b. The reason I refuse to fill everything is because it NEVER fails: At pick up time, this person will go through their sack of drugs, exclaim how they're no longer taking this and that, and in the end, out of 15 prescriptions, they only want 4 of them.

1b. For the love of all that's sanctified and holy, please keep an updated list, somewhere in your house or on your person, of ALL CURRENT medications you are on. Names, strengths and dosages. This is important for 2 reasons. It makes it easier for the pharmacy when it comes to refill time and most importantly, if you are ever in an accident or are in need of medical assistance, the attending medical professionals will need to know if you're on medication and what that medication is because if they need to treat you with medication, they need to make sure it will NOT interact with anything you're currently taking. I have LOST COUNT of how many ER's have called us to find out a patient's pharmaceutical profile because they were in a horrific accident and cannot operate because the patient has no idea as to what the names of the medication they're taking nor what they're taking it for. Seriously, ya'll. This is important shit to know in the case of an emergency.

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