The Pharmacy Chick

Flying the Coop in Retail

Apoplectic Customer stories part 1 and 2

Filed under: Uncategorized — pharmacychick at 7:27 pm on Tuesday, July 1, 2008

Fred came to the counter clutching a pharmacy bag. He had been in a few hours ago picking up a prescription for his wife. I was at the other end filling a prescription and our poor tech got the brunt of his tirade. “You shorted me 3 pills”. He was waving his bag, going on and on about who is going to take care of this, what kind of business we run around here, ripping off old people, etc. I let him rant for while. He was going to have his say, and I was going to let him. After all, Pharmacy Chick knew exactly where this conversation was going to end up. After the cork holding in his steaming brain blew off, I walked over with an overly big smile and said ” Hi Fred, Do you you remember when you came in on Friday and wanted a refill on this and we had to call the Dr?” He nodded ” And do you remember you told me you were OUT and I loaned you 3 tablets AT NO CHARGE (my emphasis added)? The blood began to drain out of his face. “well, 30 minus the 3 we gave you is 27, so your bottle had 27 tablets in it, and was marked as such, if you look at your receipt” . “oh, yes, so it was” he mumbled “never mind” and he slinked away. No apologies offered, and no apologies accepted. Marvelous tech said “He didn’t even say he was sorry?” I guess embarassment trumped traditional social graces.

Another day, Another issue: Eileen comes to the drop off window with her bag from moments ago. She was literally shaking with irritation. “This rx is $121.00? I only paid $5 for it last month.” We had had this discussion at the register on an different rx, different day day but apparently it went completely over her head. “you are in the Donut Hole remember?” “Yes, but I only paid $5 for this last month” She paid $5 for everything last month… Could it actually be she thinks this eye drop only costs $5?? I tried to explain that she wasn’t in the donut hole last month and that her $5 copay was only a very small part of the cost. “You mean I am the one who has to pay for it while I am in the donut hole?” Uh, hello, who else would you expect would be paying for it?…. yes that is exactly what it means…the unwelcome reality of the Donut Hole.

Had she asked SOMEBODY, we might have been able to keep her out of the dreaded Hole. Dump the Lipitor the Cozaar, try the Simvastatin and the ACE or Beta-blocker first. Accept my recommendation to not get the Vanos with the $35 manufacturer loyalty card, “But its FREE!” and use the Fluocinonide cream.

The donut hole has a purpose. It’s a reverse incentive to not waste the drugs you take, and be ever watchful about what these things cost. If you play your cards right, many people can get thru the entire year before reaching the donut hole. $2500 ads up right quick when your profile is full of single source brand products like the Lipitor Cozaar, Advair, Januvia, Nexium, Alphagan, and Effexor. Toss in a few infections treated with Levaquin and TaDa, YOU are in the hole.

I offered to take back her unopened box of eye drops. “but I have to have them!” She kept them but said she would get samples for the rest of the year.

Hey, I tried.

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4 Comments »

Comment by PharmacyJim

July 4, 2008 @ 10:13 am

Ah, they always forget about the “loaned” meds on the weekends. I’ve been asked about that many times. But, on the times we forgot to take out the “loaned” meds after we rec’d a new Rx….shazaam, nobody has said we gave them too many pills.

As for the donut hole, sometimes you explain to them until you are blue in the face. It’s never THEIR fault. Either the govt/Medicare or the pharmacy is just sticking it to them. They will say there is no way they have spent that much money….then you do a little printout showing indeed they have. I guess my favorite line is “I guess I’ll go home and just die, then.” And this is from someone who usually is not destitute but loves to choose Nexium and Crestor instead of Omeprazole and Simvastatin, sorta like you pointed out PC. Thankfully, I have many who know take ownership in their health care and know their plan and ask their doctor for generic alternatives. You gotta love those folks.

Comment by pharmacychick

July 4, 2008 @ 7:24 pm

Oh, How many times I have heard “Well, I’ll just go and die then.” I guess people all over lack creativity in their whining, as if I am going to back pedal and say “oh, don’t die, here take this for free…”yea right.

Comment by Mal

July 9, 2008 @ 2:08 pm

Well, what do you do when they can’t afford the drug and it’s something that they really could die without?

Just curious.

I’ve been dead broke at the end of the month and had to go without my medication for a week… It was just cocodamol, tramadol, buscopan, omeprazol and metacoplamide, so nothing dangerous, but it was a week of misery and pain.

Comment by Ellie

July 11, 2008 @ 8:47 pm

You tell them to talk to the doc.

You call the doc if need be. “Say, Mr. Jones here hit the donut hole and can’t afford his drugs. Have you heard of omeprazole?”

Most of the PAPs now allow for donut-hole coverage, because they know that they can give up 2-3 months of Zyprexa for another 4-6 months of $600/month reimbursed drug.

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