The Pharmacy Chick

Flying the Coop in Retail

Does anybody read what I fax?

Filed under: Uncategorized — pharmacychick at 8:34 pm on Monday, July 21, 2008

Going to work on a monday is like beating myself over the head with hammer. It hurts, but for some stupid reason (money??) I keep doing it. You’d think that after a while, I’d get out of the way of the hammer.

Since people who receive faxes from pharmacies probably look at them for 7 nano seconds before passing them off, I have tried to dumb them down to their basic components. I try to use simple terms (first grade) and sharpies to make my point. TWICE today, it was ignored like I was writing sanskrit or something.

Case in point number 1. We asked for a refill for a patient for 90 days supply of Atenolol 50mg She had been on 1/2 tab BID, #90. A couple of hours later a prescription was faxed for same lady for Atenolol 50mg #90 1 po BID. with 11 refills. Because this was inconsistent with what we asked for we sent it back for clarification “Did you intend to change directions from one-half tab twice daily to one tab twice daily?” Please Verify and fax back. … A few hours later we got yet another prescription from the same office–no note, nothing, Atenolol 50mg #180 1 po BID….with 11 refills. First off, do they have any idea that they just ok’ed refills for this woman for 36 months? Secondly, they did not specifically address my question. The other pharmacist said “Fine, it will be filled as written and the patient can talk to the dr if they disagree, just make sure they know whats been changed”

Case in point number 2. Armour Thyroid is on backorder in all strengths. We gave Mrs Jones the last 5 of the 120mg tabs (1qd) we had over the weekend. The patient asked US (not my job) to contact the dr to find out what she should do. We send over a nicely crafted note that said in summary ” ALL Armour thyroid is on back order, is there an alternative you’d like to use in the mean time?” He faxes back (God’s honest truth here…) Use Armour thyroid 60mg 2qd. Brilliant…Hello? is there anybody in there? Can you read? I’m not an ignoramus. If I HAD 60mg Armour, I’d have used it….

It was such a Monday…

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6 Comments »

Comment by Pharmacy Mike

July 21, 2008 @ 9:35 pm

This whole Armour Thyroid thing is really pissing me off too.

We have one endocrinologist in our area who we have told about a million times that Armour Thyroid is currently unavailable, and we have no idea when or if it will become available again. However, this doctor keeps writing new scripts for Armour Thyroid.

HELLOOOO!!! If Armour Thyroid is unavailable, you writing a prescription for it doesn’t magically make it available.

In addition, this back order thing is pissing off our patients who we keep switching around their tablets to whatever strengths we have in stock.

Comment by Former pharm tech

July 22, 2008 @ 2:41 pm

I’ve just been reading some of your blog and am just amazed at how things repeat themselves. I was a tech at pharmacies in two different states. I could tell some of these exact same stories. Ah, such funny memories…

Comment by Karen H

July 22, 2008 @ 8:45 pm

You are SO right on! And we can tell when a new crop of Medical Assistants has been graduated, most refills are (I swear this is true) whatever the 1st drug that comes up when they type in the 1st 3 letters. And frequently not only is the strength different, so is the sig. So then we politely fax back (yes, with a handwritten obvious note) to please clarify as this is not what they have been on….

99 times out of 100 we were correct, they messed up…READ, PEOPLE! It’s not that hard!

you are SO right on with your blogging, thanks!

Comment by Jaded Rx Intern

July 22, 2008 @ 8:59 pm

The biggest ‘no reading’ fax reply that happens at my pharmacy is the fax to a Dr’s office for a PA for a patient, and later that day we get our fax back with a hand-written “ok with 6 refills.” Uh yeah, got that from the new hard copy your patient gave us. Now call the f*cking insurance company to get it covered!

I don’t know which is worse, these faxes or voicemails responding to a PA fax: “We received your fax on patient John Doe. Dr Smith okayed this with 6 refills. Thank you! *click*”

Sheesh…

Comment by AZ_RPh

July 23, 2008 @ 10:13 am

Slightly off topic, but speaking of doctor faxes…

I’m a RPh at one of the big chains. Last week we faxed a Dr for P.A. on terbinafine. He faxed back, “tell patient to fill at Wal-Mart; $4.” LOL

Comment by CPhT

July 24, 2008 @ 5:04 am

I love when we fax requests over to the doctors’ office across the street (6 times because they never fax us back the first 5 times), then we get back a fax for Ambien CR or some other control okayed with 6 or 11 or more refills. Hello? Did you fail medical school?

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