|FROM ||Ruben Safir
|SUBJECT ||Subject: [NYLXS - HANGOUT] cleaning my list of backlog posts out
|From owner-hangout-outgoing-at-mrbrklyn.com Fri Oct 4 06:43:22 2013
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Date: Fri, 4 Oct 2013 06:42:39 -0400
From: Ruben Safir
Subject: [NYLXS - HANGOUT] cleaning my list of backlog posts out
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Careastatin, 0 refills remaining.
Anyone who has been in a relationship (professional – personal, it
doesn’t matter) knows that it takes two to tango. Your patients
come in, put their life in your good judgement, and in return you may
have to do things that are ethically sound, yet legally grey at best.
I’m talking about the dreaded ’0 refills remaining’ with the
patient being out for 2 days. This phenomenon is so prevalent in
pharmacy that we should have received a class on how to handle it.
Since pharmacy schools give two-shits about retail, here is your class
on the subject. Pay attention!
This is how 99% of the cases take place:
The patient will call you over every little change on the label
(expiration date, change in manufacturer, quantity, doctor) yet will
gloss over how many refills remaining until they are out for exactly 2
The patient will let you know they are out of refills in person….
On a Friday… Before a 4 day holiday…. At 2 min’s to
The mediation won’t be Vicodin, Valium or any narcs. It’ll
be something awesome like insulin. You know, the kind of shit that you
ethically can’t tell them to go fuck themselves over.
They won’t be out of something simple that you can drop a few
tablets in their bottle, it’ll be something that comes in a
unit-of-use bottle, like Januvia, Actos or Nexium.
In the event that they are out of something simple and stupid, they
will forget their old bottle despite you telling them 10 times “MAKE
SURE YOU BRING YOUR OLD FUCKING BOTTLE”. This leaves you out the
cost of ANOTHER bottle and ANOTHER label. Regardless of how shady this
all is already, dispensing drugs into their open unwashed hands is just
crossing the line.
The patient will use the phrase “BUT I NEED THIS MEDICATION”
or “CANT YOU JUST FILL IT”.