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    Pharmacists Playing Doctor

    My pain doctor told me something very interesting about how he feels that certain pharmacists from Walgreen's are over-stepping their boundaries and trying to play doctor. My doctor even said that the questions the pharmacists are asking him are probably a violation of HIPPA privacy rules.

    My doc said the pharmacists have sent him a fax with the following 3 questions, refusing to fill even long-time customers' prescriptions until my doctor has completed the onerous and time-consuming form.

    1. The pharmacist faxes my doctor a copy of the script he wrote, asking "Did you really mean to write this"? (I could understand if it were the FIRST time a NEW customer came into the pharmacy---they want to verify that the script is legit. Beyond this, though, it's hard to see a good reason for this).

    2. "What is the patient's diagnosis?" (I always thought that was confidential info. I don't know if a pharmacist has the right to know a patient's diagnosis? What if the patient wants to keep their condition private and doesn't want the whole pharmacy to know their diagnosis?).

    3. "What other medications have you tried before resorting to these strong painkillers?" (This starts to border on ridiculous. I personally have tried dozens of different non-narcotic medications, so my doctor would be on the phone all day to the pharmacy. This really IS "playing doctor", IMO).

    Luckily, MY Walgreen's pharmacist has NOT called or faxed my doctor with these meddling questions, so that's one point in their favor.

    I personally have not been affected by this, but my pain doctor told me that many pharmacists from Walgreen's are doing this. My doc is telling his patients to find another pharmacy, because he doesn't have time to keep answering all of these intrusive questions. He needs to spend his time with his PATIENTS, NOT on the phone to the pharmacy answering intrusive questions that are probably a violation of the patient's HIPPA rights.

    I thought people here would find this interesting. And I'm sure that Walgreen's isn't the only offender. I think that a lot of the chain pharmacies are doing various things to try to restrict pain meds and "crack down" on people who are taking pain meds. It is SO wrong! Pharmacists need to do THEIR job, NOT the job of the doctor.

    Best Wishes,
    Eva

    #2
    Having just had a horrible experiance myself, I can relate. I went in and saw my Reg. Pharm ( I believe PIC, and he could only fill my script using a combo - or so I thought. I told I would be in tommorow. BTW, my scrips read do not dispense Mallincroft. Huge problem. Came in next day, LUCKILY before noon, I don't use the clinic because all they have usually was mallencroft. So, this woman,who may or may not be a PIC,)weekend) and said she could not do it. then lied and said they did not have mallencroft and then finally, i WILLL NOT FILL THIS, GO TO ANOTHER STORE. The whole time she was rude, obviously did not want to fill the script anyway, if she had enough, I bet she would have lied and said she did not have enough. My Reg. Pharm. has done this before, did HE do something wrong in mixing brands after I gave him the OK? I plan to talk to him soon - i don't get into town often. I went over to the Medicaid pharmacy (close art twelve on Saturday - not only were they vey nice, they fill it with ENDO!!!. so now I have a rude B**** pharmacist. I don't like being treated like a drug addict znd Am going to call corporate AFTER i talk to my regular guy as i do not want trouble for him. Stand up for yourself.
    Blessings
    alex44
    Skypilot
    PS I do not believe the pharmacist has any right to ask such things, Hippa and all. I am Sure P. Steve will be by to answer. Good Luck
    A.
    Last edited by alex44; 09-21-2012, 03:14 PM.

    Comment


      #3
      Having just had a horrible experiance myself, I can relate. I went in and saw my Reg. Pharm ( I believe PIC, and he could only fill my script using a combo - or so I thought. I told I would be in tommorow. BTW, my scrips read do not dispense Mallincroft. Huge problem. Came in next day, LUCKILY before noon, I don't use the clinic because all they have usually was mallencroft. So, this woman,who may or may not be a PIC,)weekend) and said she could not do it. then lied and said they did not have mallencroft and then finALLY, i WILLL NOT FILL THIS, GO TO ANOTHER STORE. The whole time she was rude, obviously did not want to fill the script anyway, if she had dad enough, I bet she would have lies and said she did not have enough. My Reg. Pharm. has done this before, did HE do something wrong in mixing brands after I gave him the OK? I plan to talk to him soon - i don't get into town often. I went over to the Medicaid pharmacy (close art twelve on Saturday - not only were they vey nice, they fill it with ENDO!!!. so now I have a rude B**** pharmacist. I don't like being treated like a drug addict znd Am going to call corporate AFTER i talk to my regular guy as i do not want trouble for him. Stand up for yourself.
      Blessings
      alex44
      Skypilot
      PS I do not believe the pharmacist has any right to ask such things, Hippa and all. I am Sure P. Steve will be by to answer. Good Luck
      A.

      Comment


        #4
        I hate to tell you this... but Pharmacists are part of your "health team" and some insurance companies want ICD9's (Diagnosis ) when things are billed... and Pharmacists can be held liable if they provide medication that should not be provided for some reason or another.. if they don't ask the right questions or don't ask any questions at all. DEA.. is going after CVS, Walgreens and one of the largest three *********rs.. Omnicare (Nursing home pharmacy) just paid 50 MILLION dollar fine for bad bookkeeping on controls at ONE of their pharmacies in N Ohio ( I think)..
        There are some Pharmacists that are blatantly opiophobic... there are some insurance companies that are imposing limits on opiates on patient they insure.. the State of Washington passed legislation that imposes limits on opiates for patients unless they are being seen by a pain doc/clinic.
        There is so much crap going on out there with the DEA.. that I could write a book on just what I know... and what I know probably dwarfs what I don't know .. that is going on "off the radar"
        I heard a rumor that Walgreens will no longer even take complaints involving controlled meds..
        Pharmacist Steve
        www.pharmaciststeve.com

        Comment


          #5
          I am sick of all these regulations being put in and being too intrusive into our lives. DEA has been out of control in my opinion since this administration has been in and really for a number of years before too but they seem to be worse now. Our society has become too much of a nanny state wanting to take care of us instead of people being responsible for themselves. Thanks for the inside info Steve like usual we can count on you.

          Alex sorry to hear about your experience and I hope you get it resolved.

          Eva thanks for the heads up on this issue.
          1979 spinal issues, 1993 lumbar microdisectomy L3-4, 1996 360 3 level lumbar fusion L2-5, 1999 open thoractomy fusion T8-9,
          2002 C3-7 herniations and T4-7 herniations, 2004 total disability, a new limited life

          Comment


            #6
            I agree with everything Mark said. I am under the governments TURF REM program and am now in their data base. I believe everyone on schedule II will be in time. I think the DEA has totally been a failure with their "war on drugs" and we need a new creative way to look at things. It's such a fine line between yes I will follow all these rules because it helps my doc and me, and being in a government data base.
            Life isn't about waiting for the storm to pass, it's about learning how to dance in the rain.

            Dx: Cancer(stage 3 Melanoma), Sarcoidosis, Chronic Kidney Stones, Endometriosis(post hysterectomy), DDD, Fibromyalgia Raynards, Hypermobility Syndrome, Osteoporosis, Hypothyroidism, TMJ, Neuromas, PTSD, Coccydynia

            Comment


              #7
              IMO... the DEA is very happy with the way things are going... they are now going after pharmacies, chains, drug *********rs... this is "low hanging fruit" in the DEA tree... these entities... maintain paper trails - as required by law.. and typically they don't carry AK-47 and shoot at DEA agents.. much easier on the DEA agents... Omnicare (largest nursing home pharmacy in the country) paid a 50 million dollar fine because ONE OF THEIR PHARMACIES... didn't have all their control "paper work" done properly. Much easier to prove.. than going after some crook or cartel and proving they are guilty
              Pharmacist Steve
              www.pharmaciststeve.com

              Comment


                #8
                My meds are pretty complicated and Pain Man is constantly calling my pharmacist when making changes. Years ago, I asked him why and he said the pharmacist knows the meds better than he does. He said the med reps were constantly giving him questionable info. concerning their product and he felt best getting a second opinion. Makes sense to me.

                Comment


                  #9
                  IMHO - the pharmacy is in violation of HIPPA W/O a written release from you to answer these questions. I would also complain to Board of Pharmacy in your state, the AMA, and the ACLU - this is an invasion of YOUR privacy.
                  Blessings
                  Alex44

                  Comment


                    #10
                    I have found that my pharmacist does know more about the medications than my doctors. Two or three times I have been written scrips by docs that barely look at my chart and write me a scrip before I leave. Get to the pharmacy and am informed that there are warnings against mixing some of my meds. Have always had good advice from them. Only one time in all the years of going to my Walgreens have I had any problem. Every once in a while I get a sub pharmacist who always wants to go through some of warnings on my meds and what not to take with what but besides that small inconvenience I love my pharmacy. I put up with Rite Aid for years and finally got fed up.

                    Every time I see a drug rep at my doc office I feel like kicking them in the shins.

                    Comment


                      #11
                      Never mind I must have gone over a word limit so only half of my post was posted.
                      Last edited by WE HAVE NO RIGHTS; 09-27-2012, 07:17 AM.

                      Comment


                        #12
                        here is how to file a complaint about HIPAA violation... Only registered and activated users can see links., Click Here To Register...
                        Healthcare and pharmacy, in particular, has gotten pretty lax about HIPAA compliance... mainly because no one has filed complaints.. many of us Pharmacists are just waiting for the $hit to hit the fan on this issue at pharmacies. Generally, corporations only correct things... after they have to pay huge fines for not following the rules..
                        Pharmacist Steve
                        www.pharmaciststeve.com

                        Comment


                          #13
                          Originally posted by pain95 View Post
                          My meds are pretty complicated and Pain Man is constantly calling my pharmacist when making changes. Years ago, I asked him why and he said the pharmacist knows the meds better than he does. He said the med reps were constantly giving him questionable info. concerning their product and he felt best getting a second opinion. Makes sense to me.
                          I have signed a release for Pain Man and my primary to consult with my pharmacist.................Mom and Pop shop. Both doctors said with all of my problems and meds, they wanted his input as a specialist. Works for me.

                          Comment


                            #14
                            I just wanted to say that IF my pain doc had questions about a certain medication and wanted advice from my pharmacist (or another pharmacist) I'd have no problem at all with that.

                            As I said, I personally have NOT been affected by this new policy of certain pharmacists at chain stores asking intrusive questions. It was my pain doc who complained about it to me, because certain chain store pharmacists have been bombarding him with intrusive questions, taking up MUCH of his valuable time. He needs that time to see his patients, NOT to be questioned left and right. But that was just his complaint. I thought it was interesting enough to post. It's always interesting to hear the "inside story" from a pain doctor OR a pharmacist. It seems that a lot of "red tape" goes on that we pain patients never hear about.

                            Eva

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