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    Pharmacists are Getting Very Strict...

    I'm guessing that there must be some sort of new legislation that is causing pharmacists to become super-strict when filling C-II meds.

    Today, after waiting nearly 2 weeks for "W" chain pharmacy to TRY to order my Dilaudid suppositories, I finally went there and asked for my prescription back. They gave it back to me.

    I then took my script to another pharmacy that I have been to in the past. I actually filled a prescription for Dilaudid injectible there last August, from my one and only doctor---my pain doctor.

    I had called ahead and found that this pharmacy had SOME Dilaudid supps in stock and would order the rest for tomorrow. I asked the pharmacist/owner on the phone if he was willing to do a partial fill, and he told me absolutely yes---no problem.

    So I went to the pharmacy expecting things to go smoothly. What actually happened was really weird and something that I have never gone through before.

    I turned in my script and waited. And waited. In my prior experience, this pharmacy is fast, so I wasn't sure what was going on. The owner/head pharmacist was there (the guy who had filled a script from my pain doc last August).

    Finally, the other pharmacist working there called my name. She said that they had faxed my doctor and that she could NOT fill my script until my doctor faxed them back with an "NDI" number. I have absolutely NO idea what an "NDI" number is, and in my decades of chronic pain I have been to several different pharmacies. The paper script has always been good enough; they've never needed to call my doctor before. I could understand if I was a brand-new customer, but I've filled meds from my pain doc there before.

    I was totally confused. The pharmacist asked me if I wanted to call my doctor's office. I said yes, but I don't have a cell phone. So they let me use their phone and I called my pain doc's office. (Thank goodness my doctor is in on Mondays, because he doesn't work every day of the week). My pain doc's receptionist told me my pain doc was with a patient, so I would need to wait until he got a chance to fax the pharmacy. (I'm glad I went to this pharmacy during normal business hours!).

    The fax from my pain doc still hadn't come in. Finally, the pharmacist said that she would fill a small amount and I'd have to pick up the rest of my prescription tomorrow or whenever the order comes in.

    I asked the pharmacist what was going on, as I was completely confused about this "NDI" number thing. She said that she needed to know why I was "jumping around" between pharmacies. When I handed in my script, I'd said that I was fed up with "W" chain pharmacy because they can never seem to get my meds. I would think that would be a good enough explanation. The whole thing made me feel like they thought I was doctor shopping or something. I told the pharmacist that I get ALL of my scripts from ONE doctor.

    To be fair, the pharmacist seemed like she was just doing her job. Maybe there are new regulations for pharmacists that I don't know about? Do pharmacists have to call the doctor for every NEW customer who brings in a C-II script? (I wasn't even a "new" customer, but I am curious if they do this to everyone).

    Has anyone else gone through anything like this? Suddenly all of the info typed or written on a C-II script isn't sufficient info to fill the RX? Now they also need this "NDI" number?

    Best Wishes,
    Eva

    #2
    I googled "NDI" number and it looks like I misheard it. I think it's "NPI" number. I still don't understand exactly what it is or why a pharmacy would need it. Thanks to anyone who does know!

    Eva

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      #3
      NPI = National Provider ID.. it is used for billing purposes with the insurance companies... ALL healthcare professionals are suppose to have one... I was temping at a pharmacy one time and this one particular insurance company was rejecting a claim... could not figure out why.. eventually... figured out that they wanted MY NPI...normally all they want is the store's NPI.. for billing purposes. Since technically, a Pharmacist is not considered a practitioner.. and only practitioners are allowed to bill for services... our services are billed under the pharmacy's permit & NPI number. Unfortunately, the only option that the Pharmacist had would have been to bill you for cash.
      Pharmacist Steve
      www.pharmaciststeve.com

      Comment


        #4
        No Eva, I haven't had any unusual things like that happen, I've just seen how the net seems to be tightening. Now there is limits on the amount of the med, there is a limit on how many per month, all the extra paperwork, etc. etc. It's ridiculous.
        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


          #5
          Boxerlover, very true. I used to get x amount of pills so I could only take what needed. one or two months ago, my Health plan (thru Medicaid, decided that I could take half the number of pills by increasing the dosage in each pill. Needless to say, this sucks. Now I have no choice but to take more then what I need or less. I choose less and use my breakthrough, even thou that is not how it was intended. See my thread on tired - All doc's becoming shot jockeys, doctord hsnds shaking when they do write a significant script. that and is it even legal for the pharmacist to be asking things - like what your condition is to require so much(in their opinion) - is this not a violation of hippa? Good Luck
          Blessings
          Alex44
          Skypilot

          Comment


            #6
            Alex...
            Nothing is in concrete with insurance companies decision... APPEAL.. APPEAL... APPEAL...>50% of those who appeal their insurance company's decision.. get what they need
            Pharmacist Steve
            www.pharmaciststeve.com

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