GFD vs Common Sense

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narc

Tampa, FL

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#2
Apr 25, 2013
 
BUT here is the problem. The DEA has effectively shut down our supply train. I do not know what Walgreens and the DEA worked out, but since we were told in writing that we could NOT positively update our order without going through certain channels (and who wants to draw that attention to themselves) then we are stuck with what little we receive. When things are on back order, we do not sell them, so SIMS does not re-auto-order them so we just don't get certain drugs in at all now.

Well, I have patients that do need this. I have them begging and crying to me in the pharmacy. Sure, some I would like to wash my hands of and say, too bad, that's the way it is, on your way, grab some Imodium on the way out.
narc

Tampa, FL

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#3
Apr 25, 2013
 
But there are a few I really feel bad for. Been nice if they never got hooked on the crap, but we dolled it out to them long enough. They face an ugly physical withdrawal. But the psychological is even worse. NOT everyone of these patients (fellow humans) are addicts. They can maintain a vibrant, healthy life on chronic opioid therapy. Many can not, they need more and more or the drug messes up their lives in other ways. But some do very well on them. AND I CAN NO LONGER HELP THEM AND THIS IS WHERE THE POLICY SUCKS
narc

Tampa, FL

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#4
Apr 25, 2013
 
I have told many that the climate has changed, you have hard choice. Choose to stay on the stuff and pay through the nose at mom and pop pharmacies because I can no longer guarantee you a steady supply...which is detrimental to your treatment/lifestyle. Or I suggest start lower dose, get Suboxone, get in physical therapy, whatever, just don't keep coming back with these rx's that I can no longer fill as I do not have the drug. It's a tough thing to tell them if you care and you know. And if you are a pharmacist, YOU should know how these drugs affect body and MIND! Some patients can't imagine life without them, but most will find their life improved over a few months to a year without the crap, but others will find life miserable and so will their family members. Be honest. Be Real. You know (or should) that 10% of population is predisposed to addiction. These drugs are not for them. BUT there is also a percentage of people that live healthy, viable lives WITH these drugs....stop hiding behind the GFD...tell these patients the truth. Their life going to change. Help them get off the stuff, don't look at them like bugs...we got rid of the bugs and bad doctors during the first wave of the GFD. Now with no supply, I can not dispense in good faith because I don't have it to dispense. That is not a solution. We all should have adhered to GFD and common sense in the first place.

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#6
Apr 25, 2013
 
Why can't you increase your order to fulfill a script? We just submit the target drug increase form to Woodland and it gets our RXS approval for an increase. Just one extra step, really. What are they having you do that's different?
great and powerful WAG

Chicago, IL

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#7
Apr 25, 2013
 
RacingFan20 wrote:
Why can't you increase your order to fulfill a script? We just submit the target drug increase form to Woodland and it gets our RXS approval for an increase. Just one extra step, really. What are they having you do that's different?
Not all RXS will give the approval. Ours will not.

Since: Apr 13

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#8
Apr 25, 2013
 
How frustrating. And you have to be the one to explain it to the customer, not them. I wonder if Walgreens is just thinking less cII business= less chance of a DEA violation.
Jimbo

Amsterdam, Netherlands

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#9
Apr 25, 2013
 
RacingFan20 wrote:
How frustrating. And you have to be the one to explain it to the customer, not them. I wonder if Walgreens is just thinking less cII business= less chance of a DEA violation.
Among other things, Amerisourcebergen is in trouble with the DEA is why we started lowering our Narc orders. Walgreens was just preparing for this ahead of time is why it started a few months ago.
Jeff

Tempe, AZ

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#10
Apr 26, 2013
 
RacingFan20 wrote:
How frustrating. And you have to be the one to explain it to the customer, not them. I wonder if Walgreens is just thinking less cII business= less chance of a DEA violation.
Because of everything that happened in Florida, Walgreens had to make promises to the DEA to avoid even harsher consequences. As I understand it, Walgreens had to give the DEA a plan of how they were going to avoid these problems in the future. GFD and the TD-GFD paperwork was part of it and so was the ordering restrictions on CIIs.

Most people who are going through all the extra work can probably see that this isn't a solution to the problem but lip service to the DEA. If Walgreens really cared about this then they would invest in giving stores more tech hours so that we can do this properly.
narc

Tampa, FL

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#11
Apr 26, 2013
 
How many posts in te beginning of this thread do you see from me???? There should be 5 posts in a row. I tried and tried to post this over and over again and even though it shows up when I log in, when I access site from different source, only the very first post shows up. Is there a character limit for each post that is preventing my posts from showing up?

Since: Apr 13

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#12
Apr 26, 2013
 
narc wrote:
How many posts in te beginning of this thread do you see from me???? There should be 5 posts in a row. I tried and tried to post this over and over again and even though it shows up when I log in, when I access site from different source, only the very first post shows up. Is there a character limit for each post that is preventing my posts from showing up?
There is a Waste of Time filter. Your pointless/endless post must not have made it thru.

Since: Mar 13

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#14
Apr 26, 2013
 

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I find it hilarious. Three years ago we had an RXS teling pharmacists that if an rx went through the insurance then we were to fill it. We were not to police customers. Funny 180 we have done which is the norm for CRW. Look at MTM.....our RXS thinks they can be done with a PMR at the outwindow with no prep work. " In line CMR" they are called. And CRW will push this nonsense until they get nailed for medicare fraud and then they will get with the program but not until they have pilfered millions in bullshit CMR claims from state and federal programs.

Working at CRW is like working for a televangelist. They hide under the guise of healthcare instead of religion but in the end all they care about is the collection plate.

Since: Apr 13

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#15
Apr 26, 2013
 
didn't CVS get in trouble with the DEA as well? How come they don't have to develop a checklist or policy like WAG does?

Since: Mar 12

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#16
Apr 26, 2013
 
CVS paid $11 million to settle over charges of improper record keeping on April 3, 2013.

Since: Apr 13

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#17
Apr 26, 2013
 
Ahh, I gotcha. So Walgreens just doesnt want to cough up any money to settle?
Great and powerful WAG

Chicago, IL

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#18
Apr 26, 2013
 

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Bigsamandtheshams wrote:
I find it hilarious. Three years ago we had an RXS teling pharmacists that if an rx went through the insurance then we were to fill it. We were not to police customers. Funny 180 we have done which is the norm for CRW. Look at MTM.....our RXS thinks they can be done with a PMR at the outwindow with no prep work. " In line CMR" they are called. And CRW will push this nonsense until they get nailed for medicare fraud and then they will get with the program but not until they have pilfered millions in bullshit CMR claims from state and federal programs.
Working at CRW is like working for a televangelist. They hide under the guise of healthcare instead of religion but in the end all they care about is the collection plate.
Awesome post, because so true! MTMs cannot be done properly that way, but WAG middle management thinks so. Give it time and we will see a 180 on this as well ..... Hmmm be well.
narc

Tampa, FL

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#19
Apr 27, 2013
 

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Bigsamandtheshams wrote:
I find it hilarious. Three years ago we had an RXS teling pharmacists that if an rx went through the insurance then we were to fill it. We were not to police customers. Funny 180 we have done which is the norm for CRW. Look at MTM.....our RXS thinks they can be done with a PMR at the outwindow with no prep work. " In line CMR" they are called. And CRW will push this nonsense until they get nailed for medicare fraud and then they will get with the program but not until they have pilfered millions in bullshit CMR claims from state and federal programs.

Working at CRW is like working for a televangelist. They hide under the guise of healthcare instead of religion but in the end all they care about is the collection plate.
You are so right!!! I had a CL tell me as long as I "talked to them", it counted!!! AFTER I COMPLAINED TO HIM THAT I THOUGHT IT SEEMED FRAUDULENT!!

Anybody daring enough to do whistle blower on this??? You could be doing us a favor and get very wealthy at the same time. I admit, I ain't got the nuts for it, but I do feel uneasy as hell just barely going over shit and calling it a CMR!

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#20
Apr 27, 2013
 

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It infuriates me. MTM is away to broaden our profession and put our education to real use instead of the abomination that retail pharmacy currently is. I have a certificate in MTM. I took a 20 hour live CE course and basically learned how broke the system is. Medicare will pay you $75 for a CMR but the prep work will take more than an hour and the MTM will take 45 minutes if done properly. At our current wage it is a cost prohibitive system. But my RXS knows nothing about performing an MTM and is not looking to save Medicare moneyby avoiding hospital visits. No sir just get me 4 CMar a month and 25 TMR and here's what Ineed in the collection plate at the end of the month. Oh, if you dont meet the goal we will put you on a GROW and if that does not work we will start disciplinary action.

Parallels our problem with GFD. Its all about how many rx a day you do and damn the consequences. Either medicare will eventually audit CRW and take us out of the program or they will fine CRW into oblivion.

“The Papers said I was Truant”

Since: Nov 11

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#21
Apr 27, 2013
 
*Nod*

I know some of those words...

Since: Apr 13

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#22
Apr 27, 2013
 
I dont know why walgreens was suprised when the dea put the brakes on us about all of the oxycodone being pumped out in florida. They let it go on for far to long and a few rxs should be fired!
Topdawgi

Lake Worth, FL

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#23
Apr 27, 2013
 
waggie wrote:
I dont know why walgreens was suprised when the dea put the brakes on us about all of the oxycodone being pumped out in florida. They let it go on for far to long and a few rxs should be fired!
A few that I know of have been fired. And his ex-store can no longer fill any controlled scripts. Kinda like our distribution center.

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