Pharmassists @Pharmassists Twitter profile

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@patricioisaias_

Pharmassists

@Pharmassists

3 years

Pharmacy schools should put a phone at the students desks during exams and just have it ring constantly. The proctor should also ask random questions every couple of minutes. That's real world prep.

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Pharmassists

@Pharmassists

4 years

Being a retail pharmacist has made me a better customer outside of pharmacy. I'm not impatient or rude if I have to wait at a restaurant or checkout lane etc., or if something goes wrong. Anybody else feel that way?

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Pharmassists

@Pharmassists

3 years

Imagine being a doctor and running the whole clinic by yourself. The phones, billing, patients all fall on you. As a bonus you have to ring up groceries. That's what retail pharmacy is like many times.

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Pharmassists

@Pharmassists

3 years

They should do pharmacy like the hibachi restaurants. We count the pills in front of people while doing tricks with the spatula. We sling xanax samples in people's mouths. Would be awesome.

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Pharmassists

@Pharmassists

4 years

If pharmacies want pharmacists to be clinical, companies need cashier's for all hours of operation. I can't spend 2 hours straight on the register because of budgets, then be asked where my MTMs and compliance calls at.

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Pharmassists

@Pharmassists

4 years

You can't be a clinical pharmacist in a retail setting filling 300+ a day with one pharmacist. But that's what is expected of pharmacists. It has to change.

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Pharmassists

@Pharmassists

2 years

Why the fuck does a mail order pharmacy call for a transfer then put me on hold to wait for a pharmacist? Fuck that. I'll keep hanging up on them. Have the pharmacist call and be ready for a transfer if you want it.

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Pharmassists

@Pharmassists

4 years

Had an escript for 300mg bid lovenox. Called physician to verify. With a snarky attitude she tells me it's MG per KG do the math. I asked how much the pt. Weighed. There was a long pause. Then she apologized and said she would resend.

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Pharmassists

@Pharmassists

2 years

My sister finally decided NOT to be a pharmacist. I wasn't able to talk her out of it. Getting a job as a technician did. She said "fuck that".

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Pharmassists

@Pharmassists

3 years

If you're good at your job, don't expect a reward. Expect corporate to ride you until the wheels come off.

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Pharmassists

@Pharmassists

2 years

Are we still doing the just fill it thing?

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Pharmassists

@Pharmassists

2 years

The sign on bonuses around me are more than the total bonuses I've ever received working here 10 years. Companies should work more on retention.

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Pharmassists

@Pharmassists

3 years

Why do people get mad and yell at pharmacists when the doctor doesn't call in a refill?

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Pharmassists

@Pharmassists

4 years

The "needs statin" TIP in outcomes is my least favorite of them all. Call/fax the prescriber and tell them how to do their job. What could go wrong?

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Pharmassists

@Pharmassists

5 months

If every pharmacy paid the exact same to get medications and were reimbursed exactly the same, and people could choose where they want to go....how long would it take CVS and Walgreens to go out of business?

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Pharmassists

@Pharmassists

3 years

If I knew 10 years ago I would have to give vaccines to 3 year olds, I would have definitely chose a different career.

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Pharmassists

@Pharmassists

3 years

Me two months ago: No!!! You can't have the vaccine without an appointment! Make one online, we are booked. Me now: please show up for your appointment.BTW do you have any family members that want it? Has your cat or dog been vaccinated?

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Pharmassists

@Pharmassists

3 years

Does anybody hear the sounds of the pharmacy phones ringing when not at work and get anxiety?

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Pharmassists

@Pharmassists

3 years

Making vaccine administration (30+ a day) part of the workflow doesn't work or flow.

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Pharmassists

@Pharmassists

4 years

When I call for transfers, I can tell by the way the other RPH is breathing what kind of day they are having. CVS RPhs always out of breath. Makes me sad.

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Pharmassists

@Pharmassists

4 years

Started wearing a t-shirt and jeans to work because I figured there is zero chance corporate would actually leave their house to visit the stores. It's too uncomfortable to wear dress clothes and PPE.

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Pharmassists

@Pharmassists

6 years

@jordanbpeterson @pewdiepie Two names I never thought I would see together. Fascinating times.

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Pharmassists

@Pharmassists

4 years

The $8 we pay goodrx for every rx is why nobody answers the phones in the pharmacy. It's why it takes so long for your prescription to be ready. That $8 per Rx times 30 is 20 hours of tech help daily I don't have anymore. Glad people are saving money though.

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Pharmassists

@Pharmassists

5 years

Retail pharmacy is like simultaneously taking 7 midterms. Except you can't miss any questions. And people are yelling at you. And phones are ringing that you have to answer. There is no way school can prepare you for this career.

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Pharmassists

@Pharmassists

3 years

Heard that DMs are having a hard time hiring people because nobody wants to work retail. Duh.

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Pharmassists

@Pharmassists

4 years

This is clinical pharmacy in the retail setting in a nutshell: Dear prescriber. Everything you're writing for this patient is wrong. Can you change it so we can get $5 from outcomes and so I won't get written up? No? Ok thanks.

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Pharmassists

@Pharmassists

4 years

One day,when I have enough money saved,I'm going to open an independent pharmacy. Then I'm going to do a reality TV show so people can see all these crazy stupid stories are true.

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Pharmassists

@Pharmassists

4 months

I don't care what PBM / insurance it is, no pharmacy should be paid under $10 profit for any drug that's at least a 30 days supply. Pay us for our labor. Paying me 15 cents for Meloxicam and 5 cents for amlodipine is bullcrap.

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Pharmassists

@Pharmassists

4 months

Generic farxiga available but no insurance covers it, despite it being $200 cheaper. BuT PbMs SaVe moeNeys!! 🤑

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Pharmassists

@Pharmassists

8 months

A month into owning an independent pharmacy and DIR fees are absolute bullshit. You think you made $20 on a script only to find a month later you lost $180 after DIR fees. What dumb mother trucker made this legal?

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Pharmassists

@Pharmassists

4 years

Working a day in retail pharmacy is not a Sprint, it's a marathon... You also happen to be sprinting for the whole marathon.

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Pharmassists

@Pharmassists

3 years

I love looking at alcohol swabs after wiping people's arms before injecting. Some people are dirty as fuck.

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Pharmassists

@Pharmassists

4 years

Just blew a lady's mind when I showed her that Benadryl is what makes you sleepy in Tylenol PM. Shattered her universe.

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Pharmassists

@Pharmassists

2 years

Giving technicians more responsibility is a good thing. However somebody else(likely the pharmacist) will have to step in to do what the technician was doing beforehand. So really nothing changes without increased labor budget.

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Pharmassists

@Pharmassists

2 years

Corporate just admitted they can't profit with good Rx, i.e. they finally did the math. You mean paying an average $10 transaction fee on a discounted close to cost transaction isn't profitable?

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Pharmassists

@Pharmassists

4 years

Our company went from "don't wear a mask it scares customers" to "you have to wear a mask or go home". A little late aren't we?

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Pharmassists

@Pharmassists

3 years

The dread when the gate comes up vs. the euphoria when the gate goes down. The gate coming down is better than any drug.

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Pharmassists

@Pharmassists

4 years

How are pharmacists going to have time to give vaccines, and then wipe all surfaces down between each vaccine? I don't think corps realize what they are asking. Getting anxiety.

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Pharmassists

@Pharmassists

3 years

I'm not making this shit up. You can't. For the last 30 days the same woman has come by daily to ask me or other RPh if they use fetuses to make the J&J vaccine. Can I say yes next time just to see her reaction?

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Pharmassists

@Pharmassists

3 years

Pharmacists are way too busy to be constantly accessable. One of the two has to change.

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Pharmassists

@Pharmassists

2 years

Customer: I don't want you to notify me when my Rx is ready because I'm a teacher and I'm not supposed to look at my phone at work. Me:ok I'll take notifications off Customer: So how will I know when my medication is ready? Me: We will use a carrier pigeon.

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Pharmassists

@Pharmassists

3 years

Why do people tell me what their medication is for? And they are almost always wrong. P-Atorvastatin is my calcium supplement M- No that's for cholesterol P- Then why does it have calcium in it??? Checkmate

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Pharmassists

@Pharmassists

3 years

The vaccine is free because it's a crisis and people are dying. Shouldn't this logic apply to I don't know, all healthcare?

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Pharmassists

@Pharmassists

3 years

People seriously think pharmacies are fucking vending machines.

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Pharmassists

@Pharmassists

2 years

So half the people for vaccine appointments are showing up on the wrong dates. Then arguing about the dates. I don't know why this is hard. Pick a day, know the day.

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Pharmassists

@Pharmassists

3 years

Get rid of bloated upper management and increase labor budget. Then pharmacies will meet the budget. Paying lots of money for "managers" to bitch about numbers, while cutting tech help, doesn't seem to be working.

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Pharmassists

@Pharmassists

4 months

When me and my partner took over 3 months ago, pharmacy was averaging 30 a day and 60k sales/month. We are now @ a little over 100 a day and 300k sales and still growing. In two years we will be a household name in our area. I won't settle for less.

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Pharmassists

@Pharmassists

3 years

ARNP complained about being on hold for 10 minutes to call Rx in. 1. Was giving a covid vaccine. 2. We have a got dam mother trucking voicemail for a reason. 3. Do I get to talk to prescribers when I call? Yes I said those things, politely.

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Pharmassists

@Pharmassists

3 years

It's amazing the amount of dogs and grandma's that need 1 10-pack of insulin syringes every day.

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Pharmassists

@Pharmassists

2 months

This Karen Lynch, CEO of CVS makes 20mil+ a year. Meanwhile independent pharmacy owners can't even take a paycheck because of all the DIR fees they are paying. Must be nice to make the rules and pillage off of the people doing all the work.

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Pharmassists

@Pharmassists

3 years

I chose pharmacy so that I could be paid because of my education and knowledge. I wanted to avoid the strenuous labor I saw my parents endure. Didn't turn out how I planned.

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Pharmassists

@Pharmassists

2 years

Why do seniors ask 100 times if they are getting the "senior dose" of the flu shot?

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Pharmassists

@Pharmassists

4 years

This is why pharmacies are closing. Why hours are cut. Why customer service sucks. This is donepezil. Our cost is 80¢ and the insurance pays us 70¢ with no dispensing fee. Shouldn't be legal. Pharmacists matter.

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Pharmassists

@Pharmassists

4 years

Pharmacy installed protective glass, but there is no point because customers squeeze their faces through the cracks to talk to us 🙃.

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Pharmassists

@Pharmassists

4 years

Why do pharmacy techs get to wear scrubs but I can't? I want to work in pajamas damn it.

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Pharmassists

@Pharmassists

4 years

Don't open boxes of insulin pens. Open the boxes of insulin to give exact days supply. Don't open boxes of insulin pens but call the insurance every time for days supply override. To be continued

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Pharmassists

@Pharmassists

3 years

Pharmacy technicians need more power and money. I'm staring at 3 capable people that legally can't help me get things done FFS.

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Pharmassists

@Pharmassists

4 years

The greatest myth in pharmacy is that pharmacists can increase patient compliance. It's just a convenient way to shift blame and make more money for insurance companies.

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Pharmassists

@Pharmassists

7 months

Cardinal Health stock up after great earnings. CVS earnings per share up too. How is your local independent pharmacy doing? How is your CVS pharmacist doing? See the problem?

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Pharmassists

@Pharmassists

3 years

If there is a hell, and a pharmacist goes there, it can't be much worse than covid plus flu shots. I'm drowning.

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Pharmassists

@Pharmassists

18 days

When an independent pharmacy makes money on a brand name medication:

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Pharmassists

@Pharmassists

2 years

All that work to get 90 days supplies in order to complete MTMs. Now these MFs want 100 days supplies. Just go all the way and do yearly supplies.

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Pharmassists

@Pharmassists

4 years

The hardest thing in the world is getting patients to understand that February is a short month, therefore the date their narcotics is due is different. It's impossible for them to comprehend.

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Pharmassists

@Pharmassists

10 months

This lady just asked me to help her do her pregnancy test because it keeps giving her the wrong results.

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Pharmassists

@Pharmassists

2 years

"I'm gonna call corporate!" Doesn't hold any weight anymore. That level of ass kissing customer service is dead.

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Pharmassists

@Pharmassists

1 month

My favorite thing is when a new customer brings me a prescription and I turn it down because I'm losing $200(ozempic). Then I get a call from the ins. company and they have the balls to tell me I have to fill it. There is no law that says I have to lose $

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Pharmassists

@Pharmassists

3 months

We owe caremark 45k in dir fees. We don't gross 45k a month with this shitty reimbursement this year. Yeah a lot of pharmacies are about to close.

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Pharmassists

@Pharmassists

3 years

Oh shit, people aren't showing for their second dose. Waiting for this to be my fault.

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Pharmassists

@Pharmassists

4 years

I'm not scared of getting sick with the Corona virus. But I'm terrified I might bring it home to my wife and children. We need to protect retail workers.

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Pharmassists

@Pharmassists

5 years

Retail wouldn't be so bad if every single freaking customer didn't think they were the only customer. Even after telling them 5 people are ahead they proceed to explain why their situation should make them first.

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Pharmassists

@Pharmassists

8 months

There is no good phone call 5 minutes before closing.

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Pharmassists

@Pharmassists

4 years

So goodrx now tells patients that want a transfer it will only take the pharmacy an hour to transfer a med and have it ready. They are trying really hard to be the most hated thing by pharmacist.

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Pharmassists

@Pharmassists

4 months

Humana D only covers brand restasis, even though generic is half the price. Humana gets a fat rebate check. The pharmacy and the patient lose.

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Pharmassists

@Pharmassists

3 years

Pt: one of my pills looks nothing like the rest, should I take it? M: That's terrible.What does it look like and no you shouldn't take it Pt. It's a big cylinder shaped pill and it says do not eat. M. Sir that's not a tablet it's the desiccant throw it away.

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Pharmassists

@Pharmassists

4 years

Pharms(retail) when laws grant the right to perform an additional healthcare service: "We don't have time, this will just be another metric" Pharms(academics)when doctors say we can't do it: "How dare you! We certainly can! We need more responsibilities."

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Pharmassists

@Pharmassists

3 years

I took off every Monday for the next two months. That's the best way to use vacation time. Mondays suck ass.

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Pharmassists

@Pharmassists

4 years

Two techs out due to covid. Do you think corporate asks how they can help? Do you think they let up on the tasks we have to do? Hahaha don't be silly.

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Pharmassists

@Pharmassists

3 years

Short 4 techs today and had a 100 dose clinic. Luckily the phones were down. Do you think I put in a claim to get the phones fixed? Hahahahahaha

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Pharmassists

@Pharmassists

2 years

I like how impatient most people are when they have a question for the pharmacist. If you don't run right over there they march off. That tells me they wouldn't respect my opinion anyway.

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Pharmassists

@Pharmassists

2 months

There is something psychological that happens to me as a business owner when I am continually taken advantage of by rich evil people. It makes me so angry. All I want to do is help people and make a little doing it. Not lose my ass trying to help.

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Pharmassists

@Pharmassists

2 years

Fill a migraine medicine ordered 1QD prn for 30 days #20 . Goes through insurance no problem. 6 months later insurance demands documentation of every migraine the patient had signed off by the doctor or we owe them.

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Pharmassists

@Pharmassists

4 years

How can we get doctors to stop sending patients straight to the pharmacy after they send an escript? It's fucking irritating. It doesn't work that way.

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Pharmassists

@Pharmassists

3 months

There is no wholesaler in America that will sell you brands at WAC -15%. So in essence,express scripts has made it mathematically impossible to profit on a brand for 90 days. Why would a PBM that owns a mail order pharmacy do that?

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Pharmassists

@Pharmassists

3 years

Patient wants Norco 3 days early. Me: Are you taking 4 a day and no extra? Pt: I never take extra! That's offensive. I take it how it says. Me: Then you should have enough until it's due. Pt: Sometimes I take an extra one. True story.

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Pharmassists

@Pharmassists

3 years

It's important that patients understand that I really really, from the bottom of my heart, don't give a fuck whether or not their vaccine appointment time is convenient for them. They chose that time not me.

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Pharmassists

@Pharmassists

2 months

I want to see from the FTC what PBMs pay their own pharmacies vs independent pharmacies. If I ever get concrete proof I'll sell a kidney to lawyer up.

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Pharmassists

@Pharmassists

3 years

Patient picked up an Advair HFA inhaler. Comes back 30 days later. "I've been using this every day but it's broke now, nothing will come out! Can you fix it?" God bless America.

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Pharmassists

@Pharmassists

10 months

Seriously considering buying an independent pharmacy. I know all the problems associated with it but I can't see myself working for a big chain.

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Pharmassists

@Pharmassists

2 months

The depressing part about pharmacy reimbursement is all we are asking is to not LOSE money on brands. What business model in the world would just be happy to break even? Just show me @ftc what they pay themselves. That's all I need to know.

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Pharmassists

@Pharmassists

4 years

Corporate says leave big thing of hand sanitizer on counter so customers can use it. It's stolen within the hour. Now we have no God damn sanitizer either. Cashier has no idea when it happened. Lol

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Pharmassists

@Pharmassists

16 days

If you're having a hard time finding #zepbound and #mounjaro don't bother calling independent pharmacies. We aren't going to order it because every insurance pays us $100 under our cost. If your independent ordered it for you they must really like you.

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Pharmassists

@Pharmassists

2 years

Is retail pharmacy the only profession controlled by corporations? Doctors aren't. Lawyers aren't.

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Pharmassists

@Pharmassists

3 years

So when flu season is here we will basically be doing a minimum of 50 vaccines a day. Other chains will probably do even more. When are we going to verify?

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Pharmassists

@Pharmassists

4 months

As an independent if you fill every script that comes your way through insurance you will be bankrupt. It's sad but you have to say no sometimes.

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Pharmassists

@Pharmassists

4 years

Any family members harassing pharmacists about getting masks? If they are sold out, I don't keep a box hidden for family members. If I had hidden boxes I would be selling them on eBay, not giving them to relatives I haven't heard from in years.

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Pharmassists

@Pharmassists

4 months

I get 100s of calls every day for wegovy ozempic etc. The potential for rapid growth is there but I'm not going to order something I lose lots of money on.

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Pharmassists

@Pharmassists

4 months

I can't even make money on azithromycin lmao. Insurances reimbursing 80 cents. I'm still a greenhorn independent owner so this crap is still shocking to me. Why don't all the owners have pitchforks?

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Pharmassists

@Pharmassists

2 months

I kicked out so many patients today. Showed them how much we were losing because of their insurance and they can't believe it. They cried because they didn't want to go back to CVS or Walgreens. Tried to get other Indy's to take them but they refused(cuz ESI)

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Pharmassists

@Pharmassists

5 years

Copies by phone from pharmacy to pharmacy needs to be outlawed. It takes too fucking long on hold and there are too many opportunities to fuck it up by hearing things/reading things wrong. Have your doctor call your shit in to the right place the first time.

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Pharmassists

@Pharmassists

3 years

Need 15-30 minutes per child covid vaccine. First I have to calm them down. Then I have to get them to sit down. Then wait for them to stop getting up every time I get close. I refuse to rush it, regardless of the all the other shit I have to do.

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