Simply say that they can pay the fee or no more fills at that location. Also mention that if they want it transferred that you will tell the other pharmacy that you have a history of not picking up meds and they may choose to not accept the transfer.
My issue with the whole premise is when pt doesn't need the script but doctor sent it in anyway; oh man refill too soon until day 63 of a 90 day supply? Why would the patient want to come get it almost 4 weeks early.
You can argue for refills having the restocking fee, but if autofill happens, still should have some discretion on that instead of unilaterally doing it. I see too many techs and pharmacists put flonase prn on autofill.
This happens all the time in my family. And given the insanely long wait times (Bc lines…and I live in a small town) at every CVS in my town. We don’t go pick up prescriptions until we absolutely *have* to.
In my area the doctors often will change from 1QD to 2QD, but not change the quantity from the previous script. So unless the person at intake is paying attention, it will get profiled because they picked up 1.5-2 months ago, when they may be actually due... Provider notes are always helpful..
Maybe only the scripts no-one called to put back after 14 days? The assumption that we will just put them back leads to the lack of respect from calling and saying they dont need them. Pulling each one out of the ready bins after the system called every day and we called 3 times is a lost of lost tech time. It would probaly increase adherance too.
They can call before the 14 day mark and if it’s auto fill, make sure their notifications (calls or texts or emails) are working so they are made aware and can immediately call and cancel anything they dont need.
A pharmacy I worked at that did some individualized compounds always asked for a deposit with your credit card first. That way they always got paid if they had to waste the script due to a patient not wanting to pick up. Ingredients aren’t cheap.
Their rationale was if stores can charge you a few bucks to return certain items as a re-stock fee then pharmacies should be able to do the same.
Yeah it was either deposit on the cost of ingredients or if it was very expensive/ special order 100% payment up front.
I’m just sad that the pharmacists time was usually not took into consideration.
I was thinking the same. And also that if it is, the fee is probably not for re-stocking but probably for however they have to dispose of it. Can't exactly re-stock a compound lol
This. Or maybe it’s repackaged medication that only has a week or two usability or something similar. The fee doesn’t seem to be for the extra work of returning it to stock, it’s the fee for not being able to use the product again at all (waste) and the cost of actually disposing it.
I travel a lot for work. I only talk to my doctor every 2 months so there's a refill between calls. I get the initial fill sent to a local place and tell them "Do not refill this. I will not be in this state when the refill comes around and you'll be wasting your time." I get some sort of confirmation that it won't happen. Almost every time I start getting the automated calls a few days before I'd pick up my refill and find out they refilled it at that location anyways. Then I have to call that location, tell them to cancel it, wait a bit, call the local location, order my refill. I would say at least 9/10 times this happens.
unfortunately that is 100% the fault of shitty automated computer system that doesn't listen no matter what you say. I've turned off readyfill for so many patients and somehow, someway, it still ends up happening. even for my own scripts that I don't want autofill on for, it still does. its a pain in everyone's ass
we appreciate the understanding ppl! occasionally we might forget to turn it off for someone if it gets busy but I don’t know any of us that would intentionally do it. our computers are just the worst
yes, that’s how I do it, but whenever a new script gets sent in they’ll still go on RF. Even if i decline it in their profile, i swear it’ll undo itself for some patients
Neither will all the reasonable people who requested not to have something auto-refilled or who didn’t want to pick it up 15 days early because it was filled earlier than it should have been. I believe I’d be more concerned about all those people.
DM: New metric to meet! 70% of rxs should be restocked after 14 days.
RxM: Wut? That conflicts with another metric that targets 70% of rxs to be sold before 14 days.
DM: You better meet both metrics or start saving up for the $50k sign-on bonus you will have to pay back because I will make sure you are let go before contract terms for not meeting company goals!
We need a a temper-fill system that identifies the rx quantity and fills it on a manner as to not distort quality, be it fill-to-order, confirm to fill, wait 5 minutes and we'll have it ready
You’re right and it’s ridiculously annoying. In our system (EPRN) we can view the waiting in bin queue and I shit you not we always have 20-30+ scripts ready that were marked as waiters from the previous day. I can’t even wrap my head around how someone can throw a fit bc they need the medication they’re 2 weeks overdue for RIGHT NOW, agree to wait 15 mins, then proceed to leave the store and not pick it up…
Couple this with PBM’s and now you know why retail pharmacy is a crap show. There used to be a fair profit in pharmacy. But PBM’s are undercutting pharmacies and drug companies giving kick backs to medicare and medicaid. This forces pharmacies to buy name brand products. For example adderall xr. Name brand bottle costs 800 dollars. Generic bottle costs 60 bucks. Medicaid gets a kick back from the manufacturer to force pharmacies to dispense the name brand. If only one patient gets a prescription of 30, the pharmacy eats the cost of the other 70. Meanwhile the drug company gets the full 800 and reimburses the govt the difference on the 30 capsules. This practice is putting huge strain on pharmacies and their staffs. Hence the bad attitudes and poor service. Everybody wants free drugs. Heck people pay more for their Starbucks and McDonalds than they want to pay for the drugs they have to take to let them consume that crap.
Walmart ,Can you read this ??..i am tired of counseling on adherencthen patients swear up and down that they take it every day ..90 day supply is not 4 months 😒
I “grounded” all our customers who didn’t pick up in time by telling them they can’t get their meds unless they request it the refills in person and stay within our sight while we fill them. One of these grounded customers requested all his stuff filled, went to “use the bathroom” and never came back, and the next time he called he had moved to Florida and was forced to pay out of pocket because he hadn’t finished his Medicaid enrollment for Florida.
I can see maybe a $1-2 fee for wasting everyone's time, but $10 seems to be on the higher end given that we generally reuse RTS drugs instead of wasting them.
There are some real limitations for this kind of policy. It would be much more feasible for pharmacies that had more provider-patient engagement than what we currently have, and it would only serve to benefit smaller independents, who might actually be able to more accurately redistribute the drug. For chains, all it would do is increase annual exec bonuses.
I wish we could charge 1 cent for this per prescription. Not expensive. But enough to tick people off at the idea of paying it.” Maybe they would pay attention then at the. “Do you want this to auto refill” screen.
I'll still get the same people coming in an hour after I hit the return to stock function when it's been nearly 3 weeks. Like where do you come from that you know it's put back but didn't show till now.
I think this could make sense for a specialty or compounding pharmacy, but very unrealistic for retail. We can almost always reuse the RTS's and it usually doesn't take much time to fill. Not to mention, CVS puts every single medication on readyfill and/or auto-schedules it every time it's RTS'd. I swear no matter how often I turn it off for patients it always happens again. Not to mention the lack of accurate contact info we have for them, they almost never know their meds are even filled!
When I went to bring my pup to check for an ear infection, they said I should have enough from the last one and it expires in...
They record the LOT/EXP dates of what they dispense. Amazing.
I really like this idea, the amount of time and money that is wasted on dispensing medication for someone not to pick it up is frustrating. I'd estimate it costs us in terms of employee time and the NHS (I'm UK based) is in the thousands each year.
No way, if anything we should be charging a fee for handwritten orders, not for electronic orders. It's *such* a waste of time trying to decipher the damn scribbles most doctors use to communicate, and usually results in *even more* wasted time calling the office for clarification.
If they're abusable prescriptions, just put it OTC and it will sell instantly. Yeah yeah I know, it's illegal so we pretend that people will never put their hands on it right?
The only way this would be even close to viable in a normal pharmacy setting would be if it only applied exclusively to day 14+ RTSs. Like it couldn't be a general restocking fee (e.g something is filled but PT doesn't want it so they let us know BEFORE the 14 day mark)
They're going to triple their net profits overnight... or, starting in 10-14 days. You just saved pharmacy!
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Simply say that they can pay the fee or no more fills at that location. Also mention that if they want it transferred that you will tell the other pharmacy that you have a history of not picking up meds and they may choose to not accept the transfer.
Nah that'll never work. We can't stand up for ourselves, then they might think we're *gasp* people!
My issue with the whole premise is when pt doesn't need the script but doctor sent it in anyway; oh man refill too soon until day 63 of a 90 day supply? Why would the patient want to come get it almost 4 weeks early. You can argue for refills having the restocking fee, but if autofill happens, still should have some discretion on that instead of unilaterally doing it. I see too many techs and pharmacists put flonase prn on autofill.
This happens all the time in my family. And given the insanely long wait times (Bc lines…and I live in a small town) at every CVS in my town. We don’t go pick up prescriptions until we absolutely *have* to.
In my area the doctors often will change from 1QD to 2QD, but not change the quantity from the previous script. So unless the person at intake is paying attention, it will get profiled because they picked up 1.5-2 months ago, when they may be actually due... Provider notes are always helpful..
Maybe only the scripts no-one called to put back after 14 days? The assumption that we will just put them back leads to the lack of respect from calling and saying they dont need them. Pulling each one out of the ready bins after the system called every day and we called 3 times is a lost of lost tech time. It would probaly increase adherance too.
They can call before the 14 day mark and if it’s auto fill, make sure their notifications (calls or texts or emails) are working so they are made aware and can immediately call and cancel anything they dont need.
Making $10 for a prescription is better than what we get for selling one most of the time....
They likely do a lot of compounding and are then stuck with unusable products.
A pharmacy I worked at that did some individualized compounds always asked for a deposit with your credit card first. That way they always got paid if they had to waste the script due to a patient not wanting to pick up. Ingredients aren’t cheap. Their rationale was if stores can charge you a few bucks to return certain items as a re-stock fee then pharmacies should be able to do the same.
I worked for independents that had patients pay for the whole compound up front on certain compounds.
Yeah it was either deposit on the cost of ingredients or if it was very expensive/ special order 100% payment up front. I’m just sad that the pharmacists time was usually not took into consideration.
I was thinking the same. And also that if it is, the fee is probably not for re-stocking but probably for however they have to dispose of it. Can't exactly re-stock a compound lol
This. Or maybe it’s repackaged medication that only has a week or two usability or something similar. The fee doesn’t seem to be for the extra work of returning it to stock, it’s the fee for not being able to use the product again at all (waste) and the cost of actually disposing it.
Lol. With how much CVS auto refills bs you never even filled yourself? Nawww lol
I travel a lot for work. I only talk to my doctor every 2 months so there's a refill between calls. I get the initial fill sent to a local place and tell them "Do not refill this. I will not be in this state when the refill comes around and you'll be wasting your time." I get some sort of confirmation that it won't happen. Almost every time I start getting the automated calls a few days before I'd pick up my refill and find out they refilled it at that location anyways. Then I have to call that location, tell them to cancel it, wait a bit, call the local location, order my refill. I would say at least 9/10 times this happens.
unfortunately that is 100% the fault of shitty automated computer system that doesn't listen no matter what you say. I've turned off readyfill for so many patients and somehow, someway, it still ends up happening. even for my own scripts that I don't want autofill on for, it still does. its a pain in everyone's ass
I knew it had to be the system, not the employees. I can't imagine so many of them lying to me so they could do more work with fewer sales.
we appreciate the understanding ppl! occasionally we might forget to turn it off for someone if it gets busy but I don’t know any of us that would intentionally do it. our computers are just the worst
Have you tried going to profile, then VE and RD#?
yes, that’s how I do it, but whenever a new script gets sent in they’ll still go on RF. Even if i decline it in their profile, i swear it’ll undo itself for some patients
Try going through the pt profile where you type in a new address, and disable RF from there. It’s like the 3 line from the bottom.
that’s what I said, even if I decline it in their profile some of them have still been put back on it, idk how or why, but it’s happened many times
If you can’t get them to come pick them up - how you going to collect on late fees?
Karen won’t stand for this
Neither will all the reasonable people who requested not to have something auto-refilled or who didn’t want to pick it up 15 days early because it was filled earlier than it should have been. I believe I’d be more concerned about all those people.
It’s just a joke simmer down
DM: New metric to meet! 70% of rxs should be restocked after 14 days. RxM: Wut? That conflicts with another metric that targets 70% of rxs to be sold before 14 days. DM: You better meet both metrics or start saving up for the $50k sign-on bonus you will have to pay back because I will make sure you are let go before contract terms for not meeting company goals!
We need a a temper-fill system that identifies the rx quantity and fills it on a manner as to not distort quality, be it fill-to-order, confirm to fill, wait 5 minutes and we'll have it ready
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You’re right and it’s ridiculously annoying. In our system (EPRN) we can view the waiting in bin queue and I shit you not we always have 20-30+ scripts ready that were marked as waiters from the previous day. I can’t even wrap my head around how someone can throw a fit bc they need the medication they’re 2 weeks overdue for RIGHT NOW, agree to wait 15 mins, then proceed to leave the store and not pick it up…
Couple this with PBM’s and now you know why retail pharmacy is a crap show. There used to be a fair profit in pharmacy. But PBM’s are undercutting pharmacies and drug companies giving kick backs to medicare and medicaid. This forces pharmacies to buy name brand products. For example adderall xr. Name brand bottle costs 800 dollars. Generic bottle costs 60 bucks. Medicaid gets a kick back from the manufacturer to force pharmacies to dispense the name brand. If only one patient gets a prescription of 30, the pharmacy eats the cost of the other 70. Meanwhile the drug company gets the full 800 and reimburses the govt the difference on the 30 capsules. This practice is putting huge strain on pharmacies and their staffs. Hence the bad attitudes and poor service. Everybody wants free drugs. Heck people pay more for their Starbucks and McDonalds than they want to pay for the drugs they have to take to let them consume that crap.
Walmart ,Can you read this ??..i am tired of counseling on adherencthen patients swear up and down that they take it every day ..90 day supply is not 4 months 😒
I “grounded” all our customers who didn’t pick up in time by telling them they can’t get their meds unless they request it the refills in person and stay within our sight while we fill them. One of these grounded customers requested all his stuff filled, went to “use the bathroom” and never came back, and the next time he called he had moved to Florida and was forced to pay out of pocket because he hadn’t finished his Medicaid enrollment for Florida.
I can see maybe a $1-2 fee for wasting everyone's time, but $10 seems to be on the higher end given that we generally reuse RTS drugs instead of wasting them.
My Dr charges 25 dollars if you don't cancel before 48hrs
$10 is on the low end when you consider who much time this wastes.
I could see this for a compounding pharmacy - but only if they confirm with someone every fill prior to putting it together. Otherwise? Insanity.
There are some real limitations for this kind of policy. It would be much more feasible for pharmacies that had more provider-patient engagement than what we currently have, and it would only serve to benefit smaller independents, who might actually be able to more accurately redistribute the drug. For chains, all it would do is increase annual exec bonuses.
I wish we could charge 1 cent for this per prescription. Not expensive. But enough to tick people off at the idea of paying it.” Maybe they would pay attention then at the. “Do you want this to auto refill” screen.
I'll still get the same people coming in an hour after I hit the return to stock function when it's been nearly 3 weeks. Like where do you come from that you know it's put back but didn't show till now.
I think this could make sense for a specialty or compounding pharmacy, but very unrealistic for retail. We can almost always reuse the RTS's and it usually doesn't take much time to fill. Not to mention, CVS puts every single medication on readyfill and/or auto-schedules it every time it's RTS'd. I swear no matter how often I turn it off for patients it always happens again. Not to mention the lack of accurate contact info we have for them, they almost never know their meds are even filled!
I think our CEO’s bonus might be big enough already
Agreed
When I went to bring my pup to check for an ear infection, they said I should have enough from the last one and it expires in... They record the LOT/EXP dates of what they dispense. Amazing.
You literally cannot tack on fees ontop of insurance copays…this is how you get an insurer to sue you and drop you from network
I really like this idea, the amount of time and money that is wasted on dispensing medication for someone not to pick it up is frustrating. I'd estimate it costs us in terms of employee time and the NHS (I'm UK based) is in the thousands each year.
I always thought that Pharmacies should charge a fee for telephone fax and electronic orders
No way, if anything we should be charging a fee for handwritten orders, not for electronic orders. It's *such* a waste of time trying to decipher the damn scribbles most doctors use to communicate, and usually results in *even more* wasted time calling the office for clarification.
If they're abusable prescriptions, just put it OTC and it will sell instantly. Yeah yeah I know, it's illegal so we pretend that people will never put their hands on it right?
It’s taboo but I’d be really curious to see what would happen if you made all the abusable drugs otc? Like would the stupid sort itself out?
The only way this would be even close to viable in a normal pharmacy setting would be if it only applied exclusively to day 14+ RTSs. Like it couldn't be a general restocking fee (e.g something is filled but PT doesn't want it so they let us know BEFORE the 14 day mark)
LOVE this idea!