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pharmacist gave me too many meds not too little



  • Sounds like a really good relationship you have with them...

    As I wrote, I think that they are just as important of a role in my medical care as my Dr. and counselor...

    Glad to hear it all went well!
  • j.howiejj.howie Brentwood, Ca., USAPosts: 1,745
    You did the noble thing. But I do wonder what would have happened if you hadn't counted?
    Click my name to see my Medical history
    You get what you get, not what you deserve......I stole that from Susan (rip)
    Today is yours to embrace........ for tomorrow, who knows what might be starring you in the face!
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  • It's a good thing you contacted them. I'm in my 4th year of pharmacy school and missing oxy is not a good situation. The pharmacy won't be able to take the pills back but at least they're accounted for now. Sounds like you have a good relationship with the pharmacist. I'm assuming this is not a chain pharmacy either. A chain would never do what your pharmacist has agreed to do and it would turn into a huge deal.

    Good for you for doing the responsible thing. You saved the pharmacy a lot of trouble wondering where 30 pills went. Was the Rx Label on the bottle saying you had 150 or 120 pills? If that's the case, then its a data entry problem. If the label says 120 and you have 150, that's a counting problem.

    Usually the stock bottles contain 100 pills (sometimes 90, depending on the drug). In that case the pharmacist will just empty a full bottle into a vial, and then count out another 20 (or 30) from another bottle. Counting an extra 20-30 pills is a really big mistake! It sounds like you've have problems with him before. Please just be careful with every prescription you get. You don't want to be taking something that wasn't prescribed to you. I vastly prefer using indie pharmacies compared to chains like CVS/Walgreens/RiteAid/etc. Independents usually don't have the same level of quality control/error protection systems in place. So if this guy is accident prone, just be careful.

    There's a lot of look alike and sound alike drugs out there. Plus retail pharmacy is full of distractions- phones, faxes, filling, questions, checking out customers, chatting, etc.
  • jon - happy to hear a good ending :) I bet they are more careful from now on with everyone.

    XC - I disagree with you about the big chain pharmacies. I get my meds at Walmart. Those pharmacists bend over backwards for me MANY different times. I am treated with respect & kindness.
    They ask me about other family members who have been ill or had surgery etc.
    They have gone to bat for me with my insurance co when I had some issues.
    The one drug I get monthly is at a "unusual" strength as in no one else gets that med at that strength there. The big shots wanted to stop sending this med in just for me. Again the pharmacists went to bat for me & won :)
    They say hello to me when we run into each other in other public settings.
    My quality of life, health & lower stress is in part due to what these pharmacists do for me! :D

    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • MsHumptyDumpty,

    My point was not to say that pharmacists in chain pharmacies don't care about their patients, do not treat them kindly, or cannot form bonds with patients. I know a lot of great chain pharmacists. The truth is it's really every pharmacies responsibility to help the pt with insurance and make sure they get the drugs they need. I personally know that this isn't always the case.

    My point was to say that independents have a lot more flexibility when it comes to operating and laws. If a chains corporate office ever noticed 30 pills were missing, there would be a problem. Pharmacies are not permitted to take back medications either once they are sold. They certainly would never allow an IOU situation. So my point is, had this been a chain pharmacy, the situation would have escalated into a problem with the corporate company and the DEA. Chains have a lot of restrictions and operate on a very narrow line. After all, CVS has more people working on the corporate side than they do in the pharmacy.

    My other point was chain pharmacies spend a lot more money on error protection systems. That includes barcoding all the prescriptions and using the stock bottle barcodes to verify that the correct person is getting the correct medication. They also must verify what's filled by the techs with a picture on the screen of the appropriate medication. Not to say independents don't or can't have these systems, but it's far less common. Only newer, more expensive systems offer this functionality and a lot of pharmacies are still using very dated pharmacy systems. Some are still running off of Windows DOS!
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  • it is not a chain pharmacy, it is independent and that is why they do the compounded pills. the pharmacist told me that i was to bring in my bottle and they would take out the over count and put it in quarantine then add it to my next months pill count. so the 30 over count is to be taken out quarantined and then added to next month's count
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • XC....A state or federal law has to be applied to any Pharmacy...To say that an independent one has more "leeway" with laws is simply not true.

    They must follow all regulations that pertain to prescription medication and especially narcotic medication.

    If they fail to do so, than they can and will get shut down.

    They also have to work with a patient's insurance company in the exact same manner as a chain.

    The only difference between a chain and independently owned Pharmacy is any "corporate" red tape...But that really does not funnel down to the patient.

    Prescribing laws set by each state, as well as many states now have the Prescription Monitoring Program, and any DEA regulations which apply to all 50 states, MUST be followed, to the letter by all Pharmacies regardless of their size.

    It really comes down to preference in one's area. I have used a Sams Club Pharmacy for over 11 years. The "bonus" on the larger scale places is they have more buying power and access to a larger selection of medications.

    As well as they are usually less expensive than independent Pharmacies as they have more bargaining power when they purchase the medications in bulk.

    They are less expensive than any Pharmacy in my entire area (popluation of over 3 million)....which means hundreds of Pharmacies from grocery stores, drugstores, independents, Target...and yes...even Walmart (as they are the same complany as Sams)...

    So, it really boils down to personal preference as I mentioned. As I wrote, it's extremely important to have a great relationship with your Pharmacist just like your Dr...

    And if that means you have a good one with your independent Pharmacy...that is great....

    But just know they have to all play by the same rules.
  • Jon...it sounds like you had a bad experience...This is why it just shows it is different for everyone...

    I've never waited in line...And as I wrote...when I called many, many Pharmacies in my area to get the cost of the 5 medicines that I take....Sams Club was the lowest cost as I don't have any insurance...The price at a grocery store or independent in my area is literally 5 TIMES the amount that I pay for the exact same medicine.

    I know all 3 people who work there and just adore the head Pharmacist. They are always so wonderful to me...and any time there has been a slight glitch...when a shipment arrived later than expected one time (2 days late)....they gave me the entire prescription for FREE...

    They also have never had any of the shortages that many other Pharmacies have seemed to have in our area. As I wrote...the larger places have more buying and negotiating power...

    So...I really don't think there is a good/bad between chain and independents....It's all figuring out who we like, who handles our business the best, and who we can develop a good relationship with in the long run...

    I'm glad that it sounds like most of us who have posted on this thread are very happy with our choice....That is what matters:)
  • i would never use a chain pharmacy agin ever. i have to wait in line and listen to some person talk about her incontinence and how she or he has shingles and her dog has diarreah and her son flunked out of school etc etc. you get the point. i just go in and get my meds and out in 2 minutes. i always have to wait in a line also beside listen to person discuss their problems. the pharmacists are goofie also. 20 people in line then person at register leaves and doesn't come back for 10 minutes or he can't find your name because he can't read or spell. i guess you get the idea that i don't like chain pharmacies. if you like them good luck.
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • Under or over I would call ASAP.

    We are all scrutinized enough ...unfair as it is.

    Our chance to show again how unjustified it is.

    Until recently I have never counted, but given the stories, I think I will start,as my meds are kind of in flux as we are exploring increased pain ~9 months post L5S1 w/ neuropathy TLIF.

    New surgeon think pseudoarthrosis / no growth :-(

    CT to confirm pending...

    Jun 2011 -TLIF @L5-S1
    Mar 2012 -NonUnion @L5S1
    May 2012 -Multi Level Discography
    July 2012 -XLIF 2Cages @L3L4/L4L5
    Aug 2012 -All New Hardware @L34L45/L4L5/L5S1
    Mar 2013 -FBSS = Pain Management until they figure it out.
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