I’m possibly the poorest person ever to be mentioned by name in The Wall Street Journal twice in the same year.
A factory sealed bottle, no visible signs of tampering, purchased from a secondary wholesaler with the accompanying required pedigree - that’s what I checked in. Just like every other week, since long before I was running the place. In August of 2020 a patient called and stated there was Tylenol in their Biktarvy bottle when he opened it. Just on the astronomically improbable chance he was right and/or not trying to pull one over on me I called Gilead to check the if there were any reported issues with the same lot#. Turns out the patient was telling the truth.
That call set off an investigation that uncovered thousands of counterfeit HIV medications. Do you want to know what I received from the California Board of Pharmacy for this well documented encounter that ultimately resulted in a safer HIV medication supply chain on a national level? Well, the store received a $1000 fine and I got a letter saying you should have known this was a fake. They couldn’t really say how or why I should’ve known but it was still my fault. Kind of like a citation without a fine or any public record of the letter. When I asked a board inspector how could I have handled this different. He said, “Just order from Cardinal or AmerisourceBergen and avoid other wholesalers altogether.”
The need to seek out secondary wholesalers in search of some minuscule margin on a $3000 to $4000 drug is the root of the problem. State funded insurance is the only option many of these patients have and the reimbursement rates are below our acquisition cost. I fill every prescription I can for every patient possible, that’s how a pharmacy should operate. Safety and accuracy is my primary concern, profitability is an afterthought. The problem is filling high ticket brand name drugs monthly at a $50 loss is an unsustainable business model. The system is broken. Those in possession of the tools, are tools and comfortable to leave it that way… @CAPharmBoard
Pharmacists are such pushovers. Why did we ever agree to do all of this MTM bullshit for the insurance? Why did we agree to let PBMs take the money when we are the ones doing all of the work?
So this fall we will have shots, hormonal contraception prescribing, epi pen prescribing, inhaler prescribing, flu tests, strep tests, outcomes/mtms, flu clinics in addition to pharmacy. We have less tech/RPH hours available than 10 years ago when the workload was much less.
@NYTHealth If we are expected the call doctors about EVERYTHING, we should at least be given a direct line to them. Usually doctors don’t get back to us the same day and then they are asking us again, why we called!And, usually the response is when another pharmacist is on duty! 😤😡
@larblue@WafflesPharm When I got that complaint I told management “I’m a pharmacist, not Miss Congeniality!” Besides, would they say that to a male pharmacist? 🙄😩😂