Re: Sharing RX medication to save $


"elgoog" <bjdefend-newsgroups@xxxxxxxxx> wrote in message
news:1114527695.007065.32410@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
>
> tonywes...@xxxxxxxxx wrote:
>> elgoog wrote:
>> > Without a crooked doctor to write the script incorrectly, it would
>> > never get past the Drug Utilization Review (DUR) alerts.
>>
>> Many medications have a sufficiently wide range of dosages to not
>> trigger an alert. For instance, I take a BP med, avalide, (FYI, I'm
>> not sharing it) and get 60 pills monthly. Going from 30 to 60 is
>> within normal dosage.
>
> True. But, in this case the person sharing half of their prescription
> would be doing so only at the risk of their own health (i.e. they
> receive only half of the prescription). This behavior might be more
> common where the patient is conning the doctor for pain killers, or
> some other drug that is being abused.
>
>> > When the
>> > pharmacy receives a script, they verify the prescription with the
>> > prescribing doc,
>>
>> I'm sure mine doesn't. It just gets keyed into their computer. They
>> get it wrong often enough.
>
> It gets keyed into their computer and processed by the payer. The
> pharmacist is supposed to validate the original prescription with the
> doctor's office (it may be done electronically). Refills don't need to
> be checked unless there is a change in dosage.


I had to go back and find your original post on this point

pharmacists do NOT validate the original script with the provider's
office(and please release that many providers are NOT doctors...but NP and
PA providers)

if all scripts needed to be verified...the provider would have no time to
see patients

you MAY be referring to a very new system of electronic "sending " of
scripts wherein patients do not receive a paper script...but the order is
sent electronically to the pharmacy..

I have collagues all over the US...almost NONE use this system "yet"..

just a thought...but HOW would scripts be verified on weekends,,after
hours..or when the original prescriber is not available???

how many folks run right to the pharmacy ??? many hold on to the script for
days...I know I do

having written scripts for 20 years...the ONLY time I hear from a pharmacy
is when an error has been made..ie the patient is allergic..I wrote the
wrong dose...etc...

"pre authorization" is a whole nother story...it is used for meds that are
NOT on the patient's insurance formulary...in my experience that occurs
maybe 2% of the time


>>
>> > they enter the patient's insurance information, the
>> > Rx, dose and prescribing provider's ID: the payer's claim payment
>> > system would immediately detect the error, and the pharmacist would
>> not
>> > fill the Rx.
>>
>> > Either you have a crooked doctor, or a crooked pharmacist.
>>
>> You jump to an erroneous and dangerous conclusion. I did not say I
> do
>> this. I don't share my meds.
>
> Neither. The familiar "you" was not intended to refer to you
> personally. I apologize for my lack of clarity.
>
>> > Why would
>> > they risk their licenses, their practices, their livlihoods and
>> > families for someone to save a $2 to $20 copay?
>>
>> For some people, a second $20 co-pay is the difference between
> getting
>> the presciption filled or going without.
>
> Possibly correct. The copay system is designed to introduce an element
> of patient responsibility without introducing undue financial burden. A
> person who is not in need of cash assistance might have a $20 copay,
> another person who is on cash assistance might have only a $2 copay.
>
>
>> > I admit, you could be right. I just don't get it.
>
> You're probably right. It probably does happen. Especially when one of
> the patients is conning the doctor for purposes of drug abuse - in
> which case, I don't have much sympathy.
>
> I appreciate your response in this matter. You have helped me to see
> that it may in fact be happening. People do stupid things sometimes.
>


.

Relevant Pages

  • Re: Loose dogs, having fun
    ... comes to health care between a patient and their physician. ... The article talked about a pharmacist who wouldn't fill a script and refused ... It isn't a function of a pharmacy to deal out ... I think it's reasonable to refuse to deal in certain meds, ...
    (rec.pets.dogs.behavior)
  • Re: Sharing RX medication to save $
    ... >>> pharmacists do NOT validate the original script with the ... It depends on which drug and the presence of a Prospective ... > "validated" implied that somehow the PRESCRIBER ... >>> sent electronically to the pharmacy.. ...
    (sci.med.cardiology)
  • Re: Sharing RX medication to save $
    ... one script for 60 pills twice per day vs two scripts ... One co-pay vs two. ... > pharmacy receives a script, they verify the prescription with the ... > Either you have a crooked doctor, ...
    (sci.med.cardiology)
  • Re: Pain and Human Development/ question of ethics 4 Hawki
    ... scheduled script is entered into a state database,,and that a health care ... provider could...with a simple phone call...obtain info on a person gathered ... from EVERY pharmacy in that state... ... >>be done while the patient is sitting in the exam room... ...
    (alt.support.chronic-pain)
  • Re: question about refills
    ... I wouldn't trust using anything but a good old fashioned bricks and mortar walk in pharmacy for my CII's. ... I usually must go to a couple of different pharmacies to get the drugs at the quantities I need. ... Havent you been able to find a pharmacy that'd order yer meds for you every month? ... have never had a problem with any script filled that way...(but wasn't ...
    (alt.support.chronic-pain)