Hi everyone,

I'm a 4th pharmacy student currently working on a rotation where I need to edit an infusion list to reflect appropriate post-infusion wait times. Right now, the list only includes a blanket 30-minute wait for all medications, regardless of prior administration. My task is to determine if patients can safely forgo monitoring for 30 minutes if they have received the medication multiple times before.

What resources would you recommend for finding the necessary information? Thanks!

I have noticed that hospital was the way to go for pharmacy from retail but from my experience nurses are worse than patients. Because they have been a nurse for 7years..or 10. Or 20 they get a pass because what they do is patient care.. I noticed that with Epic and automation, we are forced to sit all day and verify non stop.. no breaks besides the 30 minute lunch break. Orders are constantly being thrown at my face and my back hurts from sitting all day. my verification rate is close to 1000 for a shift and I’m frankly tired.. this was not how it was 15-20 years ago. I noticed that the managers/director that run the place and hospital have no clue to of the workload and every single time there is a process change.. it’s really not helping us in any way.. For example our manager created a labor intensive home med I’d process where we have to check cost of drug/checkomnicell for available pocket, document on order, document in ivent, unit dose on medidose, write down in a binder, and she acknowledges it’s a terrible process but it’s been months and the process has not changed.. the only way the drug didn’t reach the patient is because the patient recognized the color of the drug was different. this is how bad the process was, one patient almost received chemo that had another patients name on it and it alarmed me that both hipaa violation and potential harmful event almost occurred and they still haven’t stopped the process or modified it. We have a regional director in charge of 4rural hospitals we verify for and she has no clue how to find her way around epic. She comes in from time to time wearing her white coat and the SAFEs I gotten where she had to talk to me about was that I verified something that was not in their omnicell.. for example a Percocet 7.5 I had to sit on the phone listening to her tell me that I need to make sure everything links and matches and it’s my job. She even was telling me how to use the omnicell server if a drug does not link and to “pick up the phone and call if I can’t find the drug at their facility” I’m honestly tired of all the SAFEs, lack of support from management and I know this is not how pharmacy was but has become.

I've been wondering why Violet/Purple is the identity of BS Pharmacy here in the Philippines... Please enlighten me 🥺

Hi everyone! I’m a pharmacist exploring new ways to use my background outside of the traditional role, and I’m interested in learning from those of you who’ve successfully started your own business. If you’ve been able to replace or come close to your full-time pharmacist salary, I’d love to hear about what you do, how you got started, and any insights on what’s helped you succeed.

I’m also intrigued by approaches that help people safely reduce or transition off certain medications. If that’s an area you’ve worked in, or if you’ve built a business making a real impact, I’d be grateful

Please use this thread as an open forum for all discussion. Almost anything goes.

Pharmacy related, non-pharmacy related, school, career, customers, bosses, anything at all!

Would you rather work pharmacy IT and take a 5% pay cut (no longer a supervisor) or take a promotion to a manager position and get a 5% raise, but you are under leadership that waits until something is due to make nit picking change suggestions that require you to work off the clock to finish in time?

Just worked my last day.

I recently started burning out due to increased workload and lack of available support staff. I was the only Pharmacist for 5 years and then overlap was slowly introduced. A new “manager” above me took over six months ago and promptly made it their directive to reduce pharmacist staff as much as possible at their 8 stores.

Eight years of giving that job everything I had. Doing tasks that are in no way in our scope (ie. building shelving, fixing toilets, IT, etc). The only response after my resignation email was: “please ensure to complete a full narcotic count by end of day today and report discrepancies to Health Canada”.

I have another job lined up already of course, and it is a direct competitor BUT it still stings that all the extra tasks I did meant nothing to them.

Please, please, please, to any new pharmacists who are eager to do as much as possible, like I was; Just know that it isn’t always appreciated and that you have to know when to put yourself first. Recognize the signs of burnout and don’t be afraid of change. Change is hard and scary but it can be better in the long run.

Anyone have any experience getting a non-resident pharmacy contracted with Medicaid plans in Arizona? My pharmacy is located in the Northeast, and we're starting a 340B contract with an entity in April, so I'm trying to get contacting underway. I'm assuming I have to contract with AZ Medicaid first then move on to the MCOs? Also, are any MCOs more common in certain areas of the state than others?

Thanks in advance for your help!

Hi world! I just had an interview with CVS they offered $64/hr with 40 hours guaranteed. No sign in bonus.

Is this good?

I am in northwest Indiana.

I’m just posting to vent… If you’re lucky enough to work for a supportive organization, good for you. But for the rest of us, it’s endless chaos, rude patients, and impossible metrics.

I want to quit, but transitioning out of pharmacy feels nearly impossible, especially with the current economy. I’m just feeling stuck and unsure where to go from here.

I am trying to compare the difference in CYP liver enzyme inhibition between fish oil (combination of EPA and DHA) and lauric acid. Anyone know which one is a more potent inhibitor?

Any Wegmans Pharmacists out there in the PA/NJ area? Can you tell us about your current experience there? How much of your work day is influenced by the STORE management vs corporate pharmacy management? And how would you compare this to other grocery chains or traditional retail CVS/WAG?

Ontario, Canada - Just wanted to know what the going rate is now? Community? Hospital?

What new protocols IVPB to IV push and IV to PO have you initiated at your hospital?

My father is a pharmacist with more than 25 years in pharmacist community and but cause of some troubles he lost his business so i am searching for him a remote position. Pharmacy customer service his English is b2+ and we are from Egypt..any one can help...

Does anyone chain their insulin vials to the Pyxis/omnicell to keep the nurses from walking off with them?

If so, what products are you using as a tether?

My Google-fu is coming up empty. I’m thinking a bank pen type chain would work.

Is LR AND 1/2ns compatible? Can’t find it anywhere.

What’s your reference. Thanks.

Hey folks,

I work with a senior advocacy group that helps folks out with Medicare, and I'm trying to get a feel for what conversations are happening in the retail pharmacy world about the Part D changes in 2025. In particular, I'm wondering if anyone has gotten training or been informed about the 2025 Part D Prescription Payment Plan and how that's going to be handled at the counter. On paper the beneficiary is supposed to pay nothing at point of sale and get billed by their insurance plan later on, but our seniors are worried that pharmacies won't know about the program.

So is anyone willing to speak on what if any experience they have regarding training or implementation on this? Any insights would be appreciated

We have less than 100 of the NS 100 and 50 bags and less than 20 of the kcl 10, 20 and 40 meq 100ml bags. Now the kcl 20meq/10ml and 40meq/10ml vials are on backorder. TPN premixes are on backorder so we are adding lytes to the plain AA/dextrose bags. We’ve been changing IV K+ protocols to PO protocols for patients who can take PO, and we are changing a lot of the antibiotics and things like iron and keppra to push. The nurses are going BALLISTIC. I’ve never been yelled at more in my life as a pharmacist from floor nurses than in the the past 2 weeks. Idk why they are so opposed to pushing Rocephin or other meds that are routinely done push at other hospitals all the time. I even had a charge come to the pharmacy window to talk to me about how these drugs are “caustic” and cannot be given IV push. I told her to that these changes are from corporate in response and to a NATION WIDE shortage and it’s not me whose making these decisions. And idk why it’s so difficult to give PO Kcl to grandma who is taking 10 other PO meds and on a normal diet. Any tips on some good verbiage to use with these people would be much appreciated.

Why do veterinarians act as if someone is going to steal their DEA number out of all the DEA numbers we come across on a daily basis?

I’ve had one vet refuse to give me her DEA number for a controlled substance. One clinic refuses to leave them on the voicemail despite telling the office only the pharmacist checks the voicemail.

They are making my life difficult having to constantly call for information.

I am 24 year old. Did a PGY1/PGY2 in admin on the west coast. Graduated with my MBA. I moved back to the east coast. I’m working from home 4 days a week. Salary is 162k for a large health system in the north east.

I am looking to maximize my earning potential. What jobs can a PharmD/MBA open in pharma?

Hello I have a clinical question

I have seen physician prescribed metoprolol Succinate twice daily. What's the rational behind this ?

Hello all! I am getting my first hospital pharmacist interview. It is a staff position at a local remote hospital near me. What questions should I expect? For reference, I only have retail experience as my paid experience, and the only hospital experience I have had was through rotations. Any advice is greatly appreciated, and I am aware that this question has been asked in the past. I just want to be up to date with what hospitals are looking for in new hires currently. Thank you!

Why can't they just listen. Please!! I just want you to help you.

So am from Egypt n if anyone from middle eastern households happens to read this yk how much families emphasize the need to become a engineer or a medical worker but am much more interested in biotech so i am prolly gonna choose pharma since its so close to biotech but idk how ill tap into the industry i would be more than down to get a masters in pharma n get a biotech dedicated phd but idk if thats how it works n more likely than not if i end up getting a phd ill prolly want to leave Egypt n get the phd in Ireland for example or js a good country cuz as much as i love the world of biotech n labwork n the cool research they do if it won't assist my immigration ill be more reluctant about it

Hello everyone! I'm seeking your help/advice. I earned a pharmacy degree in the Philippines and now live in the U.S. Since I only completed the four-year program, do you suggest studying here for a year to qualify for FPGEE or taking a one-year online clinical pharmacy course in the Philippines? Thank you.

I see quite a few openings, anyone know if HCA is going through some troubled times?

Does anyone know if pharmacists lose sick time if not used in the last almost year?

Any working in PA-appeals currently? Looking for more insight on the job and what it would take a retail pharmacist with not much “clinical” knowledge to be successful at the role.