/r/pharmacy

Photograph via snooOG

A subreddit for pharmacists, pharmacy students, techs, and anyone else in the pharmaceutical industry.

Welcome to /r/Pharmacy, a subreddit for pharmacists, pharmacy students, techs, and anyone else in the pharmaceutical industry!

If you have any suggestions or questions about this subreddit, don't hesitate to message the mods!

Post flair has enabled for all posts. Please add it when posting to make sure the people who want to see your post can If you do not see a flair that you feel is correct, please message the mods and we can see about adding it.

User flair is enabled for all users to edit themselves! Just click the "(edit)" link above to type in manually. Some suggested flair: University and graduation date, work setting/title, or other professional titles.

Posting rules:

  1. Do not ask for medical advice: We do not, and can not, provide official answers to your specific medical questions or provide professional judgment. Questions regarding specific medical advice will be removed. Our advice is to speak to your healthcare professional for answers specific to your condition. If you still want to trust a stranger on the internet, you can try /r/AskDocs. Do not ask questions regarding your prescription: For example, do not ask if/why you can/can't get your prescriptions filled early, or what to do if you were shorted on or lost/damaged your medication. If you have any questions regarding your specific prescription, refills or a shortage on your medication, this is not the place to ask. Contact your pharmacy instead. Do not use this sub to complain about your pharmacy or your other healthcare providers.

  2. Posts that take a permissive view toward the illicit use, trafficking, or production of controlled substances will be deleted. This subreddit is for law-abiding pharmacy professionals. Users who are active in subreddits known to facilitate illicit drug use or trafficking are subject to being banned at the mods' discretion. Do not link, crosslink, or reference these subreddits in any way. Users asking how to acquire controlled substances illicitly or otherwise controvert the law will likewise be banned.

  3. Pharmacy school related questions are off-topic: Please direct all questions about prerequisites, applications, cost, and other related matters to /r/prepharmacy.
    Direct all posts about pharmacy school classes, rotations, administration, professors, preceptors, curricula, etc. to /r/pharmacyschool. Questions about the actual scientific and practical content of pharmacy school classes are still welcomed here.
    Please direct questions over homework to /r/homeworkhelp.
    NAPLEX/MPJE/CPJE/Board exam questions belong in the stickied post at the top of the subreddit.
    Pharmacy technician test questions (such as PTCE) are better for /r/pharmacytechnician.
    Many specific questions about pharmacy residency are better in /r/pharmacyresidency.
    Questions about whether or not pharmacy is a good career for you are a better fit for /r/careerguidance.

  4. All link posts must have a starter comment: All link posts require an initial comment from the poster to get the conversation started and to cut down on blogspam. Posters must add a relevant comment (an opinion, analysis, etc.) to their link posts within 30 minutes of posting, or the post will be deleted. (Text, image, and video posts do not have this requirement.)

  5. No Memes: Memes and image macros are off-topic in this sub. Please submit your funny pharmacy-related memes to /r/pharmacymemes.

  6. Don't be a troll, don't spread conspiracy theories, and don't spam. Remain civil, interact with the community in good faith and don't do anything to deliberately make yourself an unwelcome pest.

Additionally, we ask that users of /r/pharmacy refrain from commenting on posts which are in violation of the rules above.

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/r/pharmacy

162,582 Subscribers

0

Illegal behavior of a Pharmacist

I need help!!!! I dated a pharmacist. When we first started dating they turned off my iCloud message back off she said for her safety. I didn’t think anything of it. They are prescribed by her polish doctor that does not use computers but paper only. They is prescribed Adderall, Vyvanse, Oxi-Codon, and Ambien they is highly addicted to them an has been on the oxi- 10+ years no pain management or physical therapy or check ups. They know how the system works on when and where to refill so they don’t get flagged in a system. Meaning they will fill at different pharmacies . She knows all the systems she use to be a district leader for C*S . She also orders illegal drugs in weight for Festivals… Ketamine, Molly, pressed pills of ecstasy, acid and Xanax. They have a whole menu to order from… now since I broke up with. They Has a restraining order on me so I can’t speak out to board of pharmacy or the corporation they works for. Going through the court process. When they is at work it seems like they is high like a kite the best person ever the happiest on the high then gets home after work and comes down and the mood switches straight evil. What the heck should I do?

0 Comments
2024/04/29
23:13 UTC

1

Metronidazole and tyramine

Do you counsel patients on eating a low tyramine diet when on metronidazole? Is it just a pearl that isn't actually clinically relevant?

0 Comments
2024/04/29
23:05 UTC

7

I wish I had the motivation of someone who’s trying to find a backordered drug

They’ll do whatever to get whatever

2 Comments
2024/04/29
22:38 UTC

5

Reporting

I am a fairly new pharmacist (graduated 2022) so I don't know proper etiquette or whatever it may be for reporting nurse practitioners, physician assistances, or facilities..

Background: I have been working at a community pharmacy located in Virginia for a little over a year now. My pharmacy team and I really only have issues with the urgent care across the street.

They constantly put refills on medications, make mistakes in directions (which are obviously corrected after we make a phone call), we've had on multiple occasions that they get the patient's date of birth incorrect on the prescription, mix up the dosing for brother/sister, etc. we've also had them writing prescriptions for stuff that is completely out of their scope (for example: 6 months of fluconazole to treat "resistant" yeast), and they also write hardcopies for opioid containing prescriptions such as Tylenol #3 and tramadol or try calling them in and they always state "their system is down" which in Virginia the law code states that it must be e-prescribed with some exceptions such as the system being down (so I'm now calling BS because it's been "down" for over a year now 🙄)

We have talked to the urgent care on multiple occasions trying to correct this behavior but it hasn't gotten much better. I'm at my wits end because we then have disgruntled patients coming to the pharmacy expecting everything to be ready and they get pissed when I either say I can't fill it or get irritated with us for mistakes that the urgent care made (such as DOB issues). Ultimately they are making more work for us, are treating things inappropriately from an urgent care perspective and then get attitudes with us when we refuse to fill things because clinically a lot of things they do just don't make sense. There is always push back about the opioids as well stating "they never have issues with other pharmacies" and get defensive and pushy to make us fill it generally when the patient is already in store because again, it's right across the street 🫠 We obviously document everything, but I'm at the point where something needs to be done or I'm scared they are going to cause serious patient harm.

I've tried calling the board of nursing and also the DEA and no one wants to pick up the phone to talk.

I guess what I'm asking is for guidance to try to remedy our ongoing issue with them.

Thank you so much for reading up until this point. I appreciate and welcome any feedback/advice.

10 Comments
2024/04/29
18:58 UTC

8

Retail pharmacy burnout

Hi guys!

I moved from England to Canada in 2018, finally got licensed as a pharmacist in Canada in 2023. Was a horrible journey.

Now I’m working in retail pharmacy (corporate) and I am exhausted. I’ve found my self not liking this profession anymore, but I feel bad seeing I spent years trying to get licensed in Canada.

I get home everyday after working at the pharmacy and I’m so frustrated. I’m trying to see what other aspects of healthcare I can go into that is fulfilling. I find that retail pharmacy is all about metrics and money, I mean it’s a business after all right.

Can anyone be of help with this. Really need to get my act together.

3 Comments
2024/04/29
16:34 UTC

1

Pharmacist in New Zeeland

Is there anybody here from NZ that works as a pharmacist or in a pharmacy and can help me with a few questions please?

0 Comments
2024/04/29
16:15 UTC

20

🤔 Considering opening a pharmacy in a dermatologist clinic – yay or nay?

The dermatologist sees 100 patients/day open 5 days a week, willing to refer them all to me. Rent is very reasonable, seems like a sweet deal! But opinions are split - some say pharmacies aren't profitable due to insurance, others disagree. Haven't been in the game for 10+ years, used to consult and open pharmacies. My parents and sisters are all pharmacists but don't own. I want to do this on my own. What's your take? Any advice or insights?

24 Comments
2024/04/29
18:01 UTC

58

What possible reason could someone have for hording furosemide?

Where I live there's this infamous customer who is basically blacklisted everywhere in the metro for trying to fill his furosemide rx as early and often as possible.

At the chain I worked at I denied him because I checked his profile and realized he had managed to fill like 1000 tablets between between all our stores in a matter of months.

Over the next couple months I got calls from several other unknowing independent pharmacies he targeted after us realizing themselves something weird was going on with this guy and wanting to know his story.

I figured he had been burnt on every pharmacy and this saga was over, but lo and behold, a year later and I'm opening my own pharmacy and sure enough one of the first calls I get is this guy trying to fill his furosemide thinking I'm a fresh target. He's STILL at it.

Any ideas what's going on here? He always asks what brand, and he specifically wants the "Leading" manufacture. I consider myself street smart, certainly far from naive, I can usually sniff out shady business, but here I'm at a loss.

The only I thought I have is he's reselling them trying to pass them off as something else, but does that even work in 2024? And even if you did manage to pull it off a couple times I don't see it being a long term scam that lasts a year..

33 Comments
2024/04/29
17:05 UTC

21

Are there unhappy/unfulfilled PharmDs in pharma/clinical settings? Or it’s just retail pharmacists?

It’s undoubtedly true that many or most pharmacists in retail practice are unhappy due to the poor working conditions. Regardless of the fact that retail pays relatively well, it’s still considered as “golden handcuffs”.

So , I wonder if there are burned out pharmacists in other non-traditional sectors of pharmacy also such as pharma, inpatient etc .

12 Comments
2024/04/29
16:36 UTC

4

Working retail, hospital offering interview but not in ideal location

I work for a retail chain, but it's one of the rare "good" ones (staffs well, pays well, treats employees as more than just machines to churn out metrics), but I saw an offer for a hospital job that's mixed inpatient verification and clinical (that didn't require a residency) in a different state with one of those LinkedIn "EasyApply" buttons. Got a response requesting an interview within a day. After the first interview within another couple days I received a request for a second interview. It's all kind of moved very fast. The only thing is the hospital is in a rural area 1500 miles from where I live now which is a mid-sized urban area. I've lived here for 5 years and am hesitant to uproot my life and move plus pay all the fees for reciprocating my license to take a hospital job just for the sake of it being a hospital job.

Does anyone have any true insight or advice (other than saying "JUST DO IT IT'S NOT RETAIL") as I'm trying to come up with reasons to make a decision one way or the other. Thanks :)

10 Comments
2024/04/29
15:54 UTC

1

Relatively new pharmacist asking for education materials

Hi r/pharmacy, I am a relatively a new retail pharmacist who has been dragging my feet about re-educating myself to prepare for a clinical setting. I am asking what kind of education materials (books, apps, etc) would you recommend? If you are a retail pharmacist what materials do you use to keep up to date on medications? Thank you for your time.

5 Comments
2024/04/29
10:23 UTC

15

Dream job offer but not enough hours… advice?

I’ve just been offered a job at an incredibly competitive hospital but it would be half the hours I’m on now. I am a pharmacy student and currently and contracted 4 days a week at a large hospital system until July. It’s been tough but i love the security of my income. I’ve been offered a casual role as a student at my dream job however, they can only offer me 1-2 days a week as a casual. I’m not eligible for any Centrelink assistance as a student and I cannot really afford 2 days a week with what students make an hour.

Just wondering what others would do in my shoes; is happiness really worth struggling financially for a little bit or do I say no and stay at my miserable job with financial security?

9 Comments
2024/04/29
08:36 UTC

3

Australia vs UK

Which is the better paying option? I am already aware of the hectic schedule so thought might as well make the most money out of it🚶‍♀️As an international graduate from India which pathway should I go for? KAPS or OSPAP My priorities in the order: pay after taxes>lifestyle conditions.

0 Comments
2024/04/29
05:44 UTC

16

How will the federal non-compete ban affect retail pharmacies?

The fTC just banned non-compete agreements on a federal level: https://finance.yahoo.com/news/ftcs-noncompete-ban-could-reshape-the-us-workplace-140012480.html

Does this mean I can openly pick up shifts for competitors if I want?

2 Comments
2024/04/29
03:18 UTC

22

Hispanic Pharmacists

Throughout my 5 year career 7 retail pharmacies and 1 hospital I’ve met 2 Hispanic pharmacists. I originally wanted to be one but things change people change…lol Are any of you guys out there? If so congratulations on being!

I’m from Southern California and I feel as though Hispanic representation as a pharmacist is lacking in my area even though there’s a bunch of Hispanic pharm techs.

74 Comments
2024/04/28
23:56 UTC

12

Has anyone ever practiced in a different country?

I recently saw an ad about “starting a fresh pharmacy career in New Zealand” and I realized I never thought about practicing in a different country. Studying abroad is something I always wanted to do but since graduating that is not an option.

Do y’all have any recommendations or have any experience with this? I’m 29, single and been working retail for 3 years. The world is my oyster and I feel like doing something like that might be a nice opportunity for me.

Appreciate any advice!

1 Comment
2024/04/28
22:33 UTC

10

Any ideas??

Has anyone else in other pharmacies seeing an increase in the past few days of patients asking for Novolin R to buy? Approximately 5 patients have stopped by asking to purchase some and we don’t have any in stock. We are just being curious 🧐

4 Comments
2024/04/28
21:47 UTC

38

The LAST MINUTE patients coming in or someone complaining about a recently RTS script that’s no longer ready!

Manage your time better and stay adherent! Typical retail rant. Have a good day y’all!

7 Comments
2024/04/28
21:14 UTC

11

Resume/cv advice

I've tried finding some recommendations, but not much. Trying to update my resume/cv. I've worked in hospitals predominantly, luckily, without a residency. I've been working for about 6 going on 7 years and worked at 8 different places. Should I get rid of my IPPES/APPES? I don't have any publications or presentations

6 Comments
2024/04/28
19:56 UTC

14

Oncology pharmacists - how does it compare?

Oncology pharmacists how do you like your position compared to general inpatient staffing or clinical? Was it difficult to land the position and how challenging was learning and training for it? It seems that there's a lot of demand for oncology infusion because that's a big money maker for medical centers

9 Comments
2024/04/28
19:19 UTC

50

Perfume wear in the pharmacy?

In retail setting, is wearing perfume generally not acceptable? (Hospital is no no cuz sterile compounding) I vaguely remember that someone said some patients can be sensitive to scent, so health care providers should not wear perfume.

But over the past I have noticed some technicians I work with in different stores wear them.

Considering how cramped the pharmacy usually is, is wearing perfume a bad idea?

I am not a big perfume guy but I am just curious cuz now I can only wear perfume on days off.

72 Comments
2024/04/28
18:53 UTC

25

Should I tell people I don't have a student loan?

I'm a middle-aged p4 about to graduate. My PharmD is paid off, from a combo of GI bill and my own savings. My peers are understandably worried about paying their loans right now. I find myself getting dragged into conversations about student loans, since everyone just assumes I also have one. I feel awkward because I don't want to make anyone feel bad by telling them I have no debt. Is it better to tell people or keep it quiet? Thanks in advance.

55 Comments
2024/04/28
14:13 UTC

1

Would you dispense Prempro if the Pt has uterine fibroids

.

0 Comments
2024/04/28
12:09 UTC

0

career advice

Hey I'm in my final year of pharmacy school, but honestly im not really sure what field i wanna choose next, please help me select. Should i pursue an M.phil or Masters in Pharmacology/Clinical Pharmacy, Pharmaceutics or Pharmaceutical Chemistry? Or should I do something else like work at a pharmaceutical industry? Also if i wanna go into drug discovery and development, which field should I choose? I'd greatly appreciate any advice. Thanks in advance!

2 Comments
2024/04/28
17:42 UTC

116

Been told not too...still did it. Regrets?

Any redditors on here from the past who kept asking is pharmacy worth it, was told no, and then still went on to do it?

How's it going these days and do you regret your decision?

We told yall...first hand experience on what it was like....no wage increases, no PTO, no respect, no Healthcare opinion impact, no Healthcare provider status, no work life balance.

84 Comments
2024/04/28
17:29 UTC

5

What did you learn last week?

This is the weekly thread to highlight anything new you learned last week!

Links to studies and articles are great, but so are anecdotes and case reports. Anything you learned in the last week you want /r/pharmacy to know goes here!

2 Comments
2024/04/28
12:00 UTC

126

GLP1A burnout

Retail pharmacist, I am beyond burned out on these drugs. From the 100s of calls to ask for stock availability, to the 50 different flavors of the same drug my patients have in workflow, the transfers, the insurance audits.

I had been able to keep a couple of all strengths zepbound and mounjaro in stock by limiting patients to a 1-month supply and doing manual orders throughout the day (vendors allocate 1-2 per week, but if I order more than allocation, they won’t send me any.)

I give up. I’m tired of telling my incompetent techs only 1 month per patient - only for them to undermine my efforts when I’m gone.

Tired of the entitled, ungrateful patients that want to argue with me when I tell them I’m not doing 3 months so that I can keep the drugs in stock.

I give up on even trying, my reorder points are set, if they come in through my computerized order I’ll dispense them first come first serve.

/endrant

56 Comments
2024/04/28
06:20 UTC

4

Remote Pharmacist-Minnesota

Will the state of Minnesota ever allow pharmacists to work remotely? My job duty doesn’t require any in person patient contact. But I have to work on site due to pharmacy board requirements. I truly love my job and definitely cannot imagine doing anything else. But I would love to do it from a state where I have family and friends. I have no one here. Everyday I go from home to work and back like a zombie and I don’t know when the respite will come.

Sorry for the rant.

5 Comments
2024/04/28
00:51 UTC

6

Is anyone still not able to post PBM claims?

We just helped a couple of clients post claims from Ascend. If anyone uses that or other software and still have issues, happy to share our experience.

0 Comments
2024/04/28
00:41 UTC

2

SynergenX/tomorrowmed pharma job?

Anyone work here or know someone that does as pharmacist sterile manufacturing? Curious to know if this 503b kind of job is stable and what the work is like

0 Comments
2024/04/28
00:10 UTC

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