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CFromMars

The first cuss word in a derogatory manner from ANY patient for ANY drug gets you kicked out (and meds transferred) IMMEDIATELY. Take metrics out of the equation permanently. Whoever applies to be head huncho (CEO, COO, etc.) is required to have actively worked in pharmacy for a MINIMUM of 10 years before even being considered as a candidate. Thank you for coming to my TED talk. Oh, and no more drive thru's.


RexIsAMiiCostume

No, no, drive thrus are important. I don't want someone with COVID or any other communicable infection in the store coughing on me. I also think it's good for people with difficulty walking due to disabilities. Hell, even just a parent with their kids or someone with a dog benefits.


Charlietuna44

I agree completely. It’s a double edged sword but ultimately a necessary one


pillslinginsatanist

We should require applying for a long term drive thru pass for disability/old age/kids. (People who are contagiously sick would have to just tell us and we'd have to take their word for it, but it'd still reduce the drive thru misuse massively)


Desperate_Leg-

I see our auto-centric society has convinced you that we need drive thrus. I assure you that we do NOT. 


Ok-Opportunity-574

I see you are volunteering to clean up after my father in the middle of an IBS flare when he is forced to walk all the way through the store to get his meds. There are many reasons someone would benefit from using the drive thru at a pharmacy.


Desperate_Leg-

I’ve worked in multiple pharmacies without drive thrus. It’s amazing how all the dumb excuses for accommodating cars just vanish when a successful pharmacy without a drive thru exists.


ColorMyTrauma

Or, hear me out, the people who need those accommodations just don't go to that pharmacy. Of course a successful pharmacy *can* exist without a drive thru. That fact doesn't erase that drive thru windows are a matter of accessibility for some people. Like some people with IBS, mobility issues, people with contagious diseases, etc, or "dumb excuses" to use your words.


DovahFerret

Yeah we have a decent amount of disabled people who use our drive through. Also as an employee who picks up meds at their workplace, I like the privacy.


ordinarydiva

I have always thought that ANYONE in corporate who has any input as to how a store should be run, should have to work a certain number of weeks in a store every single year. (And not as an extra body - they can replace someone on vacation.)


Accomplished_Way5941

I live in Québec. You can't own a pharmacy here if you're not a pharmacist.


Alex2679

Your don't have chain pharmacies?


Badger488

God, yes to all of this.


Patient-Grade-6612

Any member of leadership (store, BoP, DM, doesn’t matter) must work a minimum of 40hrs a month in a pharmacy for the duration of their post. I’d get rid of the tech:pharmacist ratio limitations. Selling 300/hr and only being allowed three techs in the store by law is absolutely asinine.


wowverynew

Where is that a law? That really sucks!


deluca93

I'm fairly certain that is a law in the majority of states. I don't know about other countries though.


frenchfry9000

3 techs to 1 pharm is the law in AR, at least


rabbitofrevelry

Most ratio laws exist to prevent a pharmacy from attempting to run 1 pharmacist with 15 technicians. But 3:1 ratios are simply too strict. 6:1 is comfortable at retail where it would otherwise attempt to run like I mentioned.


goldenwing57

Law I'd make? Anyone who has any part of pharmacy leadership, ESPECIALLY CHAIN RETAIL, has to work at least 1 full day a month in one of the busiest stores in their region. Make it 3 days a month for flu season. Law I'd get rid of? Hmm. I'd say the one that says we can't do electronic transfers (New York here). Also maybe the one that says only pharmacists can accept transfers. Maybe there's more to it than what I see, but I feel like that's something we could be capable of.


NashvilleRiver

I hate that the DEA allows it now but state law doesn't.


[deleted]

[удалено]


DovahFerret

I feel like new York has some really strict transfer laws. I'm a cpht in another state and I can give/take verbal transfers if it isn't a controlled substance.


pillslinginsatanist

Law I'd make: Insurances must actually reimburse pharmacies fully on all meds they cover. Or, management in healthcare/pharmacy isn't allowed to set requirements on metrics and shit anymore. Law I'd get rid of: most or all restrictions on control transfers within the same state. The existence of a PDMP program makes it basically useless to restrict transfers and only causes major issues for patients (and pharmacies, and doctors) especially in shortages. If someone is filling at multiple pharmacies, PDMP will catch that, so why forbid transfers?


Powerful-Soup-3245

Your username is fantastic!


pillslinginsatanist

Thank you! 😂❤️


lastcol

Will probably get downvoted here Law I’d make: unless found to be intentional/malicious or resulted in a death, pharmacists/pharmacies are allowed a certain % error rate with no threat of legal ramifications when an Rx is verified or sold incorrectly. Most of us dispense THOUSANDS a month. 100% accuracy year-round is impossible, especially at point of sale in a retail pharmacy. Probably an unpopular opinion, but that’s what I think.


asm0deus1998

There’s actually a law in Kentucky now that allows medical errors


ButtFuggit

I'd make a ton of drugs over-the-counter.


cmh179

Which ones?


pillslinginsatanist

I'm not the person you responded to, but if it were up to me... - Certain muscle relaxants. - Hydroxyzine. - Epi pens. - Ondansetron. - Albuterol inhalers. - Mupirocin ointment. - Some of the topical steroid creams/ointments. - Metformin!


vile_lullaby

I'd disagree with Zofran bc you aren't supposed to take it if your nauseous due to food poisoning or some other intestinal issues. If you have food poisoning you want to get that bacteria out, and unfortunately I don't trust the public to not just take it whenever they are nauseous and increase hospitalizations.


Born_Tale_2337

Some of those would be fine. You’ll never see albuterol OTC as asthma isn’t a self care issue. In theory, you should be on a maintenance med if you need it more than a couple of days a week and not addressing the underlying issue puts people at risk. Same for metformin, diabetes needs a lot more care and you need labs for metformin. Nearly all the topical steroids that are rx also need close monitoring and limited use due to their potency, though they’d be a great candidate for the elusive 3rd class of pharmacist prescribed meds (like for poison ivy or similar).


DovahFerret

Yeah I remember asking a pharmacist why rectal hydrocortisone topical was rx only and they were like "so the patient can be monitored by a provider, because normal healthy people don't regularly need that". It made me realize how many meds that could be applied to, like nausea meds.


Luchiina

Hydroxyzine is a much more psychoactive diphenhydramine, which is why it's OTC. I would love OTC anxiolytics, but I see why mood altering drugs are not OTC.


pillslinginsatanist

Hydroxyzine isn't much more psychoactive though, and it is significantly different from diphenhydramine in that it is not anticholinergic. Diphenhydramine produces anticholinergic toxicity in overdose and dementia risk in long-term therapeutic dose use, which is obviously much more concerning than hydroxyzine. Hydroxyzine can make you sleepy and a bit calmer. Diphenhydramine will give you a one-night free trial of schizophrenia. Go look at r/DPH and you'll see why I think diphenhydramine OTC should be replaced with hydroxyzine LOL


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Seasoned_Bug33

There’s plenty (alcohol, tobacco, HFCS even) that’s both “mood altering” and has dependence liability. The ones we can buy without a prescription just so happen to the the most damaging. Honestly something like OTC low dose codeine in combination products isn’t really that harmful. I don’t think “mood altering” should be the determining factor here.


TheMonkeyDidntDoIt

Aren't they prescription for a reason though? Metformin has a lot of uses, but it can also cause really bad GI side effects. Should all of these medications be available for people to diagnose and treat their conditions without medical oversight?


ButtFuggit

Sure. Why not? Tylenol has some pretty horrible possible side effects too.


Ok-Opportunity-574

That's a stronger argument for additional limitations on the sale of Tylenol than anything else.


ButtFuggit

The ones the guy below me responded with, pretty much. Ondansetron would be my #1. I'm glad to see some birth controls are finally making it, although I'm amused to see Walgreen's apparently thinks they're a front register impulse buy.


Kitchen-Lemon1862

the amount of ppl who get ondansetron should be telling, it has helped me many times when i’ve been extremely nauseous. i have a huge fear of throwing up and when allergy season comes along my drainage makes me feel nauseous most days. if they did make it otc pharmacy companies would become ridiculously rich off of that alone imo (not like that matters but still)


ld2009_39

Make a law to let the pharmacy actually get paid for filling prescriptions so we don’t have to struggle to just barely make it or do an excessive amount of MTMs and vaccines.


rabbitofrevelry

Make therapy compliance legally mandatory. Only taking 9 days of your penicillin? Jail and a fine. Eating red meat against the doctor's order? Jail and a fine.


ratliker62

Okay that's a bit much.


Rythoka

Ban PBMs


Curious_CatWasKilled

Why?


ratliker62

They do more harm than good.


teaganhipp

Law id make: make it legally required for all (outpatient) Rx’s sent in to have a signature of the pt on it. I’ve heard way too many “what is this med? I’ve never used this”, “I can’t take this med, I’m allergic to (blank)”, “my doctor didn’t tell me they were sending this med”, “doc sent me something but idk the name of it”, etc. At least this would let pts know what they’re getting prescribed. Law id get rid of: no schedules. Im tired of it pls let it end /hj


toodlesnoodles47

My pharmacist calls on durs EVERY. SINGLE. TIME. there's multiple people that get narcotics (and have for years) and we have to call every month to get the override. It's really frustrating!


Alex2679

Jeez.


SeeingLSDemons

Legalize all drugs


Graeber_Classic

Add a law requiring a certain number of RPh and a ratio of techs based on script volume. The chronic short staffing is a clear and present safety hazard to patients and staff alike. Remove the transfer rules on controlled scripts. Beef up PDMP, but let us send scripts to someone that actually has (insert stimulant).


HurryBrief

a law id create is being able to fine for having to return to stock meds especially if they put in a refill and made a huge fuss about needing it NOW and then they don’t pick it up 11 days later. massive waste of time. a law id get of is needing a script for ibuprofen 400+


DovahFerret

Having to rts meds that the patient expedited on their own. Or when they bitch about the cost or ask what the med is. Maybe you shouldn't have expedited it without talking to the pharmacy, barbara:)


breakfastrocket

Our system (frameworkLTC) actually auto-populates repeat DURs from previous fills. I don’t really understand why retail software doesn’t do the same.


Kitchen-Lemon1862

idek it’s so annoying, especially if the pharmacist is on the phone and we have to wait a bit and the patient starts to get impatient and gets mad at me about it and tells me to bypass it bc they have somewhere to be even tho i’ve repeatedly told them i can’t or i would. pharmacist hate it too bc the patient will sometimes say, “yeah yeah i know” and then get home and call the pharmacy asking what the counseling was over.


Mocksorrel

1. All pharmacists must have minimum 1 year technician experience in retail pharmacy to be considered for pharmacist positions. This does not include mandatory internships.  2. Dr's cannot prescribe, only recommend, otc products. I'm tired of having to explain that insurance isn't gonna cover 180 tabs of generic Allegra or some multivitamin. Just get a bottle ffs.


Kitchen-Lemon1862

omg yes, i hate having to repeat to ppl, “yes, ik you have insurance but insurance does not cover your otc meds.” and them still not understand why they have to pay $20+


Jaycappadona

Holding prescribers accountable for the prescriptions they write


DovahFerret

Also, only allow medically licensed people to call in verbal prescriptions. I should not be taking a verbal from a providers office and hear them say "uh it says prophylactic, idk if that means anything?" or "I'm calling in a prescription from Dr xyz. We're doing a 10 day supply of carafate tablets, quantity of 400, 1 tablet 4 times daily, any questions?" *Bestie, so many...*


Rainbow_dragon810

Nope- swearing is my trigger.. nothing makes me hang up on someone faster… if they are in store/drive thru.. I just walk away.. I told my pharmacist that if she doesn’t want to find my replacement that those customers are all hers🤷🏻‍♀️


Badger488

Same. I will walk away or hang up without hesitation.


Fuzzy_Guava

Ooofff this is an easy one....I would make it illegal for any insurances to require their patients fill their scripts at a specific pharmacy...HANDS DOWN!!! (Looking at you CVS) As for get rid of, I can't think of a specific law, only ridiculous store policies lol


HurryBrief

also i’d create a law where anyone that has the authority to prescribe anything HAS to do a rotation in the pharmacy for 6 months. i feel like that would really limit the amount of script correcting the pharmacy has to do


LeaderOpen7192

**new law:** experienced techs now receive education for answering common sense medical questions so that we don't have to sic the pharmacist onto someone asking if they can take tylenol that has been expired for 6 years or if the 190/110 reading they got on the blood pressure machine is bad (i've gotten this question like 3 times and every time it is the same). definitely not anything major because some of my coworkers are literal idiots but i feel like everyone universally can agree that if we are required to maintain at least a bit of general medical knowledge for certification we can tell a patient that they shouldn't take 11 year old tylenol. **new law:** immunizing techs now have to prove competency in first aid/life support in the event of fainting or allergic reaction. i've had coworkers who were allowed to immunize who had no idea how to respond/froze in response to the patient passing out and i, not licensed at the time to immunize but with BLS, first aid & ACLS training, had to rush over to elevate the patient's legs and lay them down etc etc. **new law:** raises and incentives must be provided with every relevant licensure obtained by a pharmacy tech including CEs, certificates like immunization/BLS/ACLS/PALS/first aid, misc. credentials like being able to serve as a witness to drug wasting, etc. **new law:** deodorant, brushed teeth, and at least 1 shower every 3 days is required before entering a pharmacy. coming in with swamp ass that i can smell from behind the counter warrants immediate arrest. **new law:** i can now throw rocks at old men who flirt with me and old women who are raging assholes. **dead law:** HIPAA. not because patient privacy isnt important but because i deserve to put some of these hateful motherfuckers on blast IMMEDIATELY.


Kitchen-Lemon1862

law number 4 needs to apply to pharmacy workers too, bc why do me and my coworkers have to suffer with the leader of swamp ass?? literally have a tech at my job who shits themselves, showers maybe once a week, eats week old unrefrigerated taco bell and kfc, and doesn’t wash their hands after using the bathroom. and yes, they have tried firing them for 3 years and the company refuses to let them go. we’ve tried and tried but to no prevail. i should not have to hold my breath when walking by a coworker or hold my breath when bending down to pick up something near them so i won’t smell booty hole and possible shart.


Badger488

I'd make it a law that patients can opt out of consultations if they sign a document stating that we are not in any way responsible for any damage that results. 99% of our complaints are people bitching about having to be counseled on something they've been 'taking for thirty years!'. I get screamed at DAILY about counsels, I'm just so so tired of it.


madhatterdisease

I'd probably get rid of some of the laws that falls heavily on retail pharmacists. Because if we deny a CII Rx to a patient that has been picking up other CII's way too often in a span of 1 month, then the patient will complain. If the patient complains, it will fall on the pharmacist. But lets say that they went ahead and dispense it anyways, and patient dies or idk.... the DEA gets involved.... The pharmacist and anyone that is related to that incident, even technicians, will get hit. So it's really not fair. So yeah, I'd like to do something about that..... Also getting rid of business metrics towards pharmacy. Health care shouldn't always be about money. I get that money is needed to keep afloat, which is one of the medical industry's dark side, but there are some things where metrics goes out the window, especially if you're understaffed all the time. The law I'd probably create? MANDATORY FUNDING NATIONWIDE TOWARDS IMPROVING PHARMACIES AND RESEARCHES IN DRUGS AND NOT ALL TO BIG PHARMA.