Hi:
I recently took a prescription to a local pharmacy to be filled. It was for
Lortab 7.5\500 for 90 tablets with three refills. The pharmacist questioned
the fact that I had three different doctors on file and he would have to
verify the prescription because it looked like I was "docor shopping". I
explained that the three doctors (I'll call them doctors A, B, & C.) I had
on file were as follows:
Doctor A was my old primary care whom I didn't care for
Doctor B was a specialist
And doctor C was my current doctor and the one who had written this
prescription
The pharmacist called the doctors office and got voice mail. He left a
message and I agreed to come back another day to pick up the prescription.
I should add that normally I fill my prescriptions via my insurance which
requires me to mail the paperwork and wait for up to a month and I waited
too long and decided that I would get one fill locally so I wouldn't run out
then let my insurance call and transfer the remaining refills (my insurance
only allows me to get two fills at an "outside" pharmacy)
The next day, I called the pharmacy and spoke to the pharmacist. He said he
got his questions answered and I could pick the prescrition up and he added
that the doctor revoked the refills and said I should go to pain management.
The specialist I went to see was pain management and he thought that my
primary care doctor was adequately treating me, therefore I didn't return to
him, but rather left treatment up to my primary for convienience.
This situation agrivates me for the following reasons:
Most of the pharmacists conversation took place from behind the counter
which is about fifteen feet from where I was standing thus enabling everyone
in the area to hear the conversation
I don't think that three doctors on my file is an excessive number,
especially with a reasonable explaination
I am concerned with how he approached my doctors office with the problem:
why did the cancel the refills?
If the pharmacist looked at my history, he would have (or should have)
noticed that my previous fills were adequately spaced apart (I wasn't trying
to get refills too soon)
I know he violated privacy concerns by speaking to me from so far away, but
that is not what really bothers me. I really can't fighure it out myself.
I think I feel like I was being accused of something I feel wasn't wrong. I
also worry that this has fouled my relationship with my primary care (whom I
like and is close to my home and work)
Also, the pharmacist sent me a post card in the mail inviting me back
because I hadn't been there for a while. Like I said, I usually use mail
order. so I think the post card is now a bit ironic.
I would appreciate any comments. Should I Just forget about this?
Thanks,
Glenn
Megagate - 30 Apr 2004 15:50 GMT
What I would do is the following. Talk with your favorite doctor and tell
him what happened with the Pharmacist. That may fix the refill problem.
Then find another Pharmacist. .
> I would appreciate any comments. Should I Just forget about this?
>
> Thanks,
> Glenn
Gregory Poon - 30 Apr 2004 20:49 GMT
The pharmacist could certainly have handled the situation with you better in
terms of interacting with you on a sensitive issue in a private area. And
certainly something, if you'd like, you can take up with the local college
of pharmacy (or the equivalent regulatory body) since you do have the right
to have any consultation take place in a private fashion.
The cancelled repeats are a more complex issue. Was it out of line of the
pharmicist? Not on face value of what you've described. It is of course
your perogative to choose your physicians and I do think pharmacists (like
nurses) do have a responsibility to act as your advocate and in this case he
may have more wanted to be a "gatekeeper" instead. As long as you are up
front, I'm sure your primary care physician would be understanding.

Signature
Gregory M. K. Poon, Ph.D., R.Ph., B.Sc.Phm.
Departments of Pharmaceutical Sciences and Chemical Engineering
University of Toronto
> Hi:
>
[quoted text clipped - 56 lines]
> Thanks,
> Glenn