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L

Lisa in Katy

I recently changed my prescriptions from mail-order to Walgreen's because the mail-order copay had become more expensive than the price at the local pharmacies. I picked them up for the first time yesterday, and of course didn't look at either prescription until later. Well, instead of filling my prescription for 6 mg of Coumadin as I had requested, they filled the one for 1 mg. Then on my Accuretic, they filled the prescription for 20/25 strength, and it was supposed to be 20/12.5. This took me 3 phone calls to clear up and an additional trip to the pharmacy. They offered to bring it to me, but we were going to be at a Band Concert. Once before they gave me the generic instead of Coumadin, but at least it was the right strength. At the pharmacy, they gave me a refund and when I told the "Executive Manager" that I was going to be switching to another pharmacy because of these errors, he replied "Well, I can understand that." I've been using this Walgreen's for about 7-8 years, so I was a little disappointed in his reply, although I'm not sure what I expected.

Anyway.....watch your prescriptions carefully!
 
I took 2 prescriptions into a CVS a couple of weeks ago and they got them both wrong. One prescription was for Pravachol 40mg tablets and I got Prevacid 30mg capsules. The other prescription was for Allegra 180mg tablets and I got Allegra 60mg tablets. :eek:
 
scripts

scripts

Hi.

Holy cow...talk about incompetency. Piss poor business to put it bluntly.
Once...shame on them...two times... shame on you. Change pharmacies immediately! One needs to be able to trust their script filler. I have a close relationship with mine. They take very good care of me, and watch over me. Twice they have voiced their opinions about not agreeing with the medicine combinations the cardio has perscribed...and the cardio changed them promptly.
 
I can't tell you the number of times that various pharmacies have messed up Joe's prescriptions. That includes CVS as well as Medco Health (mail order) and Accredo (specialized medications).

It is one of the most frustrating things we have to deal with. It is an area of constant vigilance, checking and rechecking, varifying delivery dates, getting tracking numbers, then when the drug arrives, checking for the proper product and dosage.

When Joe started out with ProCrit, I picked up the order from CVS and it was just a bunch of little vials. This is an injectable medication. So I asked jokingly if Joe was supposed to drink the vial because there were no syringes included. They are supposedly a "go-with" item with this medication along with a sharps container, under our prescription plan. The pharmacist's assistant was very annoyed with me for asking this question. She made a whole lot of phone calls and finally got the syringes for me. She gave me the intramuscular syringes instead of the sub-q ones. When I complained about the oversized syringes, she wouldn't help me out. I had to call Joe's doctor and get a hurry-up order called in for the proper size. She knew it was wrong I'm quite sure, and could have corrected it with the prescribing doctor who is in a different city, but she didn't.

Joe is on another speciality med that must be taken exactly when it is supposed to be taken. It is very expensive. We use a special mail pharmacy for that. They decided to do the "just in time" type of delivery. However, it didn't work because they never mailed it out in time, and they didn't send it the fastest way. He had one pill left, and the product was lost somewhere in transit. The nurse at the other end of the line told me that it would be OK for him to be without his medication for several days. It is NOT ok. I let her have it guns a-blazing, called the company pharmacist and let her have it also, and forever after, I have to call them to make sure they do what they are supposed to do. I believe they gave up on the "just-in-time" stuff. They are sending things out sooner now.

Another time a while ago, CVS lost the prescription for Lovenox called in by Joe's heart surgeon. He was scheduled for valve surgery and this was critical. They called the surgeon after hours and got a verbal script, but then didn't have the proper dosage. So they wanted to fill it with a much lower dose, and told me that I could inject him several times with the lower dose and it would be OK. Of course, we all know what that would do to his belly. So I told them to find the product somewhere from another pharmacy, since it was their error. Fortunately they were able to do that. I later found out that a pharmacy assistant answered the surgeon's call line and forgot to enter the order for the Lovenox.

Medco Health Mail-In routinely loses mailed in prescriptions. That is a terrible situation. You don't know they're lost until it is several days into the order and to redo the prescription it will take the same amount of lead time, plus what you have lost from the initial prescription snafu. Trying to get that straightened out on the phone----well- forget about it. Can't be done that way. You have to call your doctor and get another prescription and wait for that, then mail in the new one.

Everyone should be extremely careful with the meds they get. Know your dosage, know how it is to be used and write down what the doctor says about any new medication. And check out each and every script that is due you.
 
And double check your doctor's scripts as well. During my bout with afib, I was seen by my cardio's partner and he changed my twice daily Verapamil dosage to a higher mg tablet to be taken only once daily. When I picked my meds up at the pharmacy, I brought to their attention that the instructions were incorrect and that I should be taking the Verapamil once a day, not twice. Turns out, they filled the prescription and wrote the instructions according to the script, it was the cardio who made the error! Bottom line-one always has to stay on the alert when it comes to meds. The consequences of not doing so could be potentially deadly!
Sue
 
Lisa

Lisa

I had a problem with my pharmacy with the not calling my doctors' offices. When I need a new script on my coumadin or warafin, I had called the doctor's office after calling the pahrmacy and they said thery were waiting for a call. The doctor'c office did not get the call. So it would be a yo-yo time. The same happens with my PCP. So, luckily, lately, it has been better. At least till the next refill time. It is so frustrating, and you must look at all your meds, like the other have said, before you leave the pharmacy, to make sure you have the right meds. That way, you are not having to make another trip. Good luck on the next time. Hang in there. and have a great day.

Caroline
09-13-01
Aortic valve replacement
St. Jude's valve
 
As they say in the South, you all may like this one. When my bride and I moved to the Atlanta area 2 years ago, my new Doc wrote scripts for the meds that I have to take. She wrote the coumadin script for what I am supposed to take which is 5 mg 4 days a week and 7.5 the other three.
Now the Kroeger that I go to misread the prescription and thought it was 5 mg for 7 days a week and an ADDITIONAL 7.5 for the other 3. They were giving me way to much coumadin.
I tried three times to explain it to them that they misread the script and each time I was told I was wrong. I said that Hey..I have a mechanical valve..trust me I know what I am supposed to take. They said they were doing it right. One pharmacist just gave me the whole bottle of coumadin they get every time it was her turn to do my refill instead of counting it out.
My Doc asked me if I wanted her to call to get it fixed. I said Nope, I am going to have some fun with this. So after about 8 months, I brought them back a whole plastic grocery bag filled with the excess coumadin tabs they gave me. (and I still had a 30 day supply at home). You should have seen the look on their faces as I said Now do you believe me!!
and we wonder why prescription drugs cost a lot in the US.
Chip :D
 
Just to clarify, I handed them 2 prescriptions at the same time, and got 2 incorrectly filled prescriptions back at the same time. I always check them as I'm walking out of the pharmacy and before I drive away. I usually try to help them by checking the doctor name since there are 8 names in the group. At least this way they know which doctor to call if they have questions.

I've worked in the field of pharmacy for 20 years, including several years at a start up company doing beta testing on pharmacy automation products. Great strides are being made in hospital inpatient pharmacies, especially those using physician order entry (doctor orders a medication and it shows up on pharmacy's computer) and E-Mar (electronic medication administration record...i.e. nurse charting). This removes the mistakes when trying to decipher the doctor's handwriting. Many outpatient pharmacies are starting to automate as well, but as long as doctors write prescriptions by hand the chance for mistakes when entering the prescription into the pharmacy computer exists.
 
My PCP has a computer terminal in each exam room. If he prescribes something, he goes to the terminal, and types a fax to my pharmacy on the spot. The scrip is ready for me to pick up on the way home.

The fax is TYPED so there's no issue with reading handwriting, and I see him send it so there is no issue about waiting for the doctor's call. I did switch pharmacies because the one I used to use was so DANG slow - they needed 48 hours notice to fill even a refill, and often it wasn't ready when I went to the counter.

My new pharmacy takes good care of me - they know my meds and watch for interactions. When my lipitor renewal didn't arrive from my cardio recently, they called and located him after hours and got it done, then called me at home to let me know that it was ready to pick up.

After hearing all of your horror stories, I thought I'd post some good news about a pharmacy; I like these guys, but I do check labels VERY carefully before I leave the store.

Thank God I'm not on a LOT of meds like some of you are.
 
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