airslant Posted August 30, 2017 Share Posted August 30, 2017 I just got a message from my nurse that my patient called and Walgreens told him they won't fill Zyrtec D one tab daily from a PA. That a doctor would have to prescribe it. Am I wrong that this is BS? Sent from my SM-G955U using Tapatalk Link to comment Share on other sites More sharing options...
moorecarson121 Posted August 30, 2017 Share Posted August 30, 2017 What state are you in?Sent from my iPhone using Tapatalk Link to comment Share on other sites More sharing options...
JMPAC Posted August 30, 2017 Share Posted August 30, 2017 That is BS. The patient can get that OTC so, that's a bit ridiculous. Link to comment Share on other sites More sharing options...
camoman1234 Posted August 30, 2017 Share Posted August 30, 2017 You cannot get it over the counter in several states including the one I work in, and it also varies by county in my state. All the meth states/counties it is restricted. I write it a couple times a month, but I have a DEA and my states laws are a little different than some, but I have never had a problem. Link to comment Share on other sites More sharing options...
HMtoPA Posted August 30, 2017 Share Posted August 30, 2017 1 hour ago, airslant said: I just got a message from my nurse that my patient called and Walgreens told him they won't fill Zyrtec D one tab daily from a PA. That a doctor would have to prescribe it. Am I wrong that this is BS? Sent from my SM-G955U using Tapatalk What state are you in? Do you have a DEA number? Will they fill other scheduled drugs that you write for? Link to comment Share on other sites More sharing options...
LKPAC Posted August 30, 2017 Share Posted August 30, 2017 If it is legal for you to prescribe this drug in your state, which I gather it is, then you need to call your state's pharmacy board so that they can enforce this. That pharmacy needs to fill your legal prescriptions. Alternatively, you could call the pharmacist directly and try to work it out. But you and your patient's should not be putting up with this crap Link to comment Share on other sites More sharing options...
DizzyJ Posted August 30, 2017 Share Posted August 30, 2017 I'd call the pharmacy directly and if that doesn't work then call Walgreen's corporate. Try to handle things politely before taking action to the pharmacy board. Link to comment Share on other sites More sharing options...
muchi Posted August 30, 2017 Share Posted August 30, 2017 I practice in Illinois and we were just told by Walgreens specifically that all prescriptions written by PAs need to have the supervising physician's name on the prescription. Even for something like Ibuprofen. Ridiculous. Link to comment Share on other sites More sharing options...
JMPAC Posted August 30, 2017 Share Posted August 30, 2017 You cannot get it over the counter in several states including the one I work in, and it also varies by county in my state. All the meth states/counties it is restricted. I write it a couple times a month, but I have a DEA and my states laws are a little different than some, but I have never had a problem. I had no idea! We just have to show ID so they can track and make sure you're not out buying enough for meth making. I didn't realize some states don't let you buy it, at all. Link to comment Share on other sites More sharing options...
airslant Posted August 30, 2017 Author Share Posted August 30, 2017 I called and talked to a different pharmacist. She said that was wrong for him to be turned away but that it is treated like a controlled rx so no refills from PAs. Why is an OTC (it is OTC here) treated that way?Sent from my SM-G955U using Tapatalk Link to comment Share on other sites More sharing options...
rpackelly Posted August 30, 2017 Share Posted August 30, 2017 Are you in Tennessee? Because I think that is the only state left where you cannot get a DEA as a PA and therefore write for controlled drugs. Florida may also be affected because they just got DEA privileges. So if you have a DEA you should be able to order this drug even though it is not a controlled substance. Obviously either Walgreens or your state made this rule for pseudo epinephrine containing drugs, since it is a prescription drug only in a few states that I know of. Link to comment Share on other sites More sharing options...
airslant Posted August 30, 2017 Author Share Posted August 30, 2017 I'm in OklahomaSent from my SM-G955U using Tapatalk Link to comment Share on other sites More sharing options...
airslant Posted August 30, 2017 Author Share Posted August 30, 2017 And you can buy it OTC.Sent from my SM-G955U using Tapatalk Link to comment Share on other sites More sharing options...
CAAdmission Posted August 30, 2017 Share Posted August 30, 2017 Enough with being nice to jerks. If you are legally authorized to prescribe it, report it to the pharmacy board and straighten it out. Link to comment Share on other sites More sharing options...
PharmD Posted August 30, 2017 Share Posted August 30, 2017 It's unfortunate, however, from my experience, state laws, insurance and corporate policies vary and sometimes create ambiguity about SPs and PAs regarding quantities and refills. Insurance sometimes don't want to reimburse if the SP is not included on the prescription for claim submission, which BIG corporations frown at, thus, putting the pharmacists in bad position when prescriptions are turned down without much explanation due to volumes of prescriptions with little help. Independent pharmacies however, has much time and would take their time to do lots of explanation for their patients. Talking about Pseudoephedrine, it is sold OTC with ID in Texas, but I leaned is not in some states. There's right to "refuse to fill," which is usually documented. REPORTING it to state board wont change anything except they change the rules they made. Moreso, some rules and policies would say use your judgement while clearly stating you'll be liable if anything goes wrong against state law. So, some pharmacists play safe and avoid getting themselves involved entirely, which shows no comapssion on their parts. At the least, they should do the diligence!. Link to comment Share on other sites More sharing options...
MCHAD Posted August 31, 2017 Share Posted August 31, 2017 We have an interesting situation in Idaho...our only pharmacy in our rural town is staffed by a pharmacy tech, pharmacists are 2.5 hours away and do telepharmacy to view rx's and do patient consults. The pharmacy tech decided because she has a family member addicted to meth to require an rx for any pseudoephedrine...it took 6 months of complaining to the pharmacists to get this stopped. If you have other options I'd just tell my patient to go to a different pharmacy and let the pharmacy know that is what you're doing. Link to comment Share on other sites More sharing options...
quietmedic Posted September 5, 2017 Share Posted September 5, 2017 In NY, back when we actually had paper scripts, the supervising docs name was ALWAYS on the script. No big deal. Never had a problem prescribing anything though. Link to comment Share on other sites More sharing options...
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