Cranky Pharmacist @CrankyPharmer
I'm a US retail pharmacist. Twitter is where I come to anonymously vent. ✌️❤️💊 USA Joined September 2012-
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Following473
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didnt want to release his name at first... but if your in the chicago area please avoid this guy. very rude
Unless it involves award dinners or 'provider status' they really don't give 2 fucks about retail. You must be new here. APhA doesnt represent retail pharmacists.
No one trusts PBMs enough to blindly give a 72 hour supply of an expensive med we will most likely lose money on. There is no incentive for us to fill anything anymore, much less on promises from the very companies pushing us out of business #TwitteRx #Pharmacy
@HokiePharmacist I've worked in pharmacy for 27 years. I've seen this situation devolve over the years. We all called it back then. Insurance companies have DESTORYED the Healthcare system.
For the record: YOUR religion tells YOU what you can and can't do. It doesn't mean shit to the rest of us.
never in my 30+ years of being a pharmacist have i ever seen reimbursements fall so low that you feel as though you will have to refuse to dispense medications in order to stay in business. it almost feels embarrassing/selfish to tell patients why you can't fill their meds.
If you paid us a fair fee, one that we can live on without relying on other non-shitty PBM's to subsidize your greed then maybe we would do the extra effort. You make a living fucking people like us over. So eat a sack of dicks @Optum.
Finally got Change Health Outage Notice: lol at: "Please leverage the 72h emerg supply of a rx drug when the med is needed w/o delay" Go fuck yourself. You dont even pay us the acq cost of a regular fill. If you paid a fair price maybe we would do this for you. 🧵
Will the ransomware folks pay us over cost on brands? If so, I for one welcome our new PBM ransomware hacker overlords.
Hi @UnitedHealthGrp. So hows it going buddy? When ya gonna be back up? I'm about to have my patients start calling youuuuuu.
Yayyyyy Blue Cross Blue Shield is down with us (and the corner too). Anyone else been yelled at today? Bc I love getting yelled at over something I can’t control. #TwitteRx #retailpharmacy
Hey @pcmanet remember when Caremark went down and we couldnt process 1/2 of our Rxs, now Change Healthcare/Optum/ESI is down and we cant process 1/3 of our Rxs. I dont think the word "Competition" means what you think it means, if ya get my drift.
If pharmacy organizations don’t push to eliminate PBMs, PBMs will eliminate us
Please stop renting AirBnBs with pools if you have small children. I know it’s tempting, but the Peds ER world is begging you not to. I’ve seen too many people lose their child within hours of going on vacation and it is so awful
Pharmacists deserve better. We do too much and barely get compensated for what we do. We are forever being belittled by the very people we help on a daily basis (patients and other healthcare team members I’m looking at you) it is exhausting and not a way to live tbh.
This whole work until you’re dead bullshit has got me down. Seems like a waste. Hate work when I’m there then it takes most of my time off to recover. I don’t get how people have so much energy and drive. If you’re one of those people, hat’s off to you because I don’t get it.
Probation! That will definitely teach CVS the lesson it needs to learn! ohiocapitaljournal.com/2024/01/16/ohi…
Every tweet from a physician regarding how hard it is to get ahold of a community pharmacist needs to be coupled with a plea to their peers and medical organizations to push for PBM and corporate pharmacy reform.
Shane Jerominski @AccPharmacist
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@PhlawlessPharm That tweet is even more wild coming from a 1st year resident 😭
Change is getting doubly extorted. God, its almost like someone is coming back after 6 months and want more money... That sounds really familiar. Fucking hackers are charging Optum DIR fees, fucking love it.
Hey @DGlaucomflecken on behalf of retail pharmacy what drops should we stock up on when people decide to blow their soul-portals out by looking directly into an eclipse?
@AmaDominiCanes hot take but I think being a terrorist is worse than being ugly
This is the person who created Libs of TikTok.
This is the person who created Trans Day of Visibility.
update🫡
he apologized... tech twitter did something really nice to me today. i usually post memes on here but today we hopefully inspired change to err is human. honestly I dont feel spiteful to him. i hope all recruiters see devs as human and all devs view recruiters as human. I really…
didnt want to release his name at first... but if your in the chicago area please avoid this guy. very rude
Cigna aka ESI spent 27 million dollars last year buying their own stock back. Insurance companies and PBMs should not be publicly traded companies. Their thirst for profit will be the death of small businesses.
It’s a compilation of sycophants, academics, influencers, researchers and industry folks. It doesn’t represent the bulk of the profession in any way shape or form.
Most PHARMACISTS period don’t have time, because who the fuck is gonna use their personal vacation time and money to go to a conference when they’re in dead end professional circuits with stagnant wages for 1.5 decades.
You know who doesn’t have time to go to @pharmacists Annual Meeting? Most independent pharmacists. They are too busy trying to keep PBM’s from putting them out of business.
I think I just worked the strangest day of my entire working life. Is it a full moon tonight?
I graduated in 2004 with a BS Chemistry minor in Criminal Justice. I walk past my diploma 30 times a day. I also graduate with my Pharm D in 2011. Please explain to me why I keep having nightmares 1-2x/month where I failed undergrad?? (Also undergrad was 100x harder than PharmD)
GUYS! I got to hand in my 2 weeks notice after officially accepting an offer for a part time hospital job today! 🥳
How I feel walking into work tonight knowing full well I’m about to sweep the leg from under this house of cards. They have no idea they’re about to enter the find out phase.
Drug rep: “I’d like to talk to the pharmacist.” *gestures toward older male pharmacy technician in blue smock* Me: *looks down at white coat with obvious name tag*
“I’m a Minneapolis based pilot for Delta airlines.” “Tell me what a typical workweek is like for you as a stewardess.”
We owe caremark 45k in dir fees. We don't gross 45k a month with this shitty reimbursement this year. Yeah a lot of pharmacies are about to close.
As a community pharmacist I hate giving immunizations. I’d rather work the drive thru. Maybe it’s because I’m the only RPh all day but when I’m constantly being pulled in every direction it’s hard to be fully there when trying to talk to patients.
Several weeks? You fucking me?!? Considering we cannot bill any Part-B meds and are just eating the cost of test-strips/neb soln I want to see their Chief Information Security Officers employment on a fucking pike. This is unacceptable @UHC. Stop fucking us.
SCOOP @statnews: UnitedHealth is planning for the Change outage to last several weeks, per UHG president This comes after a week+ of messages saying the outage will "last at least through the day," frustrating providers who are scrambling to compensate statnews.com/2024/02/29/cha…
Its pretty shitty that we screamed from the rooftops about shit that would happen in the pharmacy world. Guess what? The PBMs made it happen. You ignore the voices from the front lines, now you're all shocked pikachu-face. When we're gone, you're gonna ask what happened.
Remember, as much are you think your job sucks. No matter how underwater your trade name drugs are. Sleep well at night knowing that at least you're not the SVP Global Cyber Defense at United Health Group who's butthole is making diamonds out of turds right now.
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