Can a pharmacist ask what your diagnosis is and say she won't fill script until doctor calls and tells her the diagnosis and why you take the medication. It was for 90 vicodin Es that aren't abused and only prescribed by one pain management doctor. Isn't there some privacy law and its none of the pharmacists business it the doctors?
I had this happen before and the pharmacist would not give the medication to me until they spoke to the doctor's office to confirm what was on the script. It is not unusual to run into snag like this with this type of medication. It is unfortunate but quite usual. You can always ask to give the script back to you and go to another pharmacy.
Here in Maryland the doctor has to write the diagnosis and the code on each prescription. Some of my controlled meds the pharmacist has to verify that I am on a constant opioid pain med over a certain level before they can fill it. The pharmacist can do this through a search of my prescriptions over the past 90 days or by calling the doctor. 90 Vicodin IS a large prescription - anymore to get that much is a BIG deal. No, no such thing as privacy since the DEA cracked down. I suggest you answer their questions - it could be worse - you could not be getting the pain meds. A lot of people aren't anymore. Regards, ElizaJane
It was just weird this is the only pharmacy I have used for 3 years and never had any issues whatsoever. My doctor was pissed and told her once you go to medical school you can ask my patients that. It wasn't an early fill or anything. It was at Walgreens wondering if they got in trouble? So in other states the reason for the Ned's just be written on script? So invasive.
For you pharmacy to receive payment from your insurance provider, the claim they submit must include an AMA diagnosis code, as well as an AMA procedure code. Many of my scripts just say something like "Take every 4-6 hours for pain". That is all the pharmacy needs. But to answer your question, yes, the pharmacist can and must know your diagnosis for insurance purposes, even if that diagnosis is "pain".
My Dr has to put diagnosis codes on my scripts. The pharmacist has every right to this information. You would be surprised how many people view your medical information. They all must adhere to HIPPA laws but it still lets allows quite a few people view your medical information, to pay claims for instance.
It's within your pharmacist's rights to do this. They also have the right to refuse to fill a prescription if they feel you might have a problem with the medication, even if you're not filling it early. It's hard enough just getting the pain meds prescribed, but then you constantly have to worry if the next time you fill it the pharmacist will decide not to fill it because they think you might be exhibiting "addictive behaviors" (which are so vague, they're BS).
I just had a pharmacist fired for not only refusing to fill a script, but throwing away the script and calling the er doctor and arguing with him. This guy didn't know I had three broken bones, bruised ribs and internal bleeding. I hadn't used this pharmacy in years either. They are NOT MD,s. If they won't fill a script they must give it back to you and allow you to go elsewhere and make a big public display before walking out. After filing a complaint with his boss and the board of pharmacy, he was fired.
I cant believe the number of responses here, that think a pharmacist is something of a "clerk" where you hand them a piece of paper, and they have a legal obligation to hand you exactly whats written back. I am a pharmacist, I happen to work in a hospital clinic, but in any setting, a pharmacist is a HEALTHCARE PROVIDER, a professional with a license. It is absolutely within our scope of practice to request a diagnosis for ANY prescription ordered. A pharmacist also has every right to refuse any prescription they wish, if deemed so by their rationale, and that is a personal judgement call based on the individual patient and situation. The prescription should be handed back to the patient, EXCEPT in the case where a stolen prescription pad or clear fraudulent criminal behavior is suspected (yes we are trained for this).
I have held a presription for verification, confirmed with the physician that this individual stole a prescription pad from the office and then have proceeded to call the DEA/narcotics police to have that individual arrested. Yes, 9 out of 10 times we dont need a diagnosis or any verification on standard everyday meds, as its pretty obvious what the medication is for, but we have every right to ask a physician EXACTLY what the background story is behind the rational for that medication, because our job is to be gatekeepers, mainly for patient and public safety. Our job is actually to protect you from receiving the incorrect drug, dose, strength, maximum daily dose, etc. You would be surprised how many physicians write incorrect prescriptions EVERY single day, and how many pharmacists catch and correct these orders. (I correct atleast 10 physician orders here for chemotherapy on a daily basis, ofcourse I have full access to the patients entire chart, medical record, history, labs, etc. I make these changes here without even calling a physician, but this is a different practice setting.) And to put something else into perspective for you, different medications have different doses for different conditions, and without knowing the diagnosis, we have no way of knowing if the correct dose was written for that particular diagnosis. YES, that is within our scope of practice to ensure you get the correct dose to treat your condition while maintaining your safety on that drug, it is not solely the responsibility of your phyisician. If you develop an adverse reaction to that drug, even if your physician wrote the prescription, they can sue the pharmacist stating "well you should know that that is an incorrect dose for that medication" and Vicodin ES written very commonly as "1-2 tablets every 4-6 hours" could result in a MASSIVE overdose over the course of time if "do not exceed 5 tablets per day" isn't on the labeling, people have died from taking drugs as such, even under normal prescribed safe doses with the right intention over extended periods of times. And you can blame all the people out there who incorrectly use these narcotic drugs for this tediousness behind having a pain medication filled. Some pharmacists personally dont give a sh*t anymore and they'll just fill anything, you may think they're being nice and respectful and curteous, but in reality, they are lazy, dont want to make the extra phone call and just dont care about the narcotic epidemic in this country and rather take the easy way out and fill anything and everything. That is not an ideal pharmacist from a practicing perspective.
These type of drugs are abused by people who hae found many ways to Beat the system". I can see this happening if the Pharmacist thinks it may be a fake rx or a stolen one. If you have nothing to hide, dial the number for the Pharmacist, get someone on the phone that can verify your rx. Once everyone has the info they need, you will not have to deal with this again. The ones that abuse drugs, and go to great lengths to get them make it harder for those of us in real need. Drs and Pharmacists have to cover their butts. Yes, that sometimes is inconvenient for us, but, once we have a relationship with both, its lots easier.
Legally speaking when a customer asks to buy something in a pharmacy, the customer enters into an agreement known as 'an invitation to treat' thus a pharmacist must insure that the drug is appropriate for use. This insure that the public is protected from misuse.
Secondly, ethically speaking it would be very unprofessional for a pharmacist to dispense a medication when he/she is unsure of the diagnosis or if there is any ambiguity around the prescription. As it is of course the pharmacists responsibility to interpret and insure a prescription is appropriate.
Thirdly, Health professionals can share information freely between themselves and this is not a breach of privacy provided it is done in relation to professional healthcare activities for the perceived benefit of the patient. A similar example would be that hospital doctors don't check with you every time to look at your chart, as they are legally entitled to do so.
As a surgeon myself, I am glad that pharmacists do check with doctors and I feel this question undermines and/or questions their professional status and their very important role in the community.
First: Your pharmacist (doctor of pharmacy) has an equivalent degree as your medical doctor (doctor of medicine). And therefore is a doctor and an integral part of your healthcare managment. In many states controlled substances have to have a diagnosis on the rx, along with some other information. The pharmacist also by law has to ensure that all rx's for scheduled drugs are legitimate, no matter what state you are in (federal law). If you think that your prescription is none of your pharmacists business you are being ignorant to the fact that they are, in fact the best doctor to tell you if a medication is appropriate, at a proper dose, and won't interact with any other medications you may be taking. A doctor of medicine has only had one semester to learn about drugs, your doctor of pharmacy, 4 years.
For those who feel that your pharmacist should mind his/her own business and just fill what the doctors prescribed, please feel free to do a little research on the DEA crackdown and check out the Board of Pharmacy of your state. Under their website, you will see many pharmacist licenses that have been taken away because of mindlessly filling controlled medications without verifying and checking the legality of the prescribed. Here is one of many examples that occurred in Southern California. http://abc7.com/archive/9003285/
Yes, primary care physicians (don't want to say doctor because there are many healthcare professions that has that title nowaday, MD, dentist, physical therapist, optometrist, pharmacist) do 4 years of medical school plus additional residency BUT the key difference is that they are taught to diagnose and the patho and physio of disease states.
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