this post was submitted on 09 Feb 2024
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chapotraphouse

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vyvanse prescription has been delayed for 3 weeks now. i am a patient, yet severely ADHD soul, so I figure "oh it's probably just delayed because they're out of stock" and go about my business since I had about a week left (thanks to me completely forgetting to take it like 30% of the time).

wake up this morning and realize I am taking the last one I have. Not good, I think, because next week is especially busy at work. So I take an early lunch break at 9:30 and drive out to Walgreens to see if maybe, somehow, I've just completely missed the "your prescription's ready" call and texts.

Pharmacist asks me what I'm looking for. "My vyvanse prescription, it was placed on the 24th. My name is ABC and DOB is..."

Tappity-tap-tap on their computer. They glance up and narrow their eyes at me like I'm asking them to hack into the NSA's secure amphetamine database. Tappity-tap-tap.

"You're picking up a vyvanse prescription?? For whom??"

Uh, myself...? Here's my license.

"Hm..I'm not finding it, let me ask the head pharmacist to take a look."

30 minutes go by. The Head Pharmacist finally comes out and asks for my license for the second time. "The other pharmacist literally copied it down on the clipboard before they went to find you." I say as I fish it out of my wallet. They blink and look at the clipboard.

"Oh..huh. You're right they did."

Now I'm somewhat irritated as I hand them my license again. He looks at it, realizes it is exactly the same as what the sheet says, and hands it back to me.

"So umm.....it looks like the generic lisdexamfetamine is backordered which is why we haven't filled it yet."

This wouldn't be a shock except for the fact that I don't get the fucking generic. So immediately my response is "Well, my insurance covers the brandname 100% and I don't even get the generic so...are you saying the brand-name is also backordered and you cannot fill it??"

shocked-pikachu "No, we can fill it if you want the brand name medication!!"

"So why did y'all not fill it for 3 weeks if literally every other time I've filled this prescription through you, I've received the brand name medication??"

"...Because the generic is back-ordered sir..."

?????????? What the fuck are you talking about. It sounds like you just tossed my prescription into the "backordered" pile whenever it came in and didn't realize it wasn't actually a backordered medication until I came in. Thank you for wasting my entire hour lunch-break!!

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[–] wtypstanaccount04@hexbear.net 1 points 10 months ago* (last edited 10 months ago)

dealing with vyvanse (and adderall and other such listed meds) is a fucking nightmare. they stick you on this stuff to help you deal with ADHD and design the entire process to specifically fuck over anyone with ADHD (and everyone else too)

death to the so-called healthcare system of amerikkka

[–] cosecantphi@hexbear.net 1 points 10 months ago* (last edited 10 months ago)

I don't know if pharmacists are dumb, but they are certainly often fucking assholes and deliberately neglectful to certain patients. Yeah most people have good experiences with pharmacists for most things, but if you need a controlled substance they instantly transform into cops and start treating you like a criminal. They're not quite as bad about this as doctors, but wow can they be real pieces of shit.

You've ever been on the r/pharmacy subreddit? Maybe this is just the intersection of reddit-logo and pharmacists, but they often actively delight in "sticking it to the junkies". They love pretending to just be your run of the mill abused retail employee when patients get upset that they're about to have their ability to live a functional life totally obliterated, often on top of torturous withdrawals.

[–] Huldra@hexbear.net 1 points 10 months ago (2 children)

I'm sure theres a lot of technical medical stuff you get to learn as a pharmacist(unless the US just has that as a complete non-licensed position or some wack shit) but it feels like for the user-end there ought to be a pretty big focus on just basic administrative competence and efficiency.

[–] Leon_Grotsky@hexbear.net 1 points 10 months ago (1 children)

unless the US just has that as a complete non-licensed position or some wack shit

This is called a Pharmacy Technician, and it will be like 80% of the staff in the pharmacy. From my experience, you'll have one maybe two licensed pharmacists on duty (depending on how large/busy the location is,) and everyone else will be pharmacy technicians. There is a certification process for it, but it does not require any sort of formal pharmacology or medical training and is mostly treated as a retail position as opposed to a medical one.

[–] Huldra@hexbear.net 1 points 10 months ago (1 children)

Good god thats horrifying, although slightly less so than when I got shown a news piece about how Sterile Processing Technicians in at least some places in the US are treated as literally just the equivalent of dishwashers, so they pick people off the street to get bare minimum training in rendering surgical equipment safe.

[–] Leon_Grotsky@hexbear.net 1 points 10 months ago

Yes, speaking for myself I was hired to be a retail pharmacy technician from within the store, where I had originally been hired to sell cigarettes. I went ahead and did the optional certification process out of some misguided desire for legitimacy, but many forgo this because you have to pay certification fees and such.

At this point I have not worked there in almost 10 years, thank goodness, so some things may have changed but I suspect not much.

[–] glans@hexbear.net 1 points 10 months ago

All pharmacies Ive dealt with are total shit shows on the admin side. They give off "bad workplace" vibes like a bar thats had an "always hiring" sign taped in the window for 10 years.

But then on the other hand a lot of them also sell fake ass scam treatments like homeopathy. If anyone, youd expect someone trained in pharmacology would know better.

So what is their role or training exactly?

I think they are security guards for chemicals.

[–] Shinji_Ikari@hexbear.net 1 points 10 months ago

Around me there seems to be a criminal shortage of pharmacists and pharmacist techs. They all look absolutely dead inside and the signs "now hiring pharmacy tech" has been up for months.

I switch between pharmacies to get my meds and both have stopped calling. My wife needed a prescription and they had it on stock, told her "it will take several hours to fill this" and made her wait a day for no reason.

[–] Tachanka@hexbear.net 0 points 10 months ago (1 children)

I don't think intelligence comes into it very much. From what I've seen, the norm is, especially in metropolitan areas, pharmacists are overworked, underpaid, understaffed, don't get enough sleep, are constantly treated like shit by customers (who, to be fair sometimes have a valid reason to be upset, since it's medicine and not just some random treats).

[–] nabana@hexbear.net 1 points 10 months ago* (last edited 10 months ago)

I agree with this, but as someone with ADHD who needs it to perform my fucking job, I am also all of these things except also untreated for ADHD because someone else also isn't doing their job to even basic competency. Like I know there's a million zillion reasons it sucks but those are never the reasons we're given. The reasons we're given day in day out are "well, we fucked up and here's an excuse that doesn't even make sense."

If we push back on those reasons AT ALL we're instantly treated like medication seeking strung out addicts who are angry because they can't get their street drugs that they probably give away for free to babies to get them hooked and dependent on drugs while putting razor blades in their candy or whatever the the fucking news fed WASP stereotype is.

It's not about being annoyed that sometimes mistakes happen and people are generally treated like shit as laborers, including pharmacists. I've never met an ADHD person who doesn't understand that the systems are shit, the regulations are shit, the wages and staffing is shit, etc. What we don't understand and what's so frustrating is why the fuck they simultaneously think the words they're saying are even consistent (if not valid) excuses, and why the fuck we're treated like shit (which again, even if we were addicts is a piss poor way to treat people, but that's a separate argument). It's not a single event. It's every single pharmacy, every single pharmacist, every single prescription, with VERY RARE exceptions.

Being someone that's also got friends and family taking BPD meds, anti-depressants, etc, even they think it's absurd how hard it is to fill an ADHD prescription compared to literally everything they take. The entire medical attitude towards ADHD is fucking toxic.

Edit: Just to add because I think it's important, I know literally none of this is their fault and is entirely the result of shit policies, shit circumstances, and shitloads of propaganda. I know they're mostly now just retail employees, none of the above is ever any reason to treat them like shit either. I was just defending OPs rant that I am overwhelmingly sure they came here to have instead of being annoyed at the pharmacist, because if they had it at the pharmacy they'd have included "and now my life is basically a million times harder because they decided the minute I was agitated that I was never allowed to take a controlled substance again."

[–] EnsignRedshirt@hexbear.net 0 points 10 months ago

Pharmacy is under a lot of the same pressure as the rest of the medical profession, which is to say that they're understaffed, underpaid, overworked, and burnt out. It doesn't surprise me that they're starting to fail to meet basic standards. That's not to say it's acceptable that you can't get your medication, just that you're probably not the only one, and it's likely not limited to that pharmacy.

[–] Wertheimer@hexbear.net 0 points 10 months ago* (last edited 10 months ago) (1 children)

A friend of mine worked at CVS briefly and had some horror stories. Being encouraged to illegally put people on automatic refills without their consent was his biggest problem with the job. Weird quotas for dubious practices, constant intentional staffing shortages, making it so the most trained pharmacologists had to spend their time answering the phone instead of doing pharmacological things, etc. They even delayed his onboarding and first paycheck by two months because his state had a single HR person in charge of staffing, and they'd been on vacation. This article contains a bunch of his other grievances:

https://www.nytimes.com/2020/01/31/health/pharmacists-medication-errors.html

(Archive)

Edit - spelling

[–] abc@hexbear.net 1 points 10 months ago

In retrospect now after reading the article I feel like an asshole because it clearly my problem stems from an underlying issue driven by the ceaseless churn towards profit by businesses/corporations but damn I wish they'd illegally sign me up for automatic refills of my vyvanse cause that'd make my life 100% easier agony