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What Does This Tell Us? Harbringer Of What’s To Come In Retail? Is The Load Diminishing? I Do Not Think So.

Jp Enlarged

18% Profit and they are killing off thousands

The Profession of Pharmacy is no longer run by PHARMACISTS. It is a BUSINESS and run by MBA Masters of the Universe. Pathetic. How did this happen? It started when pharmacists started taking jobs with MONEY as the sole criteria. “Hey, Bub, I am going to work for REVCO. Look how much they pay”. Can we get it back? We can, I believe. They still gotta have pharmacists and pharmacists still can say YES or NO. It may be scary to take charge of your own life, but it IS YOUR life, Jay Pee 5-1-14

TAMPA — Express Scripts, the nation’s biggest pharmacy benefit manager, is planning to cut hundreds of jobs across the country. But the 390 employees the company plans to fire from its Tampa operation constitute the largest layoff in Tampa Bay in 2014.
That’s more than half of the company’s 720-person workforce at 5701 E Hillsborough Ave.

    The Tampa layoffs include nearly 150 high-paying pharmacist positions.

Now the company said it has to shed 1,890 jobs in the coming year in light of a drop in prescription volume.
Orders fell from 390 million prescriptions in the first quarter of 2013 to 320 million in the first quarter of 2014, a company statement said.
Company revenue fell by $2.3 billion in the first three months of this year compared with the same time period last year. That was a 10 percent drop in revenue, to $23.7 billion.
The company attributed the declines to several factors.
Express Scripts blamed the severe winter for hampering the number of prescriptions it handled. The company also said it did not anticipate that so many of those who recently enrolled in health care exchanges would wait until the last minute to do so. Many also were already enrolled in Express Scripts, so the company didn’t get quite the bump in business that it had hoped.
Chief executive officer George Paz said Wednesday during a conference call with investors that he still thinks the Affordable Care Act will ultimately benefit his company.
“We are still bullish on health care reform,” Paz said, according to a transcript.
Express Scripts employs 2,400 people in Florida, split between Tampa and Orlando. The Tampa operation is a “front-end pharmacy” where pharmacists review doctors’ prescriptions and make sure the medications are appropriate for patients before the orders are filled and sent out.
Express Scripts has headquarters in St. Louis and employs 29,000 people across the country. The company said it plans mass layoffs in three other states — 290 jobs in Ohio, 370 in Nevada and 580 in Texas at two facilities that will close.

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Can CVS Throw Money to Hide From This?

Jp Enlarged

kitcheck.com/wp-content/uploads/2012/07/drugtopics.jpgNow- Pharmacists are more activist than ever

  • CVS sued for suspected fraudulent Rx reimbursements
  • By: Mark Lowery, Content Editor- Drug Topics

    CVS Pharmacy is once again in hot water regarding its handling and dispensing of controlled substances—this time being sued by an insurer and 18 states that claim the pharmacy chain collected hundreds of millions for invalid prescriptions that were diverted to the black market.

    According to a report by Courthouse News Service, insurer Fox Rx, the United States, Chicago, New York City, Washington, D.C., and 18 states filed suit in federal court in New York alleging CVS violated the False Claims Act when submitting some claims to Medicare for controlled substances such as codeine and oxycodone.

    Prescriptions for controlled substances require a registration number issued by the Drug Enforcement Administration (DEA). However, the lawsuit claims that one out of every five of the claims submitted by CVS between January 2008 and 2010 did not have a number.

    “CVS Pharmacy’s failure to include DEA numbers was not mere error – it was a profitable business practice,” Fox Rx stated in the lawsuit. “As a result of its practices, CVS allowed federal and state funds to fund the purchase of dangerous drugs for black market sale and abuse.”

    Can CVS survive the legal attacks? Their cheatin’ ways are catching up. Do an Internet search. They are being sued everywhere you look.
    I DID NOT COPY THE ENTIRE ARTICLE. TO FINISH IT, GO TO DRUG TOPICS. You can find a link in the lrft column. JayPee

    9 Comments

    Important Words from “Goose”

    Jp Enlarged

    www.thehonestapothecary.com/wp-content/uploads/2013/09/Goose-Rawlings-Linkedin.jpgGoose Rawlings. Goose does something about it.
    The following is from Goose. Succinct, to the point and spot on. It is FEAR that keeps us going in every day and swallowing our rage because we perceive
    a horrible result if we stand up for ourselves. WHATCHA GONNA DO, you guys?

    I am constantly reminded of one of my former clinic patients. Born Jewish in Germany in the 20′s, he only survived because his parents sent him to England when the Nazis came to power. This was part of the “Kinder” transport that saved thousands of Jewish children from Germany.
    My friend said the last time he ever saw his parents was the day he left. He has no idea what happened to them.
    He also said, if you are oppressed and do not stand up for yourself, the same thing will happen to you. Those in authority will take and take until they get it all. Fear of losing everything is what cost many people in this situation their lives. In the end by not starting an uprising, they lost everything anyway.
    If you don’t think this is similar to our current situation

      you are crazy

    . Doing nothing will always get you nothing. What do you have to lose that you will not lose anyway?

    2 Comments

    More of You Need To Be Asking the Questions. “The Squeaky Wheel is the One That Gets Greased”

    Jp Enlarged

    Brent Owns The Store. He NEVER misses lunch. He has coffee when he wants. Bath Room Breaks Arte Never Delayed” />
    My advice is NEVER LECTURE. Always ask those questions that you already KNOW THE ANSWER. DEMAND THAT THEY ANSWER YOU AND DOCUMENT.

    Jim,

    I am a 32 year old pharmacist who recently left Rite Aid full time and moved on to an amazing state pharmacist job. I could not be happier with my decision and my ability to have a lunch/bathroom breaks and coffee as I please. I want to thank you for your website, for speaking the truth in drug topics as the sheep keep their heads buried in fear. Fear of losing the only thing that brings joy to a retail pharmacist, a pay check. The world of retail has become a frightening thing. I still work per diem for a little reminder of the pain, but wanted to share this with you. There are more tasks for an overworked pharmacist than ever and less help to complete them! It will only be a matter of time before people start having mental breakdowns. I have done over 500 Rx’s in a 13 hour day by myself (no breaks) only to be told later that I did not complete the required amount of flu shots. I have had customers tell me to Fu$k myself only to be rewarded with a gift card after they complained about “my bad attitude”. I have millions of these sob stories! I could go on for hours about how we are viewed as nothing more than overpaid deli workers. I could vent for hours, but I will stay focused and ask my main question. How can we change the direction of pharmacy? I will attach a response from NYS board of pharmacy when I emailed them. Is there anyone out there to save this drowning field? They want us to Med interventions now, known as CMR’s (comprehensive medication reviews)! Not that we get any extra help for this, in fact it is supposed to be incorporated into our work flow. Not that they care about patients health, just that fact that it is another thing to bill and generate revenue. So here it is, addition of immunizations (makes company money), CMR (makes company money).These equal more tasks/time for pharmacists with zero additional help/financial reward! It also equals more liability, but who gives a shit about that. The tasks keep adding up, with no additional help to complete them. We are getting squeezed like a dried out lemon and if you voice up you shall be replaced by a young mostly incompetent pharmacist who will accept 10$ less an hour. How do we get representation to adequately staff our store for the tasks that we are demanded to do? Do we unionize? Most pharmacist I know have zero balls and would be the first scabs to run for a pay stub! I worry about this profession, I am a realist and see no way this ship will right. Too much glut and indebted desperate newcomer pharmacists. The demands are unrealistic and the pressure is cancerous. Its no wonder we have such high depression/suicide rates in our field. Anyway I am simply writing you to thank you for the balls and common sense you exude. One final thing. If you are told you have to attend a meeting without question on your day off, should you receive compensation? We were given a 20$ hour(1/3rd pay) stipend for a meeting we could not miss (termination). How the hell is that legal?

      Here is the response from NYS board of pharmacy! Sounds like a corporate asshole wrote it. Be well and thank you again !!!

    Sir,

    You reference the AMA and ADA. Pharmacy does have the APhA and other organizations.

    However, the issue you raise is a serious concern to many. The need for pharmacists, however, will depend on the need for cognitive services. Technology will likely continue to find faster and less-expensive means of packaging medications. We believe the future lies in Medication Therapy Management and Collaborative Drug Therapy Management, and other essential services such as immunizations.

    There is no limit on the number of colleges. However, every college of pharmacy must meet the rigorous qualifications of the Accreditation Council on Pharmacy Education, and in this State must also meet the requirements of the Education Department and the Board of Regents. We play a prominent role in reviewing each program.

    I will share your concerns with the Board of Pharmacy which is aware of the capacity issues faced when new programs are proposed or existing programs wish to expand.

    NYS Board of Pharmacy
    89 Washington Ave., 2nd Floor West
    Albany, NY 12234
    Phone: 518-474-3817 ext. 130
    Fax: 518-473-6995
    Email: pharmbd@mail.nysed.gov
    General question
    From my 5 years of working as a pharmacist I have noticed a major swing in the job market. We appear to be flooded now more than ever. I see no situation where our market will turn around, with the constant increase in graduates per college and pharmacy colleges arising. Is there any organization that is looking out for us? MD’s have the AMA, dentists the ADA, what do we have? I know many who are hundreds of thousands in debt and fighting for a job in a dried up market? Who is looking out to protect us, just curious if there is an organization? Also curious what system of checks and balances keep these pharmacy schools in check? Is or are there any? When we flood the market as we are doing now more than ever what is to become of all these kids with no jobs? More importantly, what is to become of their student loan debt?

    3 Comments

    A Crushing Commentary on your APhA, written by a member of The Pharmacy Alliance

    Jp Enlarged

    Who Paid for This Building?

    PHARMACIST TODAY is the rag that APhA publishes. John’s thoughts on our national pharmacists organization has evolved. He expresses himself here.

    Pharmacy Today, I have finally decided to approach you about the “elephant in the room”.
    >>
    >> Your publications DO provide a beneficial service. New, CPE, product, industry, and professional/legal updates. These are all very welcome. However, your publications DO NOT, in any way, reflect the real world of the pharmacist today. Let me inform you of the current state of your average or even “above average” pharmacist today:
    >>
    >> -15 hours shifts – often back to back
    >> -no sitting, eating, drinking, or use of the rest room in those periods
    >> -being denied our basic right to things like voting or jury duty because of shift length
    >> -told we must arrange our “own coverage” for sickness, family deaths, etc.
    >> -bullying and professional coercion from “non-licensed” supervisors & managers
    >> -crippling injuries and illness directly related to our working conditions
    >> -practice policies that place the liability due to the fatigue, distraction, etc., created by these conditions upon the individual pharmacist as the “licensee” and not the “un-licensed” corporate personell who create them
    >> -practice policies designed to shift the legal liability of “inappropriate dispensing” away from the companies who push for “sales” and onto the individual pharmacist
    >> -pharmacists whose worth is determined not by clinical or patient care excellence but instead by how well they drive marketing and loyalty initiatives (the commoditization of immunization that has occurred is an absolute embarrassment)
    >> -conditions created by corporations that pose a massive risk to public health & safety but place the responsibility for this risk upon individual pharmacists who are forced to accept them as a condition of employment
    >
    >> So what does this mean? As a preceptor who still believes in and attempts to create change in the proession for both ourselves and our patients, each day I have been told by students:
    >> “I have never met a pharmacist yet who is happy or would choose the profession again”
    >> “I know, my brother is a pharmacist – until the conditions/pressures drove him to substance abuse”
    >> “I only plan on doing this for a short time – until I find something else”
    >> “I’m not doing this for the rest of my life – maybe part-time”
    >>
    >> I have to tell my students:
    >> “you are entering a profession where your future is likely to include suicide, substance abuse, crippling injury or illness, incarceration, workplace violence.”
    >>
    >> Do you understand how it breaks my heart to see the future of our profession and part of the future of healthcare enter into a world of hopelessness and despair KNOWINGLY!?
    >>
    >> Yet, do we ever see these things addressed in any APhA publication? Does APhA, truly represent the pharmacist as the American Pharmacists Association? I believe your publications & our “Association” represent perhaps more the “industry” that is practicing pharmacy. They spend most of their time and space congratulating ourselves on how wonderful we are, while ignoring the glaring and shockingly disturbing conditions each pharmacist faces daily. “The Emporer’s New Clothes” comes to mind.
    >>
    >> Instead of featuring the rare, 1 in a 100 or 1 in 1000 unusual case that is an unlikely success, perhaps it is time to address the immediate needs and concerns of the common majority, the 99 out of 100 who are miserable to the point of endangering their health, their lives, and our profession. Currently this publication, as others from APhA, seems like a magazine that chronicles the lives of occasional lottery winners in an impoverished nation where the majority of the populace is starving.
    >>
    >> Perhaps it is time for the American Pharmacists Association to start representing PHARMACISTS and not representing false hope?

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