Monday, July 30, 2012

GlaxoSmithKline Manages To Make My Cold, Cynical Heart Just A Little Colder.

I want you to remember two things as you watch this video, taken from the 2001 launch of the soon to be mega blockbuster med Advair.

First, the self-described mission of GSK:

 We have a challenging and inspiring mission to improve the quality of human life by enabling people to do more, feel better and live longer.

You'll see as you watch how GSK is focused, laser-like, on nothing but how to improve the quality of human life. Count how many times they mention enabling people to do more, feel better, and live longer versus the number of times Pink Floyd's "Money" plays while GSK executives take the stage.

The second thing I want you to remember is more important. Advair was never indicated as a first line asthma treatment. Never. It was approved only as a go-to med when others don't work. As a matter of fact, GSK specifically applied to the FDA for approval as a first line asthma med and was rejected. You'll see as you watch how GSK made it absolutely clear to their sales force that why it would have been nice to be able to sell Advair as first line therapy, they will just have to do the best they can with the indications they got.

The third thing you can do is help me decide if the opening scene here is freakin' hilarious or disgusting. Part of me wants to laugh out loud until I can't breathe when I see these King Dorkos, part of me wants to puke.

On to the show, courtesy of Mother Jones Magazine and an alert reader, to whom I owe a thank you.


Sunday, July 29, 2012

News This Weekend Of Retail Pharmacy Workers Starting To Grow A Pair.

This may be the biggest pharmacy story of the year. Someone, my friends, has finally drawn a line in the sand:

Unionized workers at Southern California's Rite Aid stores, upset with company officials' contract proposals, are voting whether they will allow their leaders to call a strike against the pharmacy chain.
Some 6,000 workers represented by seven United Food and Commercial Workers locals began the vote on Thursday, July 26, to authorize a strike against Rite Aid. The balloting is expected to continue during the weekend, and the results will be announced Tuesday, according to a union statement. 
Workers, who include pharmacists along with clerks and cashiers, have been working under an expired contract since July 15, and two weeks ago both sides agreed to stop the clock and extend the expired deal into August. (emphasis mine)


My friends. I know you know what's happened to the profession over the last 20 years. I know you've seen its slow motion destruction and I know you know who's responsible. There are three major drug chains left in this country. Pharmacists stopped being independent professionals long ago. Those three chains are calling the shots. Even if you are not employed by these big three, they own you.

"But they pay us well" so many of you so wussily say in reply as you watch your patients endangerd by practices that never would have been tolerated only 10 years ago.

Yes, they pay us well, for now.....

union leaders are incensed by Rite Aid's latest proposal, which includes the elimination of health and welfare benefits for current and future retirees and a big increase in out-of-pocket costs for workers' families. All told, the company wants to take back 34 benefits that workers currently get, said Connie Leyva, president of Local 1428, which represents workers in western San Bernardino County and eastern Los Angeles County.

Well paid is all you have left my friend. Your dignity, your control over your own work environment, your professionalism have all been taken from you. Your 20 pieces of silver are all you have left. And now they're coming after that. This has to stop. If we are ever going to advance, we will have to stop retreating.

And now someone has drawn a line for you and said "no further" You really need to thank them.

Now I know a lot of you say your concerns lie elsewhere, with issues that are not financial. Working conditions, cuts in tech hours, orders to pump out the flu shots with no additional resources. Hell, most of you can't even take a piss when you have to go. But someone is threatening to punch one of your tormentors in the face. And you know what happens then?

They start listening to you. Because they don't want to get punched in the face again. They even start to take you seriously.

Are you being listened to now? Being taken seriously are you? If not what's your plan for being listened to and respected in the future? It starts here. Whether you like it or not, you are not neutral in this. Wherever you work, for whoever you work for in the retail pharmacy world, you are on a side.

Are you going to hide and keep quiet so you don't rock the boat? That's been your strategy so far. How's that been working out for you?

Or are you going to stand with the people who are saying "no further." I'll point out here that the UFCW represents workers at CVS as well.

No further. It. Stops. Here. UFCW's email is info@ufcwrx.com You may want to drop them a line and ask if there's anything you can do to help. Or at least give them a few kind words.

It is pretty much the least you can do.

Thursday, July 26, 2012

Remember When I Wrote Awhile Back About CVS' Policy To Screw Walgreen's Pharmacists And Their Customers Who Need Prescription Transfers? And How CVS Employees Said It's A Policy Widely Ignored?

Evidently their overlords were not happy:


No word whether signatures are to be in blood.

In case you missed it, the nation's most professional pharmacy chain... that starts with the letter "C"... and has a second letter of "V" has decided that regular prescription transfers aren't quite enough of a pain in the ass. They also have determined that their pharmacists have a lot of extra time, and more pressing professional concerns than things like the upcoming flu season, like lying to other pharmacists for example. Here's a copy of that policy I wrote about earlier:




And just to make sure they're doing what they are told:





My favorite part is the "privacy office," where one can report someone messing around with a customer's prescription without the customer's permission:

"Hello, Anita? I need to report a privacy violation"

"Yes?"

"We had a customer very upset that a pharmacy automatically tried to fill one of their prescriptions without their permission"

"Awesome!! How sure are you that this skulduggery really happened?"

"Oh I'm 100% sure"

"Yesssssss!!!! We're finally going to sock it to those Walgreen's bastards!! No one initiates filling a customer's prescription without permission and gets away with it!! That would be a violation of the sacrosanct privacy that is so dear to us!"

"Well, here's the thing, it's already been in the paper, The Los Angeles Times actually"

"That's OK, we're still not going to let them get away with it!!"

"And the other thing? It's us. Here's what the paper says:"


But B.G. Stine, 52, of Torrance had a decidedly different experience when he stopped by a CVS branch to fill a couple of prescriptions for his brother, Mike, who has Parkinson's Disease

Normally, Stine said, he gets Mike's prescriptions filled at the in-house pharmacy of his 64-year-old sibling's retirement community in Seal Beach. But the pharmacy was able to fill only two of the four prescriptions during a recent visit, so Stine headed over to the nearby CVS.

He said he handed the CVS pharmacist the prescriptions and waited about 15 minutes. The pharmacist then had him sign a clipboard to show that he'd received the drugs, and that was that.

A month later, it was time to get the prescriptions refilled. Stine went, as usual, to the retirement community's pharmacy to pick up the drugs. 

This time, the pharmacist informed him that he'd have to pay the full $600 price for the medications that had been out of stock last time. CVS apparently had already filled the prescriptions and billed Mike's insurer.

"I couldn't believe it," Stine told me. "They just went ahead and did it, locking us out of having insurance cover it anywhere else."

He said he immediately returned to the CVS branch and asked to see the manager. She explained, Stine recalled, that Mike had agreed to enroll in CVS' ReadyFill program when he got his prescriptions filled last time.

"I informed her that he couldn't have done that because it was me who'd picked up the medicine, and I never agreed to anything like that," Stine said. "The manager's face just went blank. It seemed like this wasn't the first time she was hearing this complaint."


I don't mean to pick on CVS so much, really I don't. But there's just so much material, and their employees are so willing to talk. I have never seen anything like the level of anger CVS people have towards their employer. Today's deep pill was the latest in a long line of them.

Something tells me Anita's phone is gonna be pretty quiet. As long as the focus is on other companies that is.

Sunday, July 22, 2012

I Miss The Car Talk Guys Already. In Their Honor, I Present This Week's Pharmacy Puzzler. Plus A Joke For All CVS Employees.

It was a horrifying day in the happy little pill room. Scripts were flowing in like the mighty Mississippi.  By phone and fax, by email and in person, the prescriptions were flowing in. The customers were like patrons at a fine French restaurant, attempting to send back each prescription until it was done to their liking. Except, prescriptions are not steaks, and I cannot cook them to please you. I understand your Lipitor co-pay card is emblazoned with a giant $4 on it, and I can see how that would lead a person to believe Pfizer was offering to sell them some Lipitor in exchange for four dollars. But, dear customer, you should understand, Pfizer hates us both. Their scheme was to pit us against each other, by giving you a card that says you will pay $4 and then setting up the terms of the offer so that almost no one pays $4. They then send me out to tell you you owe $23.76, in the hopes that we will mutually destroy each other in the resulting conflict. Because Pfizer would like nothing better than for both of us to die. After they sell you some Lipitor and before they have to pay my claim.

At any rate, amidst the pharmacy chaos, as hell was breaking loose and the whole pill room felt like it was about to blow, the commanding pharmacist said to his trusty tech, "No!! I need the suck 50!!!" and the trusty tech instantly understood and took care of the problem.

What could have just happened?

If you think you know the answer, zap it my way and you'll be eligible for a free copy of my second book, which currently exists only as a 20% completed first draft on my hard drive. Upon publication though, one of the first copies will be on its way to you.

If you know the answer that is. Some hints:

1) "Suck" isn't necessarily spelled the way I have it here.

2) It's not obscene or even the least bit naughty

3) You'll probably have to be in the profession to have a chance of getting it.

Speaking of inside pharmacy jokes, I've got a good one for everyone plugging away for the nation's second largest drug chain. As you're straining to meet your metrics upon threat of termination, as you're sweating over your numbers and obsessing over your stats, take a look at this real quote that appeared in a real newspaper:


"CVS' DeAngelis denied that any production quotas exist for ReadyFill."


They're talking about CVS spokeman Mike DeAngelis, and he seriously told the Los Angeles Times you don't have a production quota for your ReadyFill program. 


BWWWWWWWAAAAHHHHHAAAAHHAAAAAHHHAAAAAAAAAA!!!!!!!!!!!!!!


Except, the jokes kinda on you guys really. Sorry about that. Maybe if you solve my puzzler you'll feel better.  


Thanks to the alert reader who tipped me to the Times story. 

Tuesday, July 10, 2012

These Are Tough Times For Soft Drinks.

Losing market share to juices and bottled water. Catching shit from the liberals over the explosion of obesity in this country, people catching on that no matter how many versions of Mountain Dew hit the shelves, it's all just fizzy sugar water.

"But at least I'm FIZZY!" I bet the soda thinks. "At least I have SUGAR! People are passing me up for friggin plain water in a bottle! All these educated, affluent assholes who think they care so much about the environment are paying money for water in a plastic bottle that will take a million years to decay. They not only walk past the drinking fountain, but right past me, who would at least give them some flavor and some caffeine for their money"

It's enough to drive a can of Coca-Cola to drink. Except:




I think I heard the Coca-Cola softly sobbing next to the convenience store door today. Quietly asking the old man going in if he could pay him to buy some beer.

Monday, July 09, 2012

Words Of Wisdom To All The High School Kids On The Bottom Of Their Social Heap.

You're the geeks, the losers. The chessplayers and the awkward ones. You're mocked because you like books more than footballs, art more than pom poms. Here's what you need to know.

Life is a horse race. And you my friend, are the horse here named "Mine That Bird." I've been around long enough now that I can tell you this is exactly how it goes down.

Friday, July 06, 2012

An Actual, Real Google Search Term That Led Someone To My Little Blog Garden.


"doctor's office says get your script so what does that mean" 

Someone typed that into Google.

Someone out there has the ability to turn on a computer, or at  least open a web browser... wait, maybe the web browser was already open, but they at the very least had to have an idea of what Google was, and some sort of capability to search for things on Google. 

And they asked it what it means when a doctor says to get your prescription. 

We all owe the Unabomber a huge apology. He tried to warn us this day was coming.

Thursday, July 05, 2012

I Solve A Mystery That Vexed The Medical Establishment.

So, according to the morning paper, we may soon have an over the counter, at home HIV test. It's not perfect mind you, better than sitting at home with your fingers crossed after that unprotected bar hookup to be sure, but still:

A trial conducted by Orasure showed the home test only correctly detected HIV in those carrying the virus 92 percent of the time. That means that the test could miss one person for every 12 HIV-infected people who use the kit.
Based in Bethlehem, Pa., Orasure has marketed a version of OraQuick to doctors, nurses and other health care practitioners since 2004. When used by professionals, the test is shown to accurately identify both carriers and non-carriers 99 percent of the time. 
While it’s not clear why the test appears less accurate in consumer trials......


Really? Not clear huh? I once witnessed a customer back his car the wrong way into the pharmacy drive-through. While another car was sitting there waiting for a prescription. Backed it right into the other car's front bumper he did. Then Mr. Backwards yelled at the other driver when the other driver was exactly where he was supposed to be. Mr. Backwards liked his narcotics, which actually would make him a pretty good candidate for HIV screening.

Is it maybe a little more clear now? Why that test might be somewhat less accurate in his hands than in those of a laboratory technician?

You're welcome medical community. You can send my Nobel Prize to my work address.


Wednesday, July 04, 2012

By The Way, I Hate To Be The One To Break It To You If You Haven't Heard, But There's A Vicodin Train Wreck Coming. Every Prescription You Fill For Vicodin Is About To Be A Pain In The Ass.

Read it and weep my friends:

In the third quarter of 2012, VICODIN will be available in the following new formulations: 
 •  VICODIN® (hydrocodone bitartrate and acetaminophen tablets, USP) 5 mg/300 mg
 •  VICODIN ES® (hydrocodone bitartrate and acetaminophen tablets, USP) 7.5 mg/300 mg
 •  VICODIN HP® (hydrocodone bitartrate and acetaminophen tablets, USP) 10 mg/300 mg

You know the bullshit we went through with the "new" Auralgan? It'll be kinda like that. Except it'll be every other goddamn prescription we fill.

All in the name of liver safety of course. Because a 300mg dose of acetaminophen is at least 10 times as safe as the 325mg generic Norcos.

And by safe, I mean profitable for Abbott Labs. No word yet on the new Vicodin pricing, but the current bullshit 5/300 brand, Xodol, has a generic that runs $184.98 per 100 tabs.

The 5/325 goes for $28.81 at Costco.

25mg of  Tylenol. That's the only difference. And you'll probably be paying over six times as much.

This letter from Abbott is signed by an MD, who is somehow able to simultaneously claim to be a health care professional and sleep at night.

At least it's not as bad as the time they thought about making AIDS patients drink a product that tastes like vomit. 

(Thanks to the alert reader who tipped me to this).