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PostPosted: Fri Jun 15, 2012 10:04 pm 
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I overheard a pharmacist talking about this subject the a while ago and have been thinking about it. Some states have laws that all pharmacists to refuse to fill a prescription if it violates their morals or religious beliefs, specifically the morning after pill or birth control. When I first heard of the subject I thought there was absolutely no reason why they should have the power to not fill a prescription, especially of my beliefs at the time. But after thinking about it more, I did see the argument in favor of the pharmacist. But still, I think they should respect the patient doctor privacy and just fill the prescriptions they're handed, unless the patient trying to fill the script appears to be drunk, an addict, etc. and their life could be in danger. Example, someone is drunk trying to fill a prescription for Xanax where they could either overdose or get into a car accident and harm other people.

I was curious other people's opinion on this subject. What do you think of pharmacists being able to refuse to fill a prescription?
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Last edited by Fireman on Fri Jun 15, 2012 11:44 pm, edited 1 time in total.

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PostPosted: Fri Jun 15, 2012 11:32 pm 
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I am against pharmacists having the right to refuse filling a prescription on moral or religious grounds. They need to suck it up and do their job.

Funny how you never hear of pharmacist refusing to fill a viagra scrip for some unmarried guy. No, it's always birth control pills or Plan B that they're refusing to dispense. It's total bullshit.

If there is a legitimate MEDICAL reason for the refusal - like a drug interaction - that's different. But pharmacists shouldn't get to weasel out of their job just because they have some moral objection to women having sex. If they don't like it, they should get into a different line of work.

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PostPosted: Sat Jun 16, 2012 12:02 am 
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Hey Fireman!!!!

Im TOTALLY with Diary on this one dude..................

Im 'cool' with the age restriction they have in Oregon, of you having to be at least 16 yrs of age to buy plan "b" without a parent/guardian.

But diary's right on about its always the BC pills, and morning after pill that gets "refused"

Ive seen the pharmacists here, in my town refuse Rx's that look 'suspicious'

I dont think its up to ANYONE else but me and my spouse (if I choose) whether Im on birth control or not, or want to buy a plan 'b'
I was on BC for years, when Mike and first got together. Having children was the furthest thing from my mind. And I was about 18/19 yrs old. I have a hazy memory of an older gentlemen that ran a small pharmacy I used to go to. He always looked irratated as hell giving me my perscription!!!! When Id pick up my pain pills, it was a totally different attitude.
that pharmacy went out of business about 4 years ago. 8)

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PostPosted: Sat Jun 16, 2012 1:59 am 
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I agree with DoaQ and Amber. I don't have any sympathy for a pharmacist being made to do their job. If the pharmacist is making a decision about his or her own health, he or she can do whatever he wants. But if a prescription is legal in the United States, and is given to me by my doctor, then the pharmacist's opinion should have nothing to do with it. Just shut it! Men have been trying to control women's bodies for centuries! It's enough already!

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PostPosted: Sat Jun 16, 2012 3:16 am 
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Stupid men.....gosh they piss me off so bad!! :lol:

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PostPosted: Sat Jun 16, 2012 4:01 am 
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Hee Hee :oops: Sometimes I get a little worked up, but certain male legislators kill me! A Michigan state representative used the word vagina during her speech and the male GOP members of the House silenced her! It's just an accurate description of a body part. Jeezum Crow!

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PostPosted: Sat Jun 16, 2012 10:57 am 
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Amy, I'm in Michigan and I heard about that, too. We had a huge protest last week and that was part of it. But I digress.....

I agree with the others. If a pharmacist, for whatever personal reason, feels they can't or won't fill a prescription that a DOCTOR thinks is medically appropriate for the patient, then they do need to get in another line of work. Dispensing medications IS THEIR JOB, not picking and choosing which meds they can dispense!

I'll stop there, because getting me started on this will just have me YELLING, it pisses me off that much. It's enough that I managed to stop talking about what's going on here in the Michigan legislature. Grrrrrr

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PostPosted: Sat Jun 16, 2012 2:13 pm 
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As it goes with birth control and that stuff, I agree 100% no pharmacist has the right to refuse to fill said script. Who are they to say what you can or cannot take. I know this would cause much problems but I do think if a drug addict walks in with track marks up and down his arms or someone who is easily seen as drunk or high trying to fill a narcotics script should give the pharmacist the right to turn said person away. Think about it would u want that persons death on your hands or a car with children in it gets hit by a impaired driver? Would u want to live knowing these kids died or he ODs all BC of that script you filled.

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PostPosted: Sun Jun 17, 2012 6:51 pm 
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Bboy42287 wrote:
I know this would cause much problems but I do think if a drug addict walks in with track marks up and down his arms or someone who is easily seen as drunk or high trying to fill a narcotics script should give the pharmacist the right to turn said person away. Think about it would u want that persons death on your hands or a car with children in it gets hit by a impaired driver? Would u want to live knowing these kids died or he ODs all BC of that script you filled.


Its not on the pharmacist at all.. It's on the Dr prescribing it..


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PostPosted: Sun Jun 17, 2012 7:36 pm 
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The doctor essentially write an order for pharmacists to follow...same as a doctor writing an order for you to have a procedure, like a CT-Scan or something done, and the pharmacists only have discretion (or SHOULD only have any discretion) when it comes to a refill being done too early, like for instance, my Suboxone is written for 75/month at 2 1/2 per day, and refills X2.

My insurance will pay for my meds...and 25 days later, they will pay again. The pharmacist has the discretion to fill my suboxone at 25 days later, 26 days later, 27 days later...so on and so forth...or they actually CAN make me wait until 30 days...but most of them will give you a day or two prior if you're a regular customer..

The discretion of the pharmacist shouldn't beyond their ethical/moral boundaries, meaning they don't fill oxys for people with track marks (refills of oxys, that is)...

Or, they prescription looks forged or altered...that should be the ONLY instances where they can call the doctor and discuss filling -- or refilling.

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PostPosted: Mon Jun 18, 2012 4:55 pm 
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I'm surprised I haven't heard more stories about this happening, given the current national hoopla over women's health. I would hope that anyone with a moral problem to prescribing such meds would avoid getting into the profession in the first place.


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PostPosted: Mon Jun 18, 2012 9:30 pm 
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surgerybound wrote:
I'm surprised I haven't heard more stories about this happening, given the current national hoopla over women's health. I would hope that anyone with a moral problem to prescribing such meds would avoid getting into the profession in the first place.


You would think that, wouldn't you, surgerybound? But they don't. They believe they should be able to pick and choose what parts of their chosen career/job they want to do and what parts they don't want to do, based on their personal (usually religious) beliefs. According to them, that's just A-OK. No problema!

All I know is if I ever told any of my former bosses that I didn't want to do part of my job - no matter the reason why - my job would have ended with that conversation.

If anyone cannot or will not perform the duties they were hired to do, then they should get into another line of work. Simple as that.

Religious beliefs are personal and private and although I'm not a believer, I will fight to the death for everyone's right to believe what they want (no matter how much I might disagree). Such beliefs should be kept in the home and in church and shouldn't be used as an excuse to not do part of one's job.

Stepping off soap box now....

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PostPosted: Mon Jun 18, 2012 10:43 pm 
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hatmaker510 wrote:
surgerybound wrote:
I'm surprised I haven't heard more stories about this happening, given the current national hoopla over women's health. I would hope that anyone with a moral problem to prescribing such meds would avoid getting into the profession in the first place.


You would think that, wouldn't you, surgerybound? But they don't. They believe they should be able to pick and choose what parts of their chosen career/job they want to do and what parts they don't want to do, based on their personal (usually religious) beliefs. According to them, that's just A-OK. No problema!

All I know is if I ever told any of my former bosses that I didn't want to do part of my job - no matter the reason why - my job would have ended with that conversation.

If anyone cannot or will not perform the duties they were hired to do, then they should get into another line of work. Simple as that.

Religious beliefs are personal and private and although I'm not a believer, I will fight to the death for everyone's right to believe what they want (no matter how much I might disagree). Such beliefs should be kept in the home and in church and shouldn't be used as an excuse to not do part of one's job.

Stepping off soap box now....



AMEN!! :wink:

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PostPosted: Thu Jul 05, 2012 10:40 pm 
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Condoms break. Even people who are safe sometimes run into accidents. Plan B shouldn't be refused ever. On another note, I have also wondered the same question about if a pharmacist can refuse service. I have a real life example where my ex would get his suboxone script, take it to a pharmacy, and get his 30-day supply. Then, his insurance was cut. He makes a small amount of money every day. So, at the end of the day, he goes to the pharmacy and gets out as many as he can. One day, the pharmacist said "Ehem! Sir, you already got out 25 of them yesterday. It says here that you take 2 pills every 4 hours. You should still have some at home." And he replied to her that it makes no difference how many he is "allowed" to get out. If he had all the money up front, then he would have gotten the whole dang 30-day supply at once. Is she now saying that he needs to come to the pharmacy every single day for the rest of his life just to get his daily medicine? It's not some methadone clinic and he's not on the drugs for addiction purposes. And he actually had to walk away empty handed.

Anyone seen this before? Was she wrong, or was he wrong?


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PostPosted: Fri Jul 06, 2012 4:10 am 
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I dunno. If a dude who owns a 7-11 can choose whether or not he wants to sell Twinkies, why can't a pharmacist choose whether or not they wanna sell a certain medication? They own the store, it's on private land. Just like a doctor can choose what kinda services they offer, can't a pharmacist do the same?


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PostPosted: Fri Jul 06, 2012 7:21 am 
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invisiblemovement wrote:
Condoms break. Even people who are safe sometimes run into accidents. Plan B shouldn't be refused ever. On another note, I have also wondered the same question about if a pharmacist can refuse service. I have a real life example where my ex would get his suboxone script, take it to a pharmacy, and get his 30-day supply. Then, his insurance was cut. He makes a small amount of money every day. So, at the end of the day, he goes to the pharmacy and gets out as many as he can. One day, the pharmacist said "Ehem! Sir, you already got out 25 of them yesterday. It says here that you take 2 pills every 4 hours. You should still have some at home." And he replied to her that it makes no difference how many he is "allowed" to get out. If he had all the money up front, then he would have gotten the whole dang 30-day supply at once. Is she now saying that he needs to come to the pharmacy every single day for the rest of his life just to get his daily medicine? It's not some methadone clinic and he's not on the drugs for addiction purposes. And he actually had to walk away empty handed.

Anyone seen this before? Was she wrong, or was he wrong?


Well..that question is one of the most asked when it comes to the controlled substances being dispensed. The pharmacist(s) look at the number of days supply you have already purchased, the number of days left before you "should" need any more, and how early you're coming back to get more before you should be out of meds according to your prescription.

They do this to try and curb abuse of controlled substances, because it's like this: IF I go and pick up 45 pills/film...but my prescription says that I get 90 per month, then I should have enough to do me for 15 days...that means @3 per day, I should be good for 2 weeks...so, if I go back in 7 days and request my other 45 pills, because I'm going to be broke the 2nd week...then the pharmacist CAN legally deny giving me those early..

Usually you can get them within 5 days of the run-out date. My insurance will pay for mine early, 5 days early.
So If I get a 30-day supply all at once, and I want to go back a couple of days early to get my refill, then the very earliest my insurance will pay for it is 25 days early. It's still at the discretion of the pharmacist to dispense them, but this is not something that has just started..because pharmacists do the same thing with people who are on painkillers..or most pharmacists do.

One of the old-school pharmacists at my usual pharmacy told me of a person who had been taking a huge concoction of oxycontin, lortabs and xanax....(he had been the pharmacist for years, and suddenly something happened and he just up and quit, because corporate did him wrong..), but he said that the guy came in and wanted to get his oxy's early, and when Jim refused, he said the guy just cursed him like a dog....but he was 2 weeks early and he knew the guy wasn't taking the stuff right, because he was slurring and nodding off while standing there in front of him...

Jim later told me they found the guy dead because he got his meds when he was supposed to, then likely overdosed on all the stuff he was taking...but he told me he wasn't about to fill anything early for him because he knew what was going on with the meds.

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PostPosted: Fri Jul 06, 2012 1:11 pm 
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the last 2 times i went to refill my suboxone rx were on fridays, and both times they didnt't have the medication in stock and told me they would order it and it would be in monday morning. I've been going there for this medication for 4 months and they always have to order it in. Does this mean I'm the only sub patient with this dosage at this pharmacy? or do they just want to keep thier inventory tight? lucky for me I've learned to squirrel away a few days supply because of this.


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Hey Dicespin,

It's the same thing with my CVS pharmacy and I too make sure I have enough to get me through a weekend if need be. Plus I think the medicine is so expensive they don't want to be left with any when it expires.

Maybe being in the western part of the U.S. is a good thing when it comes to pharmacies. Never have I had a bad experience with any staff member no matter which one I use. They just fill it and bid me a good day.

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PostPosted: Fri Jul 06, 2012 2:37 pm 
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As a pharmacist and the mother of a Suboxone patient, let me give the other side of the story.

The reason that pharmacists are allowed to refuse to fill any prescription they choose has to do with saftey. That is really the bottom line. Our job is to protect the public. I realize that things have gotten mired in our health system, but let me give you an example. Dr So and So down the street, a family doctor, writes an unusually large number of Oxycontin prescriptions. The pharmacist knows this because of experience, not because the doctor has been sanctioned, etc. A patient comes in w/ a rx from Dr So and So for Oxycontin 40mg #100. The pharmacist knows this patient and knows his/her medical situation and thinks that this may be a dangerous rx (the reasons for this are many). The pharmacist also knows (because he/she has dealt w/ Dr So&So for many years) that he will insist the rx is for a valid medical reason. Does the rph fill the rx and just say, "Well, I called the Dr and he said it was ok, so I fill it"? The answer to this is NO! If I feel that I am jepardizing a patients health, in any way, it is my responsibility to refuse to fill the rx. This has been the law and has been held up in court time and time again. The pharmacist can be held legally responsible if something happens w/ this patient, regardless of what the dr says or writes. There have been many pharmacists loose their careers and some times their mental stability after they filled a rx as written, only later to find out a patient had a negative outcome. Drs make mistakes all of the time (they are human) and we try to catch them (we are human too), with the hope that the patient is ultimately protected.

I have never refused to fill a rx because of a "moral" reason, but I have refused to fill many becuase I felt they were unsafe. I have refused to fill a dr's personal rx to his face, because I knew what he was doing, and it was illegal. I could easily fill them and make lots of money. That is the way many Suboxone patients got to where they are in the first place.
Many people start out w/ opiates (and others) from rx's legally obtained. Then comes the illegaly obtained prescription opiates. Then when they get to expensive....

Pharmacists cannot prevent all drug diversion, but we would not have such a crisis on our hands of all of us followed the rules.


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PostPosted: Fri Jul 06, 2012 3:58 pm 
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tearj3rker wrote:
I dunno. If a dude who owns a 7-11 can choose whether or not he wants to sell Twinkies, why can't a pharmacist choose whether or not they wanna sell a certain medication? They own the store, it's on private land. Just like a doctor can choose what kinda services they offer, can't a pharmacist do the same?


Sure- as long as he doesn't sell that medicine to anyone- ever.. I wouldn't have a problem in the world if my pharmacy told me it's store policy not to carry a certain medicine.. I would have a problem if they decided, based on ANY type of profiling, I was ok to get a certain med but the guy behind me wasn't..


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