Current Events > CE, Pharmacist "refuse to fill" law is important and necessary

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known2FAIL
10/21/18 9:56:12 AM
#1:


Before I explain let me say this, refusing to transfer to another Pharmacy or giving the prescription back to the patient shouldn't be allowed. That needs to be changed.

Now to explain why refusing to fill is important. I'm a Pharmacy Tech and I'm sure there are a few of us and Pharmacist on this board. The people on this board that say you shouldn't be able to refuse to fill a prescription are ignorant. The law is there to protect yourself as a Pharmacist and the patient.

Refuse to fill can protect Pharmacist from Pill mills, fake prescriptions, forged prescriptions, terrible prescriptions (will explain), etc. A Pharmacist can lose their license over stuff like that.

If you constantly fill prescriptions from pill mills and that place gets investigated and shut down, you best believe you are under investigation as well. Also, if you believe a prescription is forged or fake and you fill it anyway.. you are responsible. They can take your license away for that.

Another thing is filling a prescription that is potientally dangerous to the patient. If you see a prescription for Gabapentin 600mg, 1 tablet, 4 times a day for a 3 year old then you are going to refuse that. (that's an extreme example lol) If you just fill it anyway because it's legal and that child dies, you are held accountable for filling such an outrageous prescription.

As you can see, refusing to fill is important. If you can't understand that then you are ignorant. I'm sure there is even more to it that Pharmacist can tell me.
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UnfairRepresent
10/21/18 9:57:18 AM
#2:


ok
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DezDroppedFreak
10/21/18 9:59:33 AM
#3:


I think theyre more talking about refusal based on religious beliefs. Of course if a prescription is blatantly wrong, will harm the patient etc then yeah refusal/clarification is warranted

Then again I only skimmed that topic because I read the story earlier. If people were piss taking about refusal as a whole then lol
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MorbidFaithless
10/21/18 10:00:43 AM
#4:


I think what people have a problem with is using your religion to police others. Everything you said was reasonable.
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hockeybub89
10/21/18 10:02:58 AM
#5:


I am a tech myself. There is a difference between a fraudulent prescription or one that needs further explanation and refusing to let someone expel dead fetus tissue because God supposedly tells you to. Why can't we only stop the latter?
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known2FAIL
10/21/18 10:05:47 AM
#6:


hockeybub89 posted...
I am a tech myself. There is a difference between a fraudulent prescription or one that needs further explanation and refusing to let someone expel dead fetus tissue because God supposedly tells you to. Why can't we only stop the latter?


Yea I personally find that dumb but it's protected under law. That's like refusing to sale Plan B based on your beliefs. Attacking the Pharmacist here is wrong imo. If people hate this then they should attack the law makers and make them omit the portion of the law about religious beliefs. He didn't do anything wrong outside of refusing to transfer based on the law.
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DezDroppedFreak
10/21/18 10:06:45 AM
#7:


known2FAIL posted...
He didn't do anything wrong outside of refusing to transfer based on the law.


Which is the problem and why people are pissed. And rightfully so.
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Raikuro
10/21/18 10:08:18 AM
#8:


Everyone was just saying "God says so" is not a valid reason. Obviously there are valid reasons to not fill it. In the situation where the dosage is too high, wouldn't they try to contact the doctor or something to get a correct dosage or a recommendation for different medicine instead of just flat out refusing?
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DezDroppedFreak
10/21/18 10:09:25 AM
#9:


Raikuro posted...
Everyone was just saying "God says so" is not a valid reason. Obviously there are valid reasons to not fill it. In the situation where the dosage is too high, wouldn't they try to contact the doctor or something to get a correct dosage or a recommendation for different medicine instead of just flat out refusing?

Depends on the medication and whether a change would require an entirely new prescription. Either way clarification would probably be sought out
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known2FAIL
10/21/18 10:16:59 AM
#10:


DezDroppedFreak posted...
Raikuro posted...
Everyone was just saying "God says so" is not a valid reason. Obviously there are valid reasons to not fill it. In the situation where the dosage is too high, wouldn't they try to contact the doctor or something to get a correct dosage or a recommendation for different medicine instead of just flat out refusing?

Depends on the medication and whether a change would require an entirely new prescription. Either way clarification would probably be sought out


There are also times you clarify and the doctor confirms that's what they want. Then you have a decision to make. Just because the doctor says yes doesn't mean refusal is off the table.
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Raikuro
10/21/18 10:26:00 AM
#11:


Obviously. What I'm getting at is the purpose of the law is to prevent illegal activities and doctor errors. They still need to try to get the patient the treatment they need, and prayer is not an acceptable alternative medicine.
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known2FAIL
10/21/18 10:33:25 AM
#12:


Raikuro posted...
Obviously. What I'm getting at is the purpose of the law is to prevent illegal activities and doctor errors. They still need to try to get the patient the treatment they need, and prayer is not an acceptable alternative medicine.


Here is the thing. That medication is used for abortions as well. Patients lie to us everyday. You get the explanation and it's on you to decide to believe them or not. If you think they are lying then you refuse it. It's based on your judgement as a Pharmacist. Sure you can call the doctor to confirm it but the same rule applies as the patient rule. Doctors lie as well. Hell there are times you aren't sure you are dealing with a doctor or someone pretending to be one.

So, that choice is his. Highly religious people think abortions is killing but not all people who believe that are religious. Just because he says he is religious doesn't mean if he wasn't religious that he would have filled it. Does that make sense? Pharmacist have to make their own judgements. Trusting everyone's word isn't a good idea. Not transferring is dumb though
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Tyranthraxus
10/21/18 11:19:46 AM
#13:


DezDroppedFreak posted...
I think theyre more talking about refusal based on religious beliefs. Of course if a prescription is blatantly wrong, will harm the patient etc then yeah refusal/clarification is warranted

Then again I only skimmed that topic because I read the story earlier. If people were piss taking about refusal as a whole then lol

This. It's one thing to refuse to fill a prescription for Opiates and a totally different thing to refuse to fill someone's HRT pills.

The schedule system should be reworked and you can put some drugs on a refusable schedule and others not.
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LockeMonster
10/21/18 11:22:43 AM
#14:


It's only a law in some states. Not the entire country.
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Super Saiyan 3 Goku
10/21/18 11:29:56 AM
#15:


known2FAIL posted...
DezDroppedFreak posted...
Raikuro posted...
Everyone was just saying "God says so" is not a valid reason. Obviously there are valid reasons to not fill it. In the situation where the dosage is too high, wouldn't they try to contact the doctor or something to get a correct dosage or a recommendation for different medicine instead of just flat out refusing?

Depends on the medication and whether a change would require an entirely new prescription. Either way clarification would probably be sought out


There are also times you clarify and the doctor confirms that's what they want. Then you have a decision to make. Just because the doctor says yes doesn't mean refusal is off the table.

Exactly.

The provider can state unequivocally that the prescription is what they want but if I find that it's not for a legitimate medical purpose, I can refuse it and refer the patient to another pharmacy.

In the case of opiates, I would be exercising my corresponding responsibility as outlined by the DEA.
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DezDroppedFreak
10/21/18 11:42:16 AM
#16:


Super Saiyan 3 Goku posted...
known2FAIL posted...
DezDroppedFreak posted...
Raikuro posted...
Everyone was just saying "God says so" is not a valid reason. Obviously there are valid reasons to not fill it. In the situation where the dosage is too high, wouldn't they try to contact the doctor or something to get a correct dosage or a recommendation for different medicine instead of just flat out refusing?

Depends on the medication and whether a change would require an entirely new prescription. Either way clarification would probably be sought out


There are also times you clarify and the doctor confirms that's what they want. Then you have a decision to make. Just because the doctor says yes doesn't mean refusal is off the table.

Exactly.

The provider can state unequivocally that the prescription is what they want but if I find that it's not for a legitimate medical purpose, I can refuse it and refer the patient to another pharmacy.

In the case of opiates, I would be exercising my corresponding responsibility as outlined by the DEA.


Yeah.

Not sure why my post got caught up in it when I stated clarification would be sought to further make a decision

But yeah

In my case (only an intern, still in school) Ive recommended a change in drug after clearing it with my PIC before making the call and just taken a verbal for it

Theres many ways it could shake out
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P4wn4g3
10/21/18 11:45:39 AM
#17:


Sounds unnecessary and unethical to me. If you have a fraudulent script its illegal to fill anyway and you can refuse it.
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Super Saiyan 3 Goku
10/21/18 11:49:44 AM
#18:


In my case (only an intern, still in school) Ive recommended a change in drug after clearing it with my PIC before making the call and just taken a verbal for it

Good deal. Rule #1 in making interventions is that you must have an alternative approach at the ready to suggest to the provider before you call them. They're usually receptive and will ask what they should do instead.
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LanHikari10
10/21/18 11:53:29 AM
#19:


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P4wn4g3
10/21/18 12:01:16 PM
#20:


LanHikari10 posted...
This whole topic has turned into such a dumpster fire. >_>

So what do you think about the law
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