Las Vegas, Nevada
3.8K views
43 comments

I am totally disabled and on Medicaid. My physician prescribes Percocet for pain control of colitis. He issues me a prescription for a 30-day supply every 30 days. On February 25, 2013, I submitted my prescription for Percocet to the above referenced Walgreens Pharmacy. The date on the label shows the prescription was filled on February 25, 2013. Their website shows the prescription was not filled until February 26, 2013.

On March 25, 2013, I submitted a prescription for Percocet to the same pharmacy. The representative stated that the prescription could not be filled until April 1, 2013, because I had not picked up the previous prescription for Percocet until March 1, 2013. In response, I stated, "You are going by the pickup date of March 1, 2013, versus the dispensing date of February 25, 2013." The representative responded, "Yes."

Questioning Walgreens' use of the pickup date, on the morning of March 26, 2013, I called Medicaid and spoke to a representative by the name of Dawn. She ran a trial claim for a prescription of Percocet, and she said that it was accepted and approved. I explained to Dawn that Walgreens was using the pickup date versus the dispensing date. She stated to call Walgreens Pharmacy and asked when the prescription for Percocet could be filled. Immediately I called the same Walgreens Pharmacy. I asked the representative by the name of Maryann when my prescription for Percocet could be filled. She pulled up my profile and stated it could not be filled until April 1, 2013, because I had not picked up the previous prescription for Percocet until March 1, 2013. I questioned her about using the pickup date. She stated that it was the law to use the pickup date, and she could do nothing about it.

In response, I told her it was not the law because I had just spoken to Medicaid, and they ran a trial claim for the Percocet using March 26, 2013, as the date of dispensing, and it was accepted and approved. I told her it was Walgreens Pharmacy policy to use the pickup date and not the law. Today, March 29, 2013, I submitted the same prescription for Percocet at a Walmart Pharmacy. They filled the prescription, and Medicaid accepted and approved it on their computer system. This clearly substantiated that Walgreens Pharmacy has created their own policy to use the pickup date versus the dispensing date. It is Walgreens Pharmacy's dirty little tactic to delay filling prescriptions.

As I am disabled, I am not always able to pick up my prescriptions on the same day I drop off the prescription at a pharmacy. I do not drive, and I have a caregiver drive me to the pharmacy. Furthermore, I schedule my appointments with my primary physician based on the dispensing date of Percocet and not the pickup date. The bottom line: A person could run out of his prescription because Walgreens Pharmacy is using the pickup date versus the dispensing date for Percocet.

Furthermore, Medicaid uses the dispensing date and not the pickup date for billing. The pharmacy is required to use the dispensing date and not the billing date in submitting a claim for reimbursement of the cost of the prescription. Therefore, I question the legality of Walgreens using the pickup date and falsely telling a customer the prescription cannot be filled based in the pickup date instead of the billing date.

Monetary Loss: $50.

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Anonymous
#804010
@,

seriously some REAL *** working at walgreens, I took my 2 week supply of meds that I have to stretch out to last a month cuz I am a BIG drug abuser.. OMG!!

and I got the usual run around from the idiots, no were out blah blah blah

so I go into another one yes they are on almost every street corner, sort of a HIPPOCRITIC point of view not wanting anyone on opiates yet they are on every street corner don't you think there Mr. PIGG?

anyways the single cell amoeba behind the register says, AND YES PIGG ANYTIME ANYWHERE, so she says, baah, you just picked these up 20 minutes ago at such and such walgreens, I say really? wow, so they give you the prescription back now? new policy or? first time for me? her face turns red, ***

so the ignorant twitt calls the other store then tells me, "oh they said you were just there but they are out" and I say you mean like I just told you?

*** they are trained and get bonus points for labeling you as a "chaser" called DEA brown nosing, that way they can shuffle bottles of cotton out the back door to DEA piggs and they turn around and sell them on the streets, yea you didn't think I knew about that did you PIGG? haha, may be a new sherrf in town hayseed???? might wanna watch your step there son, this sherrf has a ZERO tolerance policy, yea maybe he was abducted by a UFO? yea that's it, UFO......... I have an idea that will fix this once and for all, good for everyone especially hard working tax payers that are tired of paying PIGGS to accept opiates out the back doors of pharmacies... how about we REMOVE all opiates from ALL pharmacies and have a government agency doll them out?..... that way they are less expensive and then they can check your doctor to see if you are legitimately in pain, you know a PHONE CALL!!!! or maybe you the PIGG want to come over and do some housework for me since you're out of a job now eh??.... that way WALGREENS can't sell them out the back door to crooked PIGGS anymore!!!!........... crooked PIGGS that hang out on websites claiming they know who drug abusers are as if that's a bad thing, if *** ***, that's it, why do you thinks its on this rock amoeba breath, so jaggoffs like you can have a JOB?... yes make sure every pill is accounted for so crooked *** cops cant take them out the back doors of walgreens...... oh whats that you say piggy wiggy? there will be less on the streets so PIGG cops will have to earn an honest dollar? oh boo hoo....... OH and the DEA wont like that either cuz it steps on their ILLEGAL drug trade profits? sobb, makes me sad really..... too F'n badd, I'm sorry YOU, yes YOU PIGG, sorry YOU can't catch the CROOKED cops who put pharmaceutical drugs intended for those in PAIN, yea I'm sorry YOU can't catch them even when they work in YOUR very own department while tax payers PAY YOU to catch them!!! *cough cough* walgreens selling out the back door to PIGGS in floriduh.. "PRICELESS" just sorry for you and your pathetic existence all the way around..

MissSally
#639972

Why WOULDN'T they go by the pickup date? That's when you started taking it.

Anonymous
#637758

I work in a Walgreens pharmacy. Because you picked up your last 30-day prescription on the 1st, we cannot fill your next 30-day supply until the 1st of the next month.

Percocet is a heavily controlled drug and it is at the pharmacist's to fill them a day or two early. There have been several times in the past in which the pharmacist had me check the patients profile and instructed me not to fill the prescription if they've continuously had it filled early.

Anyway, the reason we use the pick-up date is basically common sense.

If you picked up a 30-day supply on March 1st and are taking the medication as directed by your doctor, you shouldn't need more medication until 30 days later. This mostly applies to controlled substances; if you were early to fill a prescription for a non-narcotic pain killer like Tramadol, you shouldn't have any problems unless your insurance (Medicaid) rejects the claim.

Anonymous
#657290
@Pharmacy Employee

How smug of You! Your response is of no value & only reiterates the ridiculousness of the treatment this person already received!

You have no right to play judge & jury with people's pain medications!

This is just an arrogant response meant to make this person look ***. Walgreens pharmacists & Staff need Sensitivity Training!

Anonymous
#758993
@Can relate!

There isn't any smugness in that response. Narcotics cannot be filled early period.

If you pick up a 30 day prescription on the first of the month, then you won't need a refill for 30 days. That's common sense.

If you do need it early, it's because you are abusing or selling the meds. Either way, no pharmacist is going to enable your habit.

Anonymous
#1014192
@Fed up

you cannot possibly know what's going on ina person's life to say if they run of a day earl, their a drug addict or selling teir scripts. it's so funny cause even when you guys call my doctor, you think your solving my problem by going against even my doctor saying " he has problems, he doesn't get out every day..." like how many excuses have you given me that is ***?

we ran out, or when it'sa 24/7 location u want me to come back out until u talk to my doctor the next day... and stillsay you cant fill it? I'm tire of ur services and I've been using the same area of locations since *** middle school. mmk I'm young and on alot of script, but you also don't know my background at all.

my doctor does. and my therapist. I'm not about to give you my resume to get the same prescriptions I've been on for years thru Walgreen. I mean you guys have computers.

it must say somewhere on there that "dissatisfaction since 99'" ***.

Anonymous
#1273049
@Pharmacy Employee

How about you read the applicable Medicaid regulations on filling prescriptions. Reading can illuminate so much.

I know you want to be the prescription police, so maybe you should have pursued a career in law enforcement. I think that would have been a much more fulfilling occupation for you.

Anonymous
#634500

I got a offer in the mail for 10 dollars a prescription transfer (that is if I transferred a prescription from my current pharmacy to walgreens) I foolishly transferred one prescription and they deducted the 10$ but would not apply my insurance, though the coupon said nothing about being for uninsured prescriptions only. I told them they can shove the coupon and prescription up their bottoms.

Even with the 10 dollar coupon I was paying more than twice my insurance co-pay.

I should have stayed faithful to my local friendly pharmacy instead of thinking I was going to save a little on a prescription.

Anonymous
#633469

Do you really think its makes sense that it would go by the fill date? It could have been sitting in the bin ready for 7 days before you picked it up.

So you're saying u can pick it up and 21 days later get another 30 days because the bottle has the fill date on it! You are a complete drug addict ***, u are so screwed up that makes sense to u. Walmart filled ur rx because they didn't have a last sold date, but don't u worry that's coming and quick. All pharmacies and drs are going to be able to look it up on the computer no matter if u used insurance or cash or what then you'll really find out how long a 30 day supply is supposed to last.

Yes even Medicaid will be more strict and u won't be able to just go to another pharmacy. Good luck with ur drugs

ellis310835
#642260
@Here we go again

Why are you attacking this person? S/he said s/he is disabled and getting to the pharmacy is difficult.

Why do people respond rudely without even reading the information provided by the complainant? What is the difference if s/he picks it up a few days early, again, s/he is disabled, cannot drive and just goes when a ride is available. I'm not arguing the law; however, I am a lawyer, but I have no idea what the law is related to picking up prescriptions vs fill dates, or even why it would matter. I do, however; have an issue with you attacking a disabled person, and calling him/her a drug addict.

If s/he was a drug addict, do you think s/he would have waited an extra 5 days to go get the medication that you refer to as drugs in the month of March? Use your head, or better yet, climb down off your judgmental horse.

Does it make you feel good to insult a disabled person? Clearly transportation is the issue.

Anonymous
#645944
@ellis310835

I'm right there with you Ellis310....

I am also disabled and get to go where I get to when I get to. Relying on others can and will be cumbersome at times. After seeing the original and yours, there should be a "leeway" to which I agree we should have. It makes sense, especially with certain time-release medications, that having a 5 day supply, e.g., is allowable.

Honestly I think it's just a matter of not understanding that it isn't even really "wrong" so to speak. One month the patient had a 5 day supply; the next s/he FILLS at the same time but doesn't pickup until 5 days later. Essentially, this reset the clock and if anything, makes this easier to understand. From there, and since it is solely (always had been from my experiences), up to the Rph.

This held true up until the super-majority of the stores began using MANY databases in order to ensure misuse is defrayed at - you guessed it - the patients that REALLY need it to get through a day versus abusing it, for fun, all at the expense of people like me/us. Now, all this "verifying" must be done just to get an RX filled? Unreal..

Nevertheless, with the strict controls (now), dont expect to be able to have greater than a 2 day supply on hand - go by the date you have them in your hands & add 30 - you're all set. Believe me I totally understand this, I deal with it every month myself just as the next or even yourself, and it's ridiculous that WE must be the ones viewed as criminals all bcuz of the types of meds we are prescribed. Then again, I suppose what conclusion one draw when we are in a wheelchair or walker? Who am I kidding I'm sure that, too, is challenged nowadays............

brum747
#664013
@ellis310835

good point a drug addict would've been sitting in the lobby staring at the clock waiting for their drugs

Anonymous
#757284
@ellis310835

Thank you for your positive response to this persons concern. It appears to me that the issue WAS that Walgreen depicts that a Walgreens policy is the LAW.

my 79 year old father has cause to take a limited amount of pain medication. Being an old timer he considers the pharmacist to be as knowledgeable as his doctor. In Massachusetts Walgreen has a new protocol of contacting doctor before filling pain medications. So dad waits his 30 days and on Saturday Walgreens says "Monday" earliest fill due to no contact for the weekend with doctor.

He was agitated but I'm out of state and my issue was ALSO THAT walgreens protocols are clearly their own, they are not the law. These pharmacies know they will lose business if they tell the consumer "THIS IS A WALGREEN PROTOCOL AND NOT THE LAW".

it's a blatant lie to keep the client from crossing the street on Saturday morning and filling at CVS. And with the elderly it's unethical and honestly a pain for me making calls to determine how new laws are going to affect my dear old dad!!!

Anonymous
#1273050
@Here we go again

Good luck with your *** life

Anonymous
#632393

If you picked up on first that means you have enough pills to last till the first of next month. That is what it is based on yes you can fill else where but Walgreens cant fill untill you are out since you filled there.

So if you want a day early just change pharmacy each month. So next month try filling early from pick up date and you will get same response.

dougj195
#633003
@Wrong

You are incorrect. I have filled the prescription at Walmart in the past repeatedly, and they follow Medicaid's policy of allowing the prescription to be filled 3 days prior to the last dispensing date. Also, I used to have this same prescription filled at a different Walgreens. They use Medicaid's policy as well and not the pickup date.

Also, I contacted the DEA. The pickup date is not the law.

In fact, a physician can prescribe a 90-day supply of a Schedule II substance using multiple prescriptions in the state of Nevada. The physician can write 9 different prescriptions each with a 10-day supply. He must write in effect do not "Do not dispense until a specified date" on each of the 9 prescriptions. The physician may elect to write 3 different prescription each with a 30-day supply. He must write in effect "do not dispense until a specified date" on each of the 3 prescriptions. The pickup date has absolutely no bearing.

""""""A. A practitioner may provide individual patients with multiple prescriptions for the same schedule II controlled substance to be filled sequentially. The combined effect of these multiple prescriptions is to allow the patient to receive, over time, up to a 90-day supply of that controlled substance.

Q. What are the requirements for the issuance of multiple prescriptions for schedule II controlled substances?

A. Requirements for issuance:

- Each prescription issued is for a legitimate medical purpose by an individual practitioner acting in the usual course of his/her professional practice.

- The individual practitioner must provide written instructions on each prescription indicating the earliest date on which a pharmacy may fill each prescription

- The issuance of multiple prescriptions is permissible under applicable state laws.

- The individual practitioner complies fully with all other applicable requirements under the Controlled Substances Act and implementing regulations, as well as any additional requirements under state law.

Q. Does this rule require or mandate a practitioner to issue multiple prescriptions for schedule II controlled substances?

A. No. This rule does not require individual practitioners to issue multiple prescriptions or to see their patients only once every 90 days.

Q. What is the effective date of the rule change?

A. This rule became effective on December 19, 2007.

Q. Is there a limit on the number of schedule II dosage units a practitioner can prescribe to a patient?

A. There is no federal limit as to the amount of controlled substances a practitioner can legitimately prescribe. However, if a registered practitioner issues multiple schedule II prescriptions, he /she is limited to the combined effect of allowing a patient to receive, over time, up to a 90-day supply of a particular schedule II controlled substance.

Q. Is there a limit on the number of separate prescriptions per schedule II controlled substance that may be issued for the 90-day supply?

A. The rule does not stipulate how many separate prescriptions per schedule II controlled substance may be issued for the 90-day supply. It is up to the practitioner to determine how many separate prescriptions to be filled sequentially are needed to provide adequate medical care. For example, a practitioner may issue three 30-day schedule II prescriptions to cover a 90-day supply or he/she may issue nine prescriptions for the same schedule II controlled substance, each for a ten-day supply, having the combined effect of a 90-day supply.

Q. How is the issuance of multiple schedule II prescriptions different than issuing a refill of a schedule II prescription?

A. The issuance of refills for a schedule II controlled substance is prohibited by law. The use of multiple prescriptions for the dispensing of schedule II controlled substances, under the conditions set forth in the Final Rule, ensures that the prescriptions are treated as separate dispensing documents, not refills of an original prescription. Each separate prescription must be written for a legitimate medical purpose by a practitioner acting in the usual course of professional practice. Each separate prescription must contain written instructions indicating the earliest date on which a pharmacy may fill each prescription.

Q. Is post-dating of multiple prescriptions allowed?

A. No. Federal regulations have always required that all prescriptions for controlled substances "be dated as of, and signed on, the day when issued." 21 CFR 1306.05(a).

Q. What is expected of the pharmacist when filling a prescription issued pursuant to this regulation?

A. Where a prescription contains instructions from the prescribing practitioner indicating that the prescription shall not be filled until a certain date, no pharmacist may fill the prescription before that date. In addition, when filling any prescription for a controlled substance, a pharmacist who fills multiple prescriptions issued in accordance with this regulation has a corresponding responsibility to ensure that each sequential prescription was issued for a legitimate medical purpose by a practitioner acting in the usual course of professional practice. 21 CFR 1306.04(a).""""""

Anonymous
#634488
@Wrong

By picking up and dropping off on different days due to say a DISABILITY, you are running a few days extra or behind, but it all works out in the end that the prescription will last thru the month. If it is picked up 3 days after it was filled, you still need the pills for those 3 days.

The days don't disappear just because Walgreens computer thinks they did. Lots of ppl talking ***...

break out a callender and stop talking *** because you can't do simple math! WALGREENS SUCKS ***!""

Anonymous
#635313
@***ed at walgreens

You are proof you can't argue with a drug addict. Sad state you're in, I really hope u get help

Anonymous
#637760
@***ed at walgreens

Walgreens does not remove pills from your prescription for every day you do not pick it up. If it takes you 3 days to pick up your prescription, the medication for those three days is still in there, so a 30-day supply picked up 3 days late is still a 30-day supply and should last you 30 days from the time of pick-up. And obviously, you should NOT take a huge dose to "catch up" if you're late picking it up, ESPECIALLY with controlled pain medications.

aaronj324
#631648

I to am disabled. and I take Vicodine and Vyvance.

Both Controlled substances. Vyvance is even more controlled because it is an amphetamine and I have to see the doctor in order to get a script. It is the LAW due to the abuse of prescription medications anymore that you are only allowed a 30 day supply. The 30 days start from the date of pick up.

if you use more than that then you have a substance abuse problem, or you need to talk to your doctor about something longer lasting and also pain management.

Any pharmacy in the country will not fill a schedule I, II, II, and IV drugs (other wise known as Narcotics) before they are allowed to. This prevents over use, or even black market sales of the drugs.