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"Watch out for CVS pharmacies"

Posted by AyaK on 05-06-12 at 10:38 PM
LAST EDITED ON 05-06-12 AT 10:39 PM (EST)

Woman Jailed For Trying To Fill A Prescription

Most stories like this are about people who hope to pick up a quick buck, but this one is different. The CVS employee filed a police report falsely accusing this woman of fraud, and she was arrested and arraigned for a completely false charge. I'm presuming the employee still works at CVS, but even if not, CVS is completely liable for this woman's false imprisonment by the Dallas police.

Frankly, coming from an area where CVS completely dominates the pharmacy market, I find this very scary -- even though CVS will eventually have to pay the woman millions of dollars for its actions.


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Messages in this discussion
"RE: Watch out for CVS pharmacies"
Posted by Estee on 05-06-12 at 11:03 PM
A couple of years ago, one of my circlemates had surgery and came out of it with something rare: a doctor's prescription for a variety of morphine, which she remained on for two months. (No addiction resulted, partially because she's not that kind of personality and mostly because she was so afraid of becoming addicted, she took about a third of what she was supposed to.) And if you ever want to make a pharmacist not-so-subtly reach for the phone, try going up to the counter and asking if the place carries morphine. She was actively discouraged in two places and blatantly quasi-thrown out of a third before the fourth finally took the basic step of checking with the hospital.

But that was just asking if they could even fill the slip -- and she didn't go to any of the large chains because she thought they would be less likely to handle the seriously controlled substances. This was all from small neighborhood pharmacies. No one actually called the police on her, but there were implications from those first three that just asking after the stuff had to mean she was a criminal and if she didn't vacate, she would be removed. Those pharmacies seemed to feel that the best way to avoid being part of potential fraud was to chase anyone and everyone who asked for that chemical. No idea if they even carried it at all. A lesser offense than what happened in Dallas -- but still not exactly encouraging.

This incident only surprises me because it was with CVS. They have more to lose -- not just money, but reputation -- and so I'd think their training would be better, with more comprehensive procedures. As is? 'File with us -- you may not be arrested.' Good luck selling that commercial line. This could shift things on a minor level to the small businesses, sure -- but I know there's just as much potential trouble waiting there.

Oh, and just for the record: if you know someone who has a legitimate prescription recognized for that kind of substance? Unless you are a family member or SO who has been personally introduced to the pharmacist by the patient, do not go pick it up for them.


"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-08-12 at 08:57 AM
The problem here was the premise that the small guy was more likely to have it. They are not. All too many of the little mom and pop pharmacies have given up on carrying the high powered stuff because of a)robberies and b) addicts talk, and when one finds a source all of a sudden 20 people are rushing to that store to get the drugs. They don't think it is worth the risk anymore.

"RE: Watch out for CVS pharmacies"
Posted by Estee on 05-08-12 at 09:25 AM
I just checked with her. She told me that at the time, she'd been directly told by someone at the hospital that Wal-Mart didn't carry that medication and extrapolated from there into 'Don't even bother with the chains.' So give back to your local small businesses, for all the good that'll do.

I understand the logic on the robberies. Twenty addicts rushing in at once do produce a lot of business, though.


"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-09-12 at 10:44 AM
Believe me, it is business you don't want. And besides, it just isn't right that I buy something for say, $100, then Medicaid pays me about $106, then the "patient" can turn around and sell it on the street for $3000.

"RE: Watch out for CVS pharmacies"
Posted by Estee on 05-09-12 at 11:05 AM
So cut out the middleman and sell it for $3000 yourself.

"RE: Watch out for CVS pharmacies"
Posted by newsomewayne on 05-08-12 at 09:32 AM
All too many of the little mom and pop pharmacies have given up on carrying the high powered stuff because of a)robberies

Not a concern for BIL's pharmacy when he is on the clock. If it happened, it would be a news story of DRT.


Fear the reaper.
"The problem with socialism is that you eventually run out of other people's money." - Margaret Thatcher


"RE: Watch out for CVS pharmacies"
Posted by Estee on 05-08-12 at 09:52 AM
Deceased Robber Thwarted?

"RE: Watch out for CVS pharmacies"
Posted by newsomewayne on 05-08-12 at 10:04 AM
Close. I was thinking Dead.Right.There.

No need to burden the court system or future victims.


"RE: Watch out for CVS pharmacies"
Posted by dabo on 05-07-12 at 01:38 AM
Unfathomable neglegence on the part of CVS, simply unfathomable.

Having read the story and tried to listen to the news report (but it was choppy and just stopped playing at one point), it seems obvious to me that the prescription was originally filled by the hospital pharmacy, which is not at all strange. It only goes to the fact, in this story, that CVS did not have the prescription already on file.

Aside: Had the woman been able to return to the hospital for her refill there would be no story, but hospitals are not in commercial competition with pharmacies, they only fill prescriptions for current patients, released patients are not their business. Except in cases where the prescription actually could not be filled anywhere else.

Anyway, getting back to the story, the woman obviously had an actual scrip entitling her to a refill of her prescription or she would not have even been able to try to get it refilled. Was she not even allowed to show her scrip to the pharmacist before she was arrested? This is simply bizarre, because there is no way the pharmacy should have had her arrested without even seeing the scrip and then going through the process of confirming it. Bizarre? Let me amend that, insane.


"RE: Watch out for CVS pharmacies"
Posted by Snidget on 05-07-12 at 07:32 AM
I dunno if this would be a specific CVS policy or a mistake that would be more likely to happen with that company (or if it is city/state specific).

Part of our schizophrenic system where half the world seems to make it way too easy to get your hands on medications you don't need, and the other half seems bent on keeping people from getting medication they do need.

It seems nuts that some addicts can get a bazillion prescriptions with no problem and a lot of people with illnesses that cause chronic pain can't get a doctor to write a script for anything much less having to worry about finding a pharmacy that would fill it without calling the cops or an insurance company that will pay for it.

I mean I understand there are addicts and drug seekers but some doctors do seem to see anyone in pain as faking it (unless the doctor cut you open, they do seem to all agree surgery causes pain) and it can't possibly be bad enough to need medication. Even when a required symptom of the disease is pain. You'd think if you need to find out if the patient has pain before putting that label on them they wouldn't turn around and then act like the patient cannot be having pain. {/soapbox}

Not sure what the laws are in Texas, but it seems there is a push in some areas to crack down on prescription drug abuse. So I'm a bit surprised this doesn't happen more often, although I'm not sure how many areas have enough cops to get them to the pharmacies on a regular basis.

That being said, since people do sometimes get legit prescriptions for pain meds and I do think triple checking things before calling the police rather than assuming you can't make a mistake on your end seems to be a wise, and less costly, path.

Although around here it is getting over the counter decongestants that makes one feel like they are just itching to get you arrested. Really, I just wanna keep my ears clear enough I don't get another ear infection, really! How many forms of ID and extra forms do I have to fill out this time?


"RE: Watch out for CVS pharmacies"
Posted by qwertypie on 05-07-12 at 07:07 PM
They have done this here too to try and break up crystal meth production.

"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-08-12 at 07:51 AM
They make you do that because it is federal law. Big huge waste of time and manpower required of the pharmacies and really doesn't curb meth addicts ability to "Smurf" (their term) from pharmacy to pharmacy to get enough Sudafed to make a batch in their bathtub. It only seems to work on the back end after someone is arrested to help the DA make a conviction stick (or more likely, a slap on the wrist and have them back "Smurfing" next week)


"RE: Watch out for CVS pharmacies"
Posted by Snidget on 05-08-12 at 08:49 AM
Doesn't stop the small time do it yourselfers, but I think I read it did cause the outsourcing of industrial production to the Mexican cartels.

Besides the job-loss that adds to the border protection costs and if anything they seem to be more violent than our home-grown drug producers. So a big win all around.{/sarcasm} *sigh*


"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-09-12 at 10:49 AM
The fact that methamphetamine use hasn't really gone down over the last few years really makes the whole system seem pointless; which means government will have to appoint a blue ribbon committee to study the effects and come out with recommendations in about 6 years.

"RE: Watch out for CVS pharmacies"
Posted by newsomewayne on 05-07-12 at 10:06 AM
My BIL is a phamacist for a small, private pharmacy. He deals with false prescriptions and the like all the time. Because of the major trouble he could get in for distributing drugs on invalid prescriptions, he has to take extra care on validating a lot of what he does. And he has to have a pretty good nose for someone trying to scam him. It is a fairly common practice for him to deny someone on his suspicions. Also, he and other pharmacies have a pretty good network for preventing these scams. When one of them denies a scrip, they'll let others know about it and give a description of the person so that other pharmacists can be wary of them, too. It's a CYA thing and I don't blame them a bit. That may have happened to Estee's friend she mentioned.

That being said, I can't judge if the CVS pharmacist was right or wrong in his suspicions or his actions. For one thing, I don't think enough of his side of the story was reported to give us an idea what actions were made before the arrest. I'd be curious to see how closely what was reported is what actually happened and how much information got lost or distorted in a rush to report and print. Maybe the arresting officer was a little overzealous and at that point it was out of the pharmacist's hands.

This will probably become a media s***storm with calls for firings, policy overhauls, new regulations and all kinds of overhyped unneccessary crap when quite possibly all is needed (beyond any legal compensation to the woman involved) is a review of the reasoning and discernment skills of the pharmacist and/or the arresting officer.


Fear the reaper.
"The problem with socialism is that you eventually run out of other people's money." - Margaret Thatcher


"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-08-12 at 09:06 AM
Most states have a data base now that the pharmacist can access on patients to see if they are getting controlled substances at other pharmacies/other doctors. It is a state by state thing so if you are like us and close to the border of 2 other states it is going to be incomplete, but it is a useful tool.

"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-08-12 at 08:47 AM
LAST EDITED ON 05-08-12 AT 08:52 AM (EST)

Ok, I'll first state for the record that the CVS pharmacist in question could be an completely useless fool, but we need more info on the series of events on the other side of the counter before we take the word of her lawyer as gospel. I'll elaborate on potential problems that could have led to this and it not be "unfathomable negligence".

The biggest red flag to me is hospital prescriptions themselves. So many times they will have a sticker with the patients name and admitting Dr, then the prescription and a signature from the Dr. Way too many times (most) the Dr signing the prescription isn't the doctor who's name is on the sticker with the patient. Could be a resident signing the discharge orders, could be a specialist that saw the patient while they were there, yada yada.. a lot of times they will just sign it with their signature and no other info. Badabing the signature is just some flourished garbage and the pharmacist assumes it is the doctor's name that is printed out on the sticker. So let's say the pharmacist calls the doctor who's name is on the prescription (let's say he was the admitting doctor, not the one who treated her) and he says "Hell no, I never wrote a prescription for Norco for that patient, it must be a forgery, call the police."

What prompted the phone call on the refill? My guess is that after the first pharmacist filled the prescription another pharmacist came along and said to himself "Dr AyaK? He is an ER doctor, they never put refills on narc prescriptions, I wonder if this was altered?" because, in fact they have seen that happen so many times before.

There isn't a pharmacist that I've run across that enjoys being a cop. It's the worst part of the job. And I apologize to any legitimate pain sufferers who's pharmacists have looked at them crosswise when their prescriptions are completely legit. It's the nature of the industry, we get lied to our faces on a daily basis from people with the same prescriptions, and if we are not "twice shy" on filling them there is a reason. You don't want to end up on the other end of the spectrum like this (ironically) CVS pharmacy. It would be so much easier financially and from a time standpoint just to "shut up and fill the damn thing" but ethically and legally we are bound to take all the steps that a reasonable pharmacist would do to ensure the safety and validity of the prescription.

I'd really like to see the prescription, but I'd bet that there was a string of events that happened and this pharmacist is where it came to a head.


"RE: Watch out for CVS pharmacies"
Posted by jbug on 05-08-12 at 10:44 AM
our resident expert has spoken.
Thanks keith.

I have issues now & then (DH has a LOT of medications) but none are pain relief stuff so not that kind of issues.
I just picked up my LAST script from Wallyworld. They are the slowest - maybe because they have too much volume to handle. Well, I'm relieving them of a bit of that volume.
I'm moving everything to Kroger or Target.


Agman brightens my life May 2012


"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-09-12 at 10:50 AM
Thanks, I haven't been an RE in a while.


"RE: Watch out for CVS pharmacies"
Posted by grit on 05-09-12 at 12:09 PM
I can understand how people would try to scam pharmacies for medicine. However, the article said that the woman showed up on crutches with a big leg brace - both which could have been faked in a effort to prove she needed the drugs - but it also said she had a permanent IV in her arm. Is it really that easy to fake something like that to scam the pharmacist?

"RE: Watch out for CVS pharmacies"
Posted by KeithFan on 05-11-12 at 09:46 AM
People with legitimate pain still try to alter/forge their prescriptions to get more than was prescribed. We have a lot more trouble with this kind of abuse/misuse than with the crack-heads.