13 Things Your Pharmacist Won't Tell You

What to bear in mind the next time you visit the pharmacy counter.

1. Don't try to get anything past us. Prescriptions for painkillers or sleeping aids always get extra scrutiny.

2. We're not serving fries in here. I'd think twice about using a drive-through pharmacy. Working there distracts us-not a good thing when it comes to pharmaceutica

3. Generics area close match for most brand names. But I'd be careful with blood thinners and thyroid drugs, since small differences can have big effects.

4. Sometimes we can't read the doctor's handwriting either. E-prescribing can help, but as of 2006, fewer than 20 percent of prescriptions were being electronically transmitted.

5. I hate your insurance company as much as you do. "Even if something's working for you, the insurance company may insist you switch to something else," says pharmacy owner Stuart Feldman."I'm stuck in the middle trying to explain this to customers."

6. We can give flu shots in most states.

7. A less-qualified pharmacy technician may have actually filled your prescription. Currently, there is no national standard for their training and responsibilities.

8. We're human … and we make mistakes (about two million a year). Ask if we use a bar-code system to help keep us from pulling the wrong drug off the shelf or giving the wrong strength of the right drug. 9. I can give you a generic refill that's different from the one you started with. When in doubt, ask. Online resources like cvs.com let you double-check your pill.

10. We're not mind readers, and there's not some big computer database that tracks your drugs and flags interactions for pharmacists everywhere. Use one pharmacy. If you start using a new one, make sure we know what you're taking.

11. Avoid the lines. It gets busy Monday and Tuesday evenings, since many new prescriptions and refills come in after the weekend.

12. Look into the $4 generics offered by chains like Target, Kroger, and Wal-Mart. And it can't hurt to ask your pharmacy if it will match the price.

13. Yelling at me won't help. If I can't reach your doctor and/or insurance company to approve a refill, there's nothing I can do about it. “It's frustrating,” says pharmacist Daniel Zlott, “but I'd be breaking the law in some states if I gave it to you.”

Sources:

Dr. Daniel Zlott, oncology pharmacist, National Institutes of Health; Cindy Coffey, PharmD; Greg Collins, pharmacy supervisor, CVS/pharmacy, California; Stuart Feldman, owner, Cross River Pharmacy, New York

9 More Things Your Pharmacist Isn't Telling You

More secrets from behind the drug counter.

1. Don't put up with the silent treatment. Pharmacists are required by law in most states to counsel patients and answer their questions. If your pharmacist seems too busy to do talk with you, take your business someplace else.

2. An over-the-counter version might do the trick. You may just need to take more pills and forgo insurance reimbursement. But always talk to your pharmacist, and do the math.

Half the prescriptions taken in the U.S. each year are used improperly, and most patients nationwide don't ask how to use their medications.

3. Ask about over-the-counter drugs. "People assume that if it's over-the-counter, it's safe," says Daniel Zlott, a pharmacist at the National Institutes of Health "I've seen serious complications."

4. Go ahead and call me doctor (I'm just not that kind of doctor). Since mid-2004, pharmacy students must pursue a doctorate in pharmacy (Pharm.D) in order to be licensed. Pharmacists licensed before then must have at least a Bachelor of Pharmacy and pass a series of exams. Either way, your pharmacist has spent more time studying drugs than even your doctor has.

5. Open up a little. "The better I know you as a patient—your health history, your family, and how busy your life is—the better I can tailor medications to fit your lifestyle," says Zlott. "You may not want to take a drug three times a day, for example, and I'll know that if I know you."

6. "People take too many drugs, definitely," says Stuart Feldman. Two out of every three patients who visit a doctor leave with at least one prescription for medication, according to the Institute for Safe Medication Practices. "Drugs are an easy solution," says Feldman, "but there are other solutions."

7. Talk to me—and check my work. Half the prescriptions taken in the U.S. each year are used improperly, and 96 percent of patients nationwide don't ask questions about how to use their medications. When you pick up your prescription, at a minimum, ask, What is this drug? What does it do? Why am I taking it? What are possible side effects? and How should I take it? Not only does this help you to use the drug correctly; it's also a good way to double-check that you're getting the right drug.

8. We'll save you money if we can. "A good part of a pharmacist's time is spent dealing with patients and their incomes," says pharmacist Cindy Coffey. Part of that is suggesting generic or OTC alternatives. Or if a doctor has prescribed a newer drug with no generic alternative available, says Zlott, "I might call the doctor to suggest an older drug that's equally effective."

9. "Some pharmacies are so volume-driven that the pharmacist can't look up all day," says pharmacist Cindy Coffey. There were a record 3.8 billion prescriptions filled in the U.S. in 2007—a 13 percent increase from 2003. 

From: Reader's Digest - October 2008