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OK, looks like we have our Nachap Award recipient for this week. It’s a pharmacist named Care from CVS. She demonstrated her suitability as a Nachap member in the following manner. Carey called in to ask for an override. When I asked what her criteria were, she told me that although the doctor had prescribed one drug, when the pharmacy ordered the drug from the manufacturer, they sent the wrong drug. Instead of contacting the manufacturer to give them the “Screwed up man,” (Ray, you should get that one), speech, the pharmacy took the liberty of changing the prescription, since both drugs were generics, and both did the same thing, and both were the same price. For those who don’t know, what makes a generic drug generic, (other than the name), are the fillers that are added along with the active ingredient, or the ingredient that is the acting medication. Some people are alergic to the fillers in certain generics, so they have to take the brand. Well, after Carey explained to me that she had changed the prescription, she told me that the member, (who might as well be a god when it comes to my line of work, along with the pharmacist and the insurance company, or benefits administrator, with the client, Express Scripts Inc. being the ultimate, untouchable, unknowable Supremevery Being of this twisted pagan pantheon), said that she couldn’t take the generic drug, and that she had to have her brand. I asked why the member couldn’t take the drug. I can only issue an override in this kind of situation if the member has some sort of reaction to the drug. The pharmacists are supposed to know this, because the rule hasn’t changed for a very long time, for at least as long as I’ve been doing this. This is where the nachapity comes in. When I asked Care, our friendly pharmacist, why the member couldn’t take the generic, if there was some sort of medical reason, she said she didn’t know why, but still continued to ask for the override. I told her that I couldn’t just issue an override without some sort of definite reason. She whined about how the two drugs do the same thing, and how they’re even the same price. I repeated that I couldn’t just issue an override without a definite medical reason, and then muted the phone, and said that in that case, there should be no reason why the member couldn’t take the other drug. To conclude, Carey gets the Nachap award for this week due to her incomprehension of what the rules are, and further incomprehension after an explanation. Great job, Carey! We’d give you a gift certificate to a steakhouse or something, but we’re too poor to afford that. So you’ll just have to be consoled with the knowledge that you are are among a group of truly illustrious people, and leave it at that.

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