this post was submitted on 06 May 2026
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[–] Washedupcynic@lemmy.ca 5 points 2 days ago

Oh, is Walgreen's your pharmacy too?

[–] Kage520@lemmy.world 22 points 3 days ago (1 children)

Pharmacist here. It's not our fault as much as you think. Basically, the insurance companies invented something called "Pharmacy Benefits Managers" who basically act as a middleman between you and your doctor on what you can get, and how much they will reimburse the pharmacy if you do.

If your doctor says you need atorvastatin, but your PBM says they only want to pay for simvastatin, you can either get your doctor to pay for simvastatin, or pay for atorvastatin yourself with a discount card. The cost for a generic med like that is probably about your copay anyways, so no big loss to you to skip the headache.

Surprisingly, they invented fees for pharmacies! If you choose the route to get your doctor to change you to simvastatin, we get the privilege of managing that for you, and once we finally reach your doctor and make the change, they will give us maybe $10 to fill it for you! Plus you have a $10 copay, so there is some money... But of course we have to source the med. It probably costs us like $12 for this example, maybe less maybe more, depending on the manufacturer. So if we do all of this then it seems like we made $8, but SURPRISE, your PBM charged us a fee for utilizing them. It might be $6. It might be more if we don't meet certain criteria, like percentage of diabetic patients on statins.

So okay we have our nice $2 to pay for shipping your med to the oharmacy, renting our location, and filling it (I think it's less than half that on average, I just don't know the actual figures) with our staff. It should come as no surprise that we have very limited options on manufacturers now.

You might say "well at least the PBM fought to make my meds cheaper in the end" but no! They now get to say to your insurance company "okay we managed getting your patient another month of lower cholesterol, please pay us $100 for our efforts". So, indirectly, you paid an extra $100 on this whole thing through your insurance premiums. Not sure on if this part is true I just heard it as a rumor.

But wait there's more! The insurance company actually owns the PBM all along! They paid themselves to offer themselves this service for you!

So anyways I'm getting out of retail pharmacy. Thanks for coming to my ted talk.

[–] Dozzi92@lemmy.world 7 points 2 days ago

I didn't need to get this upset before 8am. I don't even take medications, but this is the exact type of nonsense that gets my blood boiling. That there's anyone between a patient and their doctor (or perhaps a patient and a pharmacist) is just screaming for some forced changes.

[–] djdarren@piefed.social 15 points 3 days ago

America: Land of the Free, Home of the decreasing average lifespan because people can't get access to routine medications that are affordable in most other countries.

[–] sparky@lemmy.federate.cc 17 points 3 days ago (1 children)

Anyone have that I’m too European for this image handy?

I am too Indian for this, even though we have a strange habit of copying the shitty parts of the US and ditching the actually functioning parts.

[–] melsaskca@lemmy.ca 3 points 2 days ago (1 children)

They learned from all of the mechanics, plumbers, construction crews and electricians. While most of the rest of the world goes broke these folks will do okay. I once called a company to look at a window that needed replacing and the first thing he said when he walked up is "Your shingles are starting to curl". I went with another company who was more reputable, charged me fairly, and did good work. It's tough out there.

[–] Nalivai@lemmy.world 5 points 2 days ago (1 children)

But are you sure your shingles aren't starting to curl? Maybe the other one just didn't have a shingles guy so they don't give a fuck about your curled shingles

[–] Cosmonaut_Collin@lemmy.world 2 points 1 day ago

Clearly he put a curling iron to his shingles for that fancy curled shingle look. Why would he want that fixed?

[–] mang0@lemmy.zip 60 points 4 days ago (17 children)

Another meme I cannot relate to because I have the privilege of not living in america

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[–] BigBrownDog@lemmy.world 54 points 4 days ago* (last edited 4 days ago) (3 children)

RFK Jr.: You need meds? What're you gay?

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[–] hateisreality@lemmy.world 25 points 3 days ago* (last edited 3 days ago) (2 children)

I had this bullshit happen in Florida at a Walgreens....I had a doctor put a prescription for me...we had worked together for a good while and finally found a script that works for me. Walgreens tells me they dont carry it, except I've had it filled in the past at that location.

Then this way over stepping mother fucker starts trying to diagnose me and then had the audacity to say, "have your doctor call us and we can see if we can work something out."

Bitch what the fuck do you think the PRESCRIPTION is, that IS the communication between the pharmacy and the doctor, last time I went to Walgreens

[–] Washedupcynic@lemmy.ca 2 points 2 days ago

I commented without reading what everyone else had to say, and the first words I typed were, "Is Walgreen's your pharmacy too?"

What would piss me off is that they would constantly blow up my phone telling me to come get my script, it's ready. Then I get to the pharmacy, and nothing is ready and I have to stand around awkwardly while I wait for them to fill it.

The final straw was I go in person to request a refill 5 days before I am out of meds. "Oh we haven't gotten the shipment yet? Come back tomorrow." So I go back the next day, and the next until I am finally out of meds and they still don't have it in. Like, bitch, I have been filling this RX here for 2 years, do you mother fuckers not understand how to inventory?

After my last refill was up I had my Dr. start sending my scripts to Hannaford. It's further away, but when they call me for my RX it's ready for me when I go to pick it up.

To personify a bit, if I came across Walgreen's dying in the street, I would step the fuck over their body and keep walking.

[–] Trainguyrom@reddthat.com 6 points 3 days ago (1 children)

Walgreens is just generally the worst pharmacy in the country. I'm convinced they intentionally create delays in picking up the prescriptions that are supposedly already ready to get you to buy more stuff in the store part, plus the store portion is always so chronically understaffed good luck being able to buy anything. Oh and now everything is locked up so you can't even pull stuff off the shelves to attempt to buy anything. And then they wonder why profits keep going down...

[–] ultranaut@lemmy.world 5 points 3 days ago

Walgreens once gave me the wrong prescription, which I didn't notice until after I already taken some. It was some weird drug for schizophrenics or something like that and it totally fucked me up to the point I had to take off work for the day. Instead of apologizing or trying to make the situation right the Walgreens pharmacist was a total asshole to me and tried to blame me for what happened, they acted like I had stolen someone else prescription instead of them fucking up and poisoning me.

[–] jambudz@lemmy.zip 1 points 2 days ago

The worst is the old people in front of you arguing with them as if they have any ability to do anything. And taking 20 minutes to pick up one medication.

[–] ivanafterall@lemmy.world 12 points 3 days ago (7 children)

You forgot the pharmacist who thinks they know more than your doctor and has the gall to opine on your prescription.

[–] SaveTheTuaHawk@lemmy.ca 18 points 3 days ago (1 children)

Dude.

MDs fuck up prescriptions all the time. You want this.

[–] grrgyle@slrpnk.net 3 points 2 days ago

Yeah pharmacists often know a lot more about drugs than doctors, and they get to focus their whole career on getting good at just that

[–] Zubgub@lemmy.blahaj.zone 17 points 3 days ago (1 children)

But thats like their main point. Pharmacist do know a lot about drugs. It's important to know about negative drug interactions and a pharmacist is more likely to catch it since they most likely know all the drugs you are taking. Your GP might not know about the drugs your psychiatrist gave you or that off-label drug your dermatologist gave you because people are horrible at knowing what drugs they are on and for what purpose.

[–] ivanafterall@lemmy.world 5 points 3 days ago

Fair enough. All I really mean is "idgaf some random pharmacist is opposed to stimulants."

[–] JennaR8r@lemmy.dbzer0.com 7 points 3 days ago (1 children)

Honestly I've always been surprised how much education is required to be a pharmacist when all they do is put pills into a bottle (obeying whatever the doctor wrote on your prescription) and pass it to you through the window. Then imagine going through all the years of University to get a master's degree to work in the back of a CVS.

[–] SaveTheTuaHawk@lemmy.ca 7 points 3 days ago (2 children)

Seriously? They source the drugs, in the correct dosage, or they have to compound a drug, they have to know what other drugs you are on for conflicts that could kill you. They also teach you how to take the drugs correctly.

Why do people who have no fucking clue make comments?

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[–] AlligatorBlizzard@sh.itjust.works 38 points 4 days ago (5 children)

I'm currently stuck in prior authorization hell and used the last dose of my med yesterday. Ugh. I hate this fucking country.

[–] snooggums@piefed.world 20 points 4 days ago

I had to set an annual reminder to call insurance to get that sorted out because the pharmacy doesn't know why they rejected it and after a year my ADHD would forget that prior auth was a thing. So good of the insurance company to decide they need to interfere once a year with the medication I have been taking for over a decade!

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[–] chunes@lemmy.world 17 points 3 days ago (2 children)

the thing that annoys me is they don't care that you have a chronic condition. it's not going to change. i'm going to need this med for the rest of my life.

but they need my doctor to re-up the prescription every 6 months all the same

[–] elbiter@lemmy.world 11 points 3 days ago

They do care if you have a chronic condition. If you do, they can charge you as much as they want.

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[–] Dyskolos@lemmy.zip 33 points 4 days ago (5 children)

You Americans...I just order my shit wherever I want and have it tomorrow for the best price.

[–] TachyonTele@piefed.social 43 points 4 days ago (9 children)

Listen pal, we have the god guven RIGHT to buy our medicine at extremely inflated for no reason prices

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[–] FreddiesLantern@leminal.space 11 points 3 days ago (1 children)

Doctor: for condition A use med B in C manner.

Pharmacist: Oh no, what is he nuts? Never use med B for condition A as it contains flixadidlian cortemolezeum which will react badly to manner C. No you’ll need med D.

[–] HeyThisIsntTheYMCA@lemmy.world 19 points 3 days ago (1 children)

i mean occasionally the pharmacist is right.

[–] captainlezbian@lemmy.world 9 points 3 days ago (1 children)

Yeah that's the pharmacist's job

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[–] finalarbiter@piefed.social 20 points 3 days ago* (last edited 3 days ago) (5 children)

I have found that going to literally any other pharmacy besides walgreens or cvs is a significant improvement in competence and convenience.

[–] muusemuuse@sh.itjust.works 11 points 3 days ago

CVS and Walgreens pharmacies are staffed like dollar generals. They can’t handle the load but they won’t hire more pharmacists.

I had a small pharmacy I loved I had to give up on when I got a new job and they weren’t in network. I was not going to CVS or Walgreens.

So I went to the hospital pharmacy that is in network. Can’t imagine that’s any cheaper but whatever insurance.

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[–] janus2@lemmy.zip 20 points 4 days ago (4 children)

me scrambling every month to get adhd meds in nyc:
first time? 🫠

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[–] trackball_fetish@lemmy.wtf 12 points 3 days ago (7 children)
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[–] BenLeMan@lemmy.world 8 points 3 days ago
[–] dan1101@lemmy.world 16 points 4 days ago (17 children)

I pick up prescriptions for people and CVS always fascinates me, they have like 6 people running around looking busy but somehow very few prescriptions are being filled.

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[–] mfed1122@discuss.tchncs.de 8 points 3 days ago

Blaming pharmacists for things they have no control over, nice. Biggest brain

[–] Raiderkev@lemmy.world 13 points 3 days ago (5 children)

My wife recently had an issue where it was either an anaphylactic reaction or scombroid poisoning. They treated her at urgent care and prescribed an EpiPen in case it happened again. The pharmacy comes out and says sorry it's $120. I know my wife has very good insurance so I had to fight with them, surely there's a generic or something? Then they look into it and say well we have a different kind of one that this prescription covers that's $5 but it expires in September. I'm like yeah, obviously I'll take the one that's 24x cheaper. Like why do we have to do this whole bullshit? Why didn't you offer that one 1st? Fuck for profit healthcare.

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[–] WoodScientist@lemmy.world 9 points 3 days ago* (last edited 3 days ago) (3 children)

https://www.inhousepharmacy.vu/
https://www.alldaychemist.com/

Some old school sites that allow ordering of certain rx medicines without an rx. You can't order scheduled substances like opioids, but they have a lot of common prescription medications.

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[–] frog@feddit.uk 14 points 4 days ago (1 children)

If you are in the US and have a Costco membership, try getting your prescriptions without entering in your insurance. They will put you in the Costco Member Prescription Program. My pills were 75% cheaper. Also this works if you don't have insurance.

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