The Legal Drug Dealer Podcast
Getting Pharmacy as a profession Closer to The Patient
March 24, 2020
#15 Medication’s Prior authorization, All what you need to know
With Marian Haze, CPTh & Marilena Grittani, RPh
This is a packed with information episode.
We discussed at length topics that only pharmacists and pharmacy technicians know, and I got a great one to have this chat: Marian Haze.
Some of the most relevant points she made are:
- What are pharmacy technicians and what is the difference between the pharmacist, the clerks, and the technician.
- What legally is allowed for each one of these employees to do.
- What are prior authorizations and why do you get them.
- Who is responsible to get your medication approved by the insurance, and what you can do to get it done faster.
- Why the insurance denies you medications and how to work around that.
- Tips and tricks to get your medication faster.
- Among a few more details of the complicated process of a prior authorization.
Marian Haze, Certified Pharmacy Technician
Listen To The Episode Here
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And don’t forget that, if you are subscribed to our mailing list, you got the informational sheet that Marian Haze, CPhT prepared for you.
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Marian is awesome at her job, not only because she is super professional,
but because she is compassionate and cares about her patients.
Let me know what you think about our conversation and if you have any questions!!!
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Marilena Grittani, RPh 0:06
Hola! Marilena Grittani here.
Marilena Grittani, RPh 0:09
Welcome to another episode of the Legal Drug Dealer podcast.
Marilena Grittani, RPh 0:13
We’re going to talk in length. And when I say in length, I mean it. We’re going to be very, very specific about two areas of pharmacy that are very important for you, our listeners to understand and the retail setting. We’re going to be talking about who are the pharmacy technicians, what are their responsibilities. What do they do on a daily basis on specifically retail pharmacy. What is the difference with pharmacists. And also we’re going to talk about prior authorization. What are they. Why do you get them. Why pharmacists do this to you. We are going to talk about it all in a very lengthy and with a lot of details conversation.
Marilena Grittani, RPh 0:57
My guest today is going to be wonderful. She was my technicians in the past, her name is Mariam Haze. She has a lot of experience as a retail pharmacy technician over 12 years. And she will talk about what she does for you every day. And also what are the steps and procedures that she gets done for our patients and to help the pharmacists as well, to assist rather the pharmacist every day on their job. So it’s going to be a quite lengthy episode, as I said, but it’s going to be very informative. If you have ever had a prior authorization or a PA requested from the insurance to your physician, you want to listen to this. And if you haven’t, you will in the future. I know that for a fact. So listen up, take notes, and be mindful of the concepts that we’re describing. If you have specific questions, or you have any doubts of stuff that we discussed today, please email them to firstname.lastname@example.org, and I will personally answer them for you. And I will ask Marian for her help, if it’s necessary.
Marilena Grittani, RPh 2:10
Now, I will leave you with the recording of the episode with Marian Haze, pharmacy technician.
Marilena Grittani, RPh 2:17
Okay, Marian, so we’re here together at the legal drug dealer podcast. I’m very happy to have you here. Not only because well, I love you, and you know that, but because you’re so knowledgeable and you’re so good at what you do. Your focus is always the well being of the patient. So that’s why I thought that somebody like you was perfect to explain to our audience, what pharmacy technicians do, so.
Marian Haze, CPhT 2:43
Oh, man. Thank you. Okay, so happy to be here.
Marilena Grittani, RPh 2:49
Yeah, me too. I’m happy that you’re here. So why don’t you tell my audience Why did you become a pharmacy tech? What happened? there?
Marian Haze, CPhT 3:00
I became a pharmacy tech because I wanted people to Well, number one, the knowledge I like ,the knowledge I like doing CE’s (Continues Education), I like learning and I like that it’s constantly changing. You know, you’re not, you know, you’re not stuck in one spot or one monotonous kind of thing every day you really get to the drugs are always changing, the laws are always changing, you have to keep up with it in order to you know, to prosper in your position. And then I just liked the the interaction with the patients, especially when they’re at their lowest, and you’re really trying to, you know, boost them and make them feel better when they’re not feeling so well. I mean, even if it’s they just found out they have high blood pressure, even though you know, technically they may not feel sick or anything well. Now I’ve got blood pressure problems great. You know, people always have a negative thoughts to any type of medication that they have to take. And I just thought being there to help reassure them and be part of the game, the pharmacists that really, you know, teaches them how to take care of themselves better and, and you know, just help them with their medication understanding and manage it.
Marilena Grittani, RPh 4:16
Yeah. That is definitely something that you said that is absolutely true. And I want to emphasize is that most of the time when we get patients into pharmacy, they come from a doctor office and they come after diagnosis, whether is that they are pre diabetic or they’re have hypertension or high blood pressure, or they got a cancer diagnosis, that’s when we get them. So just dealing with that situation is tough for them. And they come to the pharmacy to get the medications and run away and start home and start thinking about it or solving problems or telling their mom or their wives or start crying by themselves in the car.
Marilena Grittani, RPh 4:56
So going to the pharmacy is not a nice relaxing, good step of their the process that they’re going through. So when they come to us at the pharmacy as you said that they’re not at their best. Sometimes they’re in a way that is just hurting us. So we will always try. And I know you have because of being your pharmacist a bunch of times, to make them feel good and to help them as much as you can most of the time with tools that I never knew how to do because well, I’m not a tech and I suck that it said! Oh, you are so good at what you do and that I saw it. Always! So be be mindful of what your technicians do for you. Okay, so how long ago did you become a pharmacy tech?
Marian Haze, CPhT 5:43
I have been a tech for since 2008. So what is that 12 years now? Well, almost 12 years in March. Yes.
Marian Haze, CPhT 5:52
So we had some an expert you can do have done. You have a lot of expensive work and what is your job Have you done? Have you worked?
Marian Haze, CPhT 6:02
Um, I have worked retail and I’ve also worked a hospital pharmacy, okay, which you know, entails compounding and, and making IVs (Intravenous drugs) and, you know, really working with the nurses on you know, various levels of the of the hospital and different departments. And then retail, you know, I deal with the public retail is what I worked the most in. And I’ve you know, just you deal with the patients day in and day out. The sick babies and the sick mamas then and everything.
Marilena Grittani, RPh 6:35
And if people that we “stab” with vaccinations, and then you have to deal with them, well, I just pinched them. Just give them a vaccine.
Marian Haze, CPhT 6:43
Marilena Grittani, RPh 6:44
Yes. So, will say: she’s nice. She’s not gonna hurt you. I promise she’s very good at what she does and then I go with this syringe just to stab them.So, you have work in the two most popular settings and we had previous episodes where we talk about the difference between retail and hospital. But having experienced in both areas give you an idea of the best, the best idea of what healthcare in the front and the side of pharmacy is. So I considered you an expert. And listeners trust me on that she is an expert and she’s really good at what she does. So let’s just continue with the questions that I have here for you. What motivates you to help your patients, What is it the thing that makes you go to work every day? get pretty like you do you get your makeup, your get hair done and you come in with a smile every single morning to help them what is it that drives you to do that?
Marian Haze, CPhT 7:45
You know what, honestly, and I, I hope this doesn’t sound selfish, but I do it because I would want to be treated the same way going into a pharmacy. I would want care and I would want understanding. I want I think a pharmacy should almost feel like when you go into your barber or your haircut where you feel like you can speak and you feel like comfortable enough to, you know, let some things loose that that, you know, maybe are upsetting you. And yes, it’s of course a different setting you may not be talking about, you know, your your husband cheating on you or anything like that, but you, you know, maybe talking about the frustration of, I’m taking care of my father and my elderly father and he’s not taking his medications and, you know, people really tend to break down in the pharmacy. And I just do it because I want to make it better for them because, I feel like that the kind of position that I would want to be in, I would want someone to take care of me and explain things to me even if it’s over and over and over again. It’s okay. Because you know what those people are patients don’t work in the pharmacy. They don’t see this in an Every day so it may be difficult for them to grasp exactly you know the ins and outs or procedures and I would want somebody to treat me that same exact way or any member of my family that went into a pharmacy.
Marilena Grittani, RPh 9:13
Yeah. And you sure do a good job, and sometimes when I was busy working with you check in having 50 prescriptions to check in the mornings and all the stuff getting done there you are doing therapy to a patient talking about stuff at home on my elderly father you know, and then you’re like: it’s okay girl You got it. We will keep going. You know, so many times I saw that but it is true is there sometimes when they’re taking care of this type of patients, they don’t go anywhere else but the pharmacy or the grocery store, so the only place that they can talk to people is the pharmacy. So right thank you thank you for that and and for for helping them that way. Because we pharmacists, we don’t have that much time to do it. So the technicians right out of the out of this important that part too.
Marian Haze, CPhT 9:59
Marilena Grittani, RPh 10:00
Well talking about that, what is the difference between a pharmacy tech and a pharmacist?
Marian Haze, CPhT 10:07
I believe that the pharmacy tech kind of deals with more of, I hate to say but like mundane things, we’re going to deal with the insurance we’re going to type in the prescriptions for the most part, and really kind of visit with the patient, the beginning and the end, you know, when they’re checking out, but, and we, you know, we fill the prescription we we pour the pills in the bottle as everyone thinks. But the pharmacist really takes the load. The pharmacist when they do that check at the end, they’re taking on the responsibility of what’s going out there to the public. And, unfortunately, as technicians, even though we don’t want to we are allowed and sometimes you make mistakes, and that’s when that pharmacist can come in because they have So much more knowledge than we do. You know, it hugely more amounts of knowledge when it comes to medications and interactions, you know, for instance, you know, we we may fill a medication for blood pressure that interacts with a, you know, or like a Coumadin( a blood thinner) And look at these a patient also, right, a blood , and the patient’s taking a different kind of medication or they eat spinach every day. We don’t think about that. That’s where the pharmacist knowledge and schooling comes in to say, Hey, you know, number one, should we be giving them this med we may need to call the doctor because they don’t realize that this med interacts with anything else, or, hey, I need to speak to that patient before they leave this, you know, this building to tell them about the interactions between the food that they’re eating and the blood thinners they’re on. You’ll just really take on so much responsibility and so much of the cost of the pharmacy, you know, I mean, the livelihood of the pharmacy leans on the pharmacists shoulder. And then also you know, occasionally there is the irate customer or upset customer and honestly, the pharmacist has such an even keel, even head to deal with, you know, with with patients that are upset because they have that knowledge to explain to them. You know, what, whatever it is that’s upsetting them, but the pharmacist just seems to be a therapist in that respect.
Marilena Grittani, RPh 12:29
Well, we both are therapists in different ocassions. But yeah, going back to what you said, we have different jobs. The scale is completely different. I don’t know anything about insurances and the technicians are the best at them. We don’t know anything about most of the processes, how to get how to get people in there in the automatic re-fill. We don’t even remember how to do that technicians are the one that take care of that. Also with the inventory and most of the 90% of the stuff that the Home Office, whether you are working for a big retail company or you work for an independent pharmacy, the home office has rules and, projects that had to be, you know, apply and developed. And the technician is the one that takes 90% of them, we just review we just make sure everything is good. We just check and move on, because we spend most of our time talking to the doctors to the patient and to make sure that the prescriptions that were filled by technicians are correct.
Marilena Grittani, RPh 13:30
Like, I have techs that I work with that I am scared to work with them because they make so many mistakes that the chances that I will let one of those slide could potentially kill somebody. And then his other times is that I would work with them with my eyes closed because I know I can trust them. Like I don’t remember catching any mistake from you pull in the wrong medication or the wrong strength or counting the pills wrong, because we’ll all your expertise and dedication that you have to your job. So that’s why the trust between the technician and the pharmacist, this is a bond that is very important and is not only for the sake of having a good day at work, but also for the sake of the safety of the patient that is taking that product, because we both check each other. And I remember also telling you, Marian, double check my calculation here is the baby calculation. I just want to make sure if I did it correctly,
Marian Haze, CPhT 14:25
right, right, because we just want to safeguard everybody that comes through.
Marian Haze, CPhT 14:30
Exactly, so we work together. We have different responsibilities. You do stuff that we don’t know how to do, we do stuff that you guys don’t know what to do, and they sometimes overlap, but that is the main difference. So explain please What is the difference between a technician and a clerk what is the main difference there in the pharmacy in the retail pharmacy.
Marian Haze, CPhT 14:54
In a retail pharmacy, the clerk is not going to have the responsibilities of With the prescriptions, they are going to, they’ll still be HIPAA certified. But they’re going to mainly just deal with taking in a prescription making sure that everything on the prescription is what we need to type it up and fill the prescription. And they’re going to check the patient out and work with the pharmacists specifically if there’s any type of counseling for the patient, but they’re not going to process prescriptions there that you know, they haven’t had that training to actually do that position.
Marilena Grittani, RPh 15:31
So basically, they just received a prescription from the patient, they makes sure all the information that the pharmacy tech and the pharmacist is going to need is included: If the patient has, they hand out the card, if they’ve never been to the pharmacy, they fill up the information, they hand it over to them but then they do nothing with it. They just hand it over to the technician that is the one that process is typeset. It does insurance processing pulls the pills or the injections or whatever the drug is, counts them. Label them get some ready for the pharmacist to check. And then whenever the pharmacist finished the process, they are the ones that grab the baggie and charge you and then charge you for the chocolate that you bought, and maybe some of the cigarettes that you might need as well, which is ironic, but it happens.
Marilena Grittani, RPh 16:19
So it’s completely different, even though it’s three people that are working in the same pharmacy as we did a ton of times together with Ashley, we all work together.
Marian Haze, CPhT 16:28
We had a different role.
Marilena Grittani, RPh 16:29
Exactly. And we will treat it the same. In a pharmacy specifically when I work. I don’t discriminate anybody because you’re a cashier or clerk, I don’t talk to you or you’re distant or the technician. Everybody’s the same in my pharmacy when we’re working together. But everybody has a different job. And the technician doesn’t know what the pharmacist know and the clerk doesn’t know what the technician or pharmacists know, but the pharmacist needs to know everything. So yeah, we have a bit of more responsibility because We were in charge.
Marian Haze, CPhT 17:00
Marilena Grittani, RPh 17:02
Not only for the business. But we are in charge by law, about anything, right? anything that happens that day with the drugs that were dispensed. So if anybody has the problem, the one that is going to court or eventually to jail because something wrong happened to a patient is the pharmacist, so that’s a perfect responsibility.
Marian Haze, CPhT 17:23
Marilena Grittani, RPh 17:23
Not to make a dramatic. That’s what it is. So besides doing insurance, processing and counting the peel and pulling the pills and put it in a bottle and sticking the label on it, what other jobs or duties pharmacy technicians have?
Marian Haze, CPhT 17:38
Well, we deal with inventory. That’s one thing that you mentioned, you know, making sure that our accounts are correct and where they need to be. Another big thing that we do are prior authorizations with helping you know, patients get the meds that they need, that sometimes the insurance company doesn’t want them to have, because of typically because cost. So that’s that’s a big part of pharmacy that people don’t realize that,you know, I was thinking about it before we did know we were talking about this podcast. And when you go to the doctor and say you need to have an MRI, your doctor’s office even oftentimes don’t tell you, but they do what’s called a pre authorization through your insurance in order to get your insurance to cover your MRI. In my case, actually, I had shoulder surgery back in May. And before I could do that my insurance company said no, to the MRI until I completed some physical therapy to see if I could fix it. That’s the only reason I even realized what was going on behind the scenes.
Marian Haze, CPhT 18:41
Unfortunately, in pharmacy, it’s not quite that, you know, quite that easy, and quite that behind the scenes. There’s so many steps involved in a lot of times the patient has to actually be involved and they don’t necessarily realize that because, like I said in a hospital setting or a doctor office setting, they do all the work, the patient doesn’t need to be involved. But when you’re trying to get a certain medication, even though the doctor is said, Hey, this is the medication I want you on. The insurance company, oftentimes will fight tooth and nail, they really make you jump through the hoops to get that medication if it’s not one they want to give you. So that’s, that’s really, especially in these times really become a huge part of pharmacy work for a technician prior authorizations.
Marian Haze, CPhT 19:31
Absolutely. So, just to dig a little bit more on what you just said, which was very eloquent and very easy to understand is that when you go to a specific physician, in this case, an orthopedist like the doctor that we’re seeing you for your shoulder, they have very few options to what they could do. They need an X ray, they need an MRI, they need a CT scan, they need physical therapy, and that’s it or maybe they need a sleeve for your for your shoulder. So things and the insurance gives them a list of the stuff that they cover not. And based on the insurance that you have at the moment that the Secretary or the receptionist takes your insurance, they print out for the doctor, what is it that the insurance covers and then the physician based on that information that they have in front of you, they said, Okay, I’m gonna order this for you because I know your insurance covers it. And there you go.
Marilena Grittani, RPh 20:22
They make your appointment for your MRI or they make your appointment for your physical therapy, and everything goes smoothly, that’s not an issue. The problem with pharmacy or drugs in this case, is that there is thousands of drugs. So there is no way that an insurance will give a list of the thousands of drugs that they cover for a patient. Plus, every patient has different coverage for their medications, depending of the plan that they are if there are Medicare and Medicaid, if they have private insurance if they have if they have supplemental insurance, so it’s too complicated for the doctor to know if this covered So the doctor cannot predict, that they are the way that we find out is when we put it into the system.
Marilena Grittani, RPh 21:06
What sorry, when I said we, I mean, the technicians because I don’t. I don’t know how, don’t tell anybody but I don’t know I suck at it. Anyways, when the technician since the claim via computer to the insurance company, they say, Well, you know, we don’t pay for this one because this one is more expensive, too expensive. We want you to give the patient a generic or we want you to give the patient something different. Sometimes Marian right. They give you the options.
Marian Haze, CPhT 21:33
yes, you know, some of the companies that the insurance companies will say, Okay, here’s what you’re going to do. And they’ll tell us the steps as if, you know, we were in an orthopedist office, you know, they’ll say, what this patient needs to do is say it’s a it’s a cholesterol medication, there’s a new one out, your doctor has had great results with it with other patients whose insurance didn’t mind covering it right out of the gate, but your insurance says you know what, we usually wants you to try an old standard generic first. And some require it to be a month, two months and your doctor you have to go back to your doctor and your doctor can say, Listen, this isn’t lowered your cholesterol like the other medication would, then the doctor can go to the insurance company and say, Okay, this is what I want. We’ve tried and failed. Those are two big, big words in pharmacy when it comes prior authorization: tried and failed. Once that happens, the insurance company typically will approve the medication your doctor wants, but occasionally, an insurance company will and they can flat out refuse.
Marian Haze, CPhT 22:41
Now I say that, but we can poke and prod and poke and prod, and the doctor can and you actually as a patient can be an advocate for yourself and call the insurance company. More times than not we can get that medication approved. Sometimes what patients don’t realize is even with a prior authorization and everybody’s working in the doctor’s offices, we’re working on it, the patients working on it, it can take anywhere from. I’ve had prior authorizations be approved in 10 minutes. I’ve called the insurance company myself, and they’ve said, okay, you know, let them have the med, it can take up to a month. You know it, can I and I honestly believe this is a way for the insurance company to because the doctor is going to get you samples, I think it’s a way of, okay, at least there’s one month’s worth, we don’t have to pay for. They’re fighting for it. But oftentimes that is, that’s another thing to remember is the newer meds, a lot of times your doctors have sample and they are happily going to give them to you to get you through until your prior authorization is approved. But you know, the biggest thing with prior authorizations is you just have to keep trying them. We don’t know and the pharmacy for some reason, even though we’re the ones To initiate prior authorization most times, a lot of times nobody tells us that they’ve gone through.
Marian Haze, CPhT 24:06
So as a patient, is so helpful, don’t don’t hesitate. Don’t feel like you’re bothering us, call us call us every single day. Hey, please run, you know, please test that claim, see if it’s been approved. Because I’ve had times where a claim has been approved because a patient’s asked me to run it. And the insurance company or the doctor’s office calls a week later to tell me it’s approved. I’m like, Well, you know, if it hadn’t been for that patient asking, they would, are they you know, they still would be weak without their medication. Another big thing about prior authorizations to remember: most prior authorizations only lasts for a year, some six months, but most or a year, often when we’re in the pharmacy., we will when we bill it that month prior to it running out, we’ll get a notification Hey, prior authorization is going to expire. And then we can go ahead and start on our end, start getting it reauthorized for you a month ahead of time. Sometimes that doesn’t happen. So that’s something also to kind of be aware about that, you know, we may, we definitely try in the pharmacy to stay on top of everything like that. But occasionally, or if it’s time for your 12 month refills, we need to get your prior authorization going again, because the insurance you know, may want that or, they may change their, their drug list of approved meds, and now this has become an even higher tier. So, you know, the tiers of, you know, the first tier is basically what they’re going to cover. second tier, you have to fight for just a little bit or it’s going to be a higher copay than that third tier, you’re almost guaranteed you’re going to have to do a prior authorization. So you never know what tier your meds going to move into as the years go by and your drug list changes through the insurance company.
Marilena Grittani, RPh 25:58
So this is something I a little bit about what a prior authorization is. Whenever you get a prescription from the physician that you bring to the pharmacy, there are tears as Marian was explaining of the pending of what plan you have for your insurance, what they cover. So they have the tier number one that is the cheapest. And the oldest cover, they don’t even need anything. It goes through smoothly. Perfect go normally happens for inexpensive, generic, all medications that are perfectly fine for this process to work. Then you have the second tier that are medications that are maybe brand name, or they’re more expensive. And they will ask Marian said give you a higher copay, or they wouldn’t say out of the gate, no, it’s not going to be covered. But then we call them we say okay, what the problem is, and then they said either change it for another drug that has a generic or the same is not going to be covered. We need a prior authorization. So basically what the prior authorization means Is that they insurance with prior to you dispense, they’re getting the drug authorized that you can get that.
Marilena Grittani, RPh 27:07
They no saying, clinically speaking of what you should get. What I’m saying with that is that they’re not doctors. They’re not pharmacists, they don’t know what you as an individual, need in terms of medications based on whatever you have in or you’re going through. They just know how much they cost. And they just know that they don’t want to pay for it. So then, even though you pay a monthly fee to have this advantage, they say, Well, this is too expensive. I just simply don’t want to pay for that. So then is when you, the pharmacy and the doctor as a triangle work together to get this approved. So then what you do, the pharmacy technician gets the rejection that says is not covered. We need a pair authorization. So what we need to do is to get in touch with a physician and say hey doctor, the insurance is saying that the patient should use this drug before they use this one. And then the doctor has information that you have used before and it doesn’t work anymore. So then the doctor writes a report, send some to the insurance, insurance reviews it, of course, it doesn’t happen immediately. They take their sweet time because you know, they’re busy. And then you’re not sick. It does not matter if you’re sick. What matters is that, they’re busy and they don’t have to, they don’t want to pay that much money for your medication, even though you’re sick and you need it.
Marilena Grittani, RPh 28:30
So then whenever they said, Okay, oh, they tried it before and now we’re trying this new one. Well, okay, I’m gonna prove it. That is the second tier or the best second scenario that we will have here, that they after you get a prayer authorization, they said, okay. But then you have another level that they say no, we’re not going to approve it and then you need to escalate this and you will probably end up talking to a pharmacist that works in an insurance company that would analyze the clinical information. The reports of the doctor have sent the prices of the medications the plan that you have how much money have you spent on your plan so far. How much they have paid for your stuff. They don’t tell you that, but that’s what it is. And then they end up saying, well, we’re gonna deny it.
Marilena Grittani, RPh 29:16
Sometimes it’s life threatening situations and you need that to survive and they have the nerve to say no. So then, because the law protects you, but you don’t know it. Sometimes people just leave it like that. But as Marian said, you have to fight for this, you have to be the advocate and say I don’t care what your policy is. I need this, a doctor have proven that I needed is taking three weeks I don’t care what you are going to pay for this because this is my life. I will not be healthy If I don’t take this medication. So this is when you partner with your techs and your doctors to get this done and your pharmacist sometimes have to write a review as well. So when whenever you hear the words prior authorization Please don’t think is the pharmacy denying you the drug. Is the insurance that doesn’t want to pay for that on Fortunately for us, we are the messenger. And we are the ones that get shoot. But we are the ones that are advocating working, wanting to get the loops and go through hoops, to get it approved for you. Marian, please What do you have to say about what did you said? Because I’m talking too much Please help me.
Marian Haze, CPhT 30:26
I think that’s I think that’s dead on. Really like Marilena said, Please be an advocate for yourself. We as a pharmacy only want to help you, and we want to help you be well and we want to help you have the medication that’s going to work for you. And we will do everything in our power to to get that medication taken care of for you. But the biggest thing is please please please be an advocate for yourself on those medications as well. Oftentimes an insurance company just listens to their patient. They are customers, I guess our patients are their customer.
Marilena Grittani, RPh 31:03
Yes. The one more one that’s paying their bill.
Marian Haze, CPhT 31:07
Yes and paying paying their monthly premiums. Yes, more so than they will any of us even though like you said, they are not doctors, they are not physicians, oftentimes they don’t have access to your records they don’t know. You know that that you know, a certain medication is not for you, and one would be better so yes, please just personally advocate for yourself with your insurance company. And like I said, Do not be afraid to call your your pharmacy and have them test your claim and do what they can because they’re always willing to help you.
Marilena Grittani, RPh 31:41
Oh, Marian is saying that because they say okay, we are denying this send us a personalization so the pharmacy calls in faxes the doctor with the information, that they said that they need a doctor so they are asking for this and this and this, please send it to them so the doctor writes it the system The doctor’s office sends it to the insurance, and then it stays in limbo. Until whenever they feel like it. Oh, I’m sorry, until whenever they have time to process it. I didn’t mean that.
Marilena Grittani, RPh 32:10
So then, if they approve it or not, most of the time, we don’t know. So we have to continuously test or run through the computer to see if they approve the claim. Sometimes we get lucky. And then it gets approved like that. Sometimes it doesn’t. So we just have to continuously be trying. So whenever you have a prior authorization pending, I would say every two three days called the pharmacy and say, Hey, did you hear about my prior authorization? Have you tried to see if you get to prove what happened with this? Did this work or not?
Marilena Grittani, RPh 32:43
Let me just tell you a story. I know I talked too much, but I’m going to say this because you know, Marian knows me and now you guys are learning how to how I am but you don’t mess with me. Okay. So this is what happened. I have stomach irritation, what is called GERD. Which is my because I drink coffee and because I have a sensitive stomach, it gets to the point that I cannot live. It’s just too bad. It burns myself all the way to my pipe to my throat and it’s very uncomfortable. So my doctor, we started Of course taking I am pharmacists so I know what to do. So I started taking over the counter stuff. It worked for a little bit then it didn’t. Then I went to a gastroenterologist he ordered prescription medication and he said it’s a brand name drug. So of course the insurance said no, and the doctor said hey, listen, she tried this we got an endoscopy and we found out that she has this and she needs this so they approved it. Well I moved out of that state i don’t know if you heard about it, Mary moved. So anyway, I I started with a new insurance here in Arizona and I went to a doctor here I got my new prescription for the same drug and we send it but this is a new insurance for me. So they said no, we don’t cover that. Are you kidding me with that? You have to take the cheap stuff over the counter, and we’re not going to pay for that. And I said, Well, that’s not the case, because that’s the only thing that works for me. This doctor didn’t have history, but I did. So I called the insurance company and I said, Listen, I need this drug because of this and that, and the person that was in the other side, bless his heart. He didn’t know who he was talking to. And I gave him a lecture of what pharmacists do. And I said, Listen, this is what my clinical history is. And I went and I said, I have take this record this long, didn’t work, I had an endoscopy, and this is what I need. And this is why I cannot take it. Now, you cannot approve it, that’s fine. But I’m going to end up in the hospital for three four days with a bleeding ulcer, and you’re going to probably have to pay between 50 and $60,000 instead of $40 for this prescription, so you tell me, what do you want me to do? It’s in your hands. This person, bless his heart again. It was a little kid. That was like… didn’t have a word to say, but that’s what education does for; you guess what, two days later I got a letter that said your medication is approved for a year. And I’m taking my Dexilant every day because it’s the only thing that works for my stomach irritation.
Marilena Grittani, RPh 35:14
So when you know what to do when you understand the process when you know the system and you know the words to use and to say for it to get approved, it happens and that’s all what I’m trying to do with this podcast educate you, explain to you what it is, how it works, who does what and what is needed and who needs to do what so you get it approved the same way that I got my year. And now that you reminded me in May I need to start this process, all over again because they do suffer for one year. So it does not just happen to people it happens to pharmacists. So when when when you get when you get the comment in your head that you think well How come it’s not covering my doctor says that I needed. I hope that all this explanations that we gave you Marian me clarify that those questions because it’s very common, right? Maybe that they say, What do you mean is the doctor ordered? I need that.
Marilena Grittani, RPh 36:08
Right? Yes, we want you to have your medication your doctor, once you have your medication, your insurance doesn’t want to pay for that medication. And unfortunately, that means either you’re paying out of pocket, or we work our prior authorization. One quick thing I do want to tell the listeners about is that I didn’t even think about until just now, when we do a prior authorization, and yes, it can take up to a month. Say your doctor doesn’t have samples a lot of times and the pharmacy can help you with this as well. A lot of the drug manufacturers are kind of wising up to the fact that insurance companies are going to fight them a little bit. They’re putting out cards for free months. So definitely check in if that medication is not covered, and you’re doing prior authorization, check in with your pharmacy to see if you can use some type of a coupon if they can find something to get you a free month of that medication because it is out there and it is available. And oftentimes it’s not utilized maybe as much as it should be. But it is a helpful thing to kind of have in your back pocket as you know as a free month of medication while we wait on that prior offers…
Marilena Grittani, RPh 37:23
Like a bridge, or between the time needed and the time that defined insurance finally pays for it. That is a very good point. Exactly. Sometimes doctors have those cards, the doctors or the prescribers whether it’s a PA or a nurse practitioner and they give it to you so please, if they do, don’t waste it don’t even think oh, I have insurances, okay? No, it’s not. I’m telling you keep them together, bring it with us to the with a prescription. If it is covered by the insurance, we will give you the card back if it’s not covered by the insurance or they need a PA or with a prior authorization and we need to take time. That is a good way for you to start your medication. Just start your treatment and then not have any more negative consequences of whatever you’re going through. But at the same time it is saving you time, while in the background, the pharmacy, the doctor office and the insurance are working out your regular every month prescription medication. So good point. Absolutely. That’s very, very important. If you guys have questions, you know what to do, you just email them to email@example.com.
Marilena Grittani, RPh 38:27
I want to switch the conversation to a more light stuff. And more funny for you and me, Mary and not for the patients. I’m sorry if you get offended, but you guys know you do this. So I wanted to ask you questions that patients have asked you, and then what you think about it now what would you tell them but what do you think about that? And I would give mine as well. So a patient walks into the pharmacy for retail pharmacy and they say why am I not not Ready? Why wouldn’t What do you mean? My medication is not ready, the doctor told me that they will be ready as soon as I got here. What is the first thing that comes to your mind? Number one, You laugh!
Marian Haze, CPhT 39:10
Number one I laugh? Yeah, no, no. Number two, because I am a good pharmacy technician. I will double check all sources that that that prescription could have come from, whether it be phone, fax, email. No, I’m sorry. Yes. Now, whatever. What I tell the patient, if it’s not here, what time did you leave the office. Oftentimes, the patients just come from across the street. Sometimes the patient The doctor has not even finished charting what they’re sending over. So that faxes and emails fail. Think about how much in your just personal life that that stuff doesn’t go through or I sent you that text you didn’t get it. It’s on my phone. It’s not on your stuff happens. So yes, your your prescriptions not ready but it’s I guarantee not because we haven’t tried to start working on it, we just haven’t received anything yet from your doctor
Marilena Grittani, RPh 40:17
That is one reason. The other reason is because maybe we have 100 patients before you. So we haven’t had to get to it. Because that happened. And I know that for you. This is the only prescription that matters, but for us. We have patients that came way before you that we have to take care off before you. So it’s not that we’re picking on you. It’s not that we don’t think that your your pain or your infection or whatever you’re going through is not important. It’s simply that maybe somebody that was in front of you had the same situation and we need to be kind and responsible for everybody, and everybody has to wait for their turn.
Marilena Grittani, RPh 40:54
But this is my my comment about any prescriber that dares to say to the pharmacy will be ready when you get there. Really? really? doctor, prescriber pa nurse practitioner, whoever you are really because you do whatever I said, right? No, ma’am, no, sir. That’s not the way that it works. You manage your shop, I manage mine. You can tell your patient, I’m going to send it to the pharmacy so they will have it by the time that you get there. That’s different. The prescription is going to be ready for them at the time that they get there. Please give us at least an hour for us to work it out, to at least receive it because I’ve worked in pharmacies that I used to fill 600 prescriptions a day. Do you think I have time to check every single time to see oh did doctor send me something I just go by order by priority by what is needed. If you need something that is, as needed that you are needed every day. I’m going to give priority to somebody that has an infection or is dying of pain that just got out of a surgery, that is in front of me though she just had a C section with a baby crying in front of me that she needs the drug more than you just need your cholesterol medication that is going to be due tonight. So, yes, you are important to us. We want to take care of you. We want to do the best for you. But only, we know what is the priority that we have in a pharmacy. Granted, we have pharmacists that are slackers and granted we have technicians that aer slackers, and are not the best I get that. I’m not going to complain. But also we have a lot of pharmacists that are understaffed, whether it’s because of technicians or the pharmacists that work there were sick or had a family problem, or simply because they’re too cheap to hire more people. And then they overworked everybody, whatever the situation is 90% of the case, we are not picking on you. We’re just trying to do our best the job that we need to do and a safety way to make sure that we’re giving you exactly what needs to be given to you. Not only through an insurance because of course if I give it to you quickly, it’s not going to go through the insurance and then you have to pay I don’t know $700 For the pill, you’re going to say like, what? No, I’m not gonna pay that you’ll do it again. And I would say, Well, no, it’s going to take 45 more minutes. So understand that we are not a fast food restaurant, we are giving you stuff that could potentially kill you.
Marian Haze, CPhT 43:15
Yes. And another thing too is when you go, if you go into a retail pharmacy, and nobody else is there, but the employees, the pharmacist and the technician and and possibly a clerk. That doesn’t mean that we’re slow. We may have received your medication, but 15 people may have just come in and dropped off their prescriptions and are waiting and coming back in 20 minutes to pick up their prescriptions. So it’s not necessarily that we, you know, are just standing around you come in and we give you a long wait time. It’s all my goodness. Okay, well, your 22nd in line right now.
Marilena Grittani, RPh 43:54
Yeah, it’s not Starbucks. You wait longer than Starbucks that you have the patience for us. And I know that for a fact. Because I go to both places and I know how people behave. Nobody screams at the barista that the coffee is not ready, a cup frappuccino and they sit there you go and then what what do we get we give you the stuff that is gonna cure you, heal you, improve your pain improve your whatever problems you have. And then we get yell at really people. I mean, I’m not trying to sound that mean here, but I just want you to sit in our chair for a little bit and feel the way that we feel and that’s also the purpose of this because I know you’re in a low level. I know you’re in pain. I know you’re confused. I know you have… Yeah, but that doesn’t mean that you get to be mean to us because we’re people too. And you know what?
Marian Haze, CPhT 44:44
Marilena Grittani, RPh 44:45
I know people don’t think about this. We go potty to we need TT breaks. Believe it or not, we do. Just saying. Okay, okay, another question that are funny. I’m sorry for need to pharmacy staff not patients. Why am I drugs? Not on stock all the time? Why don’t you have everything? What do you answer to that Marian?
Marian Haze, CPhT 45:10
Do you want what I say?
Marilena Grittani, RPh 45:13
Actually, I want you to know what you think and then,not would you tell the patient but what you want it to beat you.
Marian Haze, CPhT 45:21
Okay, what I think and in this isn’t always the…
Marilena Grittani, RPh 45:24
people get ready because she’s very sassy. So okay, go on.
Marian Haze, CPhT 45:27
Yes. This isn’t necessarily the case with everyone. But when a patient comes in and asks why on their meds that their med isn’t stopped, we have stocked your med, but your med was due to be picked up a week ago, and you did not pick it up. So we put it back on our shelves because you can only reverse insurance billing for so many days. Once we reverse it. Somebody else’s on that med you never picked it up or giving it away to somebody else. And now We’re starting at square one again with your prescription. What I tell the patient is that we will definitely do our best to get their meds in for them next time that I can order it typically you can order a medication for the very next day, unless it’s a Saturday or Sunday or a Friday into a Saturday, Saturday into Sunday. But we can get your medication for you the very next day,
Marilena Grittani, RPh 46:23
or at least the holiday in the middle is a problem, correct?
Marian Haze, CPhT 46:27
Yes, yes. Correct. You know, this actually kind of runs along the same lines as the prior authorization. You have to be self aware of your medications and when you’re getting low, and if you haven’t filled it, if you’re a week late, you have not been taking your medication like you need to take your medication
Marilena Grittani, RPh 46:45
good. As a pharmacist, I’m telling you, that is not good at all. Not
Marian Haze, CPhT 46:49
Not good at all. And oftentimes the ones that the patients are more upset about us not having their expensive meds for us just to sit on our shelves, and we’ve Do you have the patients that, you know, go two or three months without taking their medication, we have a $4,000 cholesterol meds sitting on our shelf that we can’t do anything with. So that’s I just tell patients, you know, we’re going to do our best to keep it in stock for you. I will try and set you up on automatic refill. And I’m going to fill it for you. And I’m going to call you every day until you come pick it up. So you don’t run to this issue again.
Marilena Grittani, RPh 47:31
Yes, but that fix fixes the problem. And that is a subject for another, another solo episode that I would be talking to you about about what is what is the importance of automatic refills and those phone calls because I know they’re annoying, I know, but they have a reason and we will talk about it in more details. Or one more thing that I wanted to say about that is that there is no pharmacy in any part of the world that has enough space for every single medication, that exists, we cannot have absolutely everything, we only have the stuff that we use, because they expire on us, and then they’re worthless, and we waste that money. And other people might need it somewhere else. And we have it in a shelf gathering dust. So we have,our reasons. And then 99% of the time, but we do ordered for the next day. And most of the time you have kind of technicians that are going to call around to find out, even the competition to see if they have that drug. So we can transfer the prescription there and you can go get it there. So we know the importance of your health and we are wanting the best for you. And we’re not picking on you please understand that we are not picking on you.
Marilena Grittani, RPh 48:41
Last funny question funny between quotations again, funny question for you, Marian. Because this is the one that is the funniest for me. A person comes in and she talks to you or he says, I need to pick up my medication. And then you’re like, what medication and then they say well Don’t you know it. I come here with month? How come you don’t know? So what’s your thoughts about somebody that comes like that? the Sassy is gonna say…
Marian Haze, CPhT 49:12
Ahhhhhhh Again, it’s your medication. Do you know how many patients we see? You take two pills a month, please, even if you could come in and say it’s the round green pill on my profile that would help us. Yes. But when you don’t know which medication it is, and you don’t regularly pick up your medication. Yeah, you actually should be out of both medications for two months that you’re on. So I need more help than that. If you if you don’t want to remember your medications, if you you know, don’t want to have that responsibility on you. Right on a little paper, keep it in your wallet, keep it in your purse,
Marian Haze, CPhT 49:56
Your cell phone. Take a picture,
Marian Haze, CPhT 50:00
Take a picture and you just show it to us each night. Yeah. You know, maybe maybe you’re, you know, nervous that you’re gonna mess up a name because some of the names are pretty weird and I mess up quite a few of them.
Marilena Grittani, RPh 50:11
Marian Haze, CPhT 50:13
Marian Haze, CPhT 50:15
They don’t make it easy. But just take a picture, like you said, anything. And we can help you off of Bill dinette for
Marilena Grittani, RPh 50:24
what it is for I need my drug for the pain that I have in my knees. Okay, that’s a different pain medication that you will use. It’s a topic. It’s a cream that I use, okay, okay, okay, that’s easier for us to find out. But remember, we have thousands of patients and each patient minimum has to medications, their is patients that take 20 to 30 medications every month. Do you think? Remember everybody’s drugs and everything? No, unless you’re a very kind person and we have conversations constantly and we become “friends”. Which is part of the next question that I wanted to ask you why it’s so important to have a good relationship with your pharmacy technician and your pharmacist. Because you have to establish trust because you have to establish that friendship, that empathy that will help you throughout, you cannot do this in big chain pharmacists because they are filling 1000 prescriptions a day, you can do that in a retail pharmacy that is independent that have more time, that have more dedication that have a little bit of more kindness and human contact with the patient to get this done. That’s why I support in theindependent pharmacists. And I love working for them, which is the place where Marian and rather than in big chain pharmacy, which I workedfor, and I will never go back to them. God please help me!That was awful. Anyways, um,
Marilena Grittani, RPh 51:54
Oh and by the way, when you tell me that you have you need the pill that is round and white. You’re not helping me I’m sorry. Because I have thousands of pills that are around and white. Those are the most common shape and color of pills. So please don’t tell me the little white one, is funny. It’s actually funny to us. I know it’s not for you. And I’m not trying to offend you, but it’s actually funny to us. So try to remember what it is for and have a list and we talked about this in the MTM episode but keep the list that that pharmacist builds for you when you have your MTM or medication therapy management free including your Medicare Part B Part D I’m sorry benefits that is that you go over with this drugs are included in your insurance, your plan to get all the drugs that you have and they will generate a list that is updated every three months and then you can have it with you take a picture of it and then you show it to us this is the one that I need and and he will help us out To do the best for you, okay, okay, I’m checking what else we need to talk about here because this is I love talking about drugs. I’m a drug dealer, I cannot help it. And you are too so don’t don’t even do that. Oh, look at me. We’re like that.
Marilena Grittani, RPh 53:18
So what is something that you you dream, Marian that patients will do to make your job which is to take care of them easier?
Marian Haze, CPhT 53:27
What do I dream her? Well, we just covered it that patients will know what medications they’re on and what they need to build a huge dream is that prescriptions will be picked up when they’re supposed to. I understand like money issues and things like that happen, you know, but we just want to watch out for your health and when you’re not compliant with your medication, you’re not taking the best care you can of yourself. And that’s a that’s a huge thing for us. That’s what we are here for we are here to help you in addition to your Doctor prescribing these medications for you to be healthy or happy, you know, mentally healthy. Yes. Yeah. Yes, mentally healthy, physically healthy, you know, we’re there for that. And so, I just encourage you to please help your pharmacist out and know your meds, know what you’re on and what you aren’t on. One other thing is say you go into an ER and they start you on something different. Please get in contact with your doctor, share with your doctor that you’ve been to this ER and they want you on this man. I don’t want to feel two blood pressure prescriptions for you. You pay for two blood pressure prescriptions, and you really only need one anymore, that patients just really really take more of an active role in their own health.
Marilena Grittani, RPh 54:47
Okay, so anything else that you want to add here before we go to the real bad stuff about practicing pharmacy as a tech?
Marian Haze, CPhT 54:55
Haha, no, I think I’m good.
Marilena Grittani, RPh 54:57
Okay. So being the sassy Marian, that I know guys trust me,She is, not as much as me. But we’re right there. Head to head. What is the most disrespectful thing that a patient has said to you?
Marilena Grittani, RPh 55:11
She changed her face she’s now not happy. She was smiling really wide and then she changed her face. That’s how sad and how these things affect us on a daily basis. But go ahead.
Marian Haze, CPhT 55:24
Um, I think probably the most disrespectful is what do you know you’re not a pharmacist! And it may not even now you know what, I am not at liberty to discuss actual medical questions, you know, with a patient pills, things like that. But you know, when when a patient it’s something to do with insurance or a prior authorization. I take offense to that because guess what, that is my expertise field. I am the one doing the legwork or when you do all the work for it. For a prior authorization, or getting a prescribe even something as simple as getting a prescription refilled, it’s taken for forever and you’ve worked on know things, do you? I’m going to thank the pharmacist because yes, the pharmacist does lots of things. And their, their scope of knowledge is so wide, but I’m the one who worked so hard on prior authorization. And I’m the one that that really, you know, worked with the doctor’s office and got on my pharmacist about, Hey, can you get you know, because the pharmacist usually does their stuff to them, then a review of medication or whatever, but they you know, they do their part too, but I’m the one really behind the scenes, and I feel like sometimes it’s a thankless job, because we are technicians. to them. We’re just a technician.
Marilena Grittani, RPh 56:47
Everybody’s important in their job in the pharmacy. Everybody has their own responsibility. And without one of them the process doesn’t go through is that simple. It’s that simple. Hey, one thing that I forgot to say when we were talking about this Difference between between a technician and a pharmacist. By law, you cannot get a drug unless the pharmacists have checked it. A technician does not have that approval by the Board of Pharmacy of the state, nor the National Board of Pharmacy to dispense medications. If they do, they can go to jail, period. So don’t you ever say to a technician, hey, give it to me. It’s right behind you. The pharmacist is not looking, the pharmacist is not here. You know, you don’t understand what you’re saying and what the implications of what you’re thinking or what you can actually ruin somebody’s life by saying that and you will definitely are offending this person in a deep level that you don’t even understand. So please don’t do it.
Marilena Grittani, RPh 57:42
Okay. Next, bad thing. What is the most common untruth story that people have told you to get their medications faster, like a controlled drug or something like they’re like they are supposed to have enough until Thursday and today’s Monday and they want it now because they’re out
Marian Haze, CPhT 58:01
I spilled it. They knocked the bottle and the pills went down the drain
Marian Haze, CPhT 58:06
Marian Haze, CPhT 58:06
They knocked the bottle into the toilet.
Marilena Grittani, RPh 58:08
Yes. That’s Bingo. I’m taking all of them. I’m taking all of them in my bingo card, because I’ve heard of them. Another one.
Marian Haze, CPhT 58:16
I haven’t even gotten a my dog ate them.
Marilena Grittani, RPh 58:20
Marian Haze, CPhT 58:20
And I just got back from the vet. Yes. I can look out the window and see that there is no dog in your vehicle.
Marian Haze, CPhT 58:29
Okay. My children eat them. If they swallow a control drugs that should be in the ER, you shouldn’t be here asking for more. Okay, yeah,
Marian Haze, CPhT 58:38
My doctor said that you can give it to me early. I don’t care what the doctor said. I have the law on my site. I will do what the law says that I should give. And then if the doctor said so he can give it to you. That’s fine with me. You are not going to push me because the doctor said that I need to give it to you. The law, is the law period. I will not lose my license because you want me to give them to you. How about the ones that said somebody stole them from me?
Marian Haze, CPhT 59:02
Oh, my goodness. Can I see your police report? Please? Yes. Because obviously file a police report. Right if someone stole them from you. Yeah. Robbed
Marilena Grittani, RPh 59:11
Yeah. And the funny part is that if you do that did the police report and all the stuff that needs to happen for it to be approved for the for the monitoring systems that we have that are electronic, it will probably take between 45 and 60 days for this to go through. So that lie is not going to help you? It’s not it’s just
Marilena Grittani, RPh 59:31
Not at all? No, no.
Marian Haze, CPhT 59:36
Okay, okay, another question. Tell me the sweetest thing that a patient have said to you.
Marian Haze, CPhT 59:41
Oh, my goodness. that’s a that’s a hard one. You know, we’ve had some really, I’ve had some really sweet people over the years that are just, you know, you, you know, you look so pretty today, things like that. But in our… so community pharmacies, we definitely do have Have a little bit more leeway with our local patients. And I have a patient that I adore and she couldn’t get into the pharmacy because she drives one of those. She’s not allowed to drive her car anymore but she’s allowed to drive one of those little rotor scooter things. She couldn’t get out. And I brought her medication to her and she actually teared up that I came out to her and it was like a minute away from the store. I mean, it wasn’t a huge deal on my part, but for her it was really something she really was happy about and she teared up was just so faithful. I think that’s just the sweetest thing that I’ve dealt with so far in pharmacy.
Marilena Grittani, RPh 1:00:41
A sweet things that have happened to me also and actually happened in working for the same company that we both work. That is Good Day Pharmacy. Hey, everybody that works for the day pharmacy in Colorado. Hey, cool people over there. I have gone Out of my way to deliver their medications after work because they couldn’t make it to the pharmacy and they didn’t have anybody to pick it up and they truly needed their drug. I have done it not charging just out of my ways to do it in the middle of a storm, snowing because the patient needed it. So yes, we do care. We do want to help. We just want to be treated well, right. We just want to be treated like people, and you know what.
Marilena Grittani, RPh 1:01:27
My favorite day of the of the year is in a pharmacy, Halloween because the kids come Trick or Treat into the pharmacy and we always have candy. I love it. I normally get something to dress up, something at least something in my head or hat or something because the kids love it. They always come to us sick so to see them happy. And to see them enjoying a beautiful day is quite a different day for us. So thank you for doing that moms. That’s grandparents. If you have kids that are dressed up on Halloween, take them to the pharmacy, we will truly appreciate it. Hi, Marian, you know, we always have candy too.
Marian Haze, CPhT 1:02:05
Oh, we always do. Always do we will take care of them.
Marilena Grittani, RPh 1:02:09
Because we need candy too, guys. It’s just that we use it too. We eat it. Right?
Marian Haze, CPhT 1:02:15
Yeah. Oh, wait too much.
Marilena Grittani, RPh 1:02:16
We can make some damage there. Okay, yeah. So it’s been super fun. I think that this is one of the most intense, most information packed episodes that I have recorded so far. Thank you, Marian. And for that, I knew that you were not going to disappoint and I hope that everybody that is listening gets the same out of it. Before we finish this, I just wanted to ask you if there’s something else that you think that most patients don’t know about pharmacy as a profession that you think they should know. Besides what we talked about.
Marian Haze, CPhT 1:02:51
I think the biggest thing and we have kind of touched on is just remember, we’re trying to help you. We want to be there to help you. We are not ever Going out of our way to not give you something you need, or do something for you. That’s why we’re here. We are in service to you, and we want to help you and we want to help your health. So please just remember that. That’s my biggest my biggest thing. Please remember that we’re here for you.
Marilena Grittani, RPh 1:03:17
That’s our job. We’re there to help patients. That’s all what we do day in and out. So please remember that. That is a very good month. Thank you so much, Marian.
Marilena Grittani, RPh 1:03:26
So there you have it. It was a long episode. But I think that we talk about every single detail that you as a patient of a retail pharmacy, that gets notified that your medication it’s a PA needs to know not only to understand what the process is, but also to make sure you understand who needs to help with what and what is your part on this process for you to get your medications approved. Just think about the fact that one day that you delay is one day that you don’t have your medication and if the doctor ordered Because you truly need it. So hopefully you will go to thelegaldrugdealer.com/15. And you would get the information and tips that Marian prepared for you. So you can, you can take advantage of that information the next time that you get the news that you’re going to have to go through a PA, whether it is for you or somebody that you love and you care, you can share that information as well. It works everywhere in every state of the US, because that is the way that the system works. So that is it for this episode.
Marilena Grittani, RPh 1:04:34
Thank you so much for listening. Please subscribe to our podcast. Give us a review. And if you have a question, please send it to me at comment at the legal drug dealer comm I will respond to you directly or included in one of my solo episodes. Also visit thelegaldrugdealercom to look around and find more information about this episode and other episodes that you might want to review from was on Instagram, join our private Facebook group community where I am presenting live videos every weekday, about different topics of health and what you need to know to improve it and to get keep being healthy. And don’t forget to subscribe to our mailing lists so you will have an email with all this special events and every time that we on Tuesdays post a new episode.
Marilena Grittani, RPh 1:05:27
Next week, I will talk to you about non prescription drugs for my kids. Actually not mine yours and my guest is going to be a physician. Her name is Joanne Davis Jared, she’s a family medicine doctor. She has a lot of experience as a doctor but also she has a lot of experience as a mom. She’s very passionate about this and she is a delight to talk to. You will really enjoy this and I have a little bit of gossip with The episode so you don’t want to miss it. It’s gonna be fun. And she is fun-ny so you guys don’t want to miss it.
Marilena Grittani, RPh 1:06:08
Well with this I’m done. But before I go and just in case no one has told you today, I wanted to take a minute to remind you of how awesome you are. And how lucky are those that have you in their lives. Thank you for being awesome you that you are.
Marilena Grittani, RPh 1:06:25
Have awonderful rest of your day.
Marilena Grittani, RPh 1:06:27
This is Marilena Grittani the legal drug dealer.
Marilena Grittani, RPh 1:06:30
Bye for now.