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Change coming to Walmart

Posted: Sat Mar 07, 2015 12:00 pm
by docm2
Wal-Mart has instituted a new policy that started this month. It might be awhile before patients notice or find out. All prescriptions for Buprenorphine products must now have a statement from the physician whether it is for pain or addiction. When they first called last week the pharmacist claimed it was to comply with the DEA. I snorted and said you must think I am an idiot. This is your corporate policy because someone has an ax to grind. She did fax the policy to me and it is an internal memorandum or policy. (I left it at the office and could probably scan and attach it to a post if anyone desires.)
I asked if they were doing this for other products that are used off label? Both pharmacists I spoke to were unaware. They did not have a response to my query 'what does the XM... (the bup waiver # from the DEA) imply? If I use my regular DEA and write 'for pain' on the Rx how is that not clear what my intent is? If a non physician provider (PA or NP) writes for buprenorphine it cannot be for addiction treatment and must be for pain. I think it is another way for them to embarrass or shame people.
I will be encouraging my patients to take their business elsewhere, and advised the pharmacists I would be doing so. 'MEH.' Was the Corporate drones response.
Rant over...

Re: Change coming to Walmart

Posted: Sat Mar 07, 2015 5:23 pm
by razor55
As a Walmart pharmacy customer, i would be interested in this policy. If you would post it or PM this document I would be grateful.
I have a great relationship with the intire staff there. Two years in the makng. Techs and Phars. Early on I looked them in the eye and told them just how and why we take tnis med. I ll have problem questioning them about this also...thanks Docm....
Oh and guilt and shame, ? We live with enough of that from everyone.

Re: Change coming to Walmart

Posted: Sat Mar 07, 2015 10:08 pm
by qhorsegal2
I hate to say it, but this doesn't surprise me a bit. I have used Wal-Mart pharmacy for years, but never even attempted to fill bupe scripts there. Our small town Wally World has a reputation for being extremely judgmental and difficult to deal with. They usually won't approve refills over one day early, even when approved by insurance. I posted awhile back about a bullcrap excuse they gave me about refilling an ambien script. It might just be time for me to take my money elsewhere.

Q

Re: Change coming to Walmart

Posted: Sat Mar 21, 2015 6:19 pm
by god_from_the_snake
Not to long ago my prescriber was updating to the computer printed prescription. In the mean time
The prescription was hand written and took The Rx to the pharmacy. My provider was hand writing the
XM DEA number on the top of the prescription. The pharmacy would not fill the Rx due to the fact that
my provider forgot to write the XM number. I had to go back and get another hard copy.

The pharmacy told me it couldn't be filled without the XM number. The original DEA number was printed on the hard copy but The XM number was being added to the computer print out that's what it was.

Re: Change coming to Walmart

Posted: Sat Mar 21, 2015 6:42 pm
by docm2
Assuming that you had filled it there before they would have the XM # on file. It is a scheduled three medication so alternatively they could have just called the office. Unfortunately they are pulling your chain. I have had pharmacists that know me and their patients do both.

Re: Change coming to Walmart

Posted: Sat Mar 21, 2015 7:23 pm
by god_from_the_snake
Yes I fill there. For several years it is/was my local pharmacy. I figured they were just being pricks.

Re: Change coming to Walmart

Posted: Sat Mar 21, 2015 11:26 pm
by crystal13
I don't fill at WalMart, but how utterly disgusting and a complete invasion of privacy. I would gladly tell them to go F themselves if I ever got such an inappropriate question. I sincerely hope that they lose business if this is true. Absolutely ridiculous.

Re: Change coming to Walmart

Posted: Mon Sep 10, 2018 7:08 pm
by electrowiz1
Wal-mart after getting Suboxone there for a long time (I would prefer not to go to Wal-Mart but that's the only pharmacy my insurance will let me use) all the sudden wanted to talk my doctor for a diagnosis from my doctor for prescribing Suboxone. My doctor was not happy he reminded them that wasn't a state law but gave them the info. A few weeks later I get a note from Express Scripts that starting October first they will only cover 90 Alprazolam per moth instead 180 I've been getting for years saying it was to costly. $63.00 dollars a month to costly. I don't think that it was a coincidence.

Re: Change coming to Walmart

Posted: Wed Sep 12, 2018 1:10 pm
by Jess1208
Your doctors let you on Suboxone and Xanax simultaneously? The insurance mightve cut back on how many pills per month will be covered due to safety reasons. It really can be a scary combination. Especially when you say you have been on it for years, I'm sure the dosage must be rather high at this point to match your tolerance. It is possible that they are truly looking out for you.

I know it sucks when you depend on medications to live and function, the allowed amount per month for my migraine rescue med got cut in half and I was left with only a few days per month of any relief, while being in excruciating pain on a daily basis. Those pills were the ONLY thing that helped me. and when you are in chronic pain almost 24/7, those short moments of small relief are EVERYTHING to you. After not being able to take it any more and being so frustrated and upset about that happening, I did some research on my end and found out my insurance would allow more if the doctor assured them it was necessary.

So it worked out in the end, after months of dealing with not having my migraine pills to help me function, missing work, worsening depression & hopelessness (even worse than it was before then, which I didnt think it could get any worse), but still sucks that they have all the power when you need to rely on meds for whatever reason.

Issues like chronic pain, depression, anxiety, they each can affect EVERY single part of someone's life. and to take away or decrease someone's ability to feel "not so miserable", It's not fair. Maybe your doctors can do something similar for you and override the insurance company's restrictions? many docs are great with insurance companies, they know how to play the game!

Jess

Re: Change coming to Walmart

Posted: Wed Sep 12, 2018 7:39 pm
by docm2
Since I started this thread I'll give an update of my experience. It seems the policy just faded away, and accept for a couple of occasions when I first posted I have not been asked since. Today I called in a refill. Very polite, he said I have your XM and other information on file. Just to follow up, since this thread had been resurrected I risked opening a can of worms and asked him about it. He said he had been with Walmart just a couple of years and had never heard anything like what I described.
So, either locally, or at the corporate level the misguided policy has gone away... for now.
Electro - since you are on multiple meds the pharmacist is certainly within their authority to clarify diagnosis and coordinate care with your doctors.

Re: Change coming to Walmart

Posted: Sat Sep 15, 2018 8:36 am
by Dee19
This is interesting. I belong to several pain groups, I see hundreds of comments. Walmart has gotten ridiculous filling pain meds. At one point I read an article written by a physician, he cited their paperwork; next year they aren't filling anything over 50mme and they consider anything over 40mme to be a high dose. mme = Morphine Milligram Equivalent. My husband is a pain patient. His doctor is a pain doctor who has forced him on to Suboxone and says it will help with pain. I am hopeful however my husband is having trouble with his breathing which he didn't when he was on methadone for pain. It has only been 10 days so I hope this will improve. The doctor said it takes time to stabilize.
Thank you for this site, it has been so helpful to me.

Re: Change coming to Walmart

Posted: Sun Sep 16, 2018 4:50 am
by jeandianne
I don't fill my scrips at Walmart, but rather CVS. They require a diagnosis of opiate dependence or pain on the RX or they won't fill it. I had surgery in July and got an RX for 20 5 mg oxycodone and 10 2 mg suboxone strips with the designation achalasia on the suboxone RX and pain on the oxycodone. Pharmacist would not fill the suboxone films as script had to say pain, Also she told me that I was not to take both at the same time as it was a duplicate (even though the surgeon instructed me to take both.) Don't take it personally . Pharmacist needs the documentation in case ever audited by DEA.

Re: Change coming to Walmart

Posted: Sun Sep 16, 2018 4:44 pm
by tracker17
I have found it is a lot easier to deal with the small owner operated pharmacies , in Kentucky anyway. I deal with a girl I know that owns the business and is the pharmacist and have never had her question anything unless it could interfere with something else I take. If my Dr prescribes it she fills it. I have a CVS close but they take to long to fill and sometimes seem to act funny filling certain things. I recommend trying the small pharmacies to anyone that asks me. The small businesses need to be supported or we all will have to deal with the over priced large chain pharmacies.

Re: Change coming to Walmart

Posted: Mon Sep 17, 2018 9:25 am
by jennjenn
I also use a smaller type pharmacy and it’s just much better around my area. I’ve discovered that my area is still so judgmental that the smaller pharmacies seem to be nicer. You’d think it would be the other way around but it isn’t where I live.

Re: Change coming to Walmart

Posted: Mon Sep 17, 2018 9:41 am
by tracker17
I guess they are more personable with everyone. They seem to understand everyone’s health issues and have alway help any way they can. I have had the small pharmacy owner meet us late on a Sunday night after she closed when my girlfriend got released from a back surgery. They just seem to care more.

Re: Change coming to Walmart

Posted: Tue Sep 18, 2018 6:57 am
by Dee19
My husband also uses an independent pharmacy for his methadone, now suboxone. They are very nice, only fill prescriptions and must be pretty busy as there are always 7 employees behind the counter. My husband wanted to have his suboxonne prescription sent to Walmart, I have heard of problems with them advised him to stay with the independent pharmacy.

Re: Change coming to Walmart

Posted: Sun Apr 14, 2019 5:15 pm
by jacksh
Recently my Walmart pharmacist told me that because I get two controlled substances filled on my Rx list and I have all but the Suboxone filled at Walgreens (already had a degrading experience there filling Sub), I would have to move all of my prescriptions to Walmart. Has anyone heard of this policy?
Thanks and ready to tell Walmart to stick it where the sun don't shine.

Re: Change coming to Walmart

Posted: Sun Apr 14, 2019 6:37 pm
by docm2
Most treatment agreements require people to use one pharmacy for all prescriptions, and to notify the practice when and if there is a change.
As pharmacists take on more responsibility (liability) you can expect more of this.
Perhaps it could have been done more tactfully with out appearing to be a money grab but all prescriptions should be at the same place. Which one is running the drug/drug interaction profiles and doing the counseling? My opinion.

Re: Change coming to Walmart

Posted: Tue Apr 16, 2019 8:13 am
by jennjenn
Yeah, I had to sign a paper advising my clinic which pharmacy I’d be using and to notify them if I ever change pharmacies. I assumed everyone had to do that as a rule or something. I came very close to using Walmart but chose a small town pharmacy instead. There’s some extremely rude pharmacists around my area. Thee type that will lecture someone about buprenorphine in front of an entire room of ppl listening.

Re: Change coming to Walmart

Posted: Wed Apr 17, 2019 8:14 am
by Jess1208
That is a hippa violation and should NOT be tolerated!!! I go to my local Kroger (I live in Ohio) and have never had a single complaint with ANY of the pharmacists or techs. We also have students that help in the pharmacy too.. Always kind and respectful. You are allowed to ask for more privacy when speaking to the pharmacist or tech. It is your legal right.


Jess