Yesterday a man walks up to the counter with a couple prescriptions to dropoff and a refill to pick up. The prescriptions dropped off were for a glucose monitor, test strips, and lancets. Pretty standard fair. Nothing overly complicated about them. The refill he wanted to pick up was for Apidra.
Apidra is a rapid acting insulin, kind of like Humalog or Novalog, except hardly any doctor prescribes Apidra. This was one of the rare patients who actually uses it. His refill for Apidra wouldn't be covered for about another week because it was too soon. It turns out the man was going on vacation and needed a vacation override. Once again, pretty standard. No big deal.
I called the insurance and got the vacation override. I went to the refrigerator to grab the 2 vials that the prescription called for and found out we only had one vial. We'd have to owe him a vial. This is not unusual in any way, especially for a medication that hardly anyone uses. We'd get the rest to him the next day.
Anyone who works in a pharmacy knows what came next...
"I'm leaving this afternoon for the entire month, and 1 vial won't last me that long."
Well, this guy had a little bit of a problem then. I offered to transfer the prescription to another pharmacy, which he said would be fine. However, not a whole lot of places stock Apidra, nevermind having 2 vials of it. I called the nearest competing pharmacy. No luck. The man then told me to try a couple other pharmacies in our chain, so I did, and once again, no luck.
Upon informing him that all 3 pharmacies I called did not have a single vial, he said he didn't believe me and wanted me to keep calling around. He was angry, and his anger was starting to get me irritated. I told him that I'd try one more place, but after that, he's on his own. We were busy, and I couldn't call every pharmacy in existence looking for his Apidra.
"You have to. It's your DUTY!," he exclaimed to me.
That was all I could take. I looked at him and told him, "No it is not my duty. It was YOUR duty to call the pharmacy several days BEFORE you were leaving on vacation to make sure we had your medication in stock and inform us that you would be leaving for vacation and needed them filled early."
That didn't sit too well with him. "Give me all my prescriptions back. I'm going to another pharmacy and never coming back."
"Great," I said. I reversed his test strips, glucometer, and lancets, but since the Apidra was a refill, I couldn't hand him the prescription back. "Because it's a refill, I can't give you back the prescription for Apidra. You can call around to other pharmacies, and when you find one that carries it, you can have them give us a call, and I'll gladly transfer it there."
In the end, the man took up 20 minutes of my time and left without us filling a single prescription for him, and you know what, I'm quite satisfied by that. The asshole tried to lecture me on my duty as a pharmacist. While I did respond to it, I could only do so in a semi-courteous fashion. If someone had presented that kind of stupidity to me outside of work, I would have made sure he was well aware of just how much of an idiot he was.
Seriously, how fucking stupid do you have to be to wait until the day you are leaving to come pick up insulin prescriptions? You know... Insulin is pretty important. It's not something you want to be without because, oh I don't know, you might die. I think that would be reason enough for me to call the pharmacy at least a week ahead of time to ensure that not only would they have my prescription in stock, but that they had no trouble getting them filled through the insurance. Hell, I'd probably call the insurance company too just in case there's some sort of problem.
I guess I just have that weird thing called common sense though. Actually, from now on, I'm going to call it uncommon sense because if it was so fucking common, you'd think more people would have it.
In my ideal world, I would have been able to call the guy a moron and an asshole to his face and tell him to take a hike while physically throwing his prescriptions back at him. He thinks it's my fucking duty to drop everything I'm doing and call every pharmacy in the state because he did a shitty job planning for his vacation. I like to think that I have a higher duty to all of humanity to help rid the world of clowns like him.