It's no secret that we veterinarians are starting to interact with human pharmacies more and more. We are MORE than willing to work with human pharmacists in order to find better pricing for our clients and patients to make sure that they get the proper care they need.
In fact, there is a sign on my wall telling my clients to please ask for a written Rx if they would like one. I'm more than happy to oblige.
However, since Target and Wal-Mart and all those places now feel the need to "get in on the veterinary action" of selling drugs to our clients, allow me to put forth some suggestions for them to help... uh... facilitate things.
1.) Animals often require higher doses of many drugs than humans. Please get used to this. Because
drugs have different pharmacokinetics in different species, and because
you only learn about ONE species in pharmacy school, you're not aware
of the doses used in our patients. Either go ahead and take a class in
veterinary pharmacology, or get a formulary and use it EVERY TIME, but
please for the love of all that is holy stop changing my drug doses
while making snide remarks to the clients about how I don't know what
I'm doing. If you're really concerned that I'm screwing up, go ahead and
give me a call. I'll set you straight. But I'm not free to talk to
pharmacists all day, so, you may be on hold for a while.
2.) It is YOUR responsibility to learn the difference between the human world and the veterinary world, when it comes to sigs. YOU must know that if I sign a DVM after my name and I put SID or whatthefuckever, YOU must know what that means. Filling it wrong because you are ONLY trained in human medicine is unacceptable. It is not my job to do your job for you.
3.) Please oh for the love of god teach yourself and your staff that 15 mg/5 ml is really the same as 3 mg/ml. I do not have the time to sit there and explain this to you all every. single. time.
4.) Please do not panic when I prescribe Alprazolam to my patients. It really is effective for them.
5.) Please also do not panic when I prescribe Trazadone to my patients, and especially do not tell my client "I can't give you that! That vet doesn't know what she is talking about! It's not USED for that!" until you've spoken to me and I've educated you on your own ignorance.
6.) Please NEVER, EVER, substitute drugs. EVER. Yes I realize it can be done in the human world. But remember, you are now in a world in which you were never trained, yet you are responsible! So educate yourself about veterinary drugs OR DON'T SELL THEM OR FILL THE PRESCRIPTIONS IN ANY MANNER OTHER THAN HOW WE PRESCRIBE IT. And, by the way, Tramadol is NOT a substitute for Trazodone.
7.) Stop questioning if I know what I am doing or not. I do know what I am doing. You do not know what I am doing. See how this works?
8.) Please stop asking for an NPI number.
9.) No, not all insulin is the same. No you may not send home a generic when I did not prescribe that. See how this works?
10.) The fact that I prescribed prednisolone to my feline patient means something. It obviously means nothing to you because you keep sending home prednisone. Please just follow directions. It's really very easy.
11.) Invest in a veterinary formulary. PLEASE FOR THE LOVE OF GOD AGAIN, DO THIS.
12.) Lastly, simply establish a relationship with us. Respect us. Treat us like doctors when we call and do not dismiss our questions for your pharmacy, such as how much something costs. My clients will be paying you cash for those drugs, which is really really good for your business. So stop busting my chops over it, realize we are colleagues and you better get used to having us around.
After all, it is your profession who asked for it.