My work day after Thanksgiving in this new city proved to be vastly different than what I am accustomed to. Whereas I am used to being completely swamped on Black Friday, here the pharmacies are a wasteland. So imagine my surprise when midway through the day I realized I was in the presence of greatness.
I had met the Medicaid Mother of the Year. Shocking, I concede, that she would choose to visit our little pharmacy on this day, but alas here she stood.
Chatting on her iPhone 4, bedazzled of course, with her Coach purse and fancy manicured nails, she presented to prescriptions for her 18 month old son. And she presented her, and her son's, Medicaid card.
One of the prescriptions was written for Amoxil and the other for Orapred, nothing out of the ordinary. As she loudly chatted with one of her baby's daddies, I took the scripts to the counter and began to input them. It was then that I noticed both scripts had the DAW box checked.
Perplexed, I dialed up the urgent care doc who had written the scripts and asked the nurse on call if she could verify the DAW. Often a slip of the finger can slap DAWs on scripts when they are unintended. When the nurse returned to the phone she informed me that it was the patient that had insisted on the DAW and that they were written correctly.
We call her to the counter and the pharmacist asks her why she's insisting on the name brand version of these medications. Her reply was that, "Generics don't work that good and she wants the best for her bab-ah."
We both calmly explain that in order to fill each of these prescriptions we would have to order the drug in. The likelihood that a store in our area would have either one of these drugs in stock was negligible. And, since it was a Friday, we informed her the soonest we could get the medication would be Monday morning.
"That's ok," she replies.
Next we inform her that in order for Medicaid to pay for these medications we're going to have to get a prior auth on both drugs. That, in itself, meant that we wouldn't be able to bill the insurance for payment until Wednesday at the absolute earliest.
"I'll just wait, he can tough it out until then, he's a strong lil dude like his daddy. I just want him to get the best meds, I don't want none of that cheap shit."
Let's get her tiara and flowers ready, because this woman just kicked the rest of the competition to the freakin' curb.
Yes, let's deprive your ill child of the medication he needs simply because you have some sort of righteous belief that you deserve the best even though it is those like myself who will pay for it. Never mind your suffering child, hold tight to that notion.
Because when child services show up, it's the only thing you're going to have left.
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