03/17/2026
It’s the day of being Green and Shenanigans. Well maybe not as much in the way of shenanigans depending on where you are.
I don’t know about the rest of town, but personally I still am not a fan of March in Nebraska. So far, every year since I’ve moved here (going on six years now) something has gone weird in March, not necessarily wrong (though I personally have had wrong as well), just weird. On my first March (the month I moved up here) we had that fun blizzard shift directions and hiding the road we were driving on to get here, and it has just gone on from there. It’s no different in the Pharmacy though.
Weird 1: Mike and Helen got their first actual vacation since she took over the business a little over three years ago (actual vacation, not a working vacation of weddings and funerals). I don’t think I have actually seen Mike take a day off willingly since I started until now.
Weird 2: Daylight savings – I moved here from Arizona where we don’t do this thing, so when working with other states I had to adjust my call hours to match them more but here they all change with me. I don’t think I will get used to this any time soon.
Weird 3: Mother Nature can’t make up her mind to either dump more snow (with wind enough to make for unsafe driving conditions) or give us planting weather. We are supposed to see 80 degrees this weekend, followed by more than 50-60 degree weather. I’m getting climate whiplash here.
Okay, on to the tips side of this post.
Since the beginning of the year, we have had to advise people about co-pays and deductibles, and that is still a thing. Granted, most people that are on expensive medications should be meeting that deductible soon, though it depends on your plan.
The other major point we have noticed on a technician level is a need to update demographics and med lists. Demographics information does not automatically update, and can’t be searched with the tools we have access to (address, phone numbers, and other personal data we would use to reach out). We would love for people to reach out and make sure we have the correct data on file, because when something goes the aforementioned weird we don’t want you to first hear about it when you get to the store wanting your meds.
Second point is primary care physicians – We have new prescribers at the local hospital and clinic, and prescribers in the bigger facilities (such as Rapid City Memorial or the Veterans Association) change prescribers often enough to notice. If you have a new primary care physician let us know so we aren’t trying to send refill requests to the wrong prescriber.
Point the third: Medication lists – some prescribers will adjust the dose of the medication your taking, sometimes right after you refilled that medication. If the dosage is increased or decreased, but the pill is the same (for example if you were taking half a tab of metoprolol twice a day and the prescribers switched you to half a tab daily) you won’t be able to refill it with a new directions label without paying out of pocket as the insurance company says they just paid for it. When this happens we need to know so we can discontinue the old prescription so we don’t fill the wrong one when you call in a refill. While prescriptions are good for 1 year from the date they are written (unless the prescriber calls us to say it’s no longer valid, or loses the permission to write prescriptions) the physicians are not required to inform us of changes. We recommend planning a time to call in, or stop by, and go over the medications you are currently taking.
Point 3 part 2 – We have been a little lax in doing this, but we try to do regular Comprehensive Medication Reviews (CMRs) so that we know we have the correct meds for your situation. Don’t be surprised if you receive a call from one of our technicians wanting to get these started. It does require Mike to actually take the call but shouldn’t take long.
Okay I think that’s more than enough for one post.
We hope you enjoy the rest of the month.
Authored by: Jason Reed CPhT