Rx #0000052 : Nicotine Gum

URxProbablyRxight

Meds & Counsel without Patience for Patients
Ever heard of Dick’s Last Resort? Never been to the restaurant myself, but I love the concept. It’s like the court jester in medieval times being able to tell the King the harsh truth since everything he said was in—you guessed it—jest. Why has no pharmacy taken up this business practice? If patients expect harsh but fair truth from the pharmacy team, they’ll accept it readily.
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Nicotine Gum

[Rph]: “Alright, alright.  I’ll check.  Please hold.” 
[Tech]: “Seems like a fun phone call, Marianne.” 
[Rph]: “This lady’s been on nicotine gum for, like, at least 3 years now according to our records.” 
[Tech]: “Shouldn’t she be off that by now.” 
[Rph]: “You’d think, right?  But her insurance has been paying for them the entire time.” 
[Tech]: “So basically, instead of paying $5 per pack—I have no idea how much cigarettes cost—of her own money, she has her insurance support her habit for free.” 
[Rph]: “And she’s still getting 3 boxes a month—300 pieces!  But, yeah, that seems to be the gist of it.  So annoying.” 
[Tech]: “She should see if her insurance will pay for a Juul.  I read the FDA just gave it regulatory approval.  Whatever the hell that means.” 
[Rph]: “I haven’t heard about that.  But now, all of a sudden, she needs a different flavor because she says she can’t tolerate Mint.” 
[Tech]: “Wouldn’t it make more sense to keep using the one you can’t stand?  Wouldn’t she increase the odds of actually quitting altogether if she gagged 10 times a day?” 
[Rph]: “We both know she doesn’t want to quit.  Plus, it’s safer just getting nicotine, rather than infinite carcinogens.” 
[Tech]: “Just tell her Mint’s the only flavor we can order.”  
[Rph]: “Go ahead.  You tell her.” 
[Tech]: “Okay!” 
[Rph]: “I wasn’t being serious.” 
[Tech]: “Hi, this is Kay.  You’re holding about the nicotine gum, right?  Sorry, but we can only get the Mint flavor.  But think about it optimistically . . .”

. . . [As an employee at URxProbablyRxight, what’s the most recent little white lie you’ve told a patient?] 

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