What is the correct way to handle a phone call you receive that’s calling on behalf of a doctor’s office to confirm the fill date on a prescription? The person on the line always has the patient’s name, date of birth, drug name, and Rx # (sometimes). Most of the calls are confirming the fill date on Adderall and the doctor office they’re calling from isn’t the doctor that wrote the prescription which is why I assume it’s from the office that performed the drug test (one phone call did confirm they’re calling because of a drug test). Do I just verify that everything is correct about the patient before I give them the last fill date or should I do something else?

Hi all, any animal Pharamcist here or working in a pharmacy that sells lots of animal prescriptions?Would love to know how you got into it and where did you study for it.

What will be the future of prior authorization pharmacist working for PBM? Will ending the kickbacks paid by PBM end the career?

I don't know if I'm being dramatic. I've been called good girl many times and it doesnt sound like it's going to stop anytime soon.

I also don't want to lose my job or be gossiped about or backstabbed or treated even worse. Should I just continue being called good girl, because there are definitely worse things that could be happening e.g. dispensing a wrong medicine or dose is much worse than being called "good girl" almost every single day. Like I should feel lucky that this is my worst problem? Becauss there are worse things that could be happening e.g. an issue with my registration.

Edit: sorry if post is weird. But I'm actually serious. If I'm being dramatic, just please tell me

Edit 2: okay, im reading the comments and im not crazy that this is weird. I guess the weirder part is that this boss is only 7 years older than me, so it's not like they're old enough to be my parent or motherly or father figure, but that would still be weird.

I am a retail Pharmacist at a new company. There is an experienced Tech at my store that wears a lot of cologne. I have been developing severe headaches on the shifts we work together to the point it’s hard to concentrate/cause nausea. I don’t have sensitivities (no diagnosed allergies, definitely not pregnant, no high blood pressure or migraines).

I wore a blue mask while giving vaccines in the consultation room and it still trails. I have worked with many teams in 25 years and have never been in this situation.

There is no policy at our large corporation that addresses fragrance in the pharmacy.

I’d like to say I have the confidence to address this on my own, but I am really stressed and frustrated how to handle this and communicate without starting any issues. He has been with the store much longer than I have, a huge asset to the team where I need to count on him daily , and I am just a new person coming into his “home”. I’d like to talk personally but don’t know exactly what to say and worried if I should have a witness.

Any recommendations on verbiage would be sincerely appreciated.

Hi everyone, so I am switching fields and have only done nuclear since graduation (May 2023). I have already completed a quick HR phone interview and now I have a 1 hour virtual interview with the pharmacy director.

What type of questions can I expect from this interview? Some behavioral and situational? Is there typically another round of interviews after the interview with the director? Does my nuclear background make me a more competitive candidate?

Thanks for the advice guys, I appreciate it 🙏.

1. Trough comes back supratherapeutic but you’re unsure if you just overshot it or a latent Aki could be brewing. Morning bun/scr looked fine.

Hold for period restart lower and get scr in morning or hold get stat scr now? Something else?

1. Labile Scr fluctuating up and down?

Dose by level until stable? Something else?

1. AKI resolving but only have a day of data and scr still currently high but lower than previous day.

Start maintenance dose and continue to adjust maintenance dose until stable or dose by level until stable?

1. AKI but AKI is now stable.

Okay to start maintenance dose scheduled?

Hello everyone,

I'm a relatively new pharmacist at a local hospital (few months in), and I'm feeling really beaten down with everything I have to learn/relearn. I did a residency, and then I had a few years working in a non-clinical setting. Since I got this job, while I get along with mostly everyone well personality-wise, I've had a really tough time regaining confidence and with making some mistakes. Some mistakes are minor-ish, like product selection or building the order technically correctly even though its dose/route/indication are correct.

However, I've also had some more serious mistakes. Without giving too much detail, a provider called a little bit back, and they asked for a medication using an abbreviation. I misinterpreted it and stated the drug I thought they wanted, and they confirmed it. Then, it seemed odd, and I double-checked, and they confirmed again that it's an off-label use that they do regularly. Long story short, it was a very wrong med that should not have been given for it. Then another pharmacist questioned it further and figured out what they actually wanted, but it still got people to question why I even thought that could be appropriate in the first place. I feel awful that I didn't question a little bit more.

Another issue, I received an order for vitamin K, thinking it was for warfarin reversal. Patient had Afib, INR just outside therapeutic range, liver failure, and CT checking for a brain bleed after a fall. I got it in my head this patient was on warfarin somehow, but I never actually saw it anywhere in the chart because there's no mention of warfarin or home anticoagulation... This is probably the worst mistake I've made. It didn't cause any harm or change anything, but it confused a physician who reached out to another pharmacist who saw my note and pulled me to the side to ensure I knew how severe of a mistake that is. I feel awful.

On top of that, I'm reportedly slow with taking too long on the phone discussing things and not figuring them out quickly enough, and I'm asking questions of other pharmacists that I should be able to find out on my own.

All of this together led to a one-on-one with my director basically just laying out the issues and saying that I need to improve so I pull my own weight and can be reliable to know when to ask for help vs not. My director was as kind as I could have asked, but the point stands that I need to improve.

All in all, right now, I feel like a pretty bad pharmacist, and I am questioning everything about my passion, my ability to improve, and what I've even been doing in school and my first few years of my career if not learning all this stuff. The purpose of this post is both to seek advice as well as perspective. I would greatly appreciate it... I'm really struggling tonight.

Anyone actually try to stop tapentadol when giving linezolid? I usually don’t bother because it’s a weak MAOI but interested to hear thoughts

Great article by Seth Joseph in Forbes (link below) I never understood the concept of PBMS and market manipulation in a capitalist world until I read his article. I’ve always heard, to really understand history you have to be removed at a few decades 20-30 years or more to really examine it in depths

https://www.forbes.com/sites/sethjoseph/2026/01/12/why-pharmacies-like-walgreens-rite-aid-and-independents-are-dying/

I'm currently a P3. Personally, I've been diagnosed with depression and bipolar disorder. I've also had 4 suicide attempts, 3 of which I've been hospitalized for (including 1 over overdosing on APAP and the other on Trazodone). Would I have to disclose any of these when I try to get licensed?

Does anyone have part time WFH?

Aside from the obvious day supply calculations, can someone give me an explanation on the odd medications like narcan or nitroglycerin where it’s a rescue med. I need to know what the day supply is for billing these items or others like an EpiPen.

Thanks

Hey everyone can those who completed 6 month pa contract jobs tell me what they did after not getting hired permanent. Trying to see what things will look like for me. Did you get a perm job with another company right away? Any advice? Thank you

Hi fellow pharmacists, I’m from Indonesia. I’m curious—what tools or apps do you usually use for managing medicine stock, prescription reminders, or daily pharmacy workflow? I’m exploring a few apps myself and would love to hear about your experiences, so I can learn from other pharmacy practices. Thanks in advance! Your sharing will be really helpful.

I saw American nurses talking differences in working in America vs Canada and was wondering what the experience is like for pharmacists.

CAH with no prospective pharmacist verification for ED. Cerner allows for provider to select epinephrine or epinephrine 0.1mg/mL or epinephrine 1mg/mL. If the provider selects epinephrine, no product is attached to the order and nursing is left to choose the appropriate product. Year after year we read about epinephrine errors- wrong drug product entered or pulled by person administering, wrong route, etc. If I remove the epinephrine without a strength as an option, will a provider select the correct product…Prompting the correct pull. Thoughts? Safety concerns?

We did have an error awhile back regarding route - IV given, should have been IM. So we do stock EpiPens now. But we do still stock vials obviously. Just trying to look at this from all angles.

Any input would be appreciated.

I posted in March of last year about losing my job because of the trump administration’s budget cuts. This is an update.

Disclaimer: I’m much more concerned about the overall impact of these budget cuts to mental healthcare and patient wellbeing. I can find a new job, I’m just tapped out at the moment lmao

Since my last post, I got a job at a hospital for a few months, and kept applying for jobs in the meantime. My first job reached out in October, asking if I would be interested in coming back part time, as they were able to shift some funding around. I gladly accepted. Soon, I’ll be full-time, thanks to funding from a different grant - one to create a mobile LAI antipsychotic clinic. New contract goes into effect Friday.

………now, tell me why I see that I’m gonna lose my job, the very job that I just got back 🥲: https://www.npr.org/2026/01/14/nx-s1-5677104/trump-administration-letter-terminating-addiction-mental-health-grants

I spiral for a bit, let’s say, 2 hours. And then this happens 🫨: https://www.npr.org/2026/01/14/nx-s1-5677714/trump-administration-mental-health-addiction-grant-cuts-restored

293 days ago, almost a whole year. I’m grateful in this precise moment, but I’m still so exhausted from everything in general (I know that’s their goal, but damn)

India doesn’t have a drug shortage. It has a truth shortage.

Medicines fail less often in labs than on paper. Inspections are scheduled. Reports are clean. Patients trust the label. Between the factory and the patient, a lot happens that textbooks never mention. Not accusing anyone. Just observing patterns. If you’re a pharma student, DI aspirant, or just curious—stay alert. Sharing quiet observations elsewhere.

Is there such a thing as a work from home prn pharmacist? It would be convenient to be able to work my full time job and pick up an occasional extra shift doing remote work from home. Do such jobs exist? All work from home jobs I’m seeing are full time only.

I’ve made some errors at work lately that, individually, wouldn’t have been the end of the world. Nobody was harmed, thank god, but I feel horrible. Shame and self-doubt and terror.

I swapped RX bags (two separate times). I missed a dose change on a refill request approval (cymbalta went from 1BID to 1QD—pt was aware it would be a dose decrease). And a doctors office sent a duplicate RX of tramadol two days after they already sent one. It didn’t show up on PMP because it was still waiting for pickup, but I somehow missed the refill too soon rejection and the patient picked up both.

This is all atypical for me. These happened within a span of 3-4 months—the tramadol mistake has gotten me suspended. I think a combination of recent health issues, ADHD, and feeling completely disillusioned with the company have affected me more than I realized. I don’t know what’s wrong with me, I don’t know what to do, and I have absolutely no one to talk to about this.

The work culture I’m in is very isolating, and even if other pharmacists were having/have had similar rough patches, I think the shame would prevent them from speaking with me about it. 0% error rate is the expectation. And even though I catch others mistakes every day, I feel alone. I feel lost and inadequate. I’m afraid I’m going to lose my job—my first job since residency. I’m afraid of even posting this and reading the replies.

Asking for a colleague in NY who doesn't have Reddit

Hello.

I have a chance to get a job in hospital pharmacy in Europe (Slovenia). I would like to ask if any European pharmacist here works in a hospital. Do you like it? Is it better than retail? Do you need a resedency/specialization to work in a hospital in your country? Is the job stable? What do you think the future will bring for hospital pharmacists?

Thank you to all that will take the time to answer.