Doctors--- Rant.

[okcBob]

the prescription pad has an option of “DAW”. Or dispense as written. If doc write daw , then the pharmacy has to use the brand name Eg Golyetly. If he doesnt write daw, then the pharmacy can dispense the generic cheaper equivalent Eg GaviLyte-G
Unsure if this was the case though.

 

[okcBob]

Yeah, I read that, doctors get $.11 of the dollar. So, what's the explanation? They were clearly aware of the cost difference and the availability of a cheaper alternative. So why is the $160 option their automatic go to?

Sometimes the brand name is better than the generic. Antiseizure meds are sometimes done this way.
But prob they wrote daw by mistake cause it’s only bowel prep

 

[montesa]

Yeah, I read that, doctors get $.11 of the dollar. So, what's the explanation? They were clearly aware of the cost difference and the availability of a cheaper alternative. So why is the $160 option their automatic go to?

Basically the question is what is the incentive to prescribe one drug over another. What do drug reps do when they visit doctors offices and take them out to fancy dinners? Or invite them to conferences? There's a lot to it. But doctors at hospitals are basically employees so most likely they are somewhat directed on which scripts are the go-to for certain things.

 

[montesa]

https://health.usnews.com/health-care/patient-advice/articles/2018-08-31/do-drug-company-payments-to-doctors-influence-which-drugs-they-prescribe

 

[okcBob]

Hospitalists are so overworked that they just wanna get to the next patient. DAW is the exception rather than the rule.

 

[rapidsequence]

Yeah, I read that, doctors get $.11 of the dollar. So, what's the explanation? They were clearly aware of the cost difference and the availability of a cheaper alternative. So why is the $160 option their automatic go to?

sometimes when we write prescriptions, you have no idea what insurance will cover what drug. seriously, it can change wit the freaking wind direction. and again, thank your "pharmacy benefit managers" for the ridiculous cost of drugs and for forcing out any local competition for Walgreen's/CVS

 

[rapidsequence]

Basically the question is what is the incentive to prescribe one drug over another. What do drug reps do when they visit doctors offices and take them out to fancy dinners? Or invite them to conferences? There's a lot to it. But doctors at hospitals are basically employees so most likely they are somewhat directed on which scripts are the go-to for certain things.

they USED to that. no more. they have strict gov't restrictions on what they give and the monetary value. The good ol days are over (I've been practicing 25 yrs)... seriously, can't say that influence never happened with some docs, but in the ER, you don't have the luxury or ability to use the new (read: expensive) drugs. So, I've experienced very little of the aforementioned influence.

 

[Claybuster]

I shouldn't even join this b/c my Doc is an old friend. We have lunch monthly. Partly b/c I feel guilty that he has to manually send in my refills every 30 days b/c of ******** government/insurance regulation and also because we're not getting younger. It's his staff and the insurance company that gets my goat.

Roll in, early, for my physical, get grunted to by Miss personality, and thrust a clipboard with a xeroxed sheet for me to chicken scratch my info on while she returns to her online shopping. Listen sis, I can't read my own handwriting, how about you print off what you've got before I get here, and I'll tell you what's changed or send me a link so I can fill it out online in advance. Clearly you can't, or don't, read it because my new pharmacy is printing a 7 year old address on my prescriptions. Obviously nobody cross referenced the copy of my drivers license either. If you're not going to use it, why do you need it? Also, shouldn't everything auto-populate when you verify my insurance? How exactly is my Schedule 1 prescription being filled for a person with one address and my insurance is to a person with a different address? Isn't the purpose of all this so that only the patient can get the restricted drugs? I have to show ID to pick them up, and nobody yet has questioned why I'm picking up a prescription for a person with my name at a different address than my ID.

 

[bfry]

Guys, I'm in my late 40's and had been reading you should now start getting a colonoscopy at about 45. I asked my doc for a referral and he was happy to do it. They went in and removed 10 polyps, enough that I'm going back in a year for another check. It truly wasn't that bad and I'm glad to have it taken care of.

I know the insurance and paperwork etc. is a pain, but your families will appreciate it.

 

[turkeyrun]

Guys, I'm in my late 40's and had been reading you should now start getting a colonoscopy at about 45. I asked my doc for a referral and he was happy to do it. They went in and removed 10 polyps, enough that I'm going back in a year for another check. It truly wasn't that bad and I'm glad to have it taken care of.

I know the insurance and paperwork etc. is a pain, but your families will appreciate it.

Good for you. May not have made it to 45. Any family history? Yes, 40 is recommended when family history exists. I told my sons (48 & 46) to go at 40. Oldest dragged his feet. Told his nurse Wif our family history. She handled it.

It really is a simple, painless procedure that can save your life.