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I’m amazed at how wasteful some of our patients are.
I work for a home tube feeding provider specifically in change prescriptions
We got an RX literally to change from plain to vanilla flavor. No other change.
In those instances, we’re not going to swap it out until next refill because your insurance isn’t going to pay for more just because you decided you want something different.
Her husband is going from total tube feeds to oral + tube feeds to practice swallowing. This is common to help a patient progress.
She called in adamant he was out of formula. He just got a refill of the plain flavor 6/16. She says it’s not palatable to him and he can’t use it.
She’s right in that it’s not palatable, but you can flavor the plain to what ever flavor you want because it has no underlying flavor already there.
Knowing her insurance wouldn’t pay for the vanilla right now, I calmly explained this & that I would happily have a dietitian call to explain how to flavor it for the time being until he can get the vanilla on his refill.
She snapped at me “I don’t want to know how to make it palatable, I want the vanilla now. “
So I tell her—if you want it you have to pay for it. $41 for a case of 12. Yes, I shit a brick too.
And she said ok.
Here’s the next fun part, it’s Saturday and our national distributors are closed. The local branch shows 1 case. If any of you work where stock is managed online, you know 1 of anything usually means it’s not there.
I explained to her that we may not actually have it and offered that Amazon may have it available and faster. She snapped off they do not have it (it’s a lie, they really do).
So I just got the call back from the branch that I am indeed correct that they don’t have it.
I checked Amazon & they have it and it can be delivered Monday.
The fast we can get it there is Tuesday. You think I’m gonna try to tell her about Amazon again?
Nope. She can figure it out.
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