How CVS treat their UNIONIZED EMPLOYEES ?

Teamsters Local 727 Notifies Top CVS Executives of CVS Negotiators’ Unwillingness to Reach a Deal

www.teamsterslocal727.org/teamsters-local-727-notifies-top-cvs-executives-of-cvs-negotiators-unwillingness-to-reach-a-deal/

Union Demands Fair Treatment and Good Faith Bargaining for Pharmacists

Earlier this month, Teamsters Local 727 Secretary-Treasurer John Coli, Jr., wrote letters to 25 executives at CVS detailing the disrespectful and upsetting manner in which local Company representatives and CVS’s chief negotiator have handled ongoing negotiations with the Union.

“It has been over two years since contract negotiations began, and the Company has used every delay tactic in the book while seeking to limit wages, force longer work hours to already overworked pharmacists and remove PICS from the bargaining unit by replacing them with non-union managers,” wrote Secretary-Treasurer Coli.  “It seems that CVS has no interest in being fair or reasonable.”

CVS management has dragged its feet throughout negotiations, ignoring requests for meeting dates, rejecting proposed meeting dates, refusing to discuss and explain outstanding proposals, or produce a last, best, and final offer.  Coli requested CVS’s top leaders reach out to the negotiators and instruct them to cease wasting time and money on unrealistic proposals and come prepared to reach a fair contract when the Parties meet this week.

“These are not the actions of a corporation committed to its workforce, its investors, or the public,” Coli stated in his letter.  “CVS should be eager to invest in their workers and improve working conditions for the employees whose hard work keeps customers coming back.”

The Union will continue to demand a fair collective bargaining agreement for its pharmacy members.  “These hardworking pharmacists deserve a respectable contract.  We won’t stop fighting until they get one,” said Coli.

Teamsters Local 727 will inform pharmacists of all updates following the June 21, 2018 bargaining session.

If you have questions, contact Local 727 Business Representative Melissa Senatore at (847) 696-7500 or melissa@teamsterslocal727.org.

Nothing in this article should be read as the union’s waiver of any legal argument, position or additional grievance. The union does not forfeit its right to make any and all supplemental arguments.

 

Clinton Man Sues CVS For Giving Him Wrong Cream For His Groin

http://www.courant.com/news/connecticut/hc-news-cvs-lawsuit-wrong-cream-20180622-story.html

A Clinton man has filed a lawsuit against CVS Pharmacy for giving him the wrong cream to rub on his groin area that caused bleeding and a serious infection.

In a lawsuit filed in U.S. District Court in New Haven this week Warren Schumack said he went to his local CVS Pharmacy in October 2017 to fill a prescription for Floucinonide, a steroid cream his dermatologist had prescribed for him previously to combat a fungal condition in his groin area. The lawsuit said that Schumack is a longtime customer of the store and had gotten the prescription filled there previously.

But instead of giving him the steroid cream, a CVS employees gave him Fluorouracil, which is an anti-neoplastic cream used during chemotherapy to aggressively exfoliate skin cells on cancer patients.

Schumack began applying the cream to his groin area and immediately began experiencing pain, swelling, redness and ultimately bleeding in and around his testicles, the lawsuit said.

When he returned to his dermatologist he discovered that the wrong cream had been given to Schumack at the pharmacy. His groin area became infected within weeks and had to be treated.

As a result of the injuries caused by the wrong prescription he suffered loss of consortium, loss of sleep and physical and mental anguish, the lawsuit said. He also was unable to work.

The lawsuit seeks more than $15,000 in monetary damages from the Woonsocket, R.I.-based company. The lawsuit was originally filed in state court in Middletown but was transferred to federal court at the request of CVS attorneys because the pharmacy’s corporate offices are located out of state.

In a motion to transfer the case to federal court, Bridgeport attorney Beck S. Fineman, who represents CVS, estimated that damages could exceed $75,000 including medical expenses and lost wages.

Pharmacist: Looking for a reason to say no….

I routinely get phone calls and I just never know who is going to be on the other line.. other than those who wish to help me lower my credit card interest rate.. of which I don’t have any outstanding balances on them 🙂  And then there are the ones from the “IRS” that is going to come out in 24 hrs if I don’t call them back because of some unpaid tax debt… surprisingly.. I have hung up on every one of those and I am still a “free man”.. they have never showed up at by door to arrest me..

Yesterday I got a call from a person on the west coast, a mid-aged male… who had did something stupid in his teens or 20’s and ended up with intractable chronic pain in his back…

For THIRTY YEARS, he had been patronizing a CVS store near where he lived, but recently he and his wife had moved about 75 miles to a more affordable housing area..  He kept seeing the pain management prescriber that he had been seeing for 10 + yrs and he took a prescription to the local CVS near where he now lives…

So he now takes a new C-II prescription for Fentanyl to a CVS store near his new home.  He described that the pharmacist on duty at this CVS was a YOUNG FEMALE FLOATER…

This pharmacist apparently didn’t bother to check the CVS computer system … apparently she started down the path of looking for a reason not to fill this Fentanyl prescription… she first stated that the date on the prescription appeared to be in a “slightly different shade of ink” than the signature on the prescription..

Of course the pt didn’t know that the only thing that the physician has to physically do to a C-II prescription is sign it in indelible pencil or with a pen that is “liquid ink”… they can’t use rubber stamps or be signed by office nurse/agent… however the office nurse/agent can fill out the entire prescription – including the date – according to federal statue.

The directions on the prescription was for the pt to swap out a patch every 2-3 days.. .but.. the pharmacist stated that the FDA guidelines was for EVERY 3 DAYS… of course… apparently this YOUNG PHARMACIST did not learn out of her academic books that those requires – clinical trials – were done before we knew much about CYP-450 enzyme system and how these 50 odd liver enzymes can affect opiate metabolism and that some pts are slow, some are normal, some are fast and some or ultra fast metabolizers.. and those who metabolize opiate faster with Fentanyl patches can often start going into withdrawal around 60 hrs of having the patch on..

That brings up one of my favorite sayings… “…knowledge is knowing the rules… experience is knowing the exception to the rules ”  It would seem to be that this pharmacist falls under the first part of that saying … and you can guess where I fall ?

End of this story… this pt had to do without his Fentanyl for THREE DAYS… because of this pharmacist’s apparent starting looking for a reason not to fill this particular pt’s C-II Rxs… if for no other reason than he was new pt to this particular store and she was not interested in looking into the pt’s prescription history in CVS’ computer system.

And while on the phone with this pt… he look on my website and found http://www.ncpanet.org/home/find-your-local-pharmacy and had found a INDEPENDENT PHARMACY near him that he was going to reach out to.  This pt also indicated that he has some law background and indicated that he could file charges against this particular pharmacist on his own…

I hope that this pt can get the attention of this particular “by the book & by the numbers” pharmacist…” Maybe he can change some of her “book smarts” … into “knowing about the exceptions to the rules”  Time will tell…  but one thing that this pt can count on… he has my cell number and I am on his side 100% and more than happy to draw him a “road map” to show this pharmacist as to the path that she should be taking with chronic pain pts.

 

 

Pharmacist has used his Judgement not to Fill your Prescription – no other reason given ?

My Name is XXX  XXX and I got your Email Address off the Web Site when I

Was searching for Pharmacist Whom would not fill My Prescription, I will tell you A little bit about myself

And what I have been going through in the last couple of years in RE: To My Prescription. The

Nightmare, Embarrassment, and the turn downs on not filling my Prescription, .

 As a Child I can remember having severe Headaches, So as I got older my headaches got worse, I had been to so so many Drs. And they could not find out

What was causing these severe Headaches, so my Family Dr  decided to do a spinal tap, well hmmm

Pressure on my brain was 420, Very high, so I was sent to neurosurgeon, Dr Dusseau in turn had diagnosed me with Hydrocephalus/Arnold Chari, So my Dr said that I needed a Shunt in my brain to drain the Fluid, okay let’s do this when hmmmm one week later I end up in the Emergency Room 

I could not Stand the pain, to make a long story short, I ended up having 12 Shunt revisions on my Brain because the Stunts just would not work on my Condition (Sad) my last and final shunt had gotten infected some how so I was in Intensive Care for 48 hours to drain the  infection off my Brain,

So I said No more Stunts I will try and Love with the pain, (And just take pain medication), On top of all this I was in motorcycle acct at young age and lost my left heel, so after all these years not able to walk right due to No Heel it has caused so much back pain, I have RA Arthritis and so many more problems,

So my question is why in the World do I get treated like I’m a Junkie, I take one Medication for my Pain not 2-3-4, One, I’m sorry I’ve had to take A 12 hour med this last Month because I cannot get my Prescription filled, My Pain Management Dr has been sending Electronic Prescription to Publix every 2 weeks because they will not fill one Month Supply, I had gone to Walgeens last month to get my 

Prescription Filled and the Pharmacist re fused my script and said not only will I not fill your script but No other Walgreens will fill it either,  I said what are you the spokes person for Walgreens, I’m crying because I’m just beside myself that I’m getting treated this way, ,So I thought well I have humma Ins

I will have my Dr sent script by Mail Order, so I wait wait no Prescription came so I called the Pharmacist 

To see what was going on with my Prescription and the Tech says the Pharmacist has used his Judgement not to Fill your Prescription, I was like the Pharmacist has what he is not my Dr this is a legit Script  he really has No right to make that Judgement Call, Mr Steve I could continue to type you more but I think that you get what I’m saying, These Pharmacist are playing Dr and they do not have a License to do this, they are wanting Patience to take a 12 hour med  that Cost triple and then they want you to take 4 hour med like 1 per day, and the cost of 4 hour med  cost pennies compared to the 12 hour Med.

How in the World can they get away with this & treating people who need there Medication every  month, 

I have been told that WALGREENS has provided their pharmacists a means to “black ball” a pt in Walgreen’s pharmacy computer system and that it applies to all 10,000 of their stores. If this is true, it would suggest that Walgreen’s has a high degree of confidence in the opinions of their employed pharmacists… and/or they could care less if their pharmacists fill any controlled medication prescriptions.

I have also been told that the only one who can remove that “black ball” is the pharmacist that put that flag on the pt’s records in the Walgreen’s pharmacy software system.

I routinely question why pts – who have been treated poorly by a chain pharmacist – that they want to continue to patronize that same chain..  Personally, it doesn’t matter the type of business… I refuse to BEG some business to let me give them my money.  If they don’t seem to want or appreciate my business I have always been able to find some other business that will be more than willing to respect me and treat me like they appreciate my patronage.

As always, here is a link to find a independent pharmacy by zip code for those pts who are tired of being treated more like a inconvenience to the employees of a business  http://www.ncpanet.org/home/find-your-local-pharmacy

TN: getting serious about the war on drugs… to bad that they don’t know what the hell they are doing

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☑️Call the United Nations, and tell them they must intervene, in any way they can 1-212-963-1234

Please call and share.

 

Man stole cancer patient’s painkillers before dumping body in woods, docs show

http://www.wtol.com/story/38449491/marci-satchwell-death-man-stole-cancer-patients-pain-medication-before-dumping-body-in-kentucky

COVINGTON, KY (FOX19) –

A murder suspect is accused of stealing a cancer patient’s medication before dumping her body in a wooded area last week.

Kenneth Jones, 38, targeted his own cousin, Denita “Marci” Satchwell, in a plot to take her painkillers, according to court documents filed in Kenton County.

58-year-old Satchwell was a Stage 4 lung cancer patient and in “frail and in poor health,” documents show. Police called Satchwell an “easy target” for the robbery because she had a large number of painkillers in her Covington residence.

Satchwell was reported missing a little over a week ago. Her body was found Friday in the woods of Rabbit Hash, Kentucky.   

The cause of her death is not known.

Covington Police discovered that Jones and an underage accomplice planned and carried out the robbery at Satchwell’s house, which “resulted in the death of the victim,” court documents show.

Jones stored Satchwell’s body in the trunk of a vehicle overnight, police said.

Jones and the juvenile then drove to Boone County and dumped the body in the woods. After that, the pair tried to remove DNA evidence from the vehicle.

They are both charged with murder, attempted robbery and tampering with evidence.

A third suspect, Braedon Reaves, 18, is charged with facilitation to homicide.

Jones is being held at the Kenton County Detention Center on a $1 million dollar bond. 

Reaves is being held at the Kenton County Detention Center.

The juvenile is being held at the Campbell County Juvenile Detention Facility. 

Anyone with information regarding this case is asked to call Detective Jess Hamblin at 859-292-2375.

CVS to pt: please take your prescriptions to another pharmacy.. don’t bother us with them…

Hi Steve my name is xxxxx and I’m having a problem with CVS filling my prescription for Norcos. I’ve been going to them for several years but every other month it seems they run out of the meds. Waiting for delivery. Tell me to go elsewhere etc.  I’ve been getting the same prescription since 2008 now they say that my doctor is under investigation by the DEA and  CVS corporate has issued them an email ORDERING THEM NOT  to fill any of MY doctors medications. I already filed a complaint with the ADA  so now what do I do?DO I contact corporate? The DEA? I am so frustrated. Thank you for any suggestions you may have.

Sincerely,

How to find a independent pharmacy that is less likely to screw with the valid medical needs of pts

http://www.ncpanet.org/home/find-your-local-pharmacy

And what do you think is going to happen if CVS is allowed to purchase Aetna with its 42 million beneficiaries ?  As they mandate that those Aetna beneficiaries  have to have all their prescription(s) filled at a CVS store or their mail order pharmacies… Can we expect them to start tossing to “the curb” pts that CVS has determined is unwelcomed in their stores as prescriptions customers either because of the prescriber that they see and/or the specific medications that they take  IE: controlled substances.

 

AMA opposes CVS-Aetna deal

AMA opposes CVS-Aetna deal

https://www.healthcaredive.com/news/ama-opposes-cvs-aetna-deal/526112/

Dive Brief:

  • The American Medical Association pushed against the CVS Health-Aetna deal during a hearing on the proposed acquisition in San Francisco Tuesday, warning it will would lead to “likely anti-competitive effects on Medicare Part D, pharmacy benefit management services, health insurance, retail pharmacy and specialty pharmacy.”
  • Kristen Miranda, Aetna’s president of California and the head of the west territory, and Thomas Moriarty, CVS Health’s EVP, defended the merger’s potential benefits,
  • including reducing healthcare costs, improving care coordination and helping patients with chronic illness, such as diabetes.

  • AMA President Barbara McAneny said that the doctors’ group researched the matter for months, speaking to academic experts and others, but concluded the merger would lessen competition in many healthcare markets.

Dive Insight:

The $69 billion proposed CVS buy of Aetna is expected to close in the second half of the year. CVS and Aetna shareholders backed the purchase earlier this year. Company officials appeared before Congress in late February to discuss the deal and the Department of Justice is reviewing the purchase and its potential ramifications.

On Tuesday, California Insurance Commissioner Dave Jones held a hearing on the proposed deal, making it clear he has no decision-making power but wanting to give outside groups a forum to weigh in.

CVS and Aetna officials trumpeted potential cost savings in the deal. Moriarty said the merger could save $750 million in the first two years. He also spoke of the potential of CVS pharmacists taking a more active role in healthcare. Patients see their pharmacists more than they see their doctor. Moriarty said pharmacists could play a key role in complementing a doctor’s care.

Despite CVS and Aetna’s contentions, AMA President Barbara McAneny said that the doctors’ group ultimately concluded the merger would lessen competition in many healthcare markets.

“The AMA is now convinced that the proposed CVS-Aetna merger should be blocked,” McAneny said at the hearing.

The problems the AMA listed include:

  • A possible increase in premiums connected to an increase in market concentration in 30 of 34 Medicare Part D regional markets.
  • An anticipated increase in drug spending and out-of-pocket costs.
  • A reduction in competition in health insurance markets that could lead to higher premiums and a reduction in the quality of insurance.
  • The companies won’t be able to realize the efficiencies and benefits they’ve promised in the deal.

Other speakers also discussed concerns with the proposal, including worries about competition and what it will mean for consumers.

Supporters of the deal note the vertical merger will not raise the same competitive concerns cited in the DOJ’s opposition to Aetna’s proposed pact with fellow payer Humana in 2017. The CVS-Aetna deal is not the only vertical integration being discussed by a major payer. Humana is reportedly in early talks with Walmart on a deal that may involve strengthening partnerships or could even involve a purchase of the payer. And Express Scripts and Cigna are in the process of an attempted merger also.

The industry is watching the CVS-Aetna deal closely and whether the federal government will allow the purchase. If the vertical deal goes through, other payers and major companies will likely intensify talks for their own mergers. 

including reducing healthcare costs, improving care coordination and helping patients with chronic illness, such as diabetes.

“reducing healthcare costs” can simply be had by providing less care and/or having more and more care being provided by mid-level practitioners – ARNP, PA, NP

“improving care coordination” could mean that those pts having Aetna insurance will be locked into using CVS provided care thru their in store clinics “nurse-in-a-box” and required all prescriptions be filled at a CVS store and/or thru their mail order service ?

I wonder  if pts dealing with “chronic pain” will be considered “worthy” of getting help in managing their pain ?

CVS & Walgreens now providing/charging for a service that most independent pharmacies DO FOR FREE and SAME DAY

CVS to Offer Nationwide Home Delivery of Prescription Drugs

https://healthitanalytics.com/news/cvs-to-offer-nationwide-home-delivery-of-prescription-drugs

– CVS Pharmacy is now offering speedy home delivery of prescription drugs across the nation as a way to improve medication adherence, boster population health, meet consumer expectations – and potentially get ahead of competitors like Amazon who may launch similar services in the near future.

Customers will be able to receive their prescriptions as soon as the next day, CVS Health said in a press release, by placing orders through an app or by phone.  The service comes with a $4.99 delivery charge.

Same-day prescription delivery has been available since late 2017 in select metro areas, including San Francisco, Philadelphia, New York, Boston, Miami, and Washington, DC, for an $8.99 delivery fee.

Controlled substances, Medicare Part B medications, and medications that require refrigeration will be excluded from the delivery service, the accompanying FAQs state.

“The national launch of our prescription delivery service, including the expansion of same-day delivery in five new markets, is delivering on our promise to make staying healthy simpler for every patient, regardless of where they live,” said Kevin Hourican, President of CVS Pharmacy.

“Through a fully customized digital experience, shoppers are now able to enjoy the convenience of CVS Pharmacy right at their doorstep.”

Delivering medications by mail is by no means a novel idea – mail-order pharmacy services are a standard part of many prescription drug plans, and may encourage lower costs and higher rates of medication adherence due to their convenience factor.

While some independent pharmacies also offer home delivery services within their communities, CVS Pharmacy is the first national chain to dive head first into the on-demand market. 

Customers can also add common health and household items stocked by CVS retail stores, including cold and flu remedies, vitamins, baby care items, and allergy medications, which enhances the allure for consumers who are getting used to being able to summon necessities with the tap of a smartphone app.

“The rollout of delivery from nearly all of our 9,800 retail pharmacy locations nationwide represents another step forward for us in delivering innovative omnichannel solutions that help people on their path to better health,” said Hourican.

The phrase “omnichannel solutions” immediately conjures up thoughts of Amazon, which has made near-immediate, consumer-oriented services a top priority as it expands into new areas of shopping, home services, and potentially the healthcare industry.

Rumors of Amazon breaking into the prescription drug market have been swirling for months, growing in strength as the commerce behemoth moves forward with its plans to disrupt healthcare alongside Berkshire Hathaway and JP Morgan & Chase. 

Other competitors may include Walmart, which is ramping up its grocery delivery services and offering free 2-day shipping on other items to compete with Amazon Prime. 

The staple mega-mart is also rumored to be in talks to acquire or partner with Humana, which could streamline the process of delivering prescription drug services to Humana members.

Walgreens is also in the mix.  The chain encourages customers to take advantage of free shipping of 30-day or 90-day prescription supplies through its mail order division. 

Walgreens’ free standard shipping takes between 5 and 10 days to arrive, however, and the pharmacy charges $12.95 for 2-day shipping and $19.95 for overnight delivery.  Whether prices will drop in light of the CVS Pharmacy announcement remains to be seen.

The CVS announcement is not unexpected in light of the fierce jockeying for consumer loyalty among a new suite of consumer-driven healthcare companies.  As these entities fight for market share – and race to secure and leverage the big data that will support their strategic decision-making – consumers may find themselves spoiled for choice.

Competition to craft a high-quality consumer experience could be a positive force in an industry that is moving towards value-based reimbursements.  Pharmacy companies that can create satisfied patients while potentially improving medication adherence and lowering drug costs could be among the most successful in this quickly changing marketplace.

Just look at any bottle of medication that has the original label on it… doesn’t make any difference if it is a OTC product or a prescription med.. most all have a FDA statement stating the required storage temperature… normally 59F – 86F… there are some exception to those storage requirements for certain medication.  Most independent pharmacies – who offer same day delivery AT NO CHARGE – your medication is typically kept in the required storage range. But when pharmacies place medications in some sort of carrier/delivery services  – USPS, Fedex, UPS, etc.. etc…  they are typically exposed to whatever the ambient temperature is — or in the case of summer heat – could be exposed to much higher temperature than ambient temperature.

Manufacturers, wholesaler, pharmacies are required to maintain medications under these temperature range…but.. when a pharmacy hands your prescriptions over to a delivery carrier(s) they don’t have to adhere to these temperature storage requirements.

There have been some studies concerning the potency of medication shipped and delivered to a “mail box” … in the summer in the southwest area and the medications tested LOST 50% OF THEIR STRENGTH.