Comments on: The Angry Pharmacist on the Medicare donut-hole http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html medical blog Mon, 23 Nov 2009 01:35:28 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html/comment-page-1#comment-73525 Anonymous Sun, 01 Apr 2007 21:56:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-angry-pharmacist-on-the-medicare-donut-hole.html#comment-73525 wow, in response to your "anonymous" comment. I spent 5 years studying every aspect of drugs. I went to a pharmacy school next to a med school. I met some of the med students and they take 1 semester of pharmacology. I believe pharmacists are trained to know all aspects of drugs. Therefore, give us the respect we deserve and let us do our jobs. Oh and p.s. we do really work schmuck. wow, in response to your “anonymous” comment. I spent 5 years studying every aspect of drugs. I went to a pharmacy school next to a med school. I met some of the med students and they take 1 semester of pharmacology. I believe pharmacists are trained to know all aspects of drugs. Therefore, give us the respect we deserve and let us do our jobs. Oh and p.s. we do really work schmuck.

]]> By: RJS http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html/comment-page-1#comment-72950 RJS Sat, 17 Mar 2007 02:48:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-angry-pharmacist-on-the-medicare-donut-hole.html#comment-72950 Apologies for my language, Kevin.<br/><br/>You'll have to excuse me... it's been a very long week with little sleep capped off by my getting into an unavoidable car accident on the way home from work during this storm.<br/><br/>I will respond to this post in a blog entry of my own shortly. Apologies for my language, Kevin.

You’ll have to excuse me… it’s been a very long week with little sleep capped off by my getting into an unavoidable car accident on the way home from work during this storm.

I will respond to this post in a blog entry of my own shortly.

]]> By: Happyman http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html/comment-page-1#comment-72945 Happyman Fri, 16 Mar 2007 23:19:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-angry-pharmacist-on-the-medicare-donut-hole.html#comment-72945 I think that for most internists or FPs, Medicare part D coverage has little or no impact on prescribing patterns. I'd never use cipro, for example, to treat community-acquired pneumonia, where levaquin or avelox are good choices in, e.g., diabetics.<br/><br/>However for a young woman with an uncomplicated UTI cipro or bactrim are both excellent choices. <br/><br/>little to do with cost or coverage in these scenarios.<br/><br/>There are important differences between drugs even in the same class. This is especially true with antibiotics. Other examples would be beta-blockers and other anti-hypertensive classes. I remember once i got letters from a pharmacy benefits company saying that an ARB wasn't covered for my diabetic patient - they were recommending changing to norvasc (???) I think that for most internists or FPs, Medicare part D coverage has little or no impact on prescribing patterns. I’d never use cipro, for example, to treat community-acquired pneumonia, where levaquin or avelox are good choices in, e.g., diabetics.

However for a young woman with an uncomplicated UTI cipro or bactrim are both excellent choices.

little to do with cost or coverage in these scenarios.

There are important differences between drugs even in the same class. This is especially true with antibiotics. Other examples would be beta-blockers and other anti-hypertensive classes. I remember once i got letters from a pharmacy benefits company saying that an ARB wasn’t covered for my diabetic patient – they were recommending changing to norvasc (???)

]]> By: Kevin http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html/comment-page-1#comment-72943 Kevin Fri, 16 Mar 2007 22:59:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-angry-pharmacist-on-the-medicare-donut-hole.html#comment-72943 You make good points RJS, but I deleted the comment due to foul language. <br/><br/>Thanks,<br/>Kevin You make good points RJS, but I deleted the comment due to foul language.

Thanks,
Kevin

]]> By: Anonymous http://www.kevinmd.com/blog/2007/03/angry-pharmacist-on-medicare-donut-hole.html/comment-page-1#comment-72938 Anonymous Fri, 16 Mar 2007 20:01:00 +0000 http://clients.emmense.com/kevinmd/2007/03/the-angry-pharmacist-on-the-medicare-donut-hole.html#comment-72938 This pharmacist obviously has an inferiority complex. If he wants to script meds, he should go to med school. Otherwise, tell him to shut up and get back to dispensing meds for patients and let doctors do the real work. This pharmacist obviously has an inferiority complex. If he wants to script meds, he should go to med school. Otherwise, tell him to shut up and get back to dispensing meds for patients and let doctors do the real work.

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