Re: vaccinations in pharmacies

[Guest guest]

You can get a cbc, basic metabolic panel, TSH and maybe some others done at CVS pharmacy, without a prescription no less!

[Guest guest]

You can get a cbc, basic metabolic panel, TSH and maybe some others done at CVS pharmacy, without a prescription no less!

[Guest guest]

Our local pharmacies are doing flu

vaccines, and sometimes pneumovax at this point. I asked them about others –

they are not interested in them (yet- my addition).

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

From: [mailto: ] On Behalf Of lawrence

lyon

Sent: Thursday, November 02, 2006

12:38 PM

To: practice improvement

Subject:

vaccinations in pharmacies

I don't know how it is in other parts of the country, however I've

discovered some very interesting news. I had known that the local

pharmacies were starting to give vaccinations, but I did not know to what

extent. Apparently, they are giving vaccines now for hepatitis A and B,

for zoster, tetanus, flu shots, meningitis, MMR, and pneumonia.

If the local pharmacies are doing this, I don't see any point in stocking these

vaccines.

If the patient needs any of these things, I would just send them over to the

pharmacy.

I can just see them starting to draw blood next. How is this appearing in

other parts of the country? How is this appearing in other parts of Washington?

I'd love to hear some thoughts on this one.

LL

Check

out the New Yahoo! Mail - Fire up a more powerful email and get things done

faster.

[Guest guest]

Our local pharmacies are doing flu

vaccines, and sometimes pneumovax at this point. I asked them about others –

they are not interested in them (yet- my addition).

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

From: [mailto: ] On Behalf Of lawrence

lyon

Sent: Thursday, November 02, 2006

12:38 PM

To: practice improvement

Subject:

vaccinations in pharmacies

I don't know how it is in other parts of the country, however I've

discovered some very interesting news. I had known that the local

pharmacies were starting to give vaccinations, but I did not know to what

extent. Apparently, they are giving vaccines now for hepatitis A and B,

for zoster, tetanus, flu shots, meningitis, MMR, and pneumonia.

If the local pharmacies are doing this, I don't see any point in stocking these

vaccines.

If the patient needs any of these things, I would just send them over to the

pharmacy.

I can just see them starting to draw blood next. How is this appearing in

other parts of the country? How is this appearing in other parts of Washington?

I'd love to hear some thoughts on this one.

LL

Check

out the New Yahoo! Mail - Fire up a more powerful email and get things done

faster.

[Guest guest]

Ours

already do Rapid streps and phone me to ask that I

phone in an antibiotic, and they do urine dips and call me to ask for a Cipro Rx. And

local employers do lipid panels then call to ask that I phone in a statin to the onsite pharmacy…..Of course I don’t

have to roll over and play dead!

Annie

vaccinations in pharmacies

I don't know how it is in other parts of the country,

however I've discovered some very interesting news. I had known that

the local pharmacies were starting to give vaccinations, but I did not know to

what extent. Apparently, they are giving vaccines now for hepatitis A and

B, for zoster, tetanus, flu shots, meningitis, MMR, and

pneumonia. If the local pharmacies are doing this, I don't see any point

in stocking these vaccines.

If the patient needs any of these things, I would just send them over to the

pharmacy.

I can just see them starting to draw blood next. How is this appearing in

other parts of the country? How is this appearing in other parts of

Washington?

I'd love to hear some thoughts on this one.

LL

Check

out the New Yahoo! Mail - Fire up a more powerful email and get things done

faster.

[Guest guest]

Ours

already do Rapid streps and phone me to ask that I

phone in an antibiotic, and they do urine dips and call me to ask for a Cipro Rx. And

local employers do lipid panels then call to ask that I phone in a statin to the onsite pharmacy…..Of course I don’t

have to roll over and play dead!

Annie

vaccinations in pharmacies

I don't know how it is in other parts of the country,

however I've discovered some very interesting news. I had known that

the local pharmacies were starting to give vaccinations, but I did not know to

what extent. Apparently, they are giving vaccines now for hepatitis A and

B, for zoster, tetanus, flu shots, meningitis, MMR, and

pneumonia. If the local pharmacies are doing this, I don't see any point

in stocking these vaccines.

If the patient needs any of these things, I would just send them over to the

pharmacy.

I can just see them starting to draw blood next. How is this appearing in

other parts of the country? How is this appearing in other parts of

Washington?

I'd love to hear some thoughts on this one.

LL

Check

out the New Yahoo! Mail - Fire up a more powerful email and get things done

faster.

[Guest guest]

I am sure that they are all trying to make an extra buck, usually at

the expense of primary care and the continuity we try to provide.

With Walmart and other 4 dollar generics they will have to find other

profit centers since it requires a bunch of 4 dollar prescriptions

just to pay a pharmacist, not including other overhead.

Right now we are competing with drive thru flu shots, flu shots at

local pharmacies, health depts and local hospital.

I think others will find there is not much money in the immunizations

unless you can buy on volume and demand a better price like the huge

retailers.

I do not know what I will do when point of care testing is done at

pharmacy except just say no or come up with a charge for this and

demand it prior to the prescription being phoned out just to cover

overhead and time to do this and document follow up recommendations

etc should it not work and plan.

Brent

>

> Ours already do Rapid streps and phone me to ask that I phone in an

> antibiotic, and they do urine dips and call me to ask for a Cipro

Rx.

> And local employers do lipid panels then call to ask that I phone

in a

> statin to the onsite pharmacy...Of course I don't have to roll over

and

> play dead!

> Annie

>

> vaccinations in pharmacies

>

> I don't know how it is in other parts of the country, however I've

> discovered some very interesting news. I had known that the local

> pharmacies were starting to give vaccinations, but I did not know to

> what extent. Apparently, they are giving vaccines now for

hepatitis A

> and B, for zoster, tetanus, flu shots, meningitis, MMR, and

pneumonia.

> If the local pharmacies are doing this, I don't see any point in

> stocking these vaccines.

> If the patient needs any of these things, I would just send them

over to

> the pharmacy.

> I can just see them starting to draw blood next. How is this

appearing

> in other parts of the country? How is this appearing in other

parts of

> Washington?

> I'd love to hear some thoughts on this one.

> LL

>

> _____

>

> Check

>

<http://us.rd.yahoo.com/evt=43257/*http:/advision.webevents.yahoo.com/

ma

> ilbeta> out the New Yahoo! Mail - Fire up a more powerful email

and get

> things done faster.

>

[Guest guest]

I am sure that they are all trying to make an extra buck, usually at

the expense of primary care and the continuity we try to provide.

With Walmart and other 4 dollar generics they will have to find other

profit centers since it requires a bunch of 4 dollar prescriptions

just to pay a pharmacist, not including other overhead.

Right now we are competing with drive thru flu shots, flu shots at

local pharmacies, health depts and local hospital.

I think others will find there is not much money in the immunizations

unless you can buy on volume and demand a better price like the huge

retailers.

I do not know what I will do when point of care testing is done at

pharmacy except just say no or come up with a charge for this and

demand it prior to the prescription being phoned out just to cover

overhead and time to do this and document follow up recommendations

etc should it not work and plan.

Brent

>

> Ours already do Rapid streps and phone me to ask that I phone in an

> antibiotic, and they do urine dips and call me to ask for a Cipro

Rx.

> And local employers do lipid panels then call to ask that I phone

in a

> statin to the onsite pharmacy...Of course I don't have to roll over

and

> play dead!

> Annie

>

> vaccinations in pharmacies

>

> I don't know how it is in other parts of the country, however I've

> discovered some very interesting news. I had known that the local

> pharmacies were starting to give vaccinations, but I did not know to

> what extent. Apparently, they are giving vaccines now for

hepatitis A

> and B, for zoster, tetanus, flu shots, meningitis, MMR, and

pneumonia.

> If the local pharmacies are doing this, I don't see any point in

> stocking these vaccines.

> If the patient needs any of these things, I would just send them

over to

> the pharmacy.

> I can just see them starting to draw blood next. How is this

appearing

> in other parts of the country? How is this appearing in other

parts of

> Washington?

> I'd love to hear some thoughts on this one.

> LL

>

> _____

>

> Check

>

<http://us.rd.yahoo.com/evt=43257/*http:/advision.webevents.yahoo.com/

ma

> ilbeta> out the New Yahoo! Mail - Fire up a more powerful email

and get

> things done faster.

>

[Guest guest]

Oh my gosh! Unbelievable the nerve of some people (or systems or whatever). Just in the past month the CVS pharmacies here opened their "minute clinics". One of my patients is a nurse practitioner and is running one. So far not much has changed for me. Still plenty of sick people coming here. I have a few patients who have been to urgent care recently without calling me. One called while she was waiting for a sports physical for her daughter at an urgent care for 4hours! We told her, gosh, we could have seen her today, we could still see her, she said, she had waited that long and would just stay. I hope people will continue to recognize that we can offer quick care with the added benefit of knowing our patients.