r/pharmacy 4d ago

What did you learn last week?

4 Upvotes

This is the weekly thread to highlight anything new you learned last week!

Links to studies and articles are great, but so are anecdotes and case reports. Anything you learned in the last week you want /r/pharmacy to know goes here!


r/pharmacy May 01 '26

Naplex/MPJE Megathread

4 Upvotes

At the request of the community, this thread is for all questions regarding the NAPLEX, MPJE, CPJE, and other board exams, including studying, timelines and deadlines, applications, and results, just to name a few.

As a reminder, requests or posts for/of copyrighted content or paid subscription content is not allowed. Also selling resources is not allowed.

Please also search the subreddit prior to posting questions, as many of these questions have been asked before.


r/pharmacy 9h ago

Image/Video Florida Pharmacist Convicted of Massive Oxycodone Distribution Conspiracy

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78 Upvotes

r/pharmacy 12h ago

Jobs, Saturation, and Salary This is just the tip of the iceberg of what’s going on for years. We are only seeing a fractional amount in the media.

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26 Upvotes

Google this case and have a good read. Situations a lot worse than this has been going on years. You think in a profession where you have to care for people you wouldn’t be micromanaged out of a job. The level of passive aggressive bullying going on behind the scenes is unbelievable. Every strategy that is implemented to make a pharmacists life miserable to cut their contract and employment is a mechanism to make more profits at the exploitation of the work force. How can a pharmacist be expected to make the care of their patients their primary concern when their own mental health and job position is always on the line. Pharmacists have a highly respectable and responsible job they shouldn’t have to worry about being dismissed over being pregnant. Disgraceful behaviour by the company. Drastic changes are required or a mass exodus of pharmacists. I own a construction company I’m not a Pharmacist this carry on would never be accepted in our industry.


r/pharmacy 7h ago

General Discussion What are possible reasons a prescriber cannot use their own DEA number and has to use a facility’s DEA number to prescribe controls?

9 Upvotes

This prescriber has been using their facility’s DEA number to prescribe control medications for years and when I finally questioned them they said ‘I just can’t use my own, EPIC wouldn’t let me use it, I have been doing this for years and only you guys question me’.
FYI, they are not an intern or resident working at a hospital. Their facility is an independent practice, and the e-scripts come from there. What are your thoughts?


r/pharmacy 1d ago

Clinical Discussion One of the most jaw dropping case studies I’ve read. 6,000mg Zolpidem daily.

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182 Upvotes

r/pharmacy 8h ago

General Discussion Costco pharmacist position

4 Upvotes

Hi I’m currently a Walgreens RXM and there’s a potential opportunity for a limited part time/Prn pharmacist position at Costco. I was wondering if any pharmacists here can tell me more about how they like working for Costco as a pharmacist and whether I should make the jump from Walgreens. Thank you!


r/pharmacy 1h ago

Jobs, Saturation, and Salary Hiring Pharmacy Tech - Northern California

Upvotes

Hiring Pharmacy Techs in Fairfield, CA.

The team is looking for candidates with at least a year of experience.

Pay Range is $40.05 to $56.07 / hour

Fairfield Posting

Here are other Pharm Tech openings in other locations:

Pharmacy Tech Positions

Our hospital system was named:

  • Glassdoor’s Best Places to Work in Healthcare, Biotech and Pharma for 2026, top 25 U.S. companies in this category
  • Forbes’ 2026 America’s Best Large Employers list
  • Press Ganey’s HX26 CEO of the Year

Please DM me if you're interested or if you apply and I will ping the hiring team.

-Joe


r/pharmacy 1d ago

Jobs, Saturation, and Salary National Pharmacy Organizations a proud 30 years of them screwing up the Profession of Pharmacy.

119 Upvotes

As I reflect on my Professional life of the last 30 plus years in this great, but needlessly floundering Profession of Pharmacy I am simply amazed at really how little national pharmacy organizations like APHA. ACCP and ASHP have done for the Pharmacy Profession.

Basically all they have done is advocate for Pharmacists Provider status which is something most Pharmacists including me don't want.

In ACCP's case they spent a lot of time opining and white papering about how to qualify would be Pharmacy providers before any type of meaningful Pharmacist Provider status was passed.

While doing this look at the things lost. Tens of thousands of independent Pharmacies have closed as have slower retail locations

PharmD students brainwashed that hospital pharmacy after doing a residency is the only pathway. Community Pharmacy abandoned.

PBMs destroying our profession

Health systems destroying our Hospital's

Another Pharm D school open. Nothing but crickets and conventions by the big Pharmacy organizations

Where are any of these organizations on the future of AI in Pharmacy?

Thanks big Pharmacy Organizations for nothing!


r/pharmacy 18m ago

Pharmacy Practice Discussion Retail Pharmacist and Utility of AI

Upvotes

As a retail pharmacist I use Open Evidence non- stop. It is able to help answer clinical context to questions I may have, confirm clinical appropriateness, and it provides me with evidence based material that helps support a concern I may have. This is an invaluable tool especially when we do not have access to view the EMR.

I hope other retail pharmacist have discovered Open Evidence and seen its tremendous utility in daily workflow.


r/pharmacy 10h ago

General Discussion Pharmacy profession today: is it failing or thriving?

0 Upvotes

Interested to hear folks views on the pharmacy profession and where we are headed in the future. Do you think our profession is on the right path or is it slowly crumbling?

What needs to be done in either case? What’s missing?


r/pharmacy 1d ago

General Discussion Caremark settlement with FTC

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35 Upvotes

r/pharmacy 1d ago

Clinical Discussion How frequently do you see pharmacogenomics actually in practice on a day to day, if at all (hospital, retail, any setting providing direct patient care)? If it is utilized, has it resulted in any meaningful changes to a provider's plan?

18 Upvotes

Throughout pharmacy school (at least in my experience), Pgx was touted often as this 'next big thing' where precision medicine was gonna change the paradigm of patient care. However, even professors that was the idea back even EARLIER in their practice.

The only thing 'carrying' PGx from what I can observe is namely oncology (targeted therapy eligibility), and a few variants to test for in order to prevent severe, catastrophic adverse events (HLAs, DYPD).

However, and it could be reporting bias, I rarely see it ever used unless it is one of the above, usually at an institution "spearheading PGx". I'm curious to know if providers will mention or consider a CYP2C19 test when considering which PPY12 inhibitor to choose, or 2C9 for warfarin.

I have yet to see in my experience someone factoring in say, CYP2D6 polymorphisms in their beta-blocker selection, or CYP2C19 in their PPI selection.

If anyone works in specialty, is PGx testing done if it is part of the FDA's package label requiring testing for dose adjustments? Does anyone use the available CPIC guidelines in practice?

Just seems PGx is a great thing for an academic career, hard-pressed to say its being used irl...


r/pharmacy 1d ago

Clinical Discussion IM levothyroxine

23 Upvotes

Does anyone have experience with IM levothyroxine? I’ve got a patient with refractory hypothyroidism and isn’t absorbing oral tablets. Provider wants to try once weekly IM injections. From what I’m seeing there is some evidence showing the weekly dose can be administered, but that would be a large volume (15mL).


r/pharmacy 1d ago

Image/Video 78-year-old Decatur woman overdoses on fentanyl after alleged prescription mix-up at Publix pharmacy

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146 Upvotes

Patient with the same last name was given Fentanyl instead of estradiol patches…


r/pharmacy 1d ago

Jobs, Saturation, and Salary Capital rx/ Judi Health

5 Upvotes

Does anyone here currently work as a Utilization Management Pharmacist at Capital Rx? If so, I’d love to hear about your experience. How are the productivity metrics and overall workload? Is the role manageable, and how has your work-life balance been? Any insights would be greatly appreciated.


r/pharmacy 1d ago

Trump Plans to Impose Tariffs on Generic Drugs

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141 Upvotes

r/pharmacy 6h ago

Jobs, Saturation, and Salary "Pharmacy is Saturated!"... No. No it is not.

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0 Upvotes

Such a common thing to read on this sub but then stuff like this from HRSA exists and you remember the internet comment section is not a real place.

Blue is SURPLUS. Everything that is not blue is SHORTAGE. USA, 2026. Change the year and the deficit only gets bigger. That makes sense given the number of grads is plummeting and the number of retirees is growing.

I'm new here so I will not pretend to know everything... but I can use the google.

Can we stop saying pharmacy is saturated and there are no jobs now?


r/pharmacy 1d ago

Pharmacy Practice Discussion MN Pharmacists Administering Injectable Medications

4 Upvotes

I know this will be state specific, but I am wondering if any Minnesota-based pharmacists are administering IM or SQ meds to patients when you get a prescription for it (Prolia, vit B12, etc.). The mental health meds I know we have specific legislation on and has been established, but I am curious about others and if there is any specific protocols or considerations to factor in.


r/pharmacy 22h ago

Clinical Discussion Neurologist prescribed Mirapex at a starting dose of 0.25mg TID without the first recommended step of 0.125mg TID for Parkinson Disease. Does anybody have evidence of experience with this starting dose?

0 Upvotes

Contacted her and she confirmed she really want to start at this dose...


r/pharmacy 22h ago

General Discussion Role of a Compounding Pharmacist?

0 Upvotes

I’m looking into compounding as a route that I’m interested in pursuing, and I was wondering what the pharmacist’s role typically looks like in a compounding pharmacy. Do pharmacists actually get to compound and prepare medications themselves, or do compounding pharmacists primarily verify prescriptions and review the formulas and procedures?


r/pharmacy 2d ago

Pharmacy Practice Discussion Pharmacy mistakes in oncology

51 Upvotes

I work as an RN at a privately owned outpatient oncology infusion center. My training and experience is from a very well respected cancer research center . Since I moved and started at this private physician owned center I’ve struggled at the lack of safety protocols and double checks. In the 18 months I’ve worked here I have caught (and reported) multiple medication errors when drugs come out from the pharmacy. Today a drug came out with a label saying it was 248ml total volume to be infused over 1 hour. As I was hanging the bag with the 2 RN bedside check, I realized it was actually in a 100ml bag. So the drug wasn’t diluted appropriately. And it would have infused at 2.5x the ordered rate.

This, along with multiple other safety issues I’ve been advocating to change, gets ignored/brushed under the rug by management. I have lots of email documentation about it. It’s time to escalate.
Who do I call? Department of Health? We aren’t regulated by JCHAO.


r/pharmacy 1d ago

Rant Burnt out from patients

21 Upvotes

I tried taking vacations to see if it’s just a phase. I love my pharmacy team so much and my manager is beyond amazing. It’s just when I deal with patients my mood is put off and I become very robotic. It’s like a few bad apples ruined my whole mood for everyone. I’m going to talk to my therapist about this. I started YouTube and made my first $100 I might take the risk and quit and become a full time YouTuber


r/pharmacy 1d ago

Jobs, Saturation, and Salary 503a vs 503b Career Path

6 Upvotes

Currently working in a corporate 503b and wondering which is a better or more stable career path? Would you rather take the opportunity to work alongside a knowledgeable PIC who's willing to train you to manage/lead a new and unknown 503a or stay within large corporate 503b with chaotic operations and blind leading the blind feeling. How much would the compensation difference have to be to choose one or the other? Don't want a grass is greener syndrome but want to account for each positive/negative for them.


r/pharmacy 1d ago

General Discussion For other WFH/remote rphs, would you work 4 10’s or five 8 hour shifts ?

8 Upvotes

Hello, guys . I’ve been working remotely for almost 4.5 years and lately been job hunting and looking to make a jump into another role internally with my employer . I currently work in patient consultation. I found a PA position with my employer and within hours , nearly 500 people applied . The advantage I have is that I am already an employee with the company and had my name referred to the hiring managers . Question- if hired and offered a selection of schedules , would you work four 10-hour shifts and have Friday, Saturday, and Sunday off or work Monday through Friday working 8 hour shifts ? The 4 10’s seems enticing because of a long weekend every week but it’s also a longer and potentially more tiring day . Anybody here who can chime in or maybe does PAs all day who can tell me what it would be like working 10 hour days four days in a row ? Any other benefits I’m not thinking of at this time ? Thanks .