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Su(Matt)triptan

@ambulatorypharmd

Geriatric/Ambulatory pharmacist #rxsky #pharmsky

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Latest posts by Su(Matt)triptan @ambulatorypharmd

I don't know if this makes me hopeful or terrified

02.03.2026 19:43 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Insurance denied my patients semaglutide yesterday and suggested they use deferasirox instead in the denial letter so everything is going great.

25.02.2026 21:33 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Insurance denied my patients Wegovy PA with a letter saying the patient should use their preferred alternative of deferasirox instead.

That's a lot of iron the patient is going to have to poop out

25.02.2026 16:14 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

By far the medication I have to do the most convincing to have someone take.

24.02.2026 02:31 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Same.

Although I did just change the ER tabs recently for someone getting irritation when it came out of their ostomy.

22.02.2026 15:08 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I think this cured my imposter syndrome

19.02.2026 23:51 πŸ‘ 9 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Mine is from the paper though!

19.02.2026 21:57 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

This is their least convincing argument:

" First, the FDA has never been perfect, and even with a default requirement of two trials, the FDA has approved numerous products that were later found to have serious safety concerns or lack efficacy."

19.02.2026 20:48 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Some of the drugs on there are truly wild.

I didn't even know brandname Lopid even still existed

13.02.2026 20:29 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Meanwhile I can't bill for my patient visits but Medicare will still pay for acupuncture and chiropractor adjustments

13.02.2026 04:53 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yea the idea that the current model of community pharmacy supports this at all seems so far fetched

12.02.2026 23:55 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Opinion | A solution to the doctor shortage could be just down the street Pharmacists in many states remain legally prohibited from providing care they are trained to deliver.

Yay for someone writing about this.

Although I feel like it leaves out us in ambulatory care.

#pharmsky

www.washingtonpost.com/opinions/202...

12.02.2026 14:48 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I've heard patients allude to this.

The only real case of this I can think of is that influenza vaccination rates are a HEDIS measure so I guess that's an incentive for flu?

02.02.2026 22:54 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Had a patient ask if they should be worried about using an er potassium tablet while on Zepbound.

Is that a an actual consideration for anyone from a slowed gastric emptying standpoint or just a "theoretical" concerm ?

#medsky

#pharmsky

14.01.2026 14:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I think about this too often.

I also wonder if the "baby" aspirin impacts people's perception of risks when I compare it to people's thoughts about statins.

Meaning that I wonder if I said, "oh this is just a baby lipitor" I'd get more buy-in from patients.

03.01.2026 14:31 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Preview
Wordle Puzzle Created By Pharmacy Choose a word for friends to guess, then share your own puzzle.

My library gives free nyt games subscriptions now and you can make your own wordle!

But drug names on not in the dictionary so any hope of med wordle is lost

You're invited to play a puzzle created by Pharmacy.
www.nytimes.com/games/create...

22.12.2025 17:59 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

All we talk about at work is how little the public knows about how bad it is now... Or how much worse it's going to get.

21.12.2025 00:16 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Friendly reminder for everyone

20.12.2025 23:02 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Does anyone in #pharmsky understand what all these stories about Medicare negotiating drug prices for Eliquis, jardiance, etc?

Is it changing the copays for Medicare patients, or just the "list price"?

19.12.2025 14:09 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
β€˜That’s not me’: Dr. Gupta denounces use of AI to make fake product ads | CNN CNN’s Dr. Sanjay Gupta speaks out after discovering scammers are using his likeness in AI deepfake videos and doctored images to sell bogus health cures and fake health products.

I've had three older patients in the last few months fall for the deep fake videos of Dr Gupta hawking memory supplements.

Two I only caught during a more in depth med Rec and got them to bring it up.

Are other people seeing this?

#medsky

#pharmsky

www.cnn.com/2025/07/31/h...

17.12.2025 17:19 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Watching the ridiculous Red One on Amazon prime after watching Rudolph with the kids and I can't get over how much better of a Santa J.K Simmons is than in Rudolph

17.12.2025 03:24 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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a man wearing glasses and a leather jacket says yeah yeah but your scientists were so preoccupied ALT: a man wearing glasses and a leather jacket says yeah yeah but your scientists were so preoccupied

I think about this all the time. I see it's use cases in medicine, even just in making doctor's notes better.

I just am skeptical that outweighs all the negatives, even with misinformation spreading alone.

10.12.2025 17:08 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
a man with a red beard is standing next to a stuffed gnome in front of a building . ALT: a man with a red beard is standing next to a stuffed gnome in front of a building .

In the spirit of Christmas

08.12.2025 00:52 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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1/2

04.12.2025 16:24 πŸ‘ 72 πŸ” 25 πŸ’¬ 6 πŸ“Œ 11

I'm pretty sure I had years where I had both mandatory implicit bias training and mandatory "old people are scared of technology" training

03.12.2025 04:20 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Team #RxHunger got enough donations yesterday to bring us to $2424, but there are a lot of people in #PharmSky who haven't participated yet. Addressing food insecurity when it is at such unprecedented levels in the US and around the world will take everyone who can give.

Many orgs have matching $!

01.12.2025 00:51 πŸ‘ 6 πŸ” 2 πŸ’¬ 2 πŸ“Œ 1

Now I'm stuck thinking about this again. Caught COVID over Thanksgiving and since I'm not eligible for the vaccine anymore now I'm stuck paying for a drug that costs $1,500 which is absurd in its own way

01.12.2025 00:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Thanks for the reminder. Just donated.

#rxhunger

#pharmsky

30.11.2025 01:54 πŸ‘ 6 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

I think about this constantly. I know the tech was celebrated with a Nobel prize but in the pop culture zeitgeist that there is so much animosity towards it just baffles me.

This was such a spectacular achievement in such a short time.

29.11.2025 23:38 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Tom waits
Green day
David Byrne
The Hives
Mavis Staples

28.11.2025 04:31 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0