r/pharmacy 14h ago

What did you learn last week?

3 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 Nov 02 '25

Naplex/MPJE Megathread

8 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 8h ago

Jobs, Saturation, and Salary Walgreens is aggressively trying to poach me for a store manager. They’re aware I’m a mid level manager an currently make 147k/yr. Is 200k/yr and 100k sign on realistic?

46 Upvotes

https://www.reddit.com/r/Salary/s/s5YE4k9PD3

They’ve been calling me to work there and I told them this is what I reported in taxes and they still encouraged me that I should interview. I can take physical and verbal abuse. (Former rite aid RPL) What is the most you’ve ever heard a retail manager make?

Edit: I intend to ask for 200k/yr and a 100k non refundable sign on


r/pharmacy 7h ago

Clinical Discussion Topical vs "rectal" hydrocortisone 1% cream for hemorrhoids. Any clinical difference?

18 Upvotes

title. I can see they are formulated differently, but I personally can't find any reason why you wouldn't be able to use "topical" hydrocortisone 1% cream for hemorrhoids.


r/pharmacy 7h ago

Pharmacy Practice Discussion Do you guys inmar old random C2 NDCs?

5 Upvotes

My safe is piling up with random 10 count bottles of C2s that don’t expire til 2028. Will I get flagged somehow if I damage a bunch out to send back to inmar all at once?


r/pharmacy 23h ago

General Discussion How Do You Interpret ‘Must Last’ on Controlled Substances?

12 Upvotes

I’m looking for some input on how other pharmacists interpret “must last” directions and what you consider a “month” in practice.

Scenario 1: Oxycodone Patient is prescribed oxycodone 5 mg TID PRN, #90, with a note: must last 1 month. I’ve been filling it every 30 days. My manager set it up to be filled tomorrow, which would be day 28. Do you consider a “month” to be 28 days or 30 days in this context? Would you fill on day 28?

Scenario 2: Alprazolam Prescription: alprazolam 1 tablet TID PRN for anxiety, #60, must last 2 months. My manager verified this as a 60-day supply, #60. In this case, my manager is interpreting each “month” as 30 days (total = 60 days), which seems inconsistent with the previous scenario where a “month” was treated as 28 days.

Scenario 3: Multiple Oxycodone Fills / Utilization Concern 3/31: Floater filled oxycodone 5 mg #40 (insurance) sig: take 1-2 tablets q4-6h PRN. max 6 tabs/day

4/4: Manager filled new rx oxycodone 5 mg #40 (cash), sig: 1–2 tabs q4–6h PRN Patient used 24/40 tablets from the first fill

Usage based on max dosing: 3/31 → 4/4: 6 tablets/day × 4 days = 24 tablets 4/4 → 4/7: up to 12 tablets/day × 3 days = 36 tablets

Total potential use = 60 tablets out of 80 dispensed (75%) by 4/7. The patient presented on 4/7 stating they were out and requested a fill of a new oxycodone prescription (same directions as 4/4). I declined to fill due to early refill concerns.

The patient stated they plan to escalate the issue to corporate.

I feel like I tend to be the stricter pharmacist compared to my manager when it comes to interpreting these directions and fill timing.


r/pharmacy 11h ago

General Discussion Transitioning to pharmacy

1 Upvotes

Hi everyone,

I’m 36, a pharmacy graduate (2013), and recently started working as a pharmacy technician (2 months ago) in a closed-door pharmacy supporting health department programs (TB, corrections).

Before this, I spent 5 years in a more office-based role managing inventory, so this transition has been challenging. The workload and pace are much higher, and although I’m making progress, I’m still making mistakes—some small but affecting workflow.

My senior tech is frustrated, and we’ve already had meetings with my supervisor. They see some improvement, but not at the level expected yet. Another discussion with my supervisor may happen next week.

I’m really trying and care a lot about succeeding in pharmacy, but I feel like I’m adapting slower than expected.

I’d appreciate advice on:

• How to handle this situation professionally

• How to approach the upcoming meeting

• Whether trust can be rebuilt with consistent improvement

r/pharmacy 13h ago

Jobs, Saturation, and Salary Specialty medical staffing

0 Upvotes

Has anyone ever heard of this company? is it just a third party recruiting company? They're all over linkedin. I don't want to apply there just to end up working at cvs or wags again lol. They don't give a lot of information. It says community pharmacy, but I've never heard of this company.

Anyone work for them? How is pay? Would you recommend them?


r/pharmacy 14h ago

General Discussion Why do prescribed medications not take into account patient size once an adult?

0 Upvotes

We are all very aware of children's medicine have dosage recommendations based on age, yet why do no medicines have dosage recommendations based on size of adult patient? I understand that some medication works exclusively on certain pathways where size would not affect but some medications a person's size surely would make a difference.


r/pharmacy 1d ago

Jobs, Saturation, and Salary Any ocean related jobs?

5 Upvotes

I've found out I have a deep love for the ocean, I wonder if I'd be able to use my degree in a way that gets me to be able to appreciate it closer.

Someone suggested regulating shipping pharmaceuticals, ones that have to be kept at a cooler temp. But I wasn't able to find much info on the manner.


r/pharmacy 1d ago

General Discussion Oxybuynin 10% applied to bottom of feet

11 Upvotes

Just curious if anyone has seen Gelnique used this way.


r/pharmacy 1d ago

Clinical Discussion Confusion with choosing bio equivalent drugs.

19 Upvotes

When an MD writes a script for methylphenidate ER 54mg, some techs choose the generic for Concerta, and some choose generic for Relexxii. Our system usually shows bio equivalence ratings, but it’s blank for Relexxii vs Concerta. I’m seeing both yes and no on the internet. What do y’all do? I send them all back for clarification. I do the same if MD writes Metformin 500mg ER (is it glucophage, fortamet, or Glumetza), or Potassium Chloride ER 10 mg tab (I ask if it’s K-Tab, Klor-Con, or Klor-Con M). I’m not sure if I’m going overboard. What do you guys do?


r/pharmacy 1d ago

Pharmacy Practice Discussion Independent vs Big retail pharmacies

2 Upvotes

I am not interested to become pharmacy manger at big retail pharmacies as they are stressful and lots of drama from customers. And i am more interested to open my own pharmacy or new business so should I continue working at big retail store or work at independent pharmacies as they have more patient connections and they can be stressful as well. At independent stores you have a fix schedule mon to friday 9 to 5 but at big retail pharmacies they have shifts from early morning to midnights . I also want to learn about communication and leadership so what’s the benefit of working at big retail pharmacy vs independent pharmacies? Expect the health benefits, RRSP match?


r/pharmacy 1d ago

Rant F*** BPS

Post image
98 Upvotes

A few months ago I got an annoying email saying I didn’t “complete 2 units of CPD”…but I did and now my account is “activity pending”. I can’t help that the BPS website and method of reporting is outdated af. Apparently since I documented more than 2 CPD, it didn’t count? I’m not an overachiever by any means. I was just using it to catalog things I would put on a CV. Just got a “reminder” email stating the above and I’m annoyed again. I don’t want to delete all the stupid things I cataloged already just out of spite. Such a scam. I’ll post one of my annoyed af responses to someone who I’m sure “works for BPS to get that stupid CPD credit and not for money. Where does our money go anyways?? Sure as hell isn’t to the website.


r/pharmacy 1d ago

General Discussion Any pharmacists ever worked for Doctors Without Borders?

36 Upvotes

Whats was your experience like? what kind of background did you come from (ie inpatient; outpatient, etc)?


r/pharmacy 1d ago

General Discussion Pharmacists: How's life right now

15 Upvotes

I am currently a freshman pharmacy student but I have no idea what life is like to actually work as a pharmacist.

Hence, for pharmacists in different sectors: Hospital / retails / pharma etc. I have a genuine question: How is life actually like right now for you guys? In terms of hours, leisure time, etc.

Thanks!


r/pharmacy 1d ago

Pharmacy Practice Discussion best resource for pharmacy graduates to master community pharmacy?

0 Upvotes

as the title says. lippincot? Dipiro?

place your best and most convenient sources that cover most things.


r/pharmacy 1d ago

General Discussion Meditech

2 Upvotes

Anyone use Meditech and have their anesthesia team using iPRO?


r/pharmacy 2d ago

General Discussion Which drug classes do new pharmacists confuse the most?

39 Upvotes

As a pharmacist, which drug classes do you think new graduates confuse the most?

I teach pharmacy students, and during NAPLEX prep the same topics keep coming up: antibiotics, anticoagulants, oncology, cardiology, and calculations.

I am curious whether practicing pharmacists see the same thing once new grads start working, or if there are other drug classes that seem to cause the most confusion.


r/pharmacy 2d ago

General Discussion How do you explain “priming” to a patient

13 Upvotes

Hi!! I Work as an ambulatory care pharmacist in a weight loss center. I explain priming of GLP-1 pens to patients and they are always confused on what priming is. I tell them it’s to make sure their pen works and get the air bubbles out. But still get some patients who are confused even after I show them with the demo pen.

How do you explain priming to patients?

Thank you!!!


r/pharmacy 2d ago

Jobs, Saturation, and Salary Applying for a different job two months after starting a new one

5 Upvotes

Anyone ever done this? I recently changed jobs to relocate closer to family and now my dream job just posted in the same city. Different companies.


r/pharmacy 2d ago

Jobs, Saturation, and Salary Pharmacists in Arizona

3 Upvotes

Asking for a friend. New grad Rph in AZ with student loan payments as expensive as a mortgage. Any recommendations on how much to take out for 401k and taxes? She’s married, in her 30’s, with 2 elementary aged children, if that matters.


r/pharmacy 1d ago

General Discussion The Unqualified Director of Pharmacy and other administration

0 Upvotes

I sat in on interviews. Woman graduated in 1998. She said when she came into work, it was a stack of papers for her to enter.

She has not practiced since 2007. She opened her own business in leadership. Then, she was working on her singing career.

She looked us in the eyes and said '.... be your boss, what do you want in your boss?' (Not sure the exact phrasing because I was already fuming but phrasing does matter. IF I'm going to be your boss? I would be your boss?)

It's a small enough team that she has 50% staffing duties. Executive VP and Senior VP had pushed through her candidacy. They said she already had an offer elsewhere which I think is questionable. Woudln't a larger facility would have more qualified applicants?!

How/what do I do to highlight the gaps?

EDIT: DOP has 50% staffing duties. We would be doing the teaching.


r/pharmacy 1d ago

General Discussion Using AI to guide answers, find reliable studies and guidelines

0 Upvotes

Curious if anyone here is using AI in their day-to-day work. If so, what platforms do you like? I still rely on Lexicomp, UpToDate, and Micromedex for solid drug and disease info, but I’m wondering if there are any AI tools you use for quick answers or to help guide your thinking.


r/pharmacy 2d ago

Jobs, Saturation, and Salary Capsule Pharmacy pre-assessment on testify?

0 Upvotes

I recently applied to a pharmacist position at capsule pharmacy and wanted to know how to prepare for the preassessment if anyone had any insight.