{"id":55262,"date":"2022-11-17T09:30:55","date_gmt":"2022-11-17T14:30:55","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=55262"},"modified":"2025-11-26T16:03:06","modified_gmt":"2025-11-26T21:03:06","slug":"patients-using-multiple-pharmacies","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/patients-using-multiple-pharmacies\/","title":{"rendered":"What to do when patients use multiple pharmacies"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Using multiple pharmacies is common among many patients these days, especially older patients who take multiple medications. While getting prescriptions from different pharmacies can have some benefits\u2014such as cost savings on certain medications\u2014using multiple pharmacies may lead to dangerous consequences. Patients might not realize or have the foresight to see how using multiple pharmacies could be hazardous. However, it could lead to various problems, such as duplications of therapy and drug interactions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One of the fundamental parts of being a pharmacist is to ensure the safety and well-being of the patient. Encouraging patients to use one pharmacy, communicating with the patient to find out their current medication list, and coordinating with the patient\u2019s healthcare team are a few ways to help patients using multiple pharmacies.\u00a0<\/span><\/p>\n<h2 id=\"why-patients-use-multiple-pharmacies\"><span style=\"font-weight: 400;\">Why patients use multiple pharmacies<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patients may be using multiple pharmacies for several reasons. Although many of the reasons have to do with the patient, it\u2019s important to consider other factors, such as the preferences of the patient\u2019s caregiver or family member who is picking up their prescriptions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In many cases, patients are shopping for the best medication prices at their nearest pharmacies. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-pharmacy-savings-cards\/\"><span style=\"font-weight: 400;\">Prescription discount cards<\/span><\/a><span style=\"font-weight: 400;\">, websites, and search tools allow patients to readily see where they\u2019re saving the most money on each of their prescriptions. Paying a drug\u2019s cash price at a different pharmacy could be worth it for some patients whose insurance company covers only some medications at their \u201chome\u201d pharmacy. In addition, some pharmacies may offer special incentives, discounts, or benefits to entice patients to shop at their pharmacies.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some patients may be using multiple pharmacies for the sake of convenience. Certain pharmacies where the patient shops for groceries may be located closer to the patient than their usual pharmacy. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/mail-order-pharmacy\/\"><span style=\"font-weight: 400;\">Mail-order pharmacies<\/span><\/a><span style=\"font-weight: 400;\"> are convenient for patients who prefer home delivery for medications. Pharmacies also differ in their schedules, with some pharmacies offering extended hours, which many patients may prefer.\u00a0<\/span><\/p>\n<h2 id=\"the-dangers-of-using-multiple-pharmacies\"><span style=\"font-weight: 400;\">The dangers of using multiple pharmacies<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patients who use multiple pharmacies are usually patients who take multiple medications. Polypharmacy, or taking several medications, is a serious health concern in the United States, especially among older people with multiple conditions. Around <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7404696\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">30%-40%<\/span><\/a><span style=\"font-weight: 400;\"> of people older than 65 are estimated to take five or more prescription drugs, and 10% of this population takes 10 or more different prescription drugs.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several issues with filling prescriptions at multiple pharmacies. The biggest ones involve medication adherence and drug interactions. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4115075\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">One analysis<\/span><\/a><span style=\"font-weight: 400;\"> of Medicare Part D beneficiaries found that using multiple pharmacies was associated with lower medication adherence and increased drug interactions. Not adhering to medications can lead to worsening disease severity and comorbidities.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients who use multiple pharmacies might be going to different healthcare providers who prescribe different but similar medications. Duplications in therapy then become possible, increasing the risk of drug interactions and severe adverse effects.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another problem with using multiple pharmacies is that patients are less likely to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/get-to-know-your-customers-day\/\"><span style=\"font-weight: 400;\">build a relationship with their pharmacist<\/span><\/a><span style=\"font-weight: 400;\">. Pharmacists can be a vital resource for patients, checking for potential drug interactions and counseling patients on <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-side-effects\/\"><span style=\"font-weight: 400;\">potential side effects<\/span><\/a><span style=\"font-weight: 400;\">. They can also show patients how to administer medications properly.\u00a0<\/span><\/p>\n<h2 id=\"talking-to-patients-who-use-multiple-pharmacies\"><span style=\"font-weight: 400;\">Talking to patients who use multiple pharmacies<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are different ways to counsel patients who use multiple pharmacies. You may want to have a conversation with regulars who you suspect are using multiple pharmacies. You can often find out patients are using multiple pharmacies if you notice something amiss or ask the patient directly.\u00a0<\/span><\/p>\n<h3 id=\"find-out-the-reason\"><span style=\"font-weight: 400;\">Find out the reason\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the first ways to address patients using multiple pharmacies is to find out the reason. Are they finding one of their medications at a lower price at a different pharmacy? Once you find out the patient\u2019s reasons and goals of therapy, you can offer solutions as needed. For example, you might make an effort to find ways for the patient to save at your pharmacy, such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-pharmacy-savings-cards\/\"><span style=\"font-weight: 400;\">a prescription discount<\/span><\/a><span style=\"font-weight: 400;\"> or a 90-day supply.\u00a0<\/span><\/p>\n<h3 id=\"encourage-patients-to-use-one-pharmacy\"><span style=\"font-weight: 400;\">Encourage patients to use one pharmacy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">To reduce potential problems with medication adherence, it\u2019s a good idea to encourage patients to use one pharmacy. Depending on the company you work for, your company may have different branches and locations. Having the patient use one pharmacy makes it easier to notice discrepancies in the patient\u2019s medication profile. You can offer to transfer prescriptions from the patient\u2019s other pharmacies and sync all prescription fill dates to cut down on visits to the pharmacy.\u00a0<\/span><\/p>\n<h3 id=\"update-the-patient-s-medication-list\"><span style=\"font-weight: 400;\">Update the patient\u2019s medication list\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Whether the patient decides to use one pharmacy or not, it\u2019s important to ensure the patient\u2019s medication list is always updated. Gently remind the patient or caregiver to bring an updated list of medications, including prescription drugs, over-the-counter medicine, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/talk-to-patients-about-supplements\/\"><span style=\"font-weight: 400;\">herbal supplements<\/span><\/a><span style=\"font-weight: 400;\">. That way, you can clear any medications the patient isn\u2019t taking and avoid accidentally dispensing a medication that the patient no longer needs.<\/span><\/p>\n<h3 id=\"recommend-an-mtm-session\"><span style=\"font-weight: 400;\">Recommend an MTM session\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pharmacists can improve medication safety by reviewing the patient\u2019s medications with them, assessing any medication concerns with them, and counseling patients on how to take their medications. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pharmacy-medication-management\/\"><span style=\"font-weight: 400;\">Medication therapy management (MTM)<\/span><\/a><span style=\"font-weight: 400;\"> is a free service that can benefit many patients, especially <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pharmacist-role-in-senior-care\/\"><span style=\"font-weight: 400;\">older patients<\/span><\/a><span style=\"font-weight: 400;\"> who take several medications. With an MTM visit, you\u2019ll be able to identify any duplications in therapy or drugs the patient has obtained from other pharmacies but is no longer taking.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/medication-management-for-seniors\/\"><b>Medication management guide for seniors<\/b><\/a><\/p>\n<h3 id=\"keep-the-prescriber-in-the-loop\"><span style=\"font-weight: 400;\">Keep the prescriber in the loop\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Another important way to handle patients who use multiple pharmacies is to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/doctor-pharmacist-relations\/\"><span style=\"font-weight: 400;\">alert their primary prescriber<\/span><\/a><span style=\"font-weight: 400;\"> about potential drug interactions or adverse effects that arise. In some cases, the patient may be taking medication that doesn\u2019t align with their treatment goals, such as a statin while on palliative care treatment for cancer. You can notify the prescriber about a potential opportunity for deprescribing or stopping a medication. You can also encourage patients to provide an updated medication list to all of their prescribers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients are at a higher risk of adverse effects, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/nonadherence-to-medication\/\"><span style=\"font-weight: 400;\">reduced medication adherence<\/span><\/a><span style=\"font-weight: 400;\">, and drug interactions due to multiple pharmacies filling their prescriptions. Communication and counseling are key for these patients to make sure they\u2019re taking the right medications correctly and safely.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Using multiple pharmacies is common among many patients these days, especially older patients who take multiple medications. While getting prescriptions from different pharmacies can have some benefits\u2014such as cost savings on certain medications\u2014using multiple pharmacies may lead to dangerous consequences. Patients might not realize or have the foresight to see how using multiple pharmacies could [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":55002,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9340],"tags":[788,743],"coauthors":[8669],"class_list":["post-55262","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-the-checkout","tag-drug-safety","tag-pharmacies","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to counsel patients when using multiple pharmacies<\/title>\n<meta name=\"description\" content=\"Using multiple pharmacies can save patients time and money, but it can also lead to drug interactions and dispensing errors. 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