Are you satisfied with your pharmacy’s privacy practices? I’m not. And I think we should expect better.

I’ve had several opportunities over the past year or so to hear way too much private information about other people that I never should have heard. It has all happened when I have been waiting in line—either in the store or in the drive-through lanes—to pick up prescriptions for family members or myself. These events have not occurred at a small mom-and-pop pharmacy, either. They’ve happened in a large retail chain pharmacy that I’m sure you’ve all heard of.

Here are a few samples:

“Are you having any problems with the Zoloft or trazodone?”

“Don’t drink alcohol while taking the Ambien. Be sure not to drive while you’re on this medication until you’re sure it’s not making you tired the next day.”

“Here’s your Viagra. Do you have any questions about it today?”

(Blasting out of the loud speaker at the drive-through) “That’s the citalopram you’re here to pick up? That’ll be five dollars. Any questions about it today?”

“Since you’re restarting birth control pills, here are some of the things that may happen…”

“Is everything working out okay for you with the hydrochlorothiazide and Lipitor?”

Easily overhearing these interactions between patients and pharmacy staff makes me cringe.

As a psychiatrist I’m used to hearing very private information about people’s lives. But that’s in my professional role. When I’m just one more guy in line at the pharmacy, personal information about other patients is none of my business. And I don’t care if the prescription is for an erectile dysfunction medication, an HIV medication, or “just” for an antibiotic or allergy medication.

The point is that patients should have a reasonable expectation that fellow customers in a pharmacy not hear the names of the medications they take. I live in a smaller community where it’s not uncommon for people to run into familiar people wherever they go.

What do you think about this? Are you comfortable picking up prescriptions within earshot of other customers, or do you think pharmacies need private consultation booths or some other similar means of better protecting patient privacy?

Photo by Kadeeae

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  • http://www.tsuken.co.nz Tsuken

    Very true. It’s like there’s an imaginary cone of silence – we certainly all behave like we can’t be heard. We probably see it as anonymous – but of course it often isn’t: ” Hi Mr Jones, here’s your olanzapine”.

    I agree there’s a need for more privacy at the pharmacy.

  • Toni

    Excellent observation. I have had many embarrassing moments such as these and i tend to speak up, but not always, if someone makes me uncomfortable. Of course i get the mean glares from others when i do as if i was the one who broke an unethical rule though.

  • http://www.tsuken.co.nz Tsuken

    Very true. It’s like there’s an imaginary cone of silence – we certainly all behave like we can’t be heard. We probably see it as anonymous – but of course it often isn’t: ” Hi Mr Jones, here’s your olanzapine”.

    I agree there’s a need for more privacy at the pharmacy.

  • Toni

    Excellent observation. I have had many embarrassing moments such as these and i tend to speak up, but not always, if someone makes me uncomfortable. Of course i get the mean glares from others when i do as if i was the one who broke an unethical rule though.

  • Toni

    And yes, i agree a private booth of some sort is a great suggestion to eliminate this kind of humiliation.

  • Toni

    And yes, i agree a private booth of some sort is a great suggestion to eliminate this kind of humiliation.

  • chrysalis

    Wow! Great post! I was just thinking that the other day. I went to the pharmacy and this young man was getting a prep kit for a lower GI study. How did I know this? Because the girl behind the pharmacy held it up and twirled it around in her hands in front of the guy and made a “little joke” about it. Then proceeded to tell him what to do for it.

    I thought you idiot. This is a young man. This probably isn’t for a screening. Something is wrong and this person and he is not feeling well. So you just humiliate him.

    I should have spoke up about it to them after he left. I regret I didn’t.

  • chrysalis

    Wow! Great post! I was just thinking that the other day. I went to the pharmacy and this young man was getting a prep kit for a lower GI study. How did I know this? Because the girl behind the pharmacy held it up and twirled it around in her hands in front of the guy and made a “little joke” about it. Then proceeded to tell him what to do for it.

    I thought you idiot. This is a young man. This probably isn’t for a screening. Something is wrong and this person and he is not feeling well. So you just humiliate him.

    I should have spoke up about it to them after he left. I regret I didn’t.

  • chrysalis

    Not a screening over 50 I mean, and I meant to say something is obviously wrong and the man was already not feeling well.

  • chrysalis

    Not a screening over 50 I mean, and I meant to say something is obviously wrong and the man was already not feeling well.

  • http://www.everythinghealth.net Toni Brayer, MD

    I agree with the privacy concerns but even worse is the entire pharmacy system. The cranky clerks, the waiting in line, the medication that is never ready even when you have waited hours and then you are told it isn’t covered by your insurance and will cost $368.00 for a handful of pills. The entire process is broken. I went to the DMV last week (yes, the DMV!) and they had a more streamlined system than my local pharmacy(s). This is one area where competition seems not to have worked!

  • http://www.everythinghealth.net Toni Brayer, MD

    I agree with the privacy concerns but even worse is the entire pharmacy system. The cranky clerks, the waiting in line, the medication that is never ready even when you have waited hours and then you are told it isn’t covered by your insurance and will cost $368.00 for a handful of pills. The entire process is broken. I went to the DMV last week (yes, the DMV!) and they had a more streamlined system than my local pharmacy(s). This is one area where competition seems not to have worked!

  • Lockup Doc

    Thanks to all of you for your comments–interesting!

    Dr. Brayer–it’s interesting that you mention the “entire pharmacy system”–it certainly does leave a lot to be desired. I don’t think I’ve ever heard it compared with the DMV, though, especially where the DMV came out ahead.

  • Lockup Doc

    Thanks to all of you for your comments–interesting!

    Dr. Brayer–it’s interesting that you mention the “entire pharmacy system”–it certainly does leave a lot to be desired. I don’t think I’ve ever heard it compared with the DMV, though, especially where the DMV came out ahead.

  • http://warmsocks.wordpress.com/ WarmSocks

    Guess I’ve been lucky. I’ve been very happy with the privacy at both my old and new pharmacies. They each have a line taped to the floor about ten feet from the pharmacy counter, and a sign saying, “For patient privacy, please wait here.” I’ve never overheard what was told other patients and doubt that others have heard any of my conversations with the pharmacy staff. One time I had kids with me when filing a new script, and the pharmacist suggested a place for the kids to go sit where they wouldn’t overhear when he taught me about the new med.

  • http://warmsocks.wordpress.com/ WarmSocks

    Guess I’ve been lucky. I’ve been very happy with the privacy at both my old and new pharmacies. They each have a line taped to the floor about ten feet from the pharmacy counter, and a sign saying, “For patient privacy, please wait here.” I’ve never overheard what was told other patients and doubt that others have heard any of my conversations with the pharmacy staff. One time I had kids with me when filing a new script, and the pharmacist suggested a place for the kids to go sit where they wouldn’t overhear when he taught me about the new med.

  • Lockup Doc

    Hi Warmsocks–thanks for stopping by. I’m glad you’ve had a more positive experience than many others. My pharmacy (let’s just say the name starts with the letter “W”) has a line also, but it’s not nearly far enough back from the counter for privacy. And like I said, the drive-through lane really isn’t private, either. I think if we were talking about a medical clinic here instead of a pharmacy, this sloppiness about privacy wouldn’t be allowed to continue…

  • Lockup Doc

    Hi Warmsocks–thanks for stopping by. I’m glad you’ve had a more positive experience than many others. My pharmacy (let’s just say the name starts with the letter “W”) has a line also, but it’s not nearly far enough back from the counter for privacy. And like I said, the drive-through lane really isn’t private, either. I think if we were talking about a medical clinic here instead of a pharmacy, this sloppiness about privacy wouldn’t be allowed to continue…

  • Jane

    My pharmacy also has the “privacy” line. It needs to be set back about 10 more feet if it is to work. Even then, there is product on the shelves that protrude into the “privacy” zone, so if someone is looking at products on the shelf, they are going to hear your conversation with the pharm tech. Recently, my large chain drugstore that begins with the letter “R” and ends with the letter “D” made a small room available for pharmacist consultations. I think they carved it out of the storage or break-room area.

    The private room is all well and good, but when I recently brought in a prescription for an OLD, generic medication and found out it would have cost me $60+ for a one-month supply, I left immediately and brought it to “W” (the superstore) where it cost me $7 for a THREE-month supply. It’s a very unpleasant environment and it’s jammed with people at all times… there really is no privacy and it’s out of my comfort zone when it comes to the neighborhood it’s in, but I am willing to put up with this to save $159 every 3 months. This left me feeling as though I had been severely ripped off by my original pharmacy… probably for many years.

    And I agree with you that this sloppiness over privacy would not be permitted in a medical clinic. I have often wondered why pharmacies are held to a different (lesser) standard. It could be because they’re also selling magazines, diapers and milk… I don’t know.

    I will also add that I think PBMs (Pharmacy Benefit Managers) are a HUGE problem on multiple levels, but I’ll leave it at that because I doubt you or your readers would appreciate a tome. ;-)

  • Jane

    My pharmacy also has the “privacy” line. It needs to be set back about 10 more feet if it is to work. Even then, there is product on the shelves that protrude into the “privacy” zone, so if someone is looking at products on the shelf, they are going to hear your conversation with the pharm tech. Recently, my large chain drugstore that begins with the letter “R” and ends with the letter “D” made a small room available for pharmacist consultations. I think they carved it out of the storage or break-room area.

    The private room is all well and good, but when I recently brought in a prescription for an OLD, generic medication and found out it would have cost me $60+ for a one-month supply, I left immediately and brought it to “W” (the superstore) where it cost me $7 for a THREE-month supply. It’s a very unpleasant environment and it’s jammed with people at all times… there really is no privacy and it’s out of my comfort zone when it comes to the neighborhood it’s in, but I am willing to put up with this to save $159 every 3 months. This left me feeling as though I had been severely ripped off by my original pharmacy… probably for many years.

    And I agree with you that this sloppiness over privacy would not be permitted in a medical clinic. I have often wondered why pharmacies are held to a different (lesser) standard. It could be because they’re also selling magazines, diapers and milk… I don’t know.

    I will also add that I think PBMs (Pharmacy Benefit Managers) are a HUGE problem on multiple levels, but I’ll leave it at that because I doubt you or your readers would appreciate a tome. ;-)

  • Jane

    Also, it would be great if you would email a link to this page to the customer service people listed on the big pharmacy company web pages. It might do some good!

  • Jane

    Also, it would be great if you would email a link to this page to the customer service people listed on the big pharmacy company web pages. It might do some good!

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