skeptic2 said:
There already are machines that automatically dispense pills into bottles but somebody has to load the machines and put the labels on the filled bottles. There still would be paper work, requesting refills from doctors and billing insurance. Legally these activities would probably have to be done under the supervision of a pharmacist.
Actually there's machine who can now print and put on label for the vials.
I worked at a community pharmacy and let me think about what needs to be done by human and what's not...
Actually there are not much real consultations involved in community pharmacies. All the information is printed on package, unless you are too old/lazy/blind to read it. And who will trust the pharmacists who are overwhelmed with filling other people's prescriptions?!? Also, your physicians always ask you what drugs you are taking before you visit them, they should know the drug interactions if there's any, BTW, the doctors are the one who knows the your body the best, you should ask them when they are available! (e.g. you won't ask the cook what healthy food to eat when the dietitian is next to you; you won't ask the shampoo distributor what to use when you are with your hair stylist.) It's funny to see "pharmacy website" is still advocating this banal idea of consultation at community pharmacy while it's almost unseen in the reality.
Drug refills should be done by the patients themselves! We don't like patients asking us to call the busy doctor office (which always put us on hold for 10+ minutes, making us look like the "incompetent-guy") just because the patients themselves don't want to deal with their own doctor! That's not how our system is made for!
Insurance procedures are usually done by the technicians, not the pharmacists! (They don't care about the turmoil.) Honestly, I think the procedure part should soon to be replaced by computers, because basically we just type out the info from a piece of paper (prescription and insurance card) and send it to the insurance company via THE COMPUTER! I always imagine each patient carry a thumb drive, which stores the prescription and his/her insurance info, when s/her came to the pharmacy, s/he just plug in the USB, and the computer check with the insurance server to see if s/he is eligible, and if the drug is available, if so and that's it! s/he can just sit back and wait! But the negotiations (such as getting med earlier for vacation, higher dosage) is what that needs human, I wonder if that can be done by the patient on his/her own.
The pharmacy I worked at has a robot to put the most frequent used drugs in vials. It's very easy to put the drugs in, but it's crucial to put the RIGHT drugs in the machine! Our model is stupid that it miscounts a lot of time, so the pharmacists just told us to recount! (what's the point to have a robot? to save sometimes on grabbing the bottle? I seriously think the robot computer should fix that!) I strongly recommend the pharmacy to use blisters pack instead of vial to ensure accuracy.
Anyways, it's destiny for drug dispense to be automated. (Hopefully insurance procedures too!) Drug dispense robots are seen in everywhere, especially used for mailing order! But it's USA here, although food is just as important as drugs, there are a lot of legal limitations bound to the later. If there is a way to minimize the potentials for any human errors or legal problems, the company should go for it.
Pharmacists are still needed to check and sign off charts. (but not as much, it's 80K to 120K for one pharmacist per year, it's too expensive especially during recession. Also, we need hospital Pharmacists for some hard-core consultations!) That's just how legal system works, so that if anything goes wrong, you can point a gun at someone! Also, interactions such as negotiations and consultations are still needed to be done by someone in human forms. (Computers are just too naive for some grey area!)