CVS pharmacy pull β€” prescriber reconciliation

Pulled 2026-06-16 from Dad's CVS prescription history. The value here is the med β†’ prescriber map (it surfaced his pre-existing Apollo Beach doctors) plus what's active vs. lapsing vs. removed. Doses + "needs new Rx" flags are as Paul read them off CVS β€” confirm against the pharmacy record before acting.

The full pull

Grouped by therapeutic area. Each line: med Β· prescriber Β· status. Prescriber identities are inferred β€” see Care team.

🧠 Psychiatric

  • Olanzapine 7.5 mg β€” Tiffany Joseph, APRN Β· active (note: current regimen lists 10 mg β€” reconcile)
  • Alprazolam 0.5 mg β€” Tiffany Joseph, APRN Β· REMOVED at CVS 2026-06-16 β€” confirm prescriber-level discontinuation
  • Qelbree (viloxazine) ER 200 mg β€” Tiffany Joseph, APRN Β· needs new Rx Β· dropped from current regimen (ADHD)

πŸ«€ Cardiac

  • Amlodipine besylate 5 mg β€” Biljana Markovic, APRN Β· active
  • Clopidogrel 75 mg β€” Rostislav Ignatov (Haven) Β· ⚠️ needs new Rx β€” half his post-Watchman DAPT, cannot lapse
  • Metoprolol succinate ER 100 mg β€” Marilyn Joseph Β· ⚠️ needs new Rx (note: current regimen lists tartrate 50 mg BID β€” reconcile)

πŸ’ͺ Pain / muscle

  • Cyclobenzaprine 10 mg β€” Stephen Watson, MD Β· muscle relaxant (back pain)
  • Hydroxyzine HCl 25 mg β€” Stephen Watson, MD Β· anxiety / antihistamine
  • Lactulose 10 g/15 mL soln β€” Stephen Watson, MD Β· constipation

πŸ«„ GI / comfort

  • Dicyclomine 20 mg β€” Jean Romes Β· GI antispasmodic
  • Ondansetron 4 mg β€” Jean Romes Β· anti-nausea
  • Potassium chloride ER 20 mEq β€” Jean Romes Β· electrolyte
  • Pantoprazole sodium DR 40 mg β€” Sanon Edmond Β· GERD / PPI

Discrepancies vs. the current regimen

Reconcile these against current.html

  • Olanzapine dose: CVS shows 7.5 mg; current regimen lists 10 mg. Recent change, or an older CVS script? Confirm what he's actually taking.
  • Metoprolol formulation: CVS shows succinate ER 100 mg (Marilyn Joseph); current regimen lists tartrate 50 mg BID (facility re-order). Different drug form + prescriber β€” likely the facility switched him; confirm which is active so a refill doesn't double him up or leave a gap.
  • Alprazolam: not in the current regimen (he's off benzos) but was still listed at CVS until removed 2026-06-16. See the contested use note.
  • Qelbree: dropped from the current regimen; shows at CVS as needs-new-Rx (historical ADHD med).

Action flags

⚑ What needs a call

  • Cardiac re-ups (cannot lapse): clopidogrel + metoprolol both show "needs new Rx." Route to cardiology (Markovic / Bay Area Heart Center) β€” this is outreach action (b).
  • Alprazolam: removed at CVS; confirm Tiffany Joseph has discontinued it at the prescriber level so it can't be re-sent elsewhere β€” outreach action (a).
  • Qelbree: decide whether the ADHD med gets reinstated (non-stimulant, tic-smart) or stays dropped β€” a question for the next psychiatrist.
  • Settle the use question with data: while in the CVS portal, capture quantities + fill dates β€” those show whether he stayed within the script (headroom) or went beyond it (extras). That's what resolves the dependence-vs-misuse question. See About Dad.