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.
π§ 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)
π« Cardiac
- Amlodipine besylate 5 mg β Biljana Markovic, APRN Β· active
- Clopidogrel 75 mg β Rostislav Ignatov (Haven) Β· β οΈ needs new Rx β half his post-Watchman DAPT, cannot lapse
- Metoprolol succinate ER 100 mg β Marilyn Joseph Β· β οΈ needs new Rx (note: current regimen lists tartrate 50 mg BID β reconcile)
πͺ 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
π« 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
β‘ 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.