there have been two times where as a pharmacist i did not dispense "plan b"
1. sex occurred greater than 72 hours ago
2. the patient stated that she was already currently on birth control
which brings me to the only problem that i have with "plan b"
its the marketing by the corporation, its somewhat irresponsible, many of the patients (more like most) do not actually know that its birth control, just a larger dose. they do not know that it works almost exactly just like traditional birth control by stopping implantation. there is no fetus involved, just a sperm and an egg, hypothetically if they are even there.
its been my experience that most people think that its this magic abortion pill and that unprotected sex could be fixed. marketing it as a bandage instead of the heavy dose of hormones it really is. take a look instead the next cosmo or people mag you see. the ad is very irresponsible compared to the amount of detail that other drug ads have to provide.
like i mentioned in an earlier post, a pharmacist could refuse to dispense whatever they see fit if it is within their medical judgment (not religious conviction according to the oath) that it could be harmful or detrimental to the patient. however, the law is much more vague.
just tonight i did not fill heart medication to an 82 year old guy, fungal medication to a 26 year old, and a nasal steroid to a 54 year old woman. am i an asshole for doing so...
the first case was of a doctor not writing out the script correctly meaning there could have been more than one interpretation and i am certain that the dose written is going to harm the patient, patient two is a known alcoholic with liver problems visiting an ER doc who most likely doesn't know the patient history all too well, i'm going to recommend a fungal cream instead. and with patient 3, well, it was a $40 copay and it was prescribed to treat miner symptoms of allergic rhinitis. she didn't need to waste her money or deal with the side effects just because a drug rep bought her doctor lunch earlier, obviously i left that decision up to her, she chose to forgo the spray.