Past Imperfect

For Tristan Martin, a 34-year-old trans man living in North Austin, that fear became a reality last week when a Walgreens pharmacist refused to fill his testosterone prescription. Martin says his pharmacist’s explanation for not filling his prescription was that she was uncomfortable with the doctor’s instruction that the medicine be administered subcutaneously, meaning as a shallow injection under the skin. But, as Martin explained to the pharmacist, he’s taken the same meds for four years, with the same method, and never heard such an objection. Plus, Martin said that the pharmacist was only being asked to provide the testosterone itself, not the equipment necessary to administer it. He later attempted to reach Walgreens’ pharmacy department and store manager to ask about the situation but wasn’t able to reach anyone and never got any calls back. A store employee told the Chronicle they could not address the dispute. Tristan’s wife, Hayden Martin, said she received an apology from a Walgreens regional healthcare supervisor, after the supervisor contacted her on May 23. “He said there was absolutely wrongdoing and that it’s going to get figured out,” Hayden said. “He said he was going to reach out to the higher-ups and he’s going to let me know by Friday what happens.” Hayden Martin told us she was able to contact the pharmacist in question two days after the refusal to fill the prescription. “She would not give a reason as to why she felt the doctor was wrong,” Hayden said. “And she said, ‘I’m not comfortable filling it for ‘her.’ So automatically the assumption is that it’s just an issue of her not being comfortable with the fact that it’s testosterone for a trans man. So I, of course, asked her if this was the reason – because he’s a trans man – and she got very defensive and denied it. And then I tried asking for her name and her license number and she said, ‘Well, that’s not important information.’”

Recently, one of our readers, who wishes to go unnamed, sent us the following email:

On the 24th when I went to pick up my testosterone prescription at the Walgreens on Lomas & Carlisle, I was asked by the pharmacist why I took it, and when I told him it was gender affirming, he told me he wouldn’t fill it going forward… I want other trans+ folks in our neighborhood to know that this is not a safe pharmacy (I don’t regret reacting by sobbing loudly in the middle of a Walgreens, but I don’t want anyone else to have to go through that), and I want all our cis neighbors to know that this is a thing that is happening.

We reached out to the Walgreens location, and the person who answered (and who we will keep anonymous) confirmed that there is a pharmacist on staff who refuses to fill prescriptions for gender affirming medication due to their beliefs. However, they clarified that other pharmacists at the location would fill a gender affirming prescription if they were on duty, or the prescription could be filled at other Walgreens locations. Unfortunately, they were not able to provide further information as to the pharmacist’s name or when their shifts might be.

A year after KC investigation, another trans customer turned away from Costco pharmacy

The city’s Civil Rights and Equal Opportunity Department launched an investigation in October 2022 after a Star report about five transgender and nonbinary people who said they were denied their prescribed testosterone at the pharmacy. Costco denied the allegations. [...] Dave, whose name has been changed in this story to protect his identity as a transgender man, was grocery shopping at the Linwood Boulevard Costco on Monday when he decided to pick up some syringes. Dave has used insulin syringes for years to take his prescribed testosterone — their thin needles make his regular injections less painful. These small syringes don’t require a prescription, making them easy to obtain — and Costco offers a bulk pack of 100 at a nice discount compared to other pharmacies. At first, the transaction was painless: Dave asked for a pack of syringes and an employee asked him his preferred size and gauge. But when he mentioned that he uses them to inject testosterone, the tone of the conversation shifted abruptly. “They got weird about it,” Dave said. “The pharmacist, I guess, overheard and she came out and she’s like, this won’t work for testosterone.” Dave explained that he has used these syringes for his testosterone injections for years — and has even bought the same syringes at that Costco pharmacy before for the same purpose. Insulin syringes are regularly used to inject low doses of testosterone. But despite being an over-the-counter product, the pharmacist insisted that Dave needed a prescription before she would sell them to him. “She’s like, well, we won’t sell it to you unless you have your doctor call it in,” Dave recalled. He stepped aside to call his doctor’s office, but they were closed for Monday’s holiday. “I didn’t feel like arguing (with the pharmacist). So I just left.” An assistant general manager at the Linwood Costco said Wednesday that he was not aware of the incident and couldn’t comment on it. A pharmacy employee said that she and her coworkers are not authorized to speak to the media. A request for comment from Costco’s corporate office was not immediately answered. Dave called the Missouri Pharmacy Board Tuesday and was told that syringes only require a prescription if they bear the label “for Rx only,” which his syringes didn’t. Beyond that, he said he was told that the state gives pharmacists discretion over what they choose to dispense, as long as they don’t violate federal anti-discrimination laws.

“Criminalization has made it easy for pharmacists to deny my [testosterone] prescription, which has happened to me many times,” Artemis McGettigan, a trans student in Dearborn, Michigan, told Filter. “[Pharmacists] have told me in the past that ‘It’s corporate policy, they’re not allowed to fill that type of prescription … but I knew that was false because other CVS locations, for example, were able to fill it.” A CVS media representative told Filter that its policies “do not prohibit our pharmacies from filling testosterone prescriptions.”

CVS Pharmacist refused to fill my T

I have been on T for coming up on 3 years. I’ve never had any problems with any pharmacy I’ve gone to. I recently had to switch pharmacies and for over two weeks this pharmacist at CVS has given me the run around. “I need to talk with your doctor about why you need it” (which I’ve never had happen before). And then the next day would say “I need prior auth”. It’s been so long without my T that my period came back today and I am freaking out. So I sent a very frantic message to my doctors office. They called me about an hour later telling me the pharmacist sounded fishy and said “I’m not comfortable filling this prescription.” Ok? Your job isn’t to judge my prescription your job is to give me the medication my doctor decided I needed. The doctors office was nice enough to transfer everything to a different CVS close by and even apologized for not getting the pharmacists name. We did call to get his name. My partner is very nice and called corporate to file a complaint and the corporate pharmacist on the phone said that they do have grounds to deny a prescription only if there is not enough info or it’s fake. So they reported it as discrimination. Unfortunately I can’t take legal action or I would. Sorry this is more of a rant than anything. This should be illegal and nobody should work in healthcare if they’re going to gate-keep health. I truly hope this man gets fired. I’m trying to file a report to the state board of pharmacists because he can have his license revoked for discrimination. Thanks for listening.

My pharmacy tried to deny me my testosterone