Good day to you! I'm Rowan (he/they), I'm a trans historical tailor who focuses in the 1770s-1930s with my favorite period being the 1820s. I always dress is historical clothing at this point. I also do illustration, design, dancing, and writing. Cheese enjoyer.
I post projects I've made as they come about which is not very frequent. I most about history stuff and other random interesting things.
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so do people know that multiple trans people across the US have reported that their pharmacists have arbitrarily denied them testosterone prescriptions, either because "you need authorization" or "company policy" or, in states where its legal, because they don't feel comfortable giving it to them.
i wouldn't be surprised if its also common for this to happen with estrogen, i found one news story on a trans woman experiencing this, but looking it up there seems to be a LOT of cases of this happening with testosterone. which makes me suspect people feel empowered to do this with T in particular because of its criminalized status. regardless, i do not see this brought up much! and i think we should discuss it more, at the very least to prepare people in case they experience this, so they know how to handle the situation.
examples below the cut for length:
Walgreens says pharmacist was uncomfortable with injection method
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 pharmacistâs explanation for not filling his prescription was that she was uncomfortable with the doctorâs instruction that the medicine be administered subcutaneously, meaning as a shallow injection under the skin. But, as Martin explained to the pharmacist, heâs 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 Walgreensâ pharmacy department and store manager to ask about the situation but wasnât able to reach anyone and never got any calls back.
A store employee told the Chronicle they could not address the dispute. Tristanâs wife, Hayden Martin, said she received an apology from a Walgreens regional healthcare supervisor, after the supervisor contacted her on May 23. âHe said there was absolutely wrongdoing and that itâs going to get figured out,â Hayden said. âHe said he was going to reach out to the higher-ups and heâs going to let me know by Friday what happens.â
Hayden Martin told us she was able to contact the pharmacist in question two days after the refusal to fill the prescription. âShe would not give a reason as to why she felt the doctor was wrong,â Hayden said. âAnd she said, âIâm not comfortable filling it for âher.â So automatically the assumption is that itâs just an issue of her not being comfortable with the fact that itâs testosterone for a trans man. So I, of course, asked her if this was the reason â because heâs a trans man â and she got very defensive and denied it. And then I tried asking for her name and her license number and she said, âWell, thatâs not important information.ââ
Walgreens Pharmacist Denies Gender Affirming Meds, But Other Options Exist
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 wouldnât fill it going forward⌠I want other trans+ folks in our neighborhood to know that this is not a safe pharmacy (I donât regret reacting by sobbing loudly in the middle of a Walgreens, but I donât 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 pharmacistâs name or when their shifts might be.
A year after KC investigation, another trans customer turned away from Costco pharmacy
The cityâs 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 â their thin needles make his regular injections less painful.
These small syringes donât require a prescription, making them easy to obtain â 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.
âThey got weird about it,â Dave said. âThe pharmacist, I guess, overheard and she came out and sheâs like, this wonât work for testosterone.â
Dave explained that he has used these syringes for his testosterone injections for years â 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.
âSheâs like, well, we wonât sell it to you unless you have your doctor call it in,â Dave recalled. He stepped aside to call his doctorâs office, but they were closed for Mondayâs holiday. âI didnât feel like arguing (with the pharmacist). So I just left.â
An assistant general manager at the Linwood Costco said Wednesday that he was not aware of the incident and couldnât 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 Costcoâs 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 âfor Rx only,â which his syringes didnât.
Beyond that, he said he was told that the state gives pharmacists discretion over what they choose to dispense, as long as they donât violate federal anti-discrimination laws.
On a Saturday night two years ago, Stann Fransisco was driving back home to New Mexico after visiting their parents ...
âCriminalization has made it easy for pharmacists to deny my [testosterone] prescription, which has happened to me many times,â Artemis McGettigan, a trans student in Dearborn, Michigan, told Filter. â[Pharmacists] have told me in the past that âItâs corporate policy, theyâre 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.â A CVS media representative told Filter that its policies âdo not prohibit our pharmacies from filling testosterone prescriptions.â
CVS Pharmacist refused to fill my T
I have been on T for coming up on 3 years. Iâve never had any problems with any pharmacy Iâve gone to. I recently had to switch pharmacies and for over two weeks this pharmacist at CVS has given me the run around. âI need to talk with your doctor about why you need itâ (which Iâve never had happen before). And then the next day would say âI need prior authâ. Itâs 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 âIâm not comfortable filling this prescription.â Ok? Your job isnât 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 itâs fake. So they reported it as discrimination. Unfortunately I canât 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 theyâre going to gate-keep health. I truly hope this man gets fired. Iâm 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
So I called in my prescription on the 2nd and they told me that it would be ready on the 5th. Itâs the 8th today so I called and asked if it was ready yet and the pharmacist told me I needed prior authorization and that my insurance wouldnât cover it. Thing is, my insurance has covered it for the past two months, which is when I first started T. The pharmacist told me to call my doctor and get the authorization so I did and my doctor said that thereâs no issues on her end, no authorization needed, and that my insurance still covers my prescription so sheâs not sure why he would say that. I end up calling them back and end up speaking to the lady who took my original prescription and she was like âOh my god. I donât know why he said that to you. Iâm seeing a refill request but nothing that requires an authorization. Iâm gonna send this in today and it should be ready by Fridayâ. I think itâs hilarious too that when I told him my name, he was like âoh youâre (my grandparentâs names) granddaughter!â
Iâve had a couple experiences like this. Itâs almost never the pharmacist being intentionally transphobic (in the personal moral sense, more just them being part of a transphobic system). If you are experiencing this here are some good steps to follow that worked for me.
1. Ask the pharmacist what information they need to fill the prescription and who it has to come from.
2. Get them that information. If its a prior auth (rarely actually needed) call your insurance company and verify your doctor sent the script.
3. If you have determined that they are doing a transphobia, call your doctor and send the script somewhere else. In America at least you do have options, even if just âthe one pharmacy in town or mail order.â
4. After your script has been moved, file a report if you have the mental energy, but assume it will go nowhere because CVS and Walgreens are run TERRIBLY and they donât even fire pharmacists that kill people sometimes
5. EMOTIONAL REGULATION. Your feelings are SO valid. This shit is frustrating and exhausting. HOWEVER, you will have FAR more luck if you take 20 minutes to have your breakdown in private vs in public (done the later, its embarrassing and didnât accomplish anything). Assume good faith until proven otherwise.
INDEPENDENT PHARMACIES
Going to shamelessly plug my independent pharmacy. They do mail order and specialty and genuinely are great. I love that I can talk to a real person (and text them too!) rather than having to wait on hold w/ cvs for two hours