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Level: B1

At the Pharmacy (15 Short Conversations)

Dropping off a prescription, picking it up, insurance, refills, and a flu shot.

CEFR B1 · 1716 words · ~11 min read · US English

13:27 🎬 Watch these conversations on YouTube Pharmacy English: What the Pharmacist Says in the US — Real Conversations (B1 Listening Practice) Read the lesson below first. When you understand every line, open the YouTube link above and play this video in your earbuds — while you walk, cook or ride the bus, with nothing to look up and nothing to pause. English you already understand, heard again and again, is what turns reading into listening.
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In the reader, tap any word or sentence to hear it in English, translate it, or look up a definition.

Words to know

sign here on the pad
the signature pad · you sign for the pickup, the privacy notice and "no questions" · then the copay
the leaflet
the bag · the label: your name, the drug, the directions, refills left · the leaflet: side effects and warnings
on the truck
"It's on the truck tomorrow." · the daily delivery from the warehouse · at the latest = no later than
with food
a full glass of water · not on an empty stomach
a ninety-day supply
a thirty-day supply · a ninety-day supply: three months, one copay, one trip
an emergency supply
: a few days of a daily medication while the doctor answers · the pharmacist decides
little pinch
the tray · an alcohol swab, the syringe, a bandage · "little pinch" = here comes the needle

Every line has a ▶ button — tap it to hear that line spoken, one word at a time.

Dropping off — My doctor sent it in
Dropping off — My doctor sent it in

Mia: Hi. My doctor sent in a prescription for me this morning. Is it ready?

sent it in — about ninety-four percent of US prescriptions go straight from the doctor's computer to the pharmacy · nothing to carry

Jordan: Let me check. Name and date of birth?

Name and date of birth? — the two questions at every window, every time · they find you by both, because names repeat

Mia: Mia Carter. March twelfth, nineteen ninety-eight.

how to say your date of birth — month · day · year, the American order · on a form: 03/12/1998 · "twelfth", not "twelve"

Jordan: Got it. It came in, but it's not filled yet. It'll be about twenty minutes.

filled — filled = counted, bottled, labeled and checked · "it'll be about twenty minutes" · waiting is normal

Mia: Okay. Should I wait, or come back?

Jordan: Either one. There's a bench right there, or we can text you when it's ready.

ready for pickup

ready for pickup — the bag waits on the shelf about ten days · then it goes back to stock

Mia: A text would be great.

Jordan: Perfect. I'll text this number, ending in four seven one two. Pickup is at the other window, on the right.

drop-off · pickup — hand in your prescription at one, collect and pay at the other · a third one, CONSULTATION, is for questions

Dropping off — A paper prescription
Dropping off — A paper prescription

Mia: Hi, I'd like to drop off a prescription.

a paper prescription

a paper prescription — the doctor's name, your name, the drug, the dose, refills · hand it in at drop-off

Jordan: Sure. Have you filled with us before?

Have you filled with us before? — = are you in our system? · a new pharmacy makes your profile: date of birth, phone, insurance, allergies

Mia: No, this is my first time. I just got this at urgent care.

urgent care — a walk-in clinic for a sore throat, a cut, a sprain · faster and cheaper than the ER · they send the prescription in or hand you a paper one

Jordan: No problem. I'll need your date of birth, a phone number, and your insurance card.

your insurance card — the pharmacy keeps it on file · member ID · group number · the small RxBIN and RxPCN numbers are for the pharmacy

Mia: Here's the card. And it's March twelfth, nineteen ninety-eight.

Jordan: Thanks. Any allergies to medications?

Any allergies to medications? — penicillin is the common one · say the medicine and what happened · it goes in your profile forever

Mia: Not that I know of.

Not that I know of. — = no, as far as I know · a soft, honest no

Jordan: And do you take anything else regularly?

Do you take anything else regularly? — your daily medications, vitamins and supplements too · the pharmacist checks the new one against them

Mia: Just an allergy pill, once a day.

Jordan: Okay, I'll put that in your profile. This will be ready in about thirty minutes.

your profile — your record at this pharmacy: medications, allergies, insurance, phone · it follows you to every store of the chain

Mia: Great. I'll walk around the store.

Picking up — Picking it up
Picking up — Picking it up

Mia: Hi, I'm here to pick up a prescription.

pick up a prescription — = collect it · pick up FOR someone = collect it for them · "I'm here to pick up"

Devin: Last name?

Last name? — last name = family name = surname · spell it if it's unusual: C, A, R, T, E, R

Mia: Carter. C, A, R, T, E, R.

Devin: And your date of birth?

Mia: March twelfth, nineteen ninety-eight.

Devin: Here we go. Can I see your ID? We ask on every pickup now.

Can I see your ID? — a photo ID: driver's license, state ID, passport · more pharmacies ask on every pickup · always for controlled medications

Mia: Sure, here's my license.

Devin: Thanks. Do you have any questions for the pharmacist today?

Any questions for the pharmacist? — by law they must OFFER to explain a new medication · "no" = you sign that you declined · "yes" costs nothing

Mia: No, I think I'm okay.

Devin: Then sign here on the pad. That's fifteen dollars with your insurance.

sign here on the pad

sign here on the pad — the signature pad · you sign for the pickup, the privacy notice and "no questions" · then the copay

Mia: I'll pay by card.

Devin: All set. The directions are on the label, and the leaflet inside explains the rest.

the bag, the label, the leaflet

the bag, the label, the leaflet — the bag · the label: your name, the drug, the directions, refills left · the leaflet: side effects and warnings

Picking up — Picking up for my husband
Picking up — Picking up for my husband

Mia: Hi. I'm picking up for my husband, Ben Carter.

picking up for someone else — allowed for family and friends · you need their date of birth, often their address · your own ID for a controlled medication

Devin: Sure. What's his date of birth?

Mia: August thirtieth, nineteen ninety-four.

Devin: And his address, just to confirm?

just to confirm — = one more check · "just to confirm, that's apartment three?"

Mia: Two fourteen Maple Street, apartment three.

how to say an address — number · street · apartment — say the number in pairs: "two fourteen" · on paper: 214 Maple St., Apt. 3

Devin: Thanks. I have two for him. One is ready, but the other still needs the pharmacist's okay.

the pharmacist's okay — the tech types it in, the pharmacist checks and approves every prescription before it goes out · okay = approval

Mia: Oh. Is something wrong with it?

Devin: No, it's a new medication, so she checks it against his other one. Give me two minutes.

checks it against — for an interaction — two medicines that shouldn't be taken together · the reason they ask what you take

Mia: Sure, no rush.

No rush. — = take your time · the opposite: "I'm in a bit of a rush"

Devin: Okay, both are good. Since it's not your prescription, I'll need to see your ID too.

Mia: Here you go.

Devin: Thanks. Sign here, and I'll staple the receipt to the bag. His directions are on the label.

the receipt stapled to the bag — it shows your copay and what the insurance paid · keep it for a reimbursement or a flexible spending account

Picking up — It's not ready yet
Picking up — It's not ready yet

Mia: Hi, I'm picking up for Mia Carter. I dropped it off this morning.

Devin: Let me see. Carter. Ah, it's not ready. We're out of stock on that one.

out of stock — = not in the store right now · on back order = the supplier is out too · a partial fill = some now, the rest later

Mia: Oh no. When will you have it?

Devin: It's on the truck tomorrow, so tomorrow afternoon at the latest.

on the truck

on the truck — "It's on the truck tomorrow." · the daily delivery from the warehouse · at the latest = no later than

Mia: Hmm. I'm supposed to start it today.

supposed to — supposed to = the doctor told me to · "I'm supposed to take it with food"

Devin: Then let me check our other location.

our other location — = another store of the same chain · same profile, same insurance on file, same app

Mia: Yes, please.

Devin: The store on Fifth Street has it, about ten minutes by car. I can transfer it there, and they'll have it ready in twenty minutes.

transfer a prescription — move it to another pharmacy · the new pharmacy calls the old one · you can transfer everything when you move

Mia: That works. Thank you.

That works. — = that's fine for me · "Does Monday work for you?" · "Tuesday doesn't work"

Paying and insurance — Is there a generic?
Paying and insurance — Is there a generic?

Devin: That'll be fifty-five dollars.

Mia: Fifty-five? Last time it was ten.

Devin: Let me look. Ah, this one was filled as the brand name. Your doctor wrote "dispense as written."

dispense as written — the doctor's note: this exact brand, no substitution · rare — ask why · also "brand medically necessary"

Mia: What does that mean?

Devin: We can't swap it for the generic without asking. Normally we do that automatically.

the generic — same active ingredient, same dose, same rules · another company makes it, so it costs less · every state lets the pharmacy swap

Mia: Is the generic really the same?

Devin: Same active ingredient, same dose, different manufacturer. And your copay would be ten dollars.

the copay — your fixed share of the price — $10, $25, $50 by "tier" · the insurance pays the rest · set by your plan, not the pharmacy

Mia: Then I'd like the generic. Can you check with my doctor?

Devin: I'll message the office now. It usually takes a day. Do you want to wait on this one?

wait on this one — = leave it for now, not take it today · they hold it for you

Mia: Yes, it's not urgent.

Devin: Okay, I'll put it on hold and text you when we hear back.

on hold · hear back — on hold = paused · hear back = get an answer · "we'll text you when we hear back from the office"

Paying and insurance — Prior authorization
Paying and insurance — Prior authorization

Devin: I'm sorry, your insurance rejected this one. It needs a prior authorization.

prior authorization — the insurance must approve this medication before it pays · your doctor sends the request · days, not minutes · a denial can be appealed

Mia: A prior what?

Devin: Prior authorization. Your insurance wants your doctor to explain why you need this one.

Mia: How long does that take?

Devin: Usually two to five business days. We've already sent the request to your doctor's office.

business days — business days = Monday to Friday · a request sent on Friday afternoon moves on Monday

Mia: And if I need it today?

Devin: You can pay the cash price. Without insurance it's a hundred and forty dollars.

the cash price — = the full price with no insurance · always ask — for a cheap generic it is sometimes lower than your copay

Mia: Ouch.

Devin: But let me run a discount card for you. With the coupon, it's thirty-two.

a discount card — free apps like GoodRx: show the coupon, the pharmacy applies it · not insurance · works on the cash price

Mia: Thirty-two is fine.

Devin: Just so you know, a coupon can't be combined with insurance, and it doesn't count toward your deductible.

the deductible — what you pay each year before the plan starts paying · a coupon purchase doesn't count toward it

Mia: That's okay for today. Thank you.

Paying and insurance — A new insurance card
Paying and insurance — A new insurance card

Devin: Hmm, it says your coverage ended. Did your insurance change?

your coverage ended — coverage = what the plan pays for · the card on file is no longer active — plans often change on January first

Mia: Oh, yes. My company switched plans in January. I have a new card.

Devin: Perfect. I need the member ID and the group number, on the front.

member ID · group number — on the front of the insurance card · the pharmacy types them in once · "is my new card on file?"

Mia: Here you go.

Devin: Thanks. Let me update your profile and run it through again.

run it through — = send the claim to the insurance company · it went through = accepted · it was rejected = denied

Mia: Okay.

Devin: Good, it went through. Your copay is twenty dollars on this plan.

Mia: Twenty? It was ten before.

Devin: Different plan, different copay. For questions, the number is on the back of the card.

the number on the back of the card — member services · call them about the copay, the deductible, a rejection · the pharmacy can't change your plan

Mia: Okay. I'll pay with my card.

Devin: Sign here. And the new card is on file now, so you won't need it next time.

on file — = saved in the system · "do you have my new card on file?"

Asking the pharmacist — How do I take this?
Asking the pharmacist — How do I take this?

Mia: Hi. Could I ask a quick question about this one?

Priya: Of course. Let me see. This is an antibiotic. One tablet twice a day, twelve hours apart.

twice a day, twelve hours apart — the label says "take one tablet by mouth twice daily" · about eight in the morning and eight at night

Mia: With food or without?

Priya: With food. On an empty stomach it can make you nauseous.

with food

with food — a full glass of water · not on an empty stomach

Mia: And for how long?

Priya: Seven days. Finish the whole course, even if you feel better after two or three days.

the whole course — all seven days, even when you feel better · stopping early lets the infection come back stronger

Mia: What if I forget one?

Priya: Take it as soon as you remember. But if it's almost time for the next dose, skip it. Don't double up.

a missed dose — take it as soon as you remember · almost time for the next one? skip it · never double up = never take two at once

Mia: Got it. Anything I should avoid?

Priya: Alcohol, while you're on it. Everything else is on the label.

while you're on it — on = taking a medication · "I'm on antibiotics" · "are you on anything?"

Mia: Thank you so much.

Asking the pharmacist — With my other pills?
Asking the pharmacist — With my other pills?

Mia: One more thing. I take an allergy pill every day. Is that okay with this?

One more thing. — = one more question · the polite way to keep a busy person one minute longer

Priya: Which one?

Mia: The prescription one, at night. It's in my profile.

Priya: Let me check. Yes, those are fine together. No interaction.

an interaction — two medicines that change each other's effect · the pharmacy computer checks every new prescription against your profile

Mia: Okay. Are there side effects I should watch for?

side effects — the unwanted effects a medicine can have · the leaflet lists them: common, less common, rare · watch for = pay attention to

Priya: An upset stomach is common. But if you get a rash or hives, stop and call your doctor right away.

a rash or hives — hives = red, itchy bumps · a sign of an allergic reaction: stop and call · trouble breathing = call nine-one-one

Mia: Hives?

Priya: Red, itchy bumps. It's rare, but that's an allergic reaction.

an allergic reaction — your body fights the medicine · it goes in your profile so nobody prescribes it again

Mia: Okay, I'll watch for that. Thanks.

Priya: Anytime. That's what we're here for.

That's what we're here for. — = happy to help, it's my job · the reply to "thanks" at any counter

Asking the pharmacist — Something for a cold
Asking the pharmacist — Something for a cold

Mia: Excuse me, do you have anything for a stuffy nose? I have a bad cold.

a stuffy nose — stuffy = blocked · runny = it drips · "anything for…?" = what do you sell for…?

Priya: Sure. Just your nose, or is your chest congested too?

congested — = blocked, full of mucus · chest congestion = a cough with mucus · a decongestant clears it

Mia: Just my nose. And I can't sleep.

Priya: Then a decongestant. The good one is behind the counter, so I'll need to scan your ID.

behind the counter — no prescription, but you must ask, show a photo ID and sign · the decongestant pseudoephedrine · a monthly limit by law

Mia: Behind the counter? Do I need a prescription?

Priya: No, it's over the counter. The law just limits how much you can buy, so we log it. And take it in the daytime. It can keep you awake.

over the counter — = no prescription needed · on the shelves: pain relievers, allergy pills, cold medicine · ask the pharmacist which one

Mia: Got it. And for the night?

Priya: A nighttime cold medicine, aisle five. The store brand is the same as the name brand, for half the price.

the store brand — the pharmacy's own label · the same active ingredient as the name brand · compare the small print: same drug, same dose

Mia: Perfect. Thank you.

Priya: Feel better. If it's not gone in a week, see your doctor.

Feel better. — what you say to someone who's sick · also: get well soon · take care

Refills — I need a refill
Refills — I need a refill

Mia: Hi, I need a refill on my allergy medication.

a refill — the same prescription again, no doctor's visit · at the counter, by phone, or in the app · "thirty tablets, two refills"

Jordan: Sure. Name and date of birth?

Mia: Mia Carter, March twelfth, nineteen ninety-eight.

Jordan: Okay. You have two refills left on that one. But it's showing "refill too soon."

refill too soon — an insurance message, not a law · about three quarters of the last fill must be used first · a week early on a thirty-day supply

Mia: Too soon? I'm almost out.

I'm almost out. — = I have almost none left · I'm out = I have none · running low

Jordan: Your insurance won't cover it until Monday. They only pay when three quarters of the last one is gone.

Mia: Okay. Can I get it Monday, then?

Jordan: I'll set it up for Monday morning. Do you want auto-refill? We fill it every month and text you.

auto-refill — the pharmacy refills it by itself each month and texts you · cancel any time · "ready for pickup"

Mia: Sure, that's easier.

Jordan: And ask your doctor about a ninety-day supply. Three months, one copay, fewer trips.

a ninety-day supply

a ninety-day supply — a thirty-day supply · a ninety-day supply: three months, one copay, one trip

Mia: I'll ask. Thanks!

Refills — Out of refills
Refills — Out of refills

Mia: Hi, I'd like to refill my allergy medication, please.

Jordan: Let me check. Hmm, you're out of refills on that one.

out of refills — "thirty tablets, two refills" — the refills are used up · a new prescription must come from the doctor · a prescription expires after a year

Mia: Oh. What do I do now?

Jordan: We'll send a refill request to your doctor. Most offices answer within a day or two.

a refill request — the pharmacy asks your doctor electronically · usually a day or two · your call to the office speeds it up

Mia: I only have one pill left, though.

Jordan: Then I can give you a few days' worth to tide you over. An emergency supply, while we wait.

tide you over · an emergency supply

tide you over · an emergency supply — : a few days of a daily medication while the doctor answers · the pharmacist decides

Mia: Really? That would be great.

Jordan: Just this once, and only because it's a daily medication. Three days' worth.

Just this once. — = one time only, as an exception · the polite warning before a favor

Mia: Thank you. Should I call the doctor too?

Jordan: It wouldn't hurt. A call from you usually speeds things up.

It wouldn't hurt. — = it's a good idea, it can't do any harm · "it wouldn't hurt to call"

Mia: I will. Thanks a lot.

The flu shot — Can I get a flu shot here?
The flu shot — Can I get a flu shot here?

Mia: Hi. Do you do flu shots? Do I need an appointment?

vaccines at the pharmacy — flu, COVID, shingles, tetanus, travel shots · no doctor's visit · the pharmacist gives them, age three and up

Priya: We do, and walk-ins are welcome. Do you have your insurance card?

walk-ins welcome — = no appointment needed · book online to skip the wait in October

Mia: Yes, here. Is it covered?

Priya: Flu shots are covered at no cost on almost every plan. Let me run it. Yes, no charge.

covered at no cost — $0 on almost every insurance plan and on Medicare · without insurance: roughly $25 to $75

Mia: Great.

Priya: Fill out this form for me. And a few quick questions. Are you feeling sick today?

fill out this form — the consent form: name, date of birth, insurance, the screening questions, your signature · fill out = complete

Mia: No, I'm fine.

Priya: Any allergies, or a bad reaction to a vaccine before?

the screening questions — feeling sick today? · allergies? · a bad reaction to a vaccine before? · pregnant? · they decide if today is safe

Mia: No, never.

Priya: Then you're good to go. Sign at the bottom, and I'll take you back in a minute.

I'll take you back.

I'll take you back. — " · the consultation room: a small private room behind the counter for vaccines and questions

Mia: Great, thank you.

The flu shot — Which arm?
The flu shot — Which arm?

Priya: Come on in and have a seat. Which arm would you like it in?

Which arm? — usually the arm you use less · the upper arm, so wear a short sleeve or one you can roll up

Mia: The left. I'm right-handed.

Priya: Good choice. Slip your arm out of your jacket and roll up your sleeve. Perfect. Relax, let it hang loose. Okay, little pinch.

little pinch

little pinch — the tray · an alcohol swab, the syringe, a bandage · "little pinch" = here comes the needle

Mia: Oh. That was it?

Priya: That was it. All done. Here's a bandage; take it off in an hour.

All done. — = finished · the bandage comes off in an hour · the shot itself takes ten seconds

Mia: Will my arm be sore?

a sore arm — sore = hurting a little · normal for a day or two · keep moving it, a cold pack helps

Priya: A little, for a day or two. That's normal. Keep moving it.

Mia: And I wait fifteen minutes now?

Priya: Fifteen minutes on the bench, then you're free to go. Here's your vaccine record, in case work asks.

your vaccine record — a card with the vaccine, the date and the pharmacy · schools and some jobs ask for it · also in the pharmacy app

Mia: Thanks so much.

Priya: You're welcome. Have a good evening, Mia.

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