SFGH's Discharge Pharmacy offers a unique and much needed service to inpatients: free meds on discharge. However, pts are often insured and can fill these meds at a local pharmacy rather than have the medications dispensed for free. There are many issues: 1) d/c pharmacy foots the bill for meds that can otherwise be covered by insurance, 2) pts may get duplicate bottles of meds they already have at home (MDs often send all meds to d/c pharm not just new ones), 3) if pts get meds off their usual refill cycle, that can throw those meds off pts' usual refill cycle for other meds at their regular pharmacy.