There are recent changes in FDA regulations about the legal responsibility of the pharmacist to be able to assure himself that the patient has a clear understanding of the effects of any pharmaceutical he dispenses, and that the patient has either been counseled or has denied, in writing, the need for counsel. He is also legally responsible to assure himself that the amount of any pharmaceutical dispensed is more or less than the normal amount dispensed for the time period of the prescription. For an established patient, or in a busy chain pharmacy, much of this is pro forma, but at my pharmacy I do have to sign each month an electronic form stating that I have rejected counseling. Even from mail-order pharmacies, when I have a script for a new med of any sort, not just HRT, I have received calls from their pharmacist asking if I know what I doing taking this med.
This all has to do from the underworld shifting from importing to the domestic manufacture of designer drugs. Some very innocent pharmaceuticals are often used as the precursor for the manufacture of illicit drugs, and the pharmacist has been made legally liable for keeping detailed records of all sales. And behind the scenes, the pharmacist often checks with the issuing doctor to assure himself that the script has not been forged or altered. This is a big change from several years ago, and locally several pharmacists have received prison sentences for not doing the above.
There is no accounting for the innocence and rudeness of clerks and cashiers, but pharmacists are becoming increasingly uptight. I have never had a script denied, but I have been told to come back the next day to pick it up so they can make verification. And pharmacists will try to conceal this process by saying that they do not have enough of your needs on hand and will have to order more before they can fill your script.
None of this is meant to apply to us or our meds; we are just caught in the middle of the FDA's battle with pharmacists who knowingly assist in the illegal transfer of pharmaceuticals to the underworld.