I think the bigger issue here is the slander. If medco tells pt that want to discuss rx with the doctor, that is fine. This voice mail implied the doctor did something incorrect, or made an error in the prescription. This is defamation, slander, or whatever you want to call it. It makes the patient question your judgment and think you screwed up. If you did, fine. But you didnt here. If you have the tape of this voicemail, i'd send a certified letter to medco about this. IF they do it again, that makes you the lead plaintiff on a class action suit...you get to retire wealthy and I get one less nuisance in my life!