The pharmacy had better hope they have your records on file. Or they will be paying a fine if they are caught.
the general penalty for failure to comply is:
* Each violation: $100
* Maximum penalty for all violations of an identical requirement: may not exceed $25,000
Wrongful Disclosure of Individually Identifiable Health Information:
* Wrongful disclosure offense: $50,000, imprisonment of not more than one year or both
* Offense under false pretenses: $100,000, imprisonment or not more than 5 years, or both
* Offense with intent to sell information: $250,000, imprisonment of not more than 10 years, or both
I was never asked for I.D. and I was not a customer of the pharmacy. There are laws/rules and then there is the way it actually works in the real world.
I don't think you are correct on this. Some people are too sick or disabled to personally pick up their prescriptions and children don't even have IDs.
I have picked up presciptions for sick friends and family many times at national pharmacies (CVS, Eckard) and have never had a problem.