APPENDIX 4 - CCHCS – California Correctional Health Care …€¦ · · 2017-08-11v 1 ~Go...

APPENDIX 4

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California Medical Facility Pharmacy

California Medical Facility PharmacyCalifornia Stale Prison - Sacramento

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~

I 0605.. Raollim to B CIl"ic

Place NARCs il'dmwer in 1,onl otIll.Jf""~ a~lgrlHd tl:J

pass rnEM1s

0630RevI"""

- ...1 Orders. Transfer

List

...1 OPEN Mild 'vVindO'a\'

Call Trans-feting~ ... I Clinic for Inmate'5

Med. & MARS

...1Inmate prtt56f"\ls 10 toNu..~

Coo",-.1 NARCs, Syringes,

TOl)I~

:

N~,r56 viluifies II.),'Inn~dt;l

;

•CtLlftt:..i,ijlo ....m~M~ll\;jg&MAR

Adrr.imster Hled~ 10l"md!e 111 .liirnalJ GlJp

DOT ptuCorrned

•Nurse. giveslnsuljn to

DiQooti(.::;;Halldlng OU( KOPs

NU,,;e SORTS'Early AM pk:k uP'

DOTs & KOPsplaced in appropriate

bin~,

1Med NLJre& ch&Cks

MARS ror No~5h0\N5.& calls ttle bl"Ailding

for Inmate

Tl': Nurse re....ieY..sreru~w81~ .\ prints

IItI IlltK1 profile for MD 10UfYlew

't-,~Til; Nur.:;.e poOlS. 01) IU)1$!'llng MARS & t1t:lw

MARS for new rn&ds.

i )c[( ,LJt J ) I

I•.9"

01130Mad PaS£ E:,ld5 1-Wlfldow Closl)s

~

RaCOtJn[NARC.

Orientation InmateesCDfted to CI inic to

reooive- meds

_±~ NW"se tak65 eX'fa --------.....,.,"-

(stlr=k.eJl.i nom KOP~.

plar.es 1tlt;rn on MAR.

\t>lfJrl~"dd~'fe'il~~

MAR in bllldiflf

EQ)

+-'(/)~en~() en ....eo « cE c .-

~ 0

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en (J«Ceo--

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Guardian Login Screens

• Login Name,Password, and Store: . CarePoint 1I!!I1!1f3!

, CarePoint Login II!!II!l f3~ Enler auser name and password thai is vaid for lhis system.

I QK I(ancel I

Options»> I

'"

iJ

Iwww.careoOlnr.com

Madison Clinic l~ue DoDMadison Clinic I~ue RetailMitchel Field· DODMitchel Field·relORHscriplsPacl'lied Clinic Pharmacy Beacon Hill RETPacMed Clinic Pharmacy Beacon Hill DODPacMed Clinic Pharmac~ Madison DOD

IUSERNAMEIr··....I

!.ogin Name:

Eassword:

Store:

_ CarePoint, Inc . .._- -'II.~~ging In". .--.

Selectyour Storefrom thedrop downmenu

I )("1 i)('Jr-:\ ':1)


• Printer(s) Setup:

".

•

Tray: IDefault 3 (paper tray)

IDefault :::J....... Tray: IDefault iJ (label tray)

I

Label Printer

Mongraph Printer

" Printer Configuration ROO 13PEl

Tray: ICl 81auil iJ (paper tray)

.=.J

Check this box ...

Be sure toselect the~ _

correct ~~

tray for each'~~.function ~

r :,' t(J L}c:~ i'

©2004 Carepoint"F:,~In~c::===============1------- !confiourino Printers... Iwww_careoointcom

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• Select "Retail Dispensing":

lllX~~~;point IEormsInventoryratient Care8.econciliation8.eport Manager8.etall Dl5pensinl~

administrator

roint of Sale----- J

~og Out

Ejt

I( 'L~:k:j ©2004 CarePoint, Inc__

I IReady~: Iwww.carepoinl.com,=c=.J '. ! ~ ,

Searching Patients in Guardian

JJ

Date 12/27/2006

. Fax

Substitution Permitted

L~

r Auto Refill Hold until:r Flag as Treatment

r ~int Rx Fie Copy

tjb1.or'/ I QL:IJO:-:llo:; ..··1 d~jv,=, I Cancel I

Refills: 0

Rx #

1.J'L"Ji!t

I-Prescription Info _.~

P,escliolion IlIIiVlitd I

. _ 1,.----------:-:=r~1 IInlCc Patient --.:.:. I

Documentation I' ,-,IMonitoring Date Written: I,<}, :;,'11;1' U r short Ierm Rx _ I

CarePlan Manager ef(Jd!~~_L~~!t!~r( I ..22i+) Forms r;-----

1~1 Dispensing DAW? Ir"·;' --,

Dispensing eHtl!>J~!!!_HU~ I :o::J.d:~:~:;~:rs indI0.t~n: I -.:JPatients Qty Written # I Starter Dose Qty# ISig Codes ..-- .--Claims Hold Queue Units/Dose # I Dose frequency: I

H [,::~~:::lVendor;S!tl-1Purchase Orders Directions:rReceiptsAdjustmentsX.12 Refolls#r RHEHP:I 9

I;;;': ACCOlH1ts Receivable RH Media: IptesCriPtion 3ActivityAccount Admin Authorized by: ISystem Admin C t 1----------------

ommeo s:

You cansearch oneither thePatient's nameor the MedicalRecordNumber andthen press Tab

Note thatwe previouslyselected 'RetailDispensing' andit is highlightedhere in thenavigationmen f:jCtuL!l;r ii;

By clicking on"Patient"

Searchin

[!

Il!

r Sounds Like I Nt

Patients in Guardian

Qt)' Written II IUnllS:/Dose II I

,S~g:1

Direction5:IRen••#~

onng

CarePlan Manager

[+! Forms;:.. Dispensing

Dispensing

PrescribersProducts

PatientsSig Codes

Claims Hold Queuen In.....entory

ltJ Item5!Vendors

Purchase OrdersReceiptsAdjustmentsX,12

t-, Accounts Receivable

Search by ActiVityAccount Admin

Chart ID System Adm'n

I

+123456 I

This will allowyou to searcn

by addressand/or patient

birthday

" )CC-:- l :; -

Searching Patients in Guardian

Denver Health Central Fill Pharmacy - Find Patient II

• Verify Patient Identity, Address, Date ofBirth Eile Edit tlelp

~eneral IAdvanced IF~II Name." ITEST r Sounds Like

(iddress." IPhone: 1.-----------

SSN: IDL State: Ir -----------

DL Number: IBirth Date: Ir-----~

Chart ld: I

Find Now INe~5earch I

;ielect IAdd New... I

/,-!.-;.

53 yr "Id Female

Age/Marital Status/GenderlDOB

41 yr old Male

56 yr old Female

36 yr old Female

105 yr old unknown 1/1/1901

3 yr old Male 2/3/2003

.~10/4/1965

10/10/1950

10/10/1970 .:.J

1234) [JENVEP! Cu 80204

1100 FEDRAL BLVD, DENVER, CO 80204

Address /Phone

UNKNOWN, ARVADA, CO 80004

321321, DENVER, CO 80021

321321, DENVER, CO 80021

Beware ofpatients withsimilar orthe samename.ALWAYSVerify.

JC1Citj,-:.:; .;~_.)/

Show Queue

Updating Patient Information

• Press 'Ctrl' to access the Keyboard NavigationControl

Keyboard Navigation Control tI

L::::::::::::::::::::::::~i~p.~~~:~::~~~:~~~~:::::::::::::::::::::::::11 P§tient Profile I Partial Price Quote

Qui.Qk Add Patient J insurance I Price Quo!e

Quick Edit Patient I Print DrLlg Monograph~ Actiyate Product

Drug Prescribed.-----J Sig Codes I Product Reference

.Erescriber J Tran~fer RX.-----J Rx W.Qrkflow Q~~: _

Product Dispensed I Print Refill A!:!th I______R_en_ew Rx I E.dit Original Date ~ _

Cancel

• Each option has a keyboard shortcut letterunderlined (e.g. 'Ctrl'+ Q will take you to QuickEdit Patient) or you can just select it with your

Jrrn1motlse


Email: I _

.~~~- I

Safety Caps: Lr. y,=-~_~_oJ

Generic: l_c_y:~_~_~~JBad Check: Lr--",,=-~~-"J

Gender: IFemale :::JPrimary I<Not SpeCified> :::J

Language: ~:.:....--.:..---__=~----___Primary MD: I _

compUancol<Not Specified> :::JLetter:

Comments:

IAdded by HL7 Import ~

~atient Status: IActi,e :::J

Filii Name...

SSN: I-----

Driver license #: I State: I :0:1Chart ID: 12649521

Responsible: 1.:.----------------

Phone: IHome :::J IRegistration Date: I ~

Date of Birth: 1[16(1953 ~ De.th: I ~53 yr

Quick Add Patient IAllergies I Insurance I ConditionsI Emp';;~rs I Facilltie-;TM;'~g';T[)lsciosures T~[~A~ I patl~~; pr~;ams II;T~l

" Patient Options IFill Options I

D Quick Add Patient I!I~13

Press 'Ctrl' + Q to edit the Quick AddPatient tab

•

Note the differentInformation Tabsin which you canedit/add patientinformation

After changes aremade to the patientdata, be sure to click'Save and Close'

i.- t(); ,;.. :' ~ ~ \ . ,


• Updating/Adding Allergies ('Ctrl' + Q)D Quock Add Pa'ien' IlIiI t:i--_._-_ =====================

Click the 'Allergies' Tab

Allergy Profiles will belisted here

Delete.... deletes anexisting allerprofile

Open ... opens an existingallergy profile forediting

~ ~ - ~New. " creates a new ~ ~ r,jew, .. II Qpen .. I Delete I~~

allergy profilelC' . ~r1


£~eJete I~~

/i) ..

I I IFlnd Now I

New Search I2elect I

Onset Date: I ~

po gass

po Ingredient

P" eroduct

AMOXlCIlLlN SODIUM

AMOXlCIlLlN TRIHVDRA1E

AMOXlCILLlN 125 MG TAB CHEW

AMOXlCILLlN 125 MG/5 ML 5U5P

AMOXlCILLlN 125/5 ML SUSP

AMOXlCILLlN 125MG TAB CHEW

AMOXlCILLlN 125MG/5ML 5U5P

AMOXlCILLlN 200 MG TAB CHEW

AMOXlCILLlN 200 MG/5 ML SUSP

"Denver Health Central fill Pharmacy - Allergy - [New] I!I~13

(ieneral I

~

c; 3 :'r old Ff::r(lal~~ - -.

,n4.',pg'if$i[JNl6ffidiiDlIIll, I Ir-T'""--- ------.- _.l:!!!!m'·ilJIir+1hH," II I .,16 I;;dit ttelp XI !letaUs>>

UEde I;.dit ttelp

IJ DS""e and New

D QUick Add p"ttent

1-I2i7J20062~19PM-1'~----------------

<)(J\lf'K:~l- ;1 j

After changes aremade to the Allerg_data, be sure to click'Save and Close'

This box will appear for youtotype in the Allergy and thenpress Enter.

This box will then appear tovalidate the exact Allergyspecifications. Doubleclick theone that matches.

Click New... to add anAllergy.


• Press 'Ctrl' + Q & select the Insurance tabmQuick Add Patient I!lIiI Ei-_._..----_.. -==============================

Insurance Profiles will belisted here

Note the differentInformation Tabs in which

you can ed it/add patient -I O"lck Add 9 HIP' I ilille.Yie!Plnsurance ICondition. I Employer< I FBcilllesl Messages I Disclo;ure. 1HIPAA I Patient p:ogram.' .~information iii .... I .

Delete.... deletes anexisting insuranceprofile

Open ... opens an existinginsurance profile forediting

New(jc:tc,r8F~~t;~u/a new Iii~",-'.......' - _insurance profile ..

£Qelete I~~


-_._._-_._--_._============================='Quick Add Patient I!IlilEJ

Denver Health Central Fill Phannacy - Quick Add Patient

Click New... to add anInsurance.

JI Ble ~dit !:ielp

JI D Save and New

,i

'I ,j I . ... __. . J

~ Save and Close I~ Bdb ~ If!,

G

r Indemnity

status: r Inactive

r Hold Blling

In§~er:l ~

CDYerage: Isecondary :::oJ

Denver Health Central Fill Pharmacy ~ Insurance ~ [~ew] I!lOO 13~Quick Add Patient I Allergies Insurance ICondJlions I Employers I Facilities IMessages IDisdosures I HIPAA IPatient Programs I

I

ij ] Eile f;d~ tlelp

_ liD Save and New IiiiI Save and Close I~~~ ~1----~~ ~-

This box will appear for you totype in the Insurance Co andthen press Enter.

Cardholder: ITEST, PHARMACV

Plan Name: I

PolICY No: 1,-------------

Relationship: Iself/cardholder :.:oJEligibility: INot Specified :::oJ

Group No: INOT SPECIFIED :::oJ

Cardholder Id: I Person No: I Home Plan: I

Coverage Start: I ~

Max, Benefits: I $0.00

Coverage End: I ~

Deductl~e: I $0,00

Signature on File: ISlgnature not on F~e :::oJ

l,jCltJl.;Cf . IVerified Date:

Comments:

Verified By US.er: , 'lerify I~l


~

'Ian:r-

.2~

FlndNow INew Search I I l

Select Iadd New,,, I

Status: r Inactive

----._--------_.,----------------

~ame: Ir~CARE

AdeJ,,,":' _,

Ph~~8; Ir -------------

Contact: I

Mcare-AdvantraRx

Mcare-AnthemDualEllgSafetyNa

Mcare-BlueMedicareRx

Mcare-CCareRx

MCARE-COUPON

Mcare-DH Choice

Mcare~DH Choice5econdary

Mcare·Humana

Denyer Health Central Fill Pharmac'l- Find Organization E3

!.!U _. _1---

ImYI:l:!:i IMCARE ;1

Pol

Elle I;:dit ljelp

Cardh-- ~enerall

Plan

Cardhol

(overagE

D~nv~tHealth Central Fill Pharmacy - Insurance - [New] II~13

Comment~

.,', -=..l'l~

~ew", I[QP8O::J Qelete I~ ~ I

LItI jj Eile ~dit t:!elp _

01~~~~d_~~__ ~_seve en~~los~J~IU~_~_~].lIII•I

:; ;:.).'

I/

After changes are /made to the Insurance /data, be sure to click /'Save and Close'

If the company is not present,call the Help Desk. Neverselect Add New...

This box will appear tovalidate the exact InsuranceCompany. Double click theone that matches.

-IWlzOo62:2lPMi------

Updating Patient Information"tDenver Health Central fill Pharmacy - Insurance - SElf-PAY ALL. I!I~ Ef

11. ~. ~ve ""d Ne",,_~ S~v~~nd~~~e_L~JI~_~~r--------_·

Rela~on<hip: I<Not Specified> ::::IEligibility: INot Specified 3

Group No: INOT SPECIfIED :.::J

3rd Party Plan

r Indemnity

Status: r Inactive

r Hold Billing

In~mrer: 14ij,ilfNl!., .I'

Coverage: IPrimary ::::ICardholder: ITEST, PHARMACY

Plan Name: IPolicy No: lr--------------

J) Elle ~dit t!elp

KOP orNONKOP

•

Cardholder Id: I Person No: I Home Plan: I

Coverage Start: I ~

Max, Benefit.: I $0,00

Coverage End: I ~

Deductible: I $0,00

Signature on file: ISlgnature not on File 3

Verified Date: Verified By User: • I!erify IComments:

~'. teT , . H , -' (;: ,~ I

• ' "'_ w __·,_·_

2/7/20062:23 PM '


Here is where you wouldupdate the patient'spreferences for safetycaps on theirprescriptions

You can record theirgender here

You can addcomments to theirprofile in this box"patient wants pink estradiol pills

"only

}(:[(:,~_)t~r ,i ,__ 'II!.',

'.!_'FOOmJ

'-, D1Jpenllr..~

'-p,~J("b....P,od..:;(S

P~I""~,

(lalT., Hold Queue

lnver,t,,""y

-.:C1t""o""VeM<lrsIrr.ent....yDau

In'.enlOly Y~(abri

Pu":t.,,,eOode,~

R.e'''~(i

AdI~,tIr.enl,

X.12

- lllUlJroll AtrelYableAl!.,,~y

At.~lllJ/'ll Adfllln

!>y2emAom.n

......1 [ijI • [.e._,

'''''',I ---l

'-I

~~

" y


• Press 'Ctrl' + Q &select the Conditions tabJ

Condition: I Onset Date: I ~

C..ring MD: I "-1 Status: lunresolved 3Primary Dx r

II Fil.. Edit Help III D Save and New IiiiI sav~ and Close I-]]1 J/, Iil11l~ -,,-,--.-,..-..

~I)enver Health Central fill pharma<y - Condition . [~ewl IIiii t3

'Qui<k Add P..tient .~il3--_.._-..-....=========================

Health Conditions will bvllisted here

Note the differentInformation Tabs in which

you can .edit/add patient tIQ:~k.Add e...'en\'.llel\3ie. I I.......nce COndition., Employers I FacUlties I M......g... , DI.c1o.ur".j HIP~~~atl..nt pro~am: I.I~Information

..:J

_, .d •• ~_~_ ~ ~_.~ . , • __•• .•. ._~__.••. . _

h

Comments:

!'12I712'OOb2:27PM 'r-------------

Delete .... deletes anexisting conditionsprofile

Open ... opens an existingconditions profile forediting

N~I ------ ~~- ~

_ewi ic~j(,:~,~E1~t~~7a new I.!1.J ~ -------.~ ..uy

health condition ~ew,,, U Qpero, I Qelete I~~


DQui<k Add p"tjent 1!l00:E3

Click New... to add aCondition.

This box will appear for you totype in the Condition and thenpress Enter.

II Eile ~dit I::!elp

Jj D Seve end New

1-

~DenverHe"lth Central Fill Pharma<y - Condition - [New] 1!l00E3UEile ~dit I::!elp -1

JI D Seve end New III Seve end Close I~~

Onset Date: I ~

Status: lunresol'y'ed 3

--_._-----_._------Comments:

I 3~

I

CJCI() r.JI.~~~ ',I

•

11217120062:27 PM

~~e",." II gpen. I Qelete I .ooIIIE I~l

;;


~~~

..:J

\)f:!ei~ I

~/,x

I Find Now INe~Search I

2elect IB.dd New". I

Uew...

Acute

Acute

Acute

Acute

Chronic

Chronic

Chronic

Chronic

Chronic

N!l.me: ~ARCI

I~D9: 11-----

§eneral IElla ~dit tialp

Denver Health Central fIll pharmacy - fInd CondItIon III

Primary Dx:

ComlT

I'kOenver Hedlth Central Fill Pharmacy· Condition· [New] I!IlilEi

I

.. '1ii7J2·oo62-:28PM-I---~·

After changes aremade to the Conditionsdata, be sure to click'Save and Close'

: 'i_~\:-:j .>': ,U

This box will appear tovalidate the exact HealthCondition. Double click theone that matches.

Reviewing Patient Information

• Gtrl + A to access Patient Profile;. Denver Health Central fill pharmacy - Patient Profile ROOD

DispensingInformation

Double clickthe medicationto see the variousdispenses

Double clickthe columnheading to sort bydate

Refills can beprocessed here byhighlighting theNum. and clickingDispenSe'·' . i. ;'CIO;

_________1

04522 ~FUROSEMIDE80MG TABLET 120 12/7/2006 0 Active 12/7/2006 DAVID GINOSAR

01 6204504 ~IBUPROFEN600 MG TABLET 90 12/7/2006 0 Active 12/7/2006 DAVID GINOSAR

01 2012422 HYDROMORPHONE 2 MG TABLET 30 12/7/2006 0 Active 12/7/2006 DAVID GINOSAR

01 2012413 MORPHINE SULF 30 MG TAB SA 30 12/7/2006 0 Active 12/7/2006 DAVID GINOSAR

01 6204495 ZYPREXA 20 MG TABLET 30 12/6/2006 0 Active 12/6/2006 DAVID GINOSAR

01 2012404 OXYCODONE WIAPAP 51325 TAB 180 121612006 0 Active 12/6/2006 DAVID GINOSAR -.J07 6009235 FUROSEMIDE 20 MG TABLET 60 911112006 6 Inactive 9111/2006 DAVID GINOSAR

07 6009234 FUROSEMIDE 20 MG TABLET 60 9/1112006 I Inactive 9111/2006 DAVID GINOSAR

~

Authorized by: IComme!!ls: Ir ---------------

Refill. # f RK EKp: 112127/Z007 [email protected] Media: IPrescriPtion 3

..-:~k~.~


DOC TEST, MD

DOC TEST, MD123. SEATTLE. WA 00000

• FilIX

r Fleg eS Treatment

r ~rjnt Rx FOe Copy

H.iW" II~;~~i~]1 2eve I C!!fleel I

RefillS"; l;.

37011 TEST DOl. 12/2712006NEED, AMARILLO, TX 79101

Rx RANITIDINE 150 MG CAP5ULE

# 60Sig: UD

•enslnDis

r pres;;~~:,~~~:~~~~------------------'-~---"'-l

Palieni: 137011 TES T 7t i- - iDate Written: 112127/2006 ~ r Short Ierm Rx !

PlOducl Wrilten: IRANlTIDINE 150 MG CAPSULE 7t IDAW?~

Prescriber: IrM=D"""'D"Q-C=--T=E:::S=T-,M=D-----3-,Y~

Indicalion: INOT SPECIFIED 3

Qty Written #~ Sterter Dose Qty# IUnit./Dose # r Do.e frequency: F

~IUd

Directions: lAs directed

l::i Patient Care

Ff Summ03ry[+1 BIographical

ft-l Clinfcalr+l Documentation

[+J MonitoringCarePlan Mana

l±J Forms1::::1 Dispensing

Di~ingescribers

ProductsPatier.tsSig Codes

Claims Hold Queue

h Inventory

l+! ItemslVendorsPurchase OrdersReceipts

Adjustments

X.12

1.':1 Accounts ReceivableActivity

Account Admin

System Admin

Enter theinformation inorder andpress Tab toproceed to thenext fieldhighlighted inred.

"W"i "1

Dispensing~ .Denyer Health Central fill Pharmacy Dispensing RriJ' EI

F[nd Now INe\:\l.Search I

select I

Generic

Name: lalbuterol

NQC: I

§eneral Ie,.dvanced I

Ble ~dit tlelp

~,ALBUTEROL 5 MGIML SOLUTION

ALBUTEROL 90 MCG INHALER

Denver Health Central Fill Pharmacy - Find Drug'" EI

r2l'

Starter Dose Q

RHEWP:I

RM Me.d)a: IPresci

nQ>( 111 ,~-!.I

~ P.:Jl:ient Care

l!2 Summary[+] Biographical

[+1 Clinical[+J Documentation

[:i:J Monitoring

CarePlan Managerr+J Forms

~':'j Dispensing

DispenslfIg

J-TC'~':;'=-"~"

Products:Patients:

5ig Codes:

Claims Hold Queue[-::J Inventory

Ifi Items;/'YendorsPurchase Orders

ReceiptsAdjustments

X.12Accounts Recei"able

I) file f.dit DUB. ~ieW IDOls t!&lp i Qptions-, ~~------.._-_._----.-._----.-. __.__ .-IjX£orePoint I]! III Save D ~I ~I ~ ,jI, ItlJ e. ~ I~~ '&I _1_-TEST. PHARMACYNO vr·,J(J\,!./N ALlH'GIES S3 ':N cb h::rl'laloS" fri:>' "

[,OB: lj6fl9S~;

Chart: 264%2'1

"ProductWritten" willpop up this boxfor you toselect theappropriatemedication

I-

Authorized by: IComments: 1---------

•Mfg: DEY LABS.

AWP: $0.40

,~

AAC $0,02

OnHand:

Vendor:

1,410

Supply

~

4

Dispensing,I' Denver Health Central fill Pharmacy- Dispensing lira 13

ADAM MVERSn7 Bannock St, Denver I CO 80201·1507

0'03) 439-5174 (303) 89 HI4G'l . Fax

PHARMACY TEST D." 1218/20061234, DENVER, CO 80204 ---

"DAW?" -

Mark 'V' only ifDispense AsWritten isindicated onthe prescription

Otherwisemark IN'

E.l Patient Care

r±J Summary

(f1 Biographical

Ef1 Clinical!±j Documer.tatlon

I±\ Monitoring

(arePlan Mana<;lerIt] Forms

FJ Dispensing

DispensingPre~cribers

ProductsPatients

Sig CodesClaims Holl Queue

[:;=l Inventory[-fl· ltems/Vendors

Purchase Orders

Receipts

Adjustment'SX,12

Accounts Receivable

:Y TEST 11

I Date Written: j,2/B/2006 ~ r :ihort Term;; ii'

product \''''i.ll~''·!""h"teroli ..2 J

DAW7~ !. .-- ..:J "I'~Jtt.!J·-!llJ~r I v ..:2.j I

I,n(jJCllli.n·1 31-""', IQty Written II I Starter Dose! Q.ty# I i

I

Days §UPPI,Y, II, r--- 1

~il,r I I

DIrection.,I !

Rer~I'1I f Rw Ewp: I 91R" Media: 'prescrlPtlon ::::::J I

Rx #

Refills: 0 ADAM MVERS


r Flag as Treatmentr !:rint Rx File Copy

. '!l~r('.!L)f~r q;. 'f

AuthOrized by: I I

Comments: I i:llIII

I

J'i~'tl'I' I r~bf.'···"·>· I 'j".:~ 1 C§.ncal I

Dispensing

.1

Flnd Now INew Search I

:ielect I8.dd New", I

F'dll Name .. , Itest r Sounds Like

8.ddress" 'IPhone: 1....-------

DEA: IPractice: Ir--------------Other Id I

/?

~eneral I

I

___J

E)le ~dit tlelpDenver Health Central Fill Pharmacy - Find Pre§criber E3

;=== ._----- £

Authorized by: IComments: I--------------~-

I

EI Patient Care

IF Summary

lfJ BiographicalftJ Chnical

ttl Documentation:tJ Monitorfng

CarePlan Managert~ l=orms

~J Dispensir'll.l

DispensingPrescribers

ProductsPatientsSig CodesClaims Hold Queue

E.r Inventory

tf! Items/'YendorsPurchase Orders

Receipts

. Adjustments

. X.12

Accounts Recel¥able

iA Denver Health [enttal fill Phatmacy- Dispensing RriJ 1'3

Beware ofprescribers

withsimilar orthe same

name.ALWAYS

Verify.

"Prescriber"will pop up thisbox for you toselect theappropriateDoctor

Dispensing)'" Denyer Health Central Fill Pharmac'1- Dispen'!iing I!!I~13

Refll.# r--

i---,j

Substitution PermittedTest Test

r Flag as Treatmentr ~nnt Rx File Copy

Refills: 0

Test Test1233 A

('9'9'3) 9090'3·90'9'390 - Far

PHARMACY TEST Date 12/8/20061234, D£NVER, CO 80204

Rx ALBUTEROL 90 MeG INHALER#

Hyperkalemi~ 276,7Hyperkalemia 276.9HyperkalemIa 566Hyperkalemia 728.68Hyperkalemia 791.3 .Hyperkalemic Familial Periodic Paralysl IH erkalemic Familial Periodic Paral sl'" I

IRM EHp: IL:i": J"'-' .Q/

RK MedIciPres;cription 3

2J.Y·

Directions:

Day. 5upply #

rrescription Info -_._- - -,

I P..sc,jotjon ·INEWRX I! ~IPHARMACY TEST ,jIIII ,

! Date Written: 112/812006 ~ r ahort Term Rx I! P,oduc! 'WI;!!en: IALBUTEROL 90 MCG INHALER ~ I

DAWI~. if.re.tc'ibQI; fTest Test iJ~

Irrlco(ion:·(J\n_,&iillilIJ 3Qty Written iI rKiT SPECIFIECI

CI Patient Care

l±l· SummaryHi BIographicalIf) Clinical

I±i DocumentationItl .Monitoring

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B DispensingDispenlSing

Prescriber~

ProductsPatients

519 CodesClaims Hold Queue

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.. Adjustments

X.12Accounts Recei",able

Select thecorrect"Indication"from the dropdown menu.This isnecessary forall medicalbilling.

Authorized by: IComments: ,-----------1:1 t:!1~,r;r'/ I !c!-I~rY-'f:::;~ 1 .:/\\,1 I CQ.ncel I

()c1:i 11J~,1; ·tIl_~" ~... ~ ,.....~ ~_

Dispensing~ l)euver Hedlth Central Fill Pharmacy- OispenslOg !Ira13


Test Test

r Flag as Tr6atmentr ~nnt Rx Ale Copy

____._J

Refilk: 1

I::w.:br'/ I Q)spense,,·1 ~e I C~cel I

Test Test1233 A

(9'39) '3'3'3-'3'3'39 • F.t.l

PHARMACY TEST 0 ... 12/6/20061234, DENVER, CO 60204 ---

Rx ALBUTEROL 90 MCG INHALER# 1Big: UD

PhoneFaxElectronic

I" -_.

Comment!: I

[

-Prescription Info •• --"----"1PfRICrioljon 'INEWRX !

fAIilrotlPHARMACY TEST 71 I

IDate Wrltten:l12/8/2006 ~ r ~...t Term Rx i

Product Writton·IALBUTEROl9D MeG INHALER 1411 DAW1~ ;

I

PtOICfiba,·ITe't Teot :::J~ :~ INOT SPECIFIED :::J i

IQty Written • r St",ter OOse Qty# r-t iDay. Supply .130' I,

ml UdI

Dired'OM:IAs directed !

Refill••P RM EMp: 1121BI2007 ~

RM MedIa: JPrescriPtion ..:.JAuthorized by: rl--- ..... '"'1 <Not Specified> I

B Patient Care[f] Summary

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Sig Codes

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Qptional:Select thecorrect "RxMedia" fromthe drop downmenu toindicate howthe prescriptiondata wasreceived

()crC:i:'jt, ~: <•• ~ i~ ,\ lI

~I _ ..__.

I

_I

Dispensing, fJen .....er Health [entral hIlPha.rmary- Dispen~lI)1J fir€) EJ

Test Test

Substitution PermittedRefills: 1

Test Test1233 A

(':1':1':1) ':I'3~-~'3'3~ - Fal

PHARMACY rEST D;lo 121B/20061234, DENVER, CO 60204

Rx ALBUTEROL 90 Mell INHALER1/ 1Sig: lID

IiI

_.J

------------rrr . r -------••'-..----------.._.-_.'-- __·__·_··__._~_"'_~ .M" ·_"__

l__ _

OR

Click"Dispense" toproceed afterall of the fieldshave beencompleted

i3 Patient Carelfi Summa.ry reS(rjpti~ Info -'''--'1"1 B" .-J--. _I PflIC[lQlion 'INEWRX Irt- 1017a.... dCOI I

1'1 Clirie.1 &IillDt.IPHARMACV TEST ~ I1:+:1 Documentation 1!!1

. Date Written: 121B/2oo6 .. r Short Term RxJ+J Monitoring -

CarePlcn ManaQer PfOduct W'dt.o-IAlBUTEROl 90 MeG INHALER 14i~1 Forms OAWl~

G DispenmgDispensing Proscriber: r.lr:-.s"":t-:r'""es"":t--------iJ,y~

Prescribers Indication: INOT SPECIFIED ... 1Products ~

Pdtients Qty Written 1/ r Starter Dose Qty# 1"""1SlgCodes ~ ,Claims Hold Queue Dayt: Supply Ii I ,JU !

[~ Inventory .5..ia:Iud Il+"j Items/Vendors I

pur.Chase Orders OirectloM: IAs directed I _Receipts r FIaQ a'j TreatmentAdjustments ' r I:rint Rx Fde Copy

X.12 . Re_ 1/ r R.. ENP:lI 2/B12007 !!!IIIf t t Accounts Receivable RM I'1edla: Pres(·

you wan 0 <NotS .cifled>

print a Rx File 1 ~~~ne ~J Dispense.. I .a_V< I C~c.1 ICopy, click the I Electronic

box and clickSaveratFier"than (.Q{~p:ellJ ~~!; i

_.,-<.~..".__...---, ...--,-, ._.-

Dispensing

Amarillo MaKar NatIOnal phcy ~rY COl p - Find Dtug f a

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~

00093-854'1-01

00093-854'1-05

00093-8501'1-06

00093-85'1'1-10

00172-i357-0o

00172-4357-10

00172-4357-49

00172-4357-70

00378-3252-01

00378-3252-05

NDC

OnHand: -30

Vendor: Supply

I FInd Now IEQlJlValent~--- _ ------- ---'-'~-'I rBrandJGl'JMI N~Search Ir Includi'" ali L,q,IJI';,",INlt I}I'W,'- l r BrandO I

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(i" BothL,

MC $0,38----------

DruQName

~RANITIDINE ISO MG TABLET

RMIITIDINE 150 MG TABLET

RANITIDINE 1SO MG TABlET

RANITIDINE 150 MG TABLET



RANITlDINE 150 MG TABLET




Price Table: IHTDo..., ::JP",d Exp 0.: 16/2412007 ~

Qty Di<pen<.d # IW Days Supply # fiO:DCool $ 0,29

Fee $ 0,00

CoPoy$ 3,00

Discount $ 0,00

To' $ 0,00

Price $ 0.29

Patient Poy $ 3,00

Label format:lMaxor-andrew ~

D~pen>od By: rAM V.rfiod By: fiiMC~nt51 :B

C-__.__ ,, .. _

rJ~en5etnfO--------- ----I oate D~po",od: 112{26{2oo6 ~

I Payment Method: IHT DOWN - NOT 5PEOFIED 3I p,QOOd Dgpense4(RANITIDINE 150 MG TABLET

49884054405 SOO@ I

Beforedispensing

you willwant to

make sureyou are

selecting anNDC that

has apositive qty

on hand.

It is veryimportant that

you select only"active

products" whenbrand swapping

".'ci :'';)c''

Dispensing,A Denver Health (entral fill Phllrma4:Y -I)ispensing !I.-, Ei

___ I

$1.26

Qvertide I ~ltC:Jr'k.c·1 " ml!" I

RQnU$: I ~T:"e~'t'cT,!e,"s"t_c:---,::--;-__Substitution Permitted

RH# 6215101Test Test

1233A('9:.<3) ~99-9999 - Fax

PHARMACY TEST D... 1218120061231. DENVER. CO B0201

Rx ALBUTEROL 90 MeG INHALER1/ 1Sig:UO

Usual and Customary: I $7.08

U&C Price T&-Ie: Mcare-SeJfPricing Type: Default

r.------:--:-:-

DisDfIflse Info--Date Dispensed: 1121812006 .!!?!l

Payment Melhod: 1_ ::.::JProduct Di,oen.8d.IW;-PAVALl, I~

!Workers Comp IPrice Table: IMcare-self ::::::J

ProdExpDt, 1121812007 !?!l OnH.nd, 32317.00

Lcul

Qty ()jspenoed #II Day< Supply # J""3OCost d O,OB

Fee $1 7,00

Co Pay $1 0,00

Discount $1 0,00

Tax $1 0,00

PI-ice $1 7,08

Patient Pay $1 7, OB IIltopen.ed By: IKE Verlfled By:~ I

label FOtl!!Elt: Denver Health Label-robbie ""

Number of Lal:!ol, 1 ::J _..1Comments: I ....;"JB

13 Patient Care

H·J SUmmClf'{

l±! Biographical

l!J ClinicelIH [)ocumentatlon

lfJ MonitoringCarePlan Manager

ItI Forrns

E~J DlspensirlgDispensing

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Sig Codes. Claims Hold Queue

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Accounts Receivable

Final Review

Click Dispense

Verify the DateDispensed, thecorrectPaymentMethod, theQty Dispensed,the Pricing, theTech's Initialsand thePharmacist'sInitials.

i. )C-h~:[_)t:<·

Dispensing

• Drug Utilization Review (OUR)

A DUR Summary or asequence of DURSummaries may appearafter clicking Dispense.

Review this informationcarefully before clickingClose or Print for Pharmacist- -Review if the text is in Red.

DUR Summary

Patient: TEST, PHARMACY

IRx: 6275107

I

Patient CounselingALBUTEROL 90 MCG INHALER

IPatient EducationLBUTEROL 90 MCG INHALER

~

...

£

( )( '''-lik : .Ii .

~int I !:1onograph I ~ancel I Q.ocurnent I ~gnore Until I[::~i~ii::::jl1 I 1

Reviewing Dispensing Data.I Denver Health Central fill PhdlTnacy- Disilensing I!!Il'iJD

I

ADAM MVERS


r Flag as Treatment

r ~int R< File Copy

Refills: D

MYERS777 Bannock St. Denver, CO 80204-4507

(303) 43~-5774 (303) 3~1-B46~ - Fat

ONE CATTEST Dot. 1218/2006

660 BANNOCK, DENVER, CO 802J I

Rx #

l:-l Patient Carei±J Summaryf:t:]-· Biographicall±J ClInical[+] Documentation

LtJ Monitoring

CarePlan Manageri+j Forms

L:':J- DispensingDispenstngPrescribersProductsPatients

Sig CodesClaims Hold Queue

i::::j Inventory~±j ltemslVendors


Adjustments

X.12

Accounts Recel ....able

Click the"Show Queue"tab to accessprescriptiondispensingdata.

Authorized by: I-------

Convne[!ts: I B liistory I Qfsfjf'nsl;:, .1 ':,i'j.,h; I C~el I

UClC)[)iC:',(: ~'O[)7

Reviewing Dispensing Data~ rnsuran~e Claims Queue IlI!IEJ

Msg IDisp, Dat ...

Submil 12/S/200.

submil 12/6/200

Lower 12/81200

Submit 12181200

Submi112/81200

Submit 12/81200

Submit 12/81200

Round 12/8/200

Lower 1218/200

Lower 12/8/200

Lower 12181200

Lower 12/8/200

Lower 12/8/200

Lower 12/8/200

Lower 12/81200

Submit 12/8/200

Submit 12/81200

Submil 12/81200

Cash 112/81200 I'

Submit 12/8/200

Lower 12/61~1

Find 1~.tJ

Edit Dispense I Close I

$6,30 $6.3006259136582314

$0,00 $0.0006259130107403

$0,00 $0,00 RXLINK ACCEPT

$0,00 $0,00 06259132743715

$1.00 $1.00 06342330137601

$1.00 $1.0006342330094003

$1,00 $1,00 06342329932805

$14,00 $14,00 RXLlNK ACCEPT


$5.00 $5,00 RXLlNK ACCEPT

$5.00 $5.00 RXLlNK ACCEPT





$7.01 $7,01 06259130107396

$1,00 $1,00 16261 OUR

$3.00 $3,00 15741 OUR

$6.00 $6.00 RXLlNK ACCEPT

$5,00 $5.00 06342304575905 DUR


Pat. Paid ICoPay IAuthorization # lOUR

318 Claims > 12#f)006

r

r- Show Last r ~ Days

Type

F3Pty P DHMP-A 5,1

3Pty P DHMP-M 5,1

13Pty P MFG COST SHARE

3Pty P DHMP-M 5.1

3Pty P Mcare-SierraRx

3Pty P Mcare-SierraRx

3Pty P Mcare-SienaRx

3Pty P SELF-PAY ALL.


3Pty P ClCP-N.

3Pty P CICP-N,



3Pty P CICP-N,


3Pty P DHMP-A 5,1

3Pty P Mcare-UnitedMedicareRx

3Pty P Mcare-UnitedMedicareRx

3Pty P NuvaRing

o3Pty P Mcare-CCareRx

3Pty P ClCP-Eo

fc/ick on a Row to see messages here

I IW Show 3rd Party W Show Accepted ClaimsRe-:i.ubmit Claim Reverse r Show Reversals po Show Rejected Claims

r Show Cash po Show Submitted ClaimsReprint Label I Stores I r show Voids Only

Click on thecolumnheading"Patient Name"to sortalphabeticallyand scroll tolocate yourpatient.

Jl,-~r {!u/

Reviewing Dispensing Data

" Insurance Claims Queue 1!I1~IEi

Lower 12181200,

Lower 12161200

Submit 12161200

Submit 12161200

Submit 12161200

Lower 12161200

Lower 12161200

Lower 12161200

Lower 12161200

Lower 12161200

Round 12161200

Submit 12161200

Submit 12161200

Submit 12161200

Lower 12161200

Lower 12181200

Submil12181200

Lower 12161200

Submil12181200

Copay 12181200

Copay 12161~

Find I Refresh IEdit Dispense I Close I



$1.00 $1.00 06259136563997

$1.00 $1.0006259130106759 DUR

$1.00 $1.0006259131109874 DUR







$0,00 $0,0006259132743026

$1.00 $1.00 06259134108370

G:EiElf743045CCEPT

CCEPT

0106705 DUR

CCEPT

1492252

'> pCCEPT

<:: $1.00 RXLlNK ACCEPT

Pat. Paid ICopay IAuthorlzatlon #

r I .Q360 Claims> 12/712006

r. show Last r ~ Days

Mcare-DH Choice

Mcare-DH Choice

Mcare-DH Choice

CICP-D,

CICP-B,

CICP-B,

CICP-C.

CICP-C.

SELF-PAl' ALL.

P MEDICAID FQHC

r. tF.'i1i,'~~(~~~,!fFa.Iil~lr Prescription Number:

1

9

9

5

6275006 1

6275010 1

6275013 1

6266654 2

6275071 1

6210121 5

6249619 2

6221165 3

6247643 4

6275099 1

"Lower cost-vs-copay transaction Lower cost-vs-copay billing captured by RxLink

Sub't CI' I R IP' Show 3rd Party P' show Accepted ClaimsRe- ml am everse- r Show Reversals P' Show Rejected dalmsI Ir Show Cash P' Show Submitted Oaims

Reprint Label stores r Show Voids only

C)(:U,}~Jt--;~ ._~r\U7

You can alsoclick "Find" tobring up theQuickFinderand locate yourpatient byname orprescriptionnumber.

Reversing, Editing, &Re-Submitting

" Insurance Claims Queue ROO EJ

Submit 12181200.

Submil121BI200

Lower 12181200

SUbmil121BI200

Submit 12181200

Submil12181200

Submi112181200

Round 12181200

Lower 12181200

Lower 12181200

Lower 12181200

Lower 12181200

Lower 121BI200

Lower 12181200

Lower 12181200

submil 121BI200

Submit 12181200

Submil12181200

Cash 112181200

Submil121BI200

Lower 12JB1~

$6,30 $6,30 06259136582314

$0,00 $0,00 06259130107403


$0,00 $0,00 06259132743715

$1,00 $1,00 06342330137601

$1,00 $1,00 06342330094003

$1,00 $1,00 06342329932B05









$7.01 $7,0106259130107396

$1.00 $1.00 16261 DUR

$3.00 $3,00 15741 DUR

$6.00 $6,00 RXLINK ACCEPT

$5.00 $5,00 06342304575905 DUR


Pat. Paid ICoPay IAuthorization # IDURRx# Type

6275059 F3Pty P DHMP-A 5,1

62360B3 3Pty P DHMP-M 5,1

6260579 13Pty P MFG COST SHARE

6274993 3Pty P DHMP-M 5,1

6275058 3Pty P Mcare-SierraRx

6223992 3Pty P Mcare-SierraRx

From this 6197517 3Pty P Mcare-SierraRx

6275004 3Pty P SELF-PAY ALL.screen you can 62750B6 13Pty P MFG COST SHARE

Reverse a claim 6275057 3Pty P ClCP-N,

if you find an6275056 3Pty P CICP-N,

6275055 3Pty P MFG COST SHARE

error after it has 6275054 3Pty P MFG COST SHARE

6275053 3Pty P ClCP-N,

been paid and 6250760 3Pty P MFG COST SHARE

received an 6257976 3Pty P DHMP-A 5,1

6246758 3Pty P Mcare-UnitedMedicareRx

Authorization #. 6241805 3Pty P Mcare-UnitedMedicareRx

6266053 3Pty P NuvaRing

6275003 ,3Pty P Mcare-CCareRx

6275007 3pty P CICP-E,

Fnd II[ ·Refresh ·..]l·~ " ~

Edit Dispense I Close I318 Claims" 12~006

r- Show Last r:1 Days

r

Show 3rd Party P' Show Accepted ClaimsShow Reversals P' Show Rejected ClaimsIr Show Cash P' Show Submitted Claims

Stores r show Voids OnlyReprint Label I

Click on a Row to see messages here------ Re-2ubmit Claim

'..J ~:UC)(:)ctf_J;_)t~1


12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/20~i12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/200

12/8/~

Ir..·..·..·...Find·............ il Refresh I.................................. ,..,----

Edit Dispense I Close I

$11.00 $11.00 R>(UNK ACCEPT Msg

$21.00 $21.00 r<~L1NK ACCEPT Msg

$0.00 $0.00 06259131492681 Msg

$0.00 $0.00 06259130107255 ~

$0.00 $0,00 RXLlNK ACCEPT Msg

$0.00 $0.00 RXLlNK ACCEPT Msg

$1.00 $1.00062591341OB415 Msg

$3.00 $3.00 06259133523841 More Msg

$1.00 $7.00 PXLlNK ACCEPT Msg

$1.00 $7.00 R:~L1NK ACCEPT Msg

$1.00 $0.00 Msg

$10.00 $10.00 RXWJK ACCEPT Msg

$11.00 $11.00 R>UNK ACCEPT Msg



$1.00 $7,00 R:,L1NK ACCEPT Msg

$8.00 $8,00 R:~L1NK ACCEPT Msg

$9.00 $9,00 RXUNK ACCEPT Msg


$0.00 $0.00 R:{UNK ACCEPT Msg

$9.00 $9.00 R>:L1NK ACCEPT Msg

I .9387 Claims > 12/7/2006

Code IPat. Paid ICoPay IAuthorization # lOUR IMsg

r. Show Last p ~ Days

DHMp·M 5,1

DHMP-M 5,1

ClCP-Z.

ClCP-Z.

Mcare-DH Choice

Mcare-DH Choice

ClCP-C.

crcp-(.

Cash/Charge/Other

C!CP-E.

C!CP-E,

MFG COST SHARE

C!CP-A,

GCP-A.

C!CP-E,

C!CP-E,

C!CP-E.

MFG COST SHARE

C!CP-E.

3Pty

3Pty

3Pty

3Pty

3Pty

3Pty

3Pty

3Pty

3Pty

3Pty

Revers 5

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

3Pty P

TEST, PHARr'MeY

6274991

6274992

6254837

6259374

6257674

6257675

6214461

6234771

6261455

6261457

6275107

6241085

6241086

6236629

6265138

6265139

6224272

6251878

6259339

6275005

6275006

" Insurance Claims Queue ROO 13

!Cash Style Claim, Processed as Cash Claim

ub I I IP' sliow 3rd Party P' Show Accepted ClaimsRe-S mit Caim Reverse .- P' Show Reversals P' Show ReJected Claims. I IP' Show Cash P' show Submtted Claims r

Reprint Label Stores r show voids OnlyC)ct~, dh~; '\! ,j ;U-,'

The "Type"column, willindicate whichclaims havebeen Reversed.

These claimscan then beEdited and ReSubmitted.

All paid claimsshould have a"Type" of 3Ptyand a "Status"of P


Dey, Supply # [3Q.O

Date 12/612006

Test TestSwstitutron Permitted

ALBUTEROL 90 MeG INHALER#1Big: ud

RM# 6275107Test Test

1233 A

1234, DENVER, CO 8020'1

('l'J'l)'l'l'j.':l':l'l':l

PHARMACY TEST

Rellll~: 1

Rx

~ INOT SPECIFIED ..:..IGPI Dlsp: IGeneriC iJ r FlatJ as Treatment

Units/Dose:~ Frequency:~

Sig Text: IAs directed iJ~

P' Auto Ref~ Hold Unt. r

, 0.08 0.06, 7.00 7.00, 0.00 0.00, 0.00 0.00

; 0.00 0.00

; 7.0B 7.06

I 7.08 0.00

Fee

Co pay

Discount

Tex

Price

Patient. pay

lbbl!:l Form.at~Denver Health Label-rabble 3 J'DIspensed By: IKE verilled By: ram--

Commenl:s: I o:::J..:.J

~----~ ~----

i l,pen,. Irlo ~Dole Olspen..d: 1121612006 .@

payment MetOOd: 1& iJI Product pi<oen,ed JALBUTEROl 90 MCG INHALER I

I 5')930156001 17@$0.11 0

i Prke Tabl.: jM<:.'.'5elf :.:J! Prod Exp Dt: 112/B/2007 .!!!!lj Lot # I,. Qty O~pensed # 1"1

Cost

From thisscreen you canmake changesand clickResubmit oryou can clickVoid to void theDispense

UC[O'Jt! ",' ,,~U(17jRnandal v81ues have changed, old V8lJe~ d~ayed .--------"-".- ---- A

Reversing, Editing, &ReSubmitting

• Brand Swapping---------------

Amarillo MaHar National Phcy Sry Corp - find Drug' 13

OnHandI' 586

$0.73 Vendor: Supply

d

oooooo

~

Find Now INew Search I

2elect I

00087-6060-10

00247-1443-30

00440-7562-92

00440-7562-95

54569-4202-00

54569-4202-01

54569-4202-02

rBrandlGene

I r Brand 0

I r Generic

t_~._Both

quivalent------------!,

r Include ,/I blulva ienl. Drug, < I

r;- [JIj nut III~I~~::iJIJI',:'~~~-~__ ~:_~J_I_~~;J

tlelp

DrugName

~iGLUCOPHAGE 500 MG TABLET

GLUCOPHAGE 500 MG TABLET






Qty Dispensed #~ Days Supply #

Cost $ 13.61

Fee $ 12.34

Co Pay $ 0.00

Discount $1---_"'-:--".,--

Tax $ 1-:7''''-:--,,--Price $

./11-----Patient P $

FOl1!!at:lrM,--ax-o-r--an-d,--re-w------3

Prod Exp Dt: 1612412007 ~

Occasionally aparticular NDC maynot be available andyou will have toswap the medicationthat was originallydispensed for anequivalent onebefore ReSubmitting.Very important thatyou select theadvance tab andselect "active"inveJl~()ry9~'V."c)ck,uu <,., ,.,Jf) /

Guardian InventoryQptions

-Prescription Info------'---'----, -'''--' -,-'.-------"

P II"esc..iplion .1~"~i~#Mi!~~"~~::::::::::::::::::::::::::::::::::::::::::::::::::::::::=patient: I

Dal:e. ......... il:::l:::en: l-'l-_-'~~-!7"·.,---7"·<-'L""-:'-;i-;';_-"-;~)-'-'-'-'--d r sho

F-- ... 't]l_d~-!"~_~ __~-:-jtt~n:.1

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lE!Qi~2!iCln

Qt:y ~rit:t:en #' Starter Dose Qt~

Unil::s/Dose # Dose Frequenc

f~j~[l:

Direcl:ions:

Refill.. #' I' I R:H: E:H:p: IRx """edia: I-p-r-e-s-c-r-i-~

Authorized by: IComme~s: 1-------------------

l=:1 . Patient Care[4=:) . Summary

I:EJ Biog....aphical

I±.I Clinical

I'±]·· DocumentationI±J Monito.... ing

Ca....ePlan Manage....

EfJ· Forms1.:=] Dis:pensing

DispensingPresc.... ibe.... sProductsPatients

Sig Codes, Claims Hold Queue

L='::J . Invento.... y[..£1-- Items/Vendors... Pu....chase O ....ders

Receipt'S. Adju~tments

X.12[.=] Accounts Receivable

ActivityAccount AdminSystem Admin

,U Eile ~dit DUR Vie .......

11 X ~...rePoint I "

......!., •• Pi i Ii .1 fI-..-:iii f5l'-tu a.;:m.. h] • t= I • ~~~_n a .'iiiiiM! .[l)tl";;;,,,...]i:B...;r;.Ll~;;;"'nll.]t:;.;W•••••••••••••••••

How to checkyour qty on hand,acquisition cost

and how to activeNDC

ieL ,ik' ".-j 1 (',, ,

Click onInventory Item

Enter drugname in the

find field and,

click "apply"

Guardian Inventory

1""1

t)t~r\'i')I~'1

"'st.,,1 tl.iI.<

~::t: IiiiJItod

lac: Caf'ePolnt

I Apply I

~1 "') r)1 i.._ L'

Findthe

correctndcand

click onthe

"open"button

Select Inventory item

-I p~,..n~ C.-...I~, 5LJmrn"'y

f1 lolJl'aphlcalQ,c"colDc<:urnent"t1<>n

.., Mu,ot",,,,,,,C"r"PloYIM",n"'9"r

1+ Forms

'-I llospe<"1SIr'"c.H"~ll:lng

Pf"~Olb,=,:>

Prod,,,~s

p"b"n45'0 Cud.,,.CI_n. Hold Q.....u ..

'-J Inv"ntor.,.1t..1ll~/""'nd...~

lrwentorv It"_In",,,,nl.ury "t:lrtJor~

P ....r<:h ...... O,.,j"','"

R"CtoIpHAdjuol:",enh;(,12

-I A~,,,... ,t. R"~elv ..lJ,,,Ao:tWI:.,.

""'cOunl AJ"""5ystcm Adm....

()(':t;,_'!)r-JI < ;l:!

.5t.rll Wl ,.

Ar-d:

IMI:<trePDilOl

. ~~ ~~-~~. .....~.~.~~~.~~~.~_.~~~~-~....-'

e.ctwste N~ ,'" ;~•. :' ~n~~ ..-: I ~~ctO\l~ .. I' '<-1 i

L:': ~i

Updating AAC

~ Inventory Items fII~E3

~_J

1

1Max To Be On Hand:

Type: IMax Qty Based on QOH ::::JMin ToBe On Hand:

r:~.~I.i·:::·:JI Vendors I Hislory I lots I

--r-Gen -------- ---- ----- ----- ..

NDC:100071015723

Ilemll:I 1495

Descriplion:IUPITDR 40MG TABLET

Cia..: 10 Mfrll:1------UPC Code:1

SKU:1-------- location: IExclude F,am Dispensing: r

Click onVendors

I;ancel I ~ave I

t.)Cl,.,:)t:'~

J Patient C;lreL±I SummaryIt-] BiographicalI+J Clinical

ItJ Documentation

1+:1 ......onitorlng

CarePlan Manager1+1 Forms

DispensingDispensingPrescribersProduct'S

Patient'S

Sig CodesClaims Hold Queue

Inventory[:::-1 Items/Vendors

Inventory ItemsInventory Vendors

Pure hase OrdersReceipts

Adjustments

X.12

J Accounts Recei .....able

Activity

Account AdminSys:tem Admin

lnvenlory Items

Edit Vendors IHistory I Lots:

1

~ Itom/Doscriptiorr·-~

1495. L1PITOR 40MG TABLETPrillllary Vendor: S uppljllP ........L- ......_ C::lze: 90

v endorName

"I Supply

VendorltemNo916015

Locatic

_ Supply ROO E3

Vendor Item fl.:

INGIli'"Minimum Order Ql....:

C ~~~~6 :::>~ancel I OK I

j(··tl.)L)~( "i(~·i

II

SelErimary VendOl I

Click "open"You must enter the aac per each

I Open I New I,Cancel I

Delete

.sa.....e

Click on"activate

NOC"

Click onthe

advancetab and

search byNDC orName of

drug

Ulli;';"':

~tI''''l)'

Ao;~"",nt Ad"..",S,.."l"',, At.lm'"

.s..HIlJ,d •

~. '!,1

find: Ihplt"r

rHc_epolnl

Activating NDC

.~. Rp",~ Le.¢I¥~·~r -. ~:w-..-. 'IT -~~,:J~~:c~~~ f -~_

'1;' i~

Make sure that theaac is correct per

each (pill, ml, patch

Activating NDC

ry vendors)

INDC IDescription • lpkg Size IOnHand IOnOrder IVendor ILocatlon'0 00071015523 llPITOR 10 MG TABLET 90 -1 0 000001

.. lnventoryltems lilEl!

~

~

I Open I New I Delele I J

Cancel I OK I

Minimum Order aty'

Vendol Item It

I'MC:

1001

. 'illpply I!!lIiI EIL1PITOR '0 MG TABLET

Set ErimlilY Vendor I

VendorltemNo

Ecit Vendors IHislory I Lois Ir-llemIDelcliplion- --------------

if not, click on "setprimary vendor"

Make sure the"primary Vendor is

supply

~ncel I ,S,ave I

()f,;ic;!jC'[) _ I'll1 ~Hj ,L,~

Adjusting Inventory

~

Find II Seleel I

Cancel IHDC IDescription

79514 <non drug> <T ype Description Here.. ,>79515 <non drug) (T ype Desclipllon Here ,>85019 <non drug> <Type Deicriplion Here.87559 <non drug> <Type Dsscliplion Here ,>91692 99207001960 A/l/5 2% TOPICAL SOLUTION

Description: ,

Item' 1;-------NDcl

Item

~

Add Item D

Patients:. Sig Codes:

Claims Hold Queuer=.! Inventory

t:l ItemslVendorsInventory ItemsInventory Vendors


AdjustmentsX.12

[':1 Accounts RecBI'Yable

ActivityAccount Admin

System AdminClickon

"Add"

Search byNDC numberor drug name

Click on"adjustments" ...

~ve II lldd I ~Iete I ~o,t All I Pdnt Log IIII s, ....,j Cf;l} "<

fit (arePoinl

(JctU;k:'! '~(j /I:l~ 121,

Odd

;"IS...mm",y,t) E1IOQl IilpblC!lIl

~, C~"lc..1

It' DOc......~l"Itotlon

..t: r""'''il:ollngCa,ePldII"' MEI"M(ler

,tl f(jrlll~

DI~<'lI"lSln!J

Dlipar'SI~

P,escnLe,sProdlJctsp"t""llts"'ty LoJd65

Clolm. Hold QuetJeInvenl:ory

It..ms/.....,ndorsIr,Vt?~

~oryvendor,;PU/(hase Orders

Ren;Ir>lS

Ad~ntJ

X,I./:

ACCGur'll" Rece'v.lobleActIVIty

Account Adm'"Sy~tem Admln

" ..·,,1 [loll ..<

Adjusting Inventory Reason..WE.au

Click"post all"

and "save

Correct theqtyon

hand andselect a

"reason" inthe drop

downmenu

<)ctni)c"i ";j ,)01.. 1/

Products

Find Now

Ne~ Search

~elect

Braoo

Brand

Brand

aao

IDEA IGenerlc:: IPackAgeS::;]

00071-0156- 23

00071-0157-23

0007l-015B-23

INDC

fjame: IUPITOR

NtlC,r-Show Onl)l onhand '.> Zero r

General IAdvanced I

LIPITOR 20 MG TABLET

LIPITOR "'0 MG TABLET

LIPITOR flO MG TABLET

DrugName

E~e ~~I~ t:telp ,__. ._,," .._. .._._. .__~ ,__.,,,_.__ ', _

~

'!,liF.iillfli.... KtUl ...M.UlIKiI:htltLiiI.ll ••&iftfl.nifM xl

r"atlent Care~±] Summdry

"f; Biographical

I.. ' Climc...1L+j Documentation1+, Monitoring

CarePlen Mc.nager

l±1 Forms:-:-] Dispensing

DispensingPrE:<;'lriLe,~

Productsp ..tll~ntJ;;

SIQ Code.,.

Claims Hold QueueInventory:;-;1 Iterns/Vendors

Inventory ItemsInventocy \,IEndors

Purchase Ordon!.

Receipts

Ad!u~tml!lnts

>;.1Z

F'J Al:counts Rece:lVabl!lActiVIty

Account Admin

S..,.:>t~rA Admin

You can findall "first databank drugs"

under the"products"

L<uMfg: PFIZER US PHARM

AWP: $Z.89 AAC $2.26

r

OnH<!Ind:

Vendor:

503

Supply

~

.~

Uc [( ,1)(-'"~I 1 1L'h

Awp under products

fdit Product ..~ E'Ji

$260.0460

$260,04GO

$260.0460

~..::::tlO.0460

Cancel

PkgCost

Unit Desc: lEach

Route: I~O"R"A"L-------

PkQ Size: ~OOO

Unit Dose: INZ

QK I

Use Inventor}' to Modify""i'">~ i . __

Unit Cost

I $2.00;'''

r

I Il!IIlIIIIIlI $2.8894

J '28894

AWP

FUL

~AC

MC

U...

Formulary

fmanCldl EI

Produd: ~(PITOR

HOC: ~f.lO~O~7-1-"'O-'~S"S-"'2"3---

Replacement NDC: IObsalete Date: ;-1---------

Lebel Name; rlPITOR 10 MG TABLET

DEAl~ -.::JRHOnl", rv-

DESI'~DUiOage Forni: "lr"A"B""L"E"r-----------

Strcnoth: IIOMG

Generic Code: il--------;;2""".0'7""Gent!ll"lc P..-ke Ind:~ BRAND .....:::...J

1.+1 Monltonng

C~rePl<YI M~no!!lger

1+1 Fonll~

- DispensingDi:ipensingPrescribersProductsPatientsSig CodesClaims Hold Queue

I.-.J InventoryL:.... Items/Vendors

Inventory ItemsInventor'i'" Vendors

PUr ch"'se OrdersReceIptsAd,uslmlOlnls7.'.12

1-' Accounts ReceivableActivit)'Account AdminS)'slern Admin

Clinlc81 ehyske.1 II FiO~ Drug Image I In~entorv I S-torage Number of Times Used: J15770r--'2!2.f,iOO61:l 2 P"'-I- --- ---;:.;

r Generic Name/GcnS8Qno Ir Manufactl.ll"er rl------------:::::t-·'r L.b.IN..... I '0 r

:,learch

I ~

IEqulvCllent ~

I I

IUPITOR 10 MG TABLET

Search Cnteria:

c;- Product Name/NDC

.ll!P5·ar~J (!l;t ..<

( )ctn:k:: I ~? ~ i

APPENDIX 4 - CCHCS – California Correctional Health Care …€¦ · · 2017-08-11v 1 ~Go...

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Transcript of APPENDIX 4 - CCHCS – California Correctional Health Care …€¦ · · 2017-08-11v 1 ~Go...