Pharmacy Data Management - Drug Enter/Edit · 2016. 4. 14. · Pharmacy Data Management - Drug...

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Pharmacy Data Management - Drug Enter/Edit Pharmacy Informatics Training March 2016 1 Drug Enter/Edit The Drug Enter/Edit option allows drug information to be entered and fields to be edited for all application packages (Outpatient, IV, Unit Dose, Compounding, Non-VA, etc.,) if the proper security keys are held. Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance Select DRUG GENERIC NAME: DORZOLAMIDE HCL 2% OPHTH,SOLN <Enter> Check for any existing entries before entering a new entry. Re-activating and updating the existing entry is usually preferred over simply adding more and more entries. Entries cannot be deleted from the drug file, but can be inactivated. For sites using CMOP, it is recommended that the Generic Name match the VA Print Name in most cases (see below for how to find VA Print Name) in Do not use these symbols: - Double Quote (“) - Ampersand (&) - Less Than (<) or Greater Than (>) - Equals (=) - Apostrophe (‘) Are you adding DORZOLAMIDE HCL 2% OPHTH,SOLN as a new DRUG (the 3059TH)? No// Yes Use the format <Generic Name> <Strength> <Dosage Form>. DRUG NUMBER: 86030 <Enter> This number is automatically assigned by FileMan when entering a drug for the first time. Among other things, it is needed for Pyxis/Omnicell Interface setup. DRUG VA CLASSIFICATION: <Enter> Skip this prompt; NDF matching populates the value.

Transcript of Pharmacy Data Management - Drug Enter/Edit · 2016. 4. 14. · Pharmacy Data Management - Drug...

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Drug Enter/Edit The Drug Enter/Edit option allows drug information to be entered and fields to be edited for all application packages (Outpatient, IV, Unit Dose, Compounding, Non-VA, etc.,) if the proper security keys are held.

Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance Select DRUG GENERIC NAME: DORZOLAMIDE HCL 2%

OPHTH,SOLN <Enter> • Check for any existing entries before entering a new

entry. • Re-activating and updating the existing entry is

usually preferred over simply adding more and more entries.

• Entries cannot be deleted from the drug file, but can be inactivated.

• For sites using CMOP, it is recommended that the Generic Name match the VA Print Name in most cases (see below for how to find VA Print Name) in

• Do not use these symbols: - Double Quote (“) - Ampersand (&) - Less Than (<) or Greater Than (>) - Equals (=) - Apostrophe (‘)

Are you adding DORZOLAMIDE HCL 2% OPHTH,SOLN as a new DRUG (the 3059TH)? No//

Yes • Use the format <Generic Name> <Strength> <Dosage Form>.

DRUG NUMBER: 86030 <Enter> • This number is automatically assigned by FileMan when entering a drug for the first time.

• Among other things, it is needed for Pyxis/Omnicell Interface setup.

DRUG VA CLASSIFICATION: <Enter> • Skip this prompt; NDF matching populates the value.

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Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance DRUG FSN: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG NATIONAL DRUG CLASS: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG CURRENT INVENTORY: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG LOCAL NON-FORMULARY: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG INACTIVE DATE: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG MESSAGE: <Enter> • Skip this prompt; NDF matching populates the value.

DRUG RESTRICTION: <Enter> • Skip this prompt; it is repeated later during the drug file entry.

GENERIC NAME: DORZOLAMIDE HCL 2% OPHTH,SOLN Replace

<Enter> • The Generic Name value displays to give the opportunity to correct typos, verify format, etc.

LONG NAME: DORZOLAMIDE HCL 2% OPHTHALMIC SOLUTION <Enter>

• This is the Long Name for the product. • This value is specific to e-Prescribing and is

transmitted to the Outside Pharmacy. • All drug file entries that will be e-Prescribed must

have this field populated and optimized. • Allows for a maximum of 105 characters. • See separate recommendations on Long Name for

more detail. • This name is not currently used anywhere outside of

e-Prescribing, but best practice to populate correctly regardless.

• Do not use these symbols: - Double Quote (“) - Ampersand (&) - Less Than (<) or Greater Than (>) - Equals (=) - Apostrophe (‘)

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Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance VA CLASSIFICATION: <Enter> • Skip this prompt; NDF matching populates the value.

• Note: Return to this prompt to manually enter a VA Classification if no NDF match is made (unusual circumstance).

DEA, SPECIAL HDLG: ?? 0 MANUFACTURED IN PHARMACY 1 SCHEDULE 1 ITEM 2 SCHEDULE 2 ITEM 3 SCHEDULE 3 ITEM 4 SCHEDULE 4 ITEM 5 SCHEDULE 5 ITEM 6 LEGEND ITEM 9 OVER-THE-COUNTER L DEPRESSANTS AND STIMULANTS A NARCOTICS AND ALCOHOLS P DATED DRUGS I INVESTIGATIONAL DRUGS M BULK COMPOUND ITEMS C CONTROLLED SUBSTANCES - NON

NARCOTIC R RESTRICTED ITEMS S SUPPLY ITEMS B ALLOW REFILL (SCH. 3, 4, 5 ONLY) W NOT RENEWABLE F NON REFILLABLE E ELECTRONICALLY BILLABLE N NUTRITIONAL SUPPLEMENT U SENSITIVE DRUG

6 <Enter> • It is very important to enter the correct codes at this prompt. Wrong codes can create invalid prescriptions, affect billing (POS), controlled substances refills and reports, and impact e-Prescribing.

• Controlled substances must be marked here correctly so that refills, expiration dates, print formats and controlled substance reports will all be accurate.

• e-Prescribing implications: - All Supplies should be marked as “S”. - All Compounds should include a “0”. - Complete this requirement using either

combinations of codes or a single entry.

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Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance DAW CODE: ?? Choose from: 0 ALLOWED 1 NOT ALLOWED 2 ALLOWED-PATIENT 3 ALLOWED-PHARMACIST 4 ALLOWED-NOT IN STOCK 5 ALLOWED-BDD AS GENERIC 7 NOT ALLOWED-BDM BY LAW 8 ALLOWED-GENERIC NOT AVAIL

8 <Enter> • Dispensed as Written code. • This value will display as the default value for the

SUBSTITUTION field during prescription processing.

NATIONAL FORMULARY INDICATOR: Not Matched To NDF

<Enter> • (VA Function)

LOCAL NON-FORMULARY: Optional <Enter> • Used to designate a drug as non-formulary at the local site.

• If used, pop-ups will display to provider within EHR. • If an entry is marked non-formulary, it is helpful to

add an entry under formulary alternative (a few steps further on).

VISN NON-FORMULARY: <Enter> • (VA Function)

Select DRUG TEXT ENTRY: Optional <Enter> • This information displays to the pharmacist during order processing. It can be added to a specific drug but is more useful to the provider if populated under the Orderable Item file.

Select FORMULARY ALTERNATIVE: Optional <Enter> • If drug is marked as NF (non-formulary), then enter information about alternative formulary options here.

• The information will display to provider in EHR. • Multiple entries can be made.

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Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance Select SYNONYM: TRUSOPT <Enter> • The synonym entered here is for the pharmacist

when entering prescriptions via RPMS. • Not useful for provider order entry of medications via

EHR.

SYNONYM: TRUSOPT// Optional <Enter> • The synonym is displayed once more allowing for you to modify it or enter another synonym. Keep in mind you can have multiple synonyms at this prompt.

INTENDED USE: // Choose from: 0 TRADE NAME 1 QUICK CODE (for pharmacy

personnel use) D DRUG ACCOUNTABILITY (VA

Function) C CONTROLLED SUBSTANCES (VA

Function)

TRADE NAME <Enter> • TRADE NAME = Brand Name; multiple entries if necessary.

• QUICK CODE = for pharmacy personnel use. • DRUG ACCOUNTABILITY = VA Function. • CONTROLLED SUBSTANCES = VA Function.

NDC CODE: <Enter> • Skip this prompt; the MAIN NDC prompt populates the value.

MESSAGE: Optional <Enter> • Information entered here will display to the pharmacist when entering a prescription via RPMS.

• Also useful in determining which product to select in the IV package. Example: 1 gm vial- or -2 gm vial- in this field. It helps the pharmacist process orders/pick the right dispense drug.

• It will display to the provider as a “pop-up” in EHR too!

• It is a free text field. • Be aware of “Pop-Up Fatigue.”

RESTRICTION: <Enter> • (VA Function)

FSN: <Enter> • (VA Function)

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Pharmacy Drug Management Prompt Sample User Entry Additional Information and Guidance INACTIVE DATE: Optional <Enter> • If no longer using an item, type a past date at this

prompt to inactive the entry (i.e., T-1). • If blank, the entry is active. • To re-activate a drug by making the field blank, type

the at symbol (@). • Never enter a future date at this prompt. • As a reminder, drug entries are not deleted but

rather they are inactivated.

WARNING LABEL: Optional <Enter> • These are some standard warnings that will print on some reports and some patient handouts.

• This list is not editable. • Associated with auxiliary labels (VA Laser Labels).

Set POS Functionality This sequence pertains to Point of Sale (POS) functionality.

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance ORDER UNIT: BT <Enter> • This is how the drug is supplied from the

manufacturer.

DISPENSE UNIT: ML <Enter> • This is the smallest unit that can be dispensed. • It is the dose of the order unit (i.e., tab, cap, mL,

gm).

DISPENSE UNITS PER ORDER UNIT: 10 <Enter> • How many dispense units per order unit.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance DISPENSE UNIT NCPDP CODE: ML <Enter>

(See Table 1 for a complete list.) • National Council for Prescription Drug Programs

(NCPDP). • Provides a standard for the exchange between

prescribers, pharmacies, intermediaries, payers. • e-Prescribing requirement for new prescription

request, change of new prescription, cancel of prescription, refill/renewals request/response or resupply in long-term care.

• e-Prescribing; It will generally be the same as what is entered at the Dispense Unit prompt.

NDC: 00006-3519-10 <Enter> • 5-4-2 Format only for proper functioning with POS and NDF Matching.

• It may be necessary to use leading zeroes to get the correct format.

• Sites that do not have a pharmacy must still populate the NDC field.

• To find an NDC, search the FDA NDC file at: http://www.accessdata.fda.gov/scripts/cder/ndc/.

• This website will also display common quantities so you can complete the order unit, dispense unit, and dispense units per order unit.

• Search the internet for medications that are not on the FDA website.

PRICE PER ORDER UNIT: 1.29 <Enter> • Site with a pharmacy: populate the price paid to McKesson for this drug.

• This field can auto-populate if the site follows the McKesson AAC import steps.

• Site without a pharmacy: skip this prompt.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance LAST PRICE UPDATE: <Enter> • Filled in automatically if a price was entered in the

previous step. • Site without a pharmacy: skip this prompt.

BENCHMARK PRICE PER ORDER UNIT:: 984.3 <Enter> • Updates with Benchmark Price Manual Updates (monthly).

• Should auto-calculate if previously entered fields are correct.

• Site without a pharmacy: skip this prompt.

BENCHMARK PRICE PER DISP UNIT is <Enter> • Updates with Benchmark Price Manual Updates (monthly). Un-editable.

• Site without a pharmacy: skip this prompt.

SOURCE OF SUPPLY: <Enter> • (VA Function)

DISPENSING LOCATION: Optional <Enter> • Free text if used.

STORAGE LOCATION: Optional <Enter> • Free text if used (e.g., refrigerator).

RESTRICT BY PAT ELIGIBILITY:? Choose from: 0 ELIGIBLE PATIENTS ONLY 1 INELIGIBLE PATIENTS ONLY

<Enter> • Used to screen patients by eligibility status.

Select OUTPATIENT SITE: Optional <Enter> • Enter a new OUTPATIENT SITE, if needed. • Enter outpatient site if this drug is not available at all

outpatient sites. Can be useful if using Multi-divisional drug file functionality.

Mark this Drug for e-Prescribing?: Choose from: 0 AVAILABLE 1 NOT AVAILABLE

Optional <Enter> • ALL drugs are automatically available to e-Prescribe.

• To block a drug from e-Prescribing, enter 1 or NOT AVAILABLE.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Product NDC: <Enter> • Un-Editable

• This field will be automatically populated upon matching to the NDF and it is used to support e-Rx transmissions.

• The information in the Product NDC field will be transmitted to Surescripts however if no information is located in this field then the local NDC field will be used. If both of these fields are blank the provider will receive an error telling them to check the NDC number.

Rx Norm: <Enter> • Un-editable. • The field will be automatically populated upon

matching to the NDF and it is used to support data standardization and certain aspects of eRx transmissions.

• Upon rematching to the NDF, the RxNorm field will update. This is the preferred method of updating RxNorm. However, the MU Related Options Menu in RPMS also gives options to Remap RxNorm codes, look for drugs without RxNorm codes, and Query into existing mappings.

EXTEND PRESCRIPTION EXPIRATION: <Enter> • This is the number of days for extended prescription expiration date for this drug. For example: - Expiration date of three years would be 1095.

Example: Mirena IUD. - If blank, the standard prescription expiration date

formula will be honored.

PRICE PER DISPENSE UNIT: <Enter> • Un-Editable.

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Match National Drug File This sequence matches a drug to the National Drug File (NDF).

• Matching drugs to the NDF is essential for all sites.

• Matching drugs correctly is critical for all drugs.

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Do you wish to match/rematch to NATIONAL DRUG file? Yes//

YES <Enter> • You must match to the NDF to obtain VA Drug Class. This will allow allergy checking and drug/drug interactions to operate correctly.

• Without this code your providers will not get the appropriate order checks, which can ultimately result in adverse patient outcomes.

• Note: The attempt to match is based on the NDC, then the Generic Name.

Match local drug DORZOLAMIDE HCL 2% OPHTH,SOLN ORDER UNIT:BT DISPENSE UNITS/ORDER UNITS: 10 DISPENSE UNIT:ML I will try to match NDC: 00006-3519-10 to NDF. Local drug DORZOLAMIDE HCL 2% OPHTH,SOLN matches DORZOLAMIDE HCL 2% SOLN,OPH PACKAGE SIZE: 10 ML PACKAGE TYPE: BOTTLE Is this a match ? Enter Yes or No: YES//

YES <Enter> • Make sure the drug, dosage form, package size, and package type are accurate.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance LOCAL DRUG NAME: DORZOLAMIDE HCL 2% OPHTH,SOLN ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 10 DISPENSE UNIT:ML VA PRODUCT NAME: DORZOLAMIDE HCL 2% SOLN,OPH VA PRINT NAME: DORZOLAMIDE HCL 2% OPH SOLN CMOP ID: D0286 VA DISPENSE UNIT: BOTTLE MARKABLE FOR CMOP: YES PACKAGE SIZE: 10 ML PACKAGE TYPE: BOTTLE VA CLASS: OP109 ANTIGLAUCOMA,OTHER CS FEDERAL SCHEDULE: INGREDIENTS: DORZOLAMIDE HYDROCHLORIDE 2 % NATIONAL FORMULARY INDICATOR: YES NATIONAL FORMULARY RESTRICTION: < Enter "Y" for yes, "N" for no > Is this a match ?YES You have just VERIFIED this match and MERGED the entry.

YES <Enter> • Note the VA PRINT NAME: in this case it is DORZOLAMIDE HCL 2% OPH SOLN.

• For CMOP sites, use this as your Generic Name so that your labels can be as consistent as possible for the patients. The VA PRINT NAME is on the label from CMOP while the Generic Name is on the label from your local pharmacy.

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Set Dosages This sequence pertains to dosages.

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance LOCAL POSSIBLE DOSAGES: Do you want to edit Local Possible Dosages? N// YES Strength: 2 Unit: %

YES <Enter> • Drugs will have POSSIBLE DOSAGES or LOCAL POSSIBLE DOSAGES.

• ALL drugs should have a dose to maximize advantages of CPOE and ensure e-Prescribing is successful.

• It is best to review all dosages in your drug file. • The best way to review the final doses is to review

drug in EHR and verify that they display correctly. • If there are possible dosages and local possible

dosages for the same package, only the possible dosages will be shown to the provider in the EHR.

Select LOCAL POSSIBLE DOSAGE: 1 DROP Are you adding '1 DROP' as a new LOCAL POSSIBLE DOSAGE (the 1ST for this DRUG) ? No// Y (Yes)

1 DROP <Enter> • This is a free text entry. • Local Possible Dosages must be created for

products such as liquids, topicals, ophthalmics, otics, and multi-ingredient tablets.

LOCAL POSSIBLE DOSAGE: 1 DROP// <Enter>

PACKAGE: IO <Enter> • Inpatient, Outpatient, or Both.

DOSE UNIT: DROP(S) <Enter> • Enter the Dose Unit to be used with the Numeric Dose for the dosage check on this Local Possible Dosage.

NUMERIC DOSE: 1 <Enter> • Type a Number between .00001 and 99999999999999, five Decimal Digits, to be used with the Dose Unit for the dosage check on this Local Possible Dosage.

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Set Application Packages

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance MARK THIS DRUG AND EDIT IT FOR: O Outpatient U Unit Dose I IV W Ward Stock (VA Function) D Drug Accountability (VA

Function) C Controlled Substances X Non-VA Med Z Compounding A ALL Enter your choice(s) separated by commas :

O,X <Enter> • The letters that are available depend on the keys you hold: - Marking a drug O authorizes it to be ordered in

an outpatient (aka ambulatory) setting and it will be processed through the Outpatient Pharmacy Drug File.

- Marking a drug U authorizes the drug to be ordered on the inpatient ward and is processed through the Unit Dose package.

- Marking a drug I authorizes it for IV drugs and allows for processing in the IV package.

- Marking a drug X allows you to order it as a NON- VA Medication.

- Marking a drug Z allows it to be setup completely as a compound.

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Set Outpatient Values

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance AN Outpatient Pharmacy ITEM? No// Y (Yes) <Enter> • All drugs to be dispensed from the local outpatient

pharmacy should be marked O. • All drugs that will be transmitted via e-Prescribing

should be marked O. • Both of these drug groups will show up in EHR

under the Outpatient Medications section on the Medication Page in EHR.

• Remember that drugs dispensed from the local onsite pharmacy will display a prescription number in numeric format only.

• Drugs that are e-Prescribed will display on the medications tab with an X followed by the prescription number.

CORRESPONDING INPATIENT DRUG: <Enter> • (VA Function)

MAXIMUM DOSE PER DAY: Optional <Enter> • Used as a standard maximum dosage if needed.

LOCAL NON-FORMULARY: <Enter> • Repeat field.

NORMAL AMOUNT TO ORDER: <Enter> • (VA Function)

SOURCE OF SUPPLY: <Enter> • Repeat field.

CURRENT INVENTORY: <Enter> • (VA Function)

ACTION PROFILE MESSAGE (OP): <Enter> • (VA Function)

MESSAGE: <Enter> • Repeat field.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance QUANTITY DISPENSE MESSAGE: 1 BOTTLE=10ML <Enter> • Can enter package size to assist providers when

entering the quantity in EHR. • Examples:

- Inhaler=6.7gm - Bottle = 3.5ml - Tube = 3gm

OP EXTERNAL DISPENSE: <Enter> • (VA Function)

Do you wish to mark to transmit to CMOP? Enter Yes or No: Yes This option allows you to choose entries from your drug file and helps you review your NDF matches and mark individual entries to send to CMOP. If you mark the entry to transmit to CMOP, it will replace your Dispense Unit with the VA Dispense Unit. In addition, you may overwrite the local drug name with the VA Print Name and the entry will remain uneditable.

Yes <Enter> • Even though the canned RPMS statement says otherwise, marking drugs for CMOP using this method (through the RPMS Drug File) will not automatically replace your local Dispense Unit with the VA Dispense Unit, but you will have the option to do so.

• There are other methods available to mark drugs for CMOP transmission. See IHS Pharmacy CMOP Implementation Guide for more detail.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Local Drug Generic Name: DORZOLAMIDE HCL 2% OPHTH,SOLN ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 10 DISPENSE UNIT: ML PRICE PER ORDER UNIT: 45.8 VA Print Name: DORZOLAMIDE HCL 2% OPH SOLN VA Dispense Unit: BOTTLE VA Drug Class: OP109 CMOP ID: D0286 Do you wish to mark this drug to transmit to CMOP? Enter Yes or No: YES

Yes <Enter>

QUANTITY DISPENSE MESSAGE: 1 BOTTLE=10ML //

<Enter> • During CMOP Setup, you will be advised of the package size available from CMOP. Be sure to include this information in the Quantity Dispense Message: e.g., “1 BOTTLE = 10ML; CMOP DISPENSES BY 5ML”.

Do you wish to overwrite your local name?

<Yes> • In most cases, you do want your Generic Name and VA Print Name to be the same. You have the opportunity here to overwrite your local Generic Name with the VA Print Name.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Do you wish to mark/unmark as a LAB MONITOR or CLOZAPINE DRUG? Enter Yes or No: NO Mark/Unmark for Lab Monitor or Clozapine: Select one of the following: L LAB MONITOR C CLOZAPINE (VA Function)

NO <Enter> • This entry is optional and is available for outpatient use only.

• The information will display to pharmacists when processing prescriptions.

• Only single tests (potassium) can be monitored not panels (BMP).

Mark Non-VA Medications

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance A Non-VA Med ITEM? No// Y (Yes) <Enter> • Marking an item as X allows it to be accessible in

the “Outside Med” component of EHR. • X should be applied to all drugs that the patient can

receive by outside providers, OTC, and Herbal medications. This allows end-users to enter the drug in EHR and allow for order checks when ordering new medications.

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Assign Orderable Items The following sequence assigns the dispense drug to an Orderable Item. Providers use Orderable Items when ordering in EHR.

Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Choose a number to match, or enter '^' to enter a new one. Disp. drug -> DORZOLAMIDE HCL 2% OPHTH,SOLN Choose number of Orderable Item to match, or '^' to enter a new one:

^ <Enter> • The choice defaults to the first part of the generic name which is usually what you want.

• If the default does not meet your needs or you are separating Orderable Items for select drugs you can type a caret (^) to create a new Orderable Item Name.

• Most tablets and capsules will share orderable items however there will be times when you will need to separate a dispense drug into its own orderable item and then specify within the Orderable Item Name dose to guide the providers when ordering.

• There are special circumstances for drugs that will require a separate Orderable Item Name to minimize failed prescription transmissions when using e-Prescribing or to meet certain in-house pharmacy scenarios. See Drug File Optimization materials for more detail.

Dosage Form -> SOLN,OPH Match to another Orderable Item with same Dosage Form? NO// Dosage Form -> SOLN,OPH Dispense Drug -> DORZOLAMIDE HCL 2% OPHTH,SOLN

NO <Enter>

Orderable Item Name: DORZOLAMIDE// DORZOLAMIDE HCL 2% <Enter> • This dispense drug utilizes Local Possible Dosages so a descriptive and specific orderable item name is required that includes the strength of the product.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance Matching DORZOLAMIDE HCL 2% OPHTH,SOLN to DORZOLAMIDE HCL 2% SOLN,OPH Is this OK? YES// Match Complete! Now editing Orderable Item: DORZOLAMIDE HCL 2% SOLN,OPH

YES <Enter>

FORMULARY STATUS: <Enter> • Will be marked as Non-Formulary if that field was populated earlier in Drug Enter/Edit.

Select OI-DRUG TEXT ENTRY: Optional <Enter> • This must be set up ahead of time. Drug Text will show in EHR under the quick order dialog for the providers.

• This entry can also be set up at the beginning of the drug file enter/edit menu however it is easier to maintain if you add the drug text to the OI – DRUG TEXT ENTRY in the Orderable Item file.

INACTIVE DATE: Optional <Enter> • If no longer using an item, then enter a past date at this prompt to inactive the entry.

• If this entry is blank then it means the entry is active. To re-activate an orderable item use the at (@) symbol.

• Never enter a future date at this prompt. • As a reminder, orderable items are not deleted but

rather inactivated. • If an orderable item is inactivated then all the entries

under the orderable item will not be viewable to providers using the EHR.

DAY (nD) or DOSE (nL) LIMIT: Optional <Enter> • Optional for inpatient use. • Possibly used for narcotics and antibiotics.

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Pharmacy Drug Management Prompt Sample User Entry Additional information/guidance MED ROUTE: OPH <Enter> • ORAL is default (i.e. Blank=PO).

• Can only choose entries from the Medication Route File.

SCHEDULE TYPE: Optional <Enter> • Continuous is default (i.e. Blank=Continuous). • Inpatient Use Only; Avoid using PRN and One-Time.

SCHEDULE: TID <Enter> • Most common schedule can be entered here but keep in mind that it can be changed upon provider order entry in EHR.

• Choose option from the Standard Schedule File. • Note: if the medication can be given PRN you

should indicate it here for the functionality to work correctly in EHR (i.e. BID PRN).

PATIENT INSTRUCTIONS: for glaucoma <Enter> • Choose option from the Medication Instruction File sig codes, or use free text, or a combination of both.

• Providers are now able to edit these default patient instructions when ordering in EHR.

Select SYNONYM: TRUSPOT <Enter> • This synonym field is for the provider when ordering meds via EHR.

• Use trade name for ease of finding drug in EHR.

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NCPDP Codes Use these codes at the “Dispense Unit NCPDP Code” prompt in the Set POS Functionality on Page 6.

DESCRIPTION CODE Ampule AM Applicator AL Applicatorful AF Bag BG Bar BA Bead BE Blister BL Block BK Bolus BS Bottle BO Box BX Can CA Canister CN Caplet CP Capsule AV Carton CR Cartridge CQ Case CS Cassette CT

DESCRIPTION CODE Container CH Cylinder CY Disk DK Dose Pack DD Dual Pack DP Each EA Film FM Fluid Ounce FO Gallon GL Gram GR Gum Y7 Implant IP Inhaler IH Intravenous Bag IB Kilogram KG Kit KT Liter LT Lozenge UU Metric Drop X4

DESCRIPTION CODE Milligram ME Milliliter ML Millimeter MM Nebule NB Needle Free Injection NF Not Specified 0 Ocular System OS Ounce ON Package PH Packet 12 Pad PD Paper PP Patch FG Pint PT Pouch PC Pound PO Puff PF Quart QT Ring RG

DESCRIPTION CODE Sachet ST Scoopful SC Sponge SG Spray SP Stick SI Strip SR Suppository AR Swab SW Syringe SZ Tablespoon Y2 Tablet U2 Tabminder TM Tampon TP Teaspoon Y3 Tray TY Troche TE Tube TB Vial VI Wafer WA