19.1.18 NRx Enhancements

ID on Controlled Substance Functionality

Added functionality to prescription monitoring programs (PMP) to enable each drug class prescribed to either Require ID and/or Log Controlled Substances Rxs. Changes include:

• Renamed the link, ID on Controlled Substance Rxs, to Log Controlled Substance Rxs. This option is in Store Control, Store Level Options, System Options, Electronic Signature Options. Click Log Controlled Substance Rxs and the Controlled Substance Options window displays.

  

• Added two columns, Log to File? and Require ID?, with check boxes for each Class X Drug Rx option (i.e., 2, 3, 4, 5, 5 OTC).

• Log to File?: Check this option to create a Rx Drug Monitoring Log file for the selected drug class.

• Require ID?: Check this option to prompt for customer ID for the selected drug class.

• Added an option, Rx for Special Drugs of Concern, with the options to Log to File? and Require ID?. These are drugs that are not in a controlled drug class, but the state requires them to be reported.  

• Added a link, Update Patient Record when Customer's Relationship is set to Patient, under More Options. When this option is checked the Update Patient Options window displays. Check the information to automatically update when Patient ID is required and the Relationship is set to 1 - Patient on the customer ID prompt.  

  

  

Added changes to populate all fields in the ASAP v4.2 record for real-time PMP reporting (if available) for all states.

Added a column, Log Date, to the Rx Drug Monitoring Scan. Renamed the Date column to Fill Date.

e-Prescribing: Add 10.6 Prescriber Order Number field to the Rx

Added a Prescriber Order Number (PON) Field to existing Prescription records to manually populate the PON (up to 35 characters) when the prescription did not originate from an electronic NEWRX. An electronic NEWRX with a PON automatically populates the new field. Updated screens include:

• New Prescription Order Entry Screens

• Formats 1, 2 and 3 Not Created from an Electronic NEWRX

  Manually enter the PON on these screens:

  NRx Format 1 = NOT created from Electronic NEWRX

  

  NRx Format 2  = NOT used when creating from an Electronic NEWRX

  

  NRx Format 3  = NOT used when creating from an Electronic NEWRX

  

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• Format 1 Created from an Electronic NEWRX from Prescriber

  PON automatically populated on this screen:

  NRx Default Format 1 Step 2 New Electronic Prescription From Prescriber

  Prescriber Order Number populated with entry in UIH Segment field UIH-030-01 from electronic NEWRX

  

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• Rx Summary Additional Information Screen

• Additional Information Screen - PON Blank   

  NRx Additional Information = UIH Segment field UIH-030-01 = Blank on electronic NEWRX ,

  NOT created from electronic NEWRX or no entry made on New Order screen

  

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• Additional Information Screen - PON Populated from Electronic NEWRX

  NRx Additional Information =  UIH Segment field UIH-030-01 = Populated from electronic NEWRX:

  

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When Resupply or Cancel messages are received, if there is a match between the existing Prescription # and the message's RxReferenceNumber, the prescription's Prescriber Order Number field is updated with the entry in the message. This is done when orders are received via fax or telephone and manually created. The Resupply or Cancel message will then have the correct original PON for the order. The RxFill or Cancel Response will have the correct PON in the outbound message.

Click here to view Surescripts CancelRx response.

Added a label routine to pull from the RXFILE to print the Prescriber Order Number. Total label routine length = 40.

Added the Prescriber Order Number to the RXFILE Report and Data Export Select, Sort and Print options. Field length = 35.

Added the Prescriber Order Number to the RXFILE Security Journal.

The Prescriber Order Number only prints on the eRx hard copy if it came over in the UIH-030-01 field. If this field was manually populated, it does not print.

Include profiled prescriptions in Cycle Rx worksheet and utility

Prescription Processing Changes Regarding Due Dates and Cycle Dates when Profiling/Discontinuing and Reassigning/Creating New Prescriptions:

• Discontinued/Reassigned Prescriptions - The system automatically populates a Due Date and Cycle Date for a reassigned New Rx. The system pulls the original Rx Due Date and populates that as the Due Date on the reassigned New Rx. The Cycle Date field is automatically populated with the patient's current Cycle Date and the system automatically populates the Short Fill Qty on the Rx. After the fill, the Qty reverts to the intended full Qty.

• Discontinued/Reassigned Prescriptions that are Profiled - The same process as above. However, if you click the Profile Only button while the Short Fill Qty is populated on the New Rx, the Short Fill Qty reverts to the intended full Qty and is assigned a Prescription Number.

Click here to view the Cycle Rx Worksheet with Discontinued/Reassigned Prescriptions that are Profiled. The Profiled Rxs display in purple in the worksheet.

• New Prescriptions - When entering a new prescription and clicking OK to include the New Rx in the Cycle Rx Program, the system automatically populates the Cycle Date into the Cycle Date and Due Date fields on the Rx.

• Profiled Prescriptions - When entering a new prescription and clicking OK to Profiled Only, the system automatically populates the Cycle Date into the Cycle Date and Due Date fields on the Rx.

• Pended Prescriptions - When a Short Fill Qty Rx is pended, and the pended prescription is then pulled back to the Rx Summary from Workflow Error Resolution or Tickler, the Short Fill Qty reverts to the Full Qty.  

In all the situations above, the Save button and Print Label Only function save the Due Date and Cycle Date fields. However, the Short Fill Qty does not revert to the intended full Qty.

Added a flag to the Transaction Record to indicate when the prescription has been filled as a Short Qty. The prescription must have the Cycle Rx flag checked and the short fill calculation must be complete.

Changed the Initial Cycle Date field on the Rx Summary, General Information screen to Cycle Date. This field pulls from the Patient File and this date matches the Cycle Date displayed on the Rx Profile.

Click here to view the Rx Summary Screen and the Patient Profile.

Added an option, Print on Profile Only, to Store Control, Store Level Options, Rx Processing. When checked, the system automatically prints a label and an ePrescription hard copy (if available) when Profile Only function is selected on the Rx Summary. Default = unchecked.

Ability to print the Rx Alert Note on the routing slip/invoice

Added the option to control printing Rx Alert Notes on Routing Slips to the Default Printers Selection screen. Default = unchecked. When the Routing Slip print option is on and the prescription contains an Rx Note, the note prints as a 3rd line underneath the Workflow note that currently prints. View a Sample Routing Slip.

Added the option to control printing Rx Alert Notes on Invoice/Delivery Tickets to the Default Printers Selection screen. Default = unchecked. When the Invoice/Delivery Ticket print option is on and the prescription contains an Rx Note, the note prints as a 2nd line underneath the Rx information that currently prints. View a Sample Invoice/Delivery Ticket.

Prescribing and Labeling Requirements for Physician Assistants (PA) and Nurse Practitioners (NP)

Certain states require separate fields for Nurse Practitioners (NP) and Physician Assistants (PA) to meet legal requirements for prescribing and labeling. Added the following options to accommodate this requirement:

• Added two options, NP and PA, to the Doctor Required for: NP/PA option in Store Control, Store Level Options, Rx Filling Options.

  

• Added two options, NP and PA, to the Prescriber Record, Additional Information Screen and Prescriber Batch Record Updates. Only one of the three options can be checked.

View screen with NP/PA checked.

View screen with NP checked.

View screen with PA checked.

• Added @ to the Prescribers in Group scan in Rx Processing and Prescriber Batch Updates to indicate NP/PA.

  

• Updated prescription processing to check new options, NP and PA for Doctor Required for: functionality

• Updated Label Routines for NP/PA

  Updated the following routines to print the NP/PA, NP and PA literal as follows:

  406 = Literal NP/PA - 5 positions

  Print NP/PA if Rx has an NP/PA on the record AND the NP/PA Prescriber Record option NP/PA = Y/Checked

  Print NP if Rx has an NP on the record AND the NP/PA Prescriber Record option NP = Y/Checked

  Print PA if Rx has a PA on the record AND the NP/PA Prescriber Record option PA =Y/Checked

   

  583 = Literal Dr. or NP/PA - 5 positions

  Print Dr. when Rx has a Prescriber Only or when Rx has a Prescriber and an NP/PA, NP and PA linked. (currently works now with Prescriber Only or with Prescriber and NP/PA)

  Print NP/PA when RX has an NP/PA on the record AND the NP/PA Prescriber Record option NP/PA = Y/Checked

  Print NP when RX has an NP on the record AND the NP/PA Prescriber Record option NP = Y/Checked

  Print PA when RX has an PA on the record AND the NP/PA Prescriber Record option PA = Y/Checked

   

  Updated the following routines to print the NP/PA, NP or PA information for the Prescriber Record option chosen:

   

  390 =  NP/PA Name - 25 positions

  621 = NP/PA Name - 50 positions

   

  391 = NP/PA State Number - 11 positions

  629 = NP/PA State Number - 25 positions

   

  393 = NP/PA State Number or Doctor State Number - 11 positions  (Defaults to Doctor State # if no NP/PA)

  630 = NP/PA State Number or Doctor State Number - 25 positions  (Defaults to Doctor State # if no NP/PA)

   

  401 = NP/PA DEA Number or Doctor DEA Number - 13 positions (Defaults to Doctor DEA # if no NP/PA)

  624 = NP/PA DEA Number or Doctor DEA Number - 20 positions (Defaults to Doctor DEA # if no NP/PA)

   

  402 = NP/PA DEA Number - 13 positions

  623 = NP/PA DEA Number - 20 positions

   

  403 = NP/PA Medicaid Number - Doctor Medicaid Number - 9 positions  (Defaults to Doctor Medicaid # if no NP/PA)

  627 = NP/PA Medicaid Number - Doctor Medicaid Number - 20 positions  (Defaults to Doctor Medicaid # if no NP/PA)

   

  404 = NP/PA Medicaid Number - 9 positions

  626 = NP/PA Medicaid Number - 20 positions

   

  392 = NP/PA Code or Doctor Code - 6 positions  (defaults to Doctor Code if no NP/PA)

   

  394 = NP/PA Label Name - 12 positions

   

  400 = NP/PA Label Name - 25 positions. Prints the NP/PA Label Name field (12 positions) a dash "-" then the Doctor Label Name field (12 positions). If no NP/PA, then only the Doctor Label Name field prints

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• Added NP and PA to the Prescriber Record Report and Data Export Select, Sort and Print Options

• Updated the Daily Audit (both Management and Prescription), Monthly Audit (both Management and Prescription) and New Rx Cards to print NP/PA information when the Prescriber Record is NP/PA, NP or PA.