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Here's What's New in NRx:
Some states require pharmacies to give their patients the option to receive printed drug materials.
Patient Record
Added an option, Print Drug Materials, to the Patient Record. Default = Checked.
Click here to review how the LDM flag works with the Print Drug Materials option.
| Print Drug Materials | LDM Participation (Patient) | LDM Participation (Store Level Options) | System keeps/updates to the following for the LDM Participation (Patient) |
| Unchecked | Unchecked | Checked | Unchecked |
| Unchecked | Checked | Checked | Checked |
| Checked | Checked | Checked | Checked |
| Checked | Unchecked | Checked | Checked |
| Checked or Unchecked | Checked | Unchecked | Unchecked |
Print Drug Materials = Unchecked.
Reports
Added option, Prt Drug Mat, as Select, Sort, and Print Options to the Customer Demographics File in Custom Reports.
D.0 and SCRIPT claim standards accept unknown as an option for patient sex. To comply with standards and allow for seamless reimbursement, added the following:
Added option, Undefined, to the Sex drop-down list on the Patient Record > General screen. If selected, a 0 is transmitted in field 305-C5.
Updating a patient from a NewRx or Census Message updates the patient Sex as Undefined when the gender is U.
Added Undefined to the Patient Sex option in the Customer Demographic File as a selectable option for reporting.
With Script vs. 10.6, the patient phone number used to be in field PTT-070. With New SCRIPT vs. SCRIPT 2017071, multiple communication numbers were added. The use of Electronic Data Interchange for Administration, Commerce, and Transport (EDIFACT) mandates that patient phone numbers be sent in PTT-110 - 170 based on the communication type. This prevents the number from being dropped when the message is converted to Extensible Markup Language (XML) and sent to PowerLine™.
Click here for new logic. Note: Logic will be added to Service Packs 31 and 32.
About Screen Details for NCPDP and EPCS
For easy reference, added the NCPDP Version and EPCS Certification date to the About screen in NRx. This can be referenced when Client Services is assisting you with claims. It also provides key information when providing verification that your system is up to date and in full compliancy during an audit.
Skip Label Only for Interfaces
When using the ORD01 trigger, and using a Print >
Label Only function, the system triggers an XO across the interface. For certain vendors, this will tell the interface to fill and bill the prescription on their end. To prevent this, we added the option, Skip Label Only, to the Control File. Default = Unchecked. If checked and Print > Label Only is selected on the Rx, the XO trigger is not activated across the interface.
If you are using another vendor for POS, the Checkout flag is turned on and pickup information is updated (when available) in NRx once a message is received that contains prescriptions that were picked up or delivered to the patient. If you are also using Workflow and have Delivery/Will Call turned on, the Workflow Record does not get completed when the Checkout flag is turned on. We updated the system to complete the Delivery/Will Call Record for all prescriptions that were picked up or delivered in your vendored-POS system, preventing the need for manual completion. If Workflow/Delivery is not being used, the system continues to work as it has and turns on the Checkout flag on the Transaction.
Note: This update is available in Service Pack 31 and up, as well as in a QSU for Service Pack 30.
When sending SMS messages or emails, the patient's DOB must have an entry, even if it is less than 1, to prevent a failed or rejected message. Updated the system to send a 0 if the DOB on the Patient Record is blank or less than a year old.
Submission Clarification Codes
To remain compliant with National Council for Prescription Drug Programs (NCPDP) External Code List (ECL) updates, added Submission Clarification Codes 54 - 64 to Submission Clarification #1, #2, and #3 fields on the Rx Summary > Claim Information screen and Transaction > Primary, Secondary, and Tertiary screens.
Added SCCs 52 - 99 to all Submission Clarification #1, #2, and #3 fields on the Transaction > Primary, Secondary, and Tertiary screens in Batch File Updates for the Transaction File.
Pharmacies need the ability to compare pricing between third party copays and sliding scale pricing so that they may document appropriate information for pharmacy reimbursement. We have added tools within NRx to meet these needs.
Store Level Options
Added option/hyperlink, 340B Sliding Scale Pricing/Create, to Store Options > Pricing. The hyperlink defaults to Create, and changes to Edit once the first entry is saved. This is shared across host/remote setups. Click Create to access the new screen, 340B Sliding Scale Groups. The screen enables new groups to be added/edited. To add a new group, click New and enter a Description (up to 25 characters) and choose a Price Table. Add up to 10 groups. To delete a plan, highlight a row and click Delete. A warning message displays. Click OK and the Description and Price Table are deleted out of the scan. The Sliding Scale Group is removed from all associated Patient Records from the 340B Sliding Scale Pricing box. Click Cancel to make no changes and return to the Sliding Scale Groups screen.
Added a drop-down option, 340B Sliding Scale Pricing, to the Additional Information screen. If the patient's 340B field is selected, a 340B Sliding Scale Group from Store Options can be selected.
Note: Compounds are not considered for 340B.
Third Party or Medicaid
If the Patient, Prescriber, Drug, and Price Plans have the 340B option selected, the 340 Sliding Scale Pricing group on the Patient Record is used to calculate an additional price that is stored in the background on the Rx Summary. This is considered the Sliding Scale Amount (SSA) and the price is updated on the Transaction. After adjudication and before the label prints, a comparison of the returned Copay and the Sliding Scale Amount is performed:
If the Copay < the SSA, the Copay is printed on the label and populated on the Transaction as it does currently. If the Copay = $0.00, the same occurs.
If the Copay > the SSA, the SSA is printed on the label and populated on the Transaction in the SS Amt field.
Retail Price Plan Prescription
If the Patient, Prescriber, Drug, and Price Plans have the 340B option selected, the 340 Sliding Scale Pricing group on the Patient Record is used to calculate the Price on the Rx Summary. Text displays above the Pricing Review indicating 340B Sliding Scale Review is active. Calculation is complete and the same price populates the Transaction.
Added a field, SS Group, to General Information. Displays if a group is selected from the 340B Sliding Scale Pricing field on the Patient Record. Displays 25 characters and pulls from the setting of the 340 Sliding Scale Pricing group on the Patient Record.
Added a field, *SS Amt, to General Information > Billing Recap. Max = 9 characters (Ex: 999999.99). The amount is calculated using the Price Table attached to the SS Group attached to the Patient Record at the time of fill. Note: The following needs to be populated for the field to display: Patient is flagged as 340B, Patient is flagged as 340B Sliding Scale (SS) Pricing, Drug is flagged as 340B, Dispensing Drug is not a compound, Doctor is flagged as 340B, Price Plan is flagged as 340B, Transaction SS Group is populated, *SS Amt is populated and > 0.00.
If *SS Amt is < the final adjudicated Copay, Total Paid is calculated as the following:
If *SS Amt is 0.00 or more than the final adjudicated Copay, the
Total Paid is calculated as it is today:
An asterisk displays in front of the Copay field if the Copay is < the SS Amt. Example: Copay = $50 and SS Amt is $60, the Copay displays as '*Copay'.
An asterisk displays in front of the SS Amt field if the SS Amt is not 0.00 < Copay. Example: SS Amt = $15.00 and Copay = $27, the SS Amt displays as '*SS Amt'.
Label Routine
Added a label routine, 809, to print '*SS Amt' (up to 10 characters) pulled from the Transaction *SS Amt field. Example: *SS Amt: $99,999.99. Label logic.
Reports
Added new File Choices; 340 SlidingScale (Patient), 340B Scale Amount (Transaction), and 340 SlidingScale (Transaction) in Reports.
If the option, Use Invoice,
in A/R Options > General Information is turned on, the bucket totals
on the Account Trial Balance and Invoices do not print. This is to
prevent inaccurate comparisons, as these amounts do not directly correlate.
Account Trial Balance - headers and columns for amounts removed. This applies to both Format 1 and 2 of the Account Trial Balance.
(0-30) Amount
(31-60) Amount
(61-90) Amount
(91-120) Amount
(121 - 150) Amount
(151 - 180) Amount
(181/OV) Amount
Account Trial Balance - group totals removed from the totals summary.
(0-30) NET
(31-60) NET
(61-90) NET
(91-120) NET
(121 - 150) NET
(151 - 180) NET
(181/OV) NET
Account Trial Balance - grand totals removed from the totals summary.
(0-30) NET
(31-60) NET
(61-90) NET
(91-120) NET
(121 - 150) NET
(151 - 180) NET
(181/OV) NET
Printed Invoices - bucket lines and associated amounts removed from group statement recap totals (non enhanced). No changes to VFI or enhanced statements.
(0-30)
(31-60)
(61-90)
(91-120)
(121 - 150)
(151 - 180)
(181/Over)
Printed Invoices - bucket lines and associated amounts removed from ALL group Statement recap totals
(0-30)
(31-60)
(61-90)
(91-120)
(121 - 150)
(151 - 180)
(181/Over)
Added the following:
Scroll bar
Show All check box
Sel All column with check boxes
Refills Remaining, Rx Cycle Date, and Total Qty Remaining fields
Edit Columns link. Click link to make selections.
Moved the Calculate button from the right of the Cycle Base Date field to the right of the Cycle Duration Days drop-down menu.
New Prescription
Added a link, View Cycle Rxs, to the New Prescription screen (formats 1, 2, and 3), available when the Cycle Rx check box is selected. Click the link to access the Cycle Rx Worksheet.
Rx Summary
Added a field, Rx Cycle Date. Field updates at the time of fill. Removed the Cycle Date.
Reports
Added Rx Rx Cycle Date as a Select, Sort, and Print Option.
Patient
Added a header to display for Rx Cycle patients.
Added an option, Last Date Used, to the Select Columns box accessible from the Edit Columns link from the Drug Scan. Select option to add Last Date Used as a column in the Drug Scan.
End Date for Community Pharmacy Enhanced Service Network (CPESN)
To prevent invalid submissions to CPESN, added the End Date segment in the (Extensible Markup Language (XML) submission file.
Added the following SNOMED Codes to the Patient eCare Plan Screen:
Encounter Window
Medication Therapy Problems
454181000124108 - Medication not covered by insurance (finding)
454061000124102 -
Unable to afford medication (finding)
Reason of Service
453591000124102 - Referral for management of hypertension (procedure)
Interventions Window
4386336002 - Insurance Authorization (procedure)
Education Window
453771000124109 - Education about insurance coverage
CMS Notice For Part D Printout Updates
Updated both English and Spanish forms of the CMS Notice For Part D printout.
Added instructional verbiage to Routes, Schedules, and Stops screens to assist with steps along the way.
Added the Batch number to the Assign Tote screen.
For more versatility, changed the Class II Serial number to Serial Number is the following areas:
Rx Summary > Additional Information
Store Control > Store Level Options > Store Options > Rx Filling > Rx Legal Requirements link
Added functionality to the Rx Summary so that if the Refills Remaining field is > or equal to 1, the Serial Number is saved to the Rx Summary > Additional Information screen.
Added the Serial Number (uneditable) field to the Transaction. Field populates at the time of fill from the entry on the Rx Summary. If the Serial Number is changed after a Transaction has already been processed, the Transaction can be updated and resubmitted, if needed, for PMP submission.
Added Rx - Serial Number to the Transaction File as a Select, Sort, and Print Option in Reports.
Added functionality to display the Rx Message, "Cannot Fill - Serial Number is required on Additional screen", in the green bar on the Rx Summary if Serial Number Required is selected under Store Control > Store Level Options > Rx Filling > Legal Requirements link (This link was added in this Service Pack. See further detail below in the Rx Legal Requirements enhancement summary), and the Rx Origin is NOT - 1 Written.
Voided Transactions to SystemOne
Updated the system to send voided transactions to SystemOne.
Set up the following before a fill and the Transaction is flagged with, Bill Through HME:
Select the Price Plan option, Bill Through HME, on the Price Plan > General Information screen.
The prescription should be filled with that Price Plan.
Status Flags in SystemOne:
If Voided - Void is allowed in NRx
If Pending - Void is allowed in NRx
If Posted - Void is NOT allowed in NRx
If a Transaction is posted in SystemOne, and void is selected in NRx, a message displays.
Note: Transactions created prior to SP 33 do not have this functionality.
Added the following to keep up with state requirements for the time frame for filling prescriptions.
Added a link, Rx Legal Requirements, to Store Options > Store Control > Store Level Options > Rx Filling. Click to access the Rx Legal Requirements screen. For each class type, information about Expiration Days, Refills, and Transfer Options can be entered. Information you previously had entered on the Rx Filling screen migrates to the Rx Legal Requirements screen during the update. Most options previously existed, but now you have the option to choose the Days to Complete your Initial Fill, and whether the initial fill expiration date should be based on the Written Date or Rx Start Date. Now, all these options can be set per class as opposed to having one setting for all.
Added Rx - Init Fill Exp Dt as a Select, Sort, and Print Option in Reports.
Prescription Processing Logic for Expiration Days
The Stop Date on the Rx Summary is populated based off of the Stop Date Based On selection of Written date or Effective Date. Examples:
Stop Date = 365 Days, Stop Date Based On = Written Date of 11/21/19. Stop Date = 11/20/20.
Stop Date = 365 Days, Stop Date Based On = Effective Date of 12/01/19. Stop Date = 11/30/20.
System Utilities
Added the class tabs to New Store Utilities > Initial Store Setup Wizard.
Updated all trademark instances to ©2020 RedSail Technologies, LLC.
Adjusted the auto save feature on existing Patient Records so that it no longer includes the patient first, middle, or last names. Therefore, preventing the automatic save of a typo which could prevent the patient from being found upon lookup. If Save is selected, a message displays with the choice to Continue or Cancel the change. The new functionality also applies if the Full Name option is selected on the Patient Record.
To comply with state laws, added Quantity Dispensed, Date Filled, and Quantity Returned to the Return to Stock Report.
Class 2 Stop Order Date Display Message
Updated the Stop Date Has Been Exceeded message to not display or stop the filling of a prescription if the days have been changed and are less than what the prescription was originally put in for.
Employee Roles Security Access
Employee Roles Security Access
In compliancy with Sarbanes-Oxley,
implemented the following to provide administrators a seamless solution
that allows employee role types to be created. Security Access Flags
can be set and then applied to any user that is classified as that
particular role all at one time. Follow the steps below to set up
and use.
Note: This enhancement does not apply if using WebConnect or MSM.
Step 1. Which employees should have access to Employee Roles?
Added an option Employee Roles, to Store Control > Security Access > Manage Employees. Sub options include: Add, Access, and Update. If Employee Roles is selected, the sub options are also selected. Selecting allows the employee to view the scan of Employee Roles and/or make any changes in order to apply Employee Role setups to employees.
Update information for Employee Roles.
View the scan of Employee Roles.
Add New Employee Roles.
Step 2. Set Up Employee Roles
Added a menu option, Employee Roles, to the Security Access menu. Click to access the Employee Role Details screen. To add a new role, click New; the New Employee Role Wizard displays.
Step 3. Assign Roles to Employees
Added an option, Employee Role, to the Employee Detail screen. Select the double arrows to display the Employee Role Scan. If using Employee Roles, this option needs to be selected on each employee.
Step 4. Apply Employee Roles to Employees
Once an Employee Role is added, changes can be made to that role without changing the role that was used as a template. Each Employee Role acts as a hub that controls Employee Role Security Access Flags. Any changes can be updated and distributed to the employee records that are marked as that Employee Role. See Update Employees Using Employee Roles for details.
Step 5. Activate Employee Roles
Added an option, Activate Employee Roles, to Store Control > Security Access > Security Options > NRx Security Options. This option is only available if the employee signed in has access to manage employees. This option controls the Employee Record Security Flag tree, and if selected, requires all Employee Records to have an Employee Role selected.
Step 6. Create New Employees in the New Employee Wizard (as needed)
If the option, Activate Employee Roles, is not selected in Store Control > Security Access > Security Options > PrimeCare Security Options, there will be two options, Employee Roles and Employee Types, in the New Employee Wizard to control how the employee should be set up. If the Activate Employee Roles option is selected in Security, then the wizard defaults to Employee Roles and those options do not display.
If Employee Types is selected, the screens throughout the wizard display as they did previously. If Employee Roles is selected, a new screen displays during the wizard with prompts centered around Employee Roles.
Other Things to Know
Manage Employees Scan
Added a column, Role, to the Manage Employees Scan under Store Control > Security Access > Manage Employees. Pulls from the Employee Role field on the Employee Record.
Reports
Added a file, Employee Role, to Reports and Data Exports, along with the option, ER - Role Desc, as a Select, Sort, and Print Option.
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