19.1.34 NRx Enhancements

 

For consistency and to prevent the appearance that a Cancel RxRequest can be processed multiple times, added the following.

 

Cancel Prescription Mail Scan

 

A message displays if a CancelRx Request is selected and has already been processed. The Accept and Deny buttons are disabled for any CancelRx Response messages accessed from the Cancel Prescription Mail Scan.

 

To ensure legal compatibility, added the diagnosis code to all RxRenewal printouts, if received, in the electronic message.

 

To comply with legal requirements for diagnosis codes to print, if received, for C2 - 5 prescriptions, added the diagnosis to the Prescription Renewal Details printout and fax.

 

Added an option, Prt C2-5 Dx, to Reports > Prescription > Transferred Prescriptions Report. Default = NO. Type YES to print diagnosis codes for C2-5 prescriptions.

 

Added the pharmacist last name, first name to the Rx Transfer Details printout and fax.

 

To ensure New Script compatibility, increased the number of characters for the SIG on the RxRenewal Request to 250.

 

 

Added additional fields needed for Central Fill: Shipping Method (Transaction) and Address Line 2 (Patient Record > Delivery Addresses).

 

Customize an employee's ability to make changes to the Tax Schedule on the Patient Record > Additional Info screen. Added option, Update Tax Schedule option, to Employee Detail > Security Access Flags. Default = Checked.

 

To comply with legal requirements, added Administration Site and Route to both enhanced and non-enhanced Notification of Vaccination forms printed from the Patient Immunization Record. The fields are pulled from the Immunization Record.

 

To improve flow, added the ability to press the Enter key to access the Drug Scan from Drug 1 and Drug 2 fields when performing a Drug - Drug Interaction Check: Rx Processing Tasks > Drug/Drug Interactions.

 

Vendor Record

 

Added a section that allows the input of Brand Rebate % and Generic Rebate % for both Net Weighted ACQ and Standard ACQ to the Vendor Record > Electronic Order screen.

• Update Net Weighted ACQ: Default = Unchecked. Select to access the options below.

• Brand Rebate %: Default = .00. Allows 5 numerics, 3 before and 2 after decimal.

• Generic Rebate %: Default = .00. Allows 5 numerics, 3 before and 2 after decimal.
  

• Update Standard ACQ: Default = Unchecked. Select to access the options below.

• Brand Rebate %: Default = .00. Allows 5 numerics, 3 before and 2 after decimal.

• Generic Rebate %: Default = .00. Allows 5 numerics, 3 before and 2 after decimal.

 

Wholesale Report

 

Added Brand Rebate % and Generic Rebate % for both Update Net Weighted ACQ and Update Standard ACQ sections in Inventory > Electronic Drug Reorder > Receive Wholesaler Reports. Percents can be input once one of the Update choices are selected. Default = .00. Allows 5 numerics, 3 before and 2 after decimal. A confirmation displays if you overwrite an auto-populated entry. Click OK to save the entry to the Vendor Record. Click here for calculation breakdown.

 

Updated the following to comply with state regulations mandating that any copies of electronic prescriptions maintained for record keeping are clearly labeled as copies.

Added verbiage, COPY, to the following forms. Prints to the right of the form title.

• Electronic Information For New Prescription From the Prescriber form - Printed From:

• Rx Processing Tasks > Mail > New Rx > Select the Rx > Print > Print E-Rx Info

• Rx Processing Tasks > Mail > New Rx > Select E-Rx > From Patient Record > Print Electronic Info

• Rx Summary (for a processed response) >  Print > Electronic Information > Refill Response/Web Refill

• Tickler Scan > Print E-Rx Info

• RxRenewal Response form - Printed From:

• Rx Processing Tasks > Mail > RxRenewal Response > Select Response > Print

• Rx Processing Tasks > Mail > RxRenewal Response > Select Response > Prescription > Print

• Rx Summary > Print > Electronic Information > Refill Response/Web Refill

• Tickler Scan > Print E-Rx Info

 

To comply with state regulations, added an Authorization Format, 4, to Store Control > Store Level Options > Store Options > Additional RxRequest. Use this format to remove the prescriber signature line and verbiage from the following forms:

• Refill Request Message

• Emergency Class 2 Request

• Class 2 Continuation Request

• Class 3-5 New RxRequest

 

 

Store Control

 

Added a column of checkboxes titled, PMP Consult, to the Controlled Substance Options window in Store Control > Store Level Options > Store Options > System > Log Controlled Substance Rxs link. Default = Unchecked. Checkboxes display to the right of the Require ID checkboxes for: Class 2 Drug Rx, Class 3 Drug Rx, Class 4 Drug Rx, Class 5 Drug Rx, Class 5 Drug OTC Rx, Rx for Special Drugs of Concern. If a box is checked, then a prescription for that particular class cannot be filled unless the Consulted PMP box is selected on the Rx Filling Options screen. Otherwise, an error displays.

 

Employee Record

 

Added an option, PMP Consultation, to the Employee Detail screen in the Prescription Access section. If selected, employee access is granted to select the PMP Consulted option on the Rx Filling Options screen. An attempt to select this option results in error if the system is authorized for NARxCHECK and the employee does not have PMP Analysis access.

 

Rx Summary

 

Moved the PMP Analysis link from the Additional screen of the Rx Summary to General.

 

Added a link, PMP Consultation, that displays depending on the Store Level Options selection under Log Controlled Substances. It is enabled once applicable records are available. Click to view the PMP Consultation Info screen for the following: Employee, Initials, Seq #, Date/Time, and NARxCHECK info.

 

Rx Filling Options (Rx Summary)

 

Note for customers authorized for NarxCare: If the PMP Analysis link is selected, and a response is returned from Appriss (whether it is a data report only, or includes NARxSCORES), the Consulted PMP option is automatically checked on the Filling Options screen.

 

Added an option, Consulted PMP, to the Rx Summary > Fill > Filling Options screen. Once selected and saved (whether manually or by the system when the PMP Analysis is returned), the Date, Time, and Initials of the user are written to the PMP Consultation Info screen of the Rx Transaction once the prescription is filled. This provides a reference in cases where there are refills on the prescription, as the PMP database needs to be checked for each fill. Note: Option is grayed out if PMP Consult is not selected in Store Control > Store Level Options > Store Options > System.

 

Transaction

 

Added a link, PMP Consultation Info, to the Transaction > Additional Information screen. Click to access the PMP Consultation Info screen for the following: Patient Name, Drug Name, Rx Number, and a Consulted PMP detail grid.

 

If the Transaction is voided or updated, reversed and then retransmitted, the Employee, Initials, Date/Time, and NARxCHECK values are not altered. These fields are populated the first time a PMP Analysis is performed for a Transaction or when the Consulted PMP option is selected on the Filling Options screen.

 

Creating Transactions from Fill Lists for Short Cycle

 

Updated the following under Facility Management > Created Transactions from Fill List > Short Cycle:

• When creating transactions, if any prescription meets the criteria determined in Store Level Options to require a PMP Analysis check, if the PMP Analysis box is not selected on the prescription, then the prescription is printed on the Creating Transactions From Fill Lists Error Report.

• Error Message that displays: PMP Analysis Required Prior to Fill.

 

Reports

 

Added the following Report Options:

• TX - PMP Employee

• TX - PMP Initials

• TX - PMP Date/Time

• TX - PMP NARxCHECK?

• PT - Lst Date PMP CK

 

Updated the system to display the 14-day PRN Psychotropic prompt for profiled prescriptions, as it does for prescriptions that are filled and meet the requirements that trigger the prompt. Click OK to adjust the Stop Date to 14 days from the date the prescription was written. Click Bypass and no changes are made to the Rx Summary screen.

 

To prevent prohibited changes to the Drug Code, NDC, Quantity Dispensed, E-Dose Quantity, and Price on the Transaction after adjudication, the following has been modified in Store Options > Workflow Queue Setup:

 

Changed the option, Allow Transaction NDC Change after QA, to Restrict Transaction after:. A drop-down list displays below the option with the following choices: Quality Assurance and Delivery/Will Call. Defaults = Unchecked, Quality Assurance

 

Once the option is selected, a warning displays indicating the changes it prevents. Click OK to continue with the save.

 

Once set, a message displays if an employee tries to make one of the changes.

 

 

 

 

 

 

 

 

Modified the following to provide the option to prevent HIPAA information from printing on the Patient Information Leaflet.

 

Restructured the Patient Education Options screen: Store Control > Store Level Options > Store Options > Patient Education, to include separation for existing sections, along with a new, De-identify on PEM, section. In this section, the following can be selected to print on the patient monograph and (masked with *'s): Rx Number, Drug Dispensed, SIG, Doctor Name, Rx Date, Quantity Dispensed, and Patient Room Number.

 

To provide pharmacies using delivery totes a way to prevent an NDC from being changed on a fill after the tote for that item has been scanned and closed in the Delivery Queue, added the following:

 

Added the option, Allow TX NDC change after Tote Closed?, to Store Control > Store Level Options > Delivery Information. Default = Checked. Select to allow an employee to update a transaction for a prescription where a drug was changed and the order was already processed out of the Open Delivery Sheet Queue. Otherwise, an error displays. Click here for full functionality.

 

For state compliancy, updated the system to send the date sold for all classes of drugs for state code NE4.

 

For Kentucky state compliancy, updated the following for ASAP 4.2B:

 

Store-Side Manual Reporting

• Changed Print Option, 4.2B?, to Format. Valid options = 4.2, 4.2A, and 4.2B. Default = 4.2.

PowerLine® Reporting

 

• Added the following fields to be transmitted on the PM4 report if using Format Print Option 4.2B: DSP12 (Rx Origin Code) and DSP13 (Partial Fill Indicator)

• Send the nine-digit SSN if provided in PAT03

• Send existing fields: DSP20 (Transaction Control Reference Number) - and DSP21 (Prescriber Order Number) - Rx Summary > Additional Information screen

 

For Oklahoma state compliancy, updated the following for ASAP 4.2B:

 

Store-Side Manual Reporting

 

• Pharmacy Header

• PHA09 Zip Code Address - Added a note to exclude the hyphen in the Zip Code

• PHA10 Phone Number - Added a note to exclude hyphens in the phone number

• Patient Information

• PAT16 Zip Code Address - Added a note to exclude the hyphen

• Dispensing Record

• DSP06 - Relabeled Fill Number to Refill Number

• DSP22 - Increased Quantity Prescribed from 15 to a max of 100 characters

• DSP25 - Diagnosis Code - Added a note to exclude the decimal point

• Prescriber Information

• PRE10 (New Field) - Jurisdiction or State Issuing Prescriber License Number. Used to further identify the information provided in PRE04

 

PowerLine® Reporting

 

• Pharmacy Header

• PHA09 Zip Code Address - Added a note to exclude the hyphen in the Zip Code

• PHA10 Phone Number - Added a note to exclude hyphens in the phone number

• Patient Information

• PAT16 Zip Code Address - Added a note to exclude the hyphen

• Dispensing Record

• DSP06 - Relabeled Fill Number to Refill Number

• DSP22 - Increased Quantity Prescribed from 15 to a max of 100 characters

• DSP25 - Diagnosis Code - Added a note to exclude the decimal point

• Prescriber Information

• PRE10 (New Field) - Jurisdiction or State Issuing Prescriber License Number. Used to further identify the information provided in PRE04

 

For consistency with industry standard, changed the field Date Reviewed to Date Validated on the Electronic eRx sidebar. Changed Drug Free Text to Drug Strength in the Drug Information section. This applies to NewRx, Resupply, and RxChange Responses.

 

To allow for better consumption of data, added a drop-down Print Option, OptputFileType, to the Reports > Management > Finance Report. Options include Comma Delimited ASCII and Tab Delimited.

 

To reflect the new expiration date for the standard and enhanced CMS Notice Printouts, updated the expiration date in the lower right corner to 2/28/21.

 

For state compliancy, C5 drugs are automatically included on the CA CURES report.

 

RedSail Patient Chart

 

Use the new cloud-based RedSail Patient Chart to log and track patient clinical findings such as lab/vital measurements, allergies, social history, and history of present illness. This information, as well as patient problems and pharmacy-made interventions/educations can be documented in a Pharmacist Electronic Care Plan (PeCP) directly from the Patient Chart. The data can then be submitted to the Community Pharmacy Enhanced Services Network (CPESN) if the pharmacy has enabled the RedSail Patient Chart and signed a CPESN Service Authorization Form.

 

Enrollment to begin February 2021 with the general release of Service Pack 34.

 

To sign up, contact Pharmacy Services. Once complete, Client Services will make an appointment with your pharmacy to enable RedSail Patient Chart (see option below). Prescriptions cannot be processed during this time. Please expect this process to take between 30 and 45 minutes.

 

Added an option, Enable RedSail Patient Chart, to Store Control > Store Level Options > Store Options > System.

 

Things to know about configuration:

 

• All Care Plans are exported from NRx and imported into RedSail Patient Chart.

• Patient Records are created inside RedSail Patient Chart based on imported Care Plan data.

• Once RedSail Patient Chart is enabled, NRx will have no built-in eCare Plan functionality.

• RedSail Patient Chart will replace all existing eCare Plan functionality within NRx.

 

Patient Record

• Perform the following Pharmacy Management System (PMS) Application Programming Interface (API) calls:

• Add Patient

• Update Patient

• View Patient

• Add Care Plan
  
  

• PMS API consists of over 150 fields:

• Patient Demographics

• Clinical (Allergies/Diagnosis)

• Rx Profile with Transaction History

• Labs and Lab Results

• Immunizations
  

Care Plan

 

• All eCare Plan documentation is completed within RedSail Patient Chart.

• Triggers within NRx will automatically launch Google Chrome to a specific Patient or eCare Plan workspace.

• Submit eCare plans to CPESN from within RedSail Patient Chart.

 

Added the ability to send reason codes in RxFill Messages for partially dispensed medications. An RxFill Message popup displays if a prescription is filled for a quantity less than authorized. A reason for the partial dispense can be chosen. Depending on your pharmacy's Workflow setup, an RxFill Message is either triggered after Quality Assurance or Delivery/Will Call with the chosen reason code. If Fill List Export is being used, the system automatically generates the Partially Dispensed RxFill Message for the prescription if the Send RxFill? Print Option is set to YES and the cassette quantity is less than the original quantity. The RxFill displays a reason code of FV.

 

If Verify is off, the Partial Reason Code List displays once Fill is clicked.

 

If Verify is on, the Partial Reason Code List displays when Fill is clicked within verify.

 

Track and Trace

 

The Track and Trace Log provides a way to obtain details for items in a lot including Drug Name, NDC Number, SKU, GCN, Lot Number, Expiration Date, and GTIN with the quick scan of the NDC barcode.

 

Added an option, Track and Trace Log, to Inventory > Electronic Drug Reorder. Select to access the Track and Trace screen. Enter a Purchase Order Number or scan the 2D barcode on the drug stock bottle to populate the details. A red X displays in the error columns if any of the columns are blank. Select Save to save as a .csv file or Save and Print to save as a .csv file and print as a hard copy. Select the History button at the top of the screen to access saved logs.

To enhance your search experience in Help, enclose the word(s) you're searching for in quotation marks. View example.

To return to the homescreen from any topic in Help, select Help Guide at the top of the screen.