19.1.39 NRx Enhancements

Updated the system to send Prescriber Practice (Prescriber Record > General Information), Patient Email (Patient Record > General), Prescriber Federal Tax ID (Prescriber Record > Additional Information > Misc Number/Misc Qualifier), and Drug Code for each ingredient of a compound, when submitting to ConnectiveRx.

D.0 and SCRIPT claim standards accept binary as an option for patient sex. To comply with standards and allow for seamless reimbursement, added the following:

 

Added a Non-Binary option to the Sex drop-down list on the Patient Record > General screen. If selected, a 3 is transmitted in field 305-C5 for SCRIPT claim standard and N for D.0.

 

Updating a patient from a NewRx or Census Message updates the patient Sex to Non-Binary when the gender is N.

 

Updating a patient from an HL7 Message with an N for Patient Sex, the Patient Record is updated to Non-Binary for patient Sex.

 

Added Non-Binary to the Patient Sex option in the Customer Demographic File as a selectable option for reporting. To select Non-Binary, set Patient Sex to NO.

 

ASAP field PAT19 for store-side reporting (formats 4.1 and higher) and data collection is updated to U if Patient Sex is set to Non-Binary.

Added a Non-Binary option to the Sex drop-down list on the Patient Chart.

Expanded Prescriber Update Options to include an Update Prescriber DEA Suffix option. Default = Unchecked. Select to automatically update the DEA suffix on the Prescriber Record when updating the Prescriber Record via electronic update.

Systems with POS can get the most out of medication synchronization using the  Last Checkout Date added to the Patient Rx Profile (add via the Select Columns window), Rx Summary, and Cycle Rx Worksheet. Confirm whether prescriptions are picked up close to the date they were filled, see any missed checkouts in POS, help manage non-adherent patients, and better manage will call bins.

Added a notification that displays when the administrator logs in and any specified files are nearing or have exceeded the recommended physical size. Client Services can then assist with expanding the file or purging and compressing records before the file size exceeds the physical size and interferes with your pharmacy's operations. If one or more of the specified files reaches more than 300 GB, the notification displays a list of files/sizes in need of attention. If you would like a reminder in seven days (under your User ID), select the Do not prompt until next week checkbox. Click OK to close.

Removed the automatic inventory export to Mevesi, as it is no longer applicable. This relieves any extra hard drive space being used by these particular exports.

Added Transaction Security Journal to the offering of file choices in System Utilities > Master File Maintenance > Maintenance Scheduler. If the Transaction Security Journal file is too large to compress, an alert displays for the administrator upon login.

Added the following to the Drug Update window in Verify Prescription > Drug Update for accuracy: Added a Recalculate Rx Expiration Date checkbox. Select to ensure that when the lot and/or expiration date is changed during Workflow, the Lot and Expiration dates on the prescription and associated transaction are updated. Changed the name of the Expiration Date field to Drug Expiration Date.

Example: Store Level Options Expiration Days = 365, Facility Record Expiration Days = 180, and Drug Expiration Days = 90 with a Drug Expiration Date of 4/15/22. If the Drug Expiration Date is changed to 6/21/2024 on the Drug Update window in the Label and Dispensing Queue, the Rx Drug Expiration Date recalculates to 6/29/22 because the 90 Expiration Days on the Drug Record is the soonest date between Store Level Options, Facility Record, and the Drug Record, but is within the set expiration date.

Updated the system to search and populate DSP19 for Replace Messages in addition to DSP20 and 21 fields in which this took place for already.

Store-side Manual Reporting for ASAP (American Society for Automation in Pharmacy) formats 4.2, 4.2A, and 4.2B for state codes PM4 and PM7

Updated the system to search the last NewRx, Renewal Response, Rx Change Response, or Refill Response linked to a prescription to populate ASAP field DSP20 (Electronic Prescription Reference Number) with the initiator reference number in UIB-030-01 and DSP21 (Electronic Prescription Order Number) with the initiator reference number in field UIH-030-01.

Store-side Manual Reporting for ASAP formats 4.1 for state code PM3

Updated the system to search the last NewRx, Renewal Response, Rx Change Response, or Refill Response linked to a prescription to populate ASAP field DSP19 (Electronic Prescription Reference Number) with the initiator reference number in UIB-030-01.

Data Collection Reporting

Updated the system to search the last NewRx, Renewal Response, Rx Change Response, or Refill Response linked to a prescription to populate ASAP field DSP20 (Electronic Prescription Reference Number) with the initiator reference number from field UIB-030-01 and DSP21 (Electronic Prescription Reference Number) with the initiator control reference number from field UIH-030-01.

PowerLine Reporting

Updated the system to search the last NewRx, Renewal Response, Rx Change Response, or Refill Response linked to a prescription to populate ASAP field DSP20 (Electronic Prescription Reference Number) with the initiator reference number in UIB-030-01 and DSP21 (Electronic Prescription Reference Number) with initiator control reference number from field UIH-030-01.

Electronic Origin but no ERXFILE Exists

Replace Renewal Response messages require that the prescription be deactivated and reassigned. The reassigned prescription will not have any electronic prescription information. Updated the system to populate DSP20 and DSP21 from the ERXFILE record of the prescription that may be linked using the equivalent scan prompt when deactivating and reassigning from the Rx Renewal Response.

California regulations require annual enrollment for each prescription that participates in an automatic refill program and to notify patients each time a prescription is filled under the program either by written or electronic notification. Added a label routine, 811, to print HealthMinder Fill on the label if the HealthMinder option on the Rx Summary is selected at the time of fill.

Statements printed using Sort Option, Patient Alias, can be misaligned and unclear when printed with recap totals. Added a Prt Recap Ttls Print Option. Default = YES (Prints with existing functionality). Type NO to print statements without Recap Totals and prevent issues with the Patient Alias Sort Option. Changes were made to both enhanced and non-enhanced statements.

Added Export Totals and Export Path Print Options to the Workflow Daily Audit. This allows for the export of Workflow count totals by RPh/tech to be exported in the CSV format and then analyzed by an automated process.

• Export Totals default = NO. If answered YES, a CSV file is created from the report listing the WorkFlow totals sorted first by pharmacist, then by tech.

• Export Path default = Blank. Enter a path and filename up to 28 characters.

Added the ability to enable Windows Authentication from NRx to the MSM SQL Server to ensure pharmacies pass internal security pen tests required by hospital IT departments. Setting the Username on your Multiple Site Management Setup screen to Windows_Authentication uses Windows Authentication instead of SQL authentication. Click here for setup instructions for the Windows account.

To ensure compliancy, updated the Combined Eligibility Check to create two separate E1 transactions, one to the Part D plan and one to the Commercial plan configured in Store Level Options.

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