Hey guys!
I have two questions-
The manager at my pharmacy sometimes reactivates scripts, i noticed bc the tech does it. I told her not to do it on my shift but it got me thinking, if the other rph does it then il also be refilling things without knowing it was once deactivated and now reactivated. I can tell the manager not to do that but honestly, if he doesn’t listen, I can’t be expected to know what was dc’d then reactivated for me to avoid refilling...i think at chains once u close out an rx it can’t be reactivated? Or if the rph annotated on it as to why it’s discontinued, the other rph can’t delete their note so it should still show their note. My system lets any rph delete any note -_-
Also, when i process things, it will say paid then afterwards show an interaction with another medication they take that was filled at another pharmacy... or shows duplicate therapy. Are we responsible for not dispensing at our pharmacy merely because of what they got somewhere else? I mean, if the tech types I wont even see that message cuz when i verify it just does a DUR analysis for whatever is in our system, not whatever the insurance picks up. I would think its excessive to expect us not to dispense/consult md over the medication interacting or being duplicate therapy of whatever they got elsewhere... especially if I don’t see the message unless i’m the one typing! The insurance will easily reject if its refill too soon due to them getting it filled with us or elsewhere a few days ago, so if this polypharmacy issue is going to be our responsibility, insurance should completely reject an rx for ddi/duplication this way it will get the rph’s attention. I think I have seen it reject over an interaction/dup of something filled elsewhere before, but a lot of the time it will still pay for it then display a message. What do u think?
Thanks
I have two questions-
The manager at my pharmacy sometimes reactivates scripts, i noticed bc the tech does it. I told her not to do it on my shift but it got me thinking, if the other rph does it then il also be refilling things without knowing it was once deactivated and now reactivated. I can tell the manager not to do that but honestly, if he doesn’t listen, I can’t be expected to know what was dc’d then reactivated for me to avoid refilling...i think at chains once u close out an rx it can’t be reactivated? Or if the rph annotated on it as to why it’s discontinued, the other rph can’t delete their note so it should still show their note. My system lets any rph delete any note -_-
Also, when i process things, it will say paid then afterwards show an interaction with another medication they take that was filled at another pharmacy... or shows duplicate therapy. Are we responsible for not dispensing at our pharmacy merely because of what they got somewhere else? I mean, if the tech types I wont even see that message cuz when i verify it just does a DUR analysis for whatever is in our system, not whatever the insurance picks up. I would think its excessive to expect us not to dispense/consult md over the medication interacting or being duplicate therapy of whatever they got elsewhere... especially if I don’t see the message unless i’m the one typing! The insurance will easily reject if its refill too soon due to them getting it filled with us or elsewhere a few days ago, so if this polypharmacy issue is going to be our responsibility, insurance should completely reject an rx for ddi/duplication this way it will get the rph’s attention. I think I have seen it reject over an interaction/dup of something filled elsewhere before, but a lot of the time it will still pay for it then display a message. What do u think?
Thanks
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