New york requires all prescriptions be sent by e-scribe

Started by wagrxm2000
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This will lead to problems with C-2s. People will complain a lot about this when you receive a C-2, it is not in stock and it is Friday evening.
 
genesis09 said:
This will lead to problems with C-2s. People will complain a lot about this when you receive a C-2, it is not in stock and it is Friday evening.
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It's not just C2s, its all rx. Going to be a big PITA until they address that issue. Patient's can't take their Rx and shop around for prices either, since they just have to go wherever it gets sent. Good luck calling the prescriber and having them resend it when they find a favorable price.

You also never know when the patient will be coming in for that rx. Can't ask them at drop off, because there is nothing to drop off anymore.
 
You don't need a new RX if it's a non-C2.. Just fax it to the other pharmacy.

This is an excellent requirement, workflow is much more efficient with e-scribes. That tech at drop off can now be at production or pick up.

Less errors, no more fake scripts, no more people with scripts in hand at 7:55 when you open at 8am.



Sent from my iPhone using SDN mobile
 
NY has that weird transfer law where you just transfer one refill, that would make it difficult to send someplace else. And what about those pill mill doctors? Much easier to tell those to take their Rx someplace else than to tell them to have their doctor issue a new E-rx someplace else.

Sent from my SAMSUNG-SM-G890A using SDN mobile
 
Overall, yes I'm pro e-Rx in NYS. Some minor things are bothersome though (missing codes, X DEAs, daw-0 yet md notes "brand", scheduling early controls & dealing with those suspiciously put on hold, etc.). Yes, random pick ups are quite frustrating & clinics sending "waves" of Rxs.

No hard copies required, yet CVS makes good waste of technician time by folding paper e-scripts in which I can reproduce the transmission data for at any time. The worst part of e-scribing is the staggering amount of patient phone calls...on top of any already high call volume. Tinnitus anyone? As far as inventory, non controls is a breeze; just call the patient and fax the e-Rx to another location...controls is another story.
image.png
 
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RxPreceptor said:
Overall, yes I'm pro e-Rx in NYS. Some minor things are bothersome though (missing codes, X DEAs, daw-0 yet md notes "brand", scheduling early controls & dealing with those suspiciously put on hold, etc.). Yes, random pick ups are quite frustrating & clinics sending "waves" of Rxs.

No hard copies required, yet CVS makes good waste of technician time by folding paper e-scripts in which I can reproduce the transmission data for at any time. The worst part of e-scribing is the staggering amount of patient phone calls...on top of any already high call volume. Tinnitus anyone? As far as inventory, non controls is a breeze; just call the patient and fax the e-Rx to another location...controls is another story.
View attachment 201423
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Legally no hard copy required but imagine if for some bizarro and hilarious situation the reason is that Caremark makes pharmacies have hard copies for audit purposes. It can't be that expensive for them to throw some hard drives in stores to store more information - logistically if they had to ensure their whole fleet was backed up and ready to go on demand with 5 years worth of data might be a pretty big IT investment.
 
PharFromNormal said:
Legally no hard copy required but imagine if for some bizarro and hilarious situation the reason is that Caremark makes pharmacies have hard copies for audit purposes. It can't be that expensive for them to throw some hard drives in stores to store more information - logistically if they had to ensure their whole fleet was backed up and ready to go on demand with 5 years worth of data might be a pretty big IT investment.
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Not that big. They don't need to store the image data. And if they did, they use black & white images (not grey scale), so file size is probably something like
(65000 bytes/Rx * 3000Rx/week * 52weeks/yr * 5years) = 50.7 gigabytes
 
Just out of curiosity, do any of you other CVS people have issues where the images for some escripts are randomly lost and you have to find the paper and rescan it?
 
zelman said:
Not that big. They don't need to store the image data. And if they did, they use black & white images (not grey scale), so file size is probably something like
(65000 bytes/Rx * 3000Rx/week * 52weeks/yr * 5years) = 50.7 gigabytes
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X8000 stores? Backed up to a central server every night? Hope they don't have Comcast.
 
PharFromNormal said:
X8000 stores? Backed up to a central server every night? Hope they don't have Comcast.
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You said "throw some hard drives in stores" and I informed you of the logistics. Now you question their ability to centrally back up the back ups. If I give you the details on that will you question how efficient the data transfer to a moon base would be?
 
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Dr Wario said:
Just out of curiosity, do any of you other CVS people have issues where the images for some escripts are randomly lost and you have to find the paper and rescan it?
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Yes everyone has that problem, lol. Just do what RxVampire says so you can see the image that is somehow magically not lost when you access it that way.

Also @zelman for CVS the holding period for scripts is 10 years, not five. Not that it really matters but you know how it is when you are type A and someone posts something inaccurate 😉
 
owlegrad said:
Yes everyone has that problem, lol. Just do what RxVampire says so you can see the image that is somehow magically not lost when you access it that way.

Also @zelman for CVS the holding period for scripts is 10 years, not five. Not that it really matters but you know how it is when you are type A and someone posts something inaccurate 😉
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Yeah, true. Still fits on a 128gb thumb drive.
 
zelman said:
You said "throw some hard drives in stores" and I informed you of the logistics. Now you question their ability to centrally back up the back ups. If I give you the details on that will you question how efficient the data transfer to a moon base would be?
Click to expand...

I was trying to imply it would be simple and cheap to throw hard drives in the stores however from what my conversations with cvs folk and reading on here it sounds like they run on a very centralized system. I think my old college buddy said that when the system goes down there's a limited amount of info you can see on scripts and a shortened history on how far back you can see which makes me believe for the most part the operations run off a central server. From a risk and compliance perspective it's probably safer to have a boat load of paper hard copies sitting around than to have what could be as small as a thumb drive that some psychopath fed up pharmacist could magically make disappear or some tech to walk off with with a bottle of Xanax.
 
Many times, but not all, you can put the RX on hold, Fill it again and the image appears. If it goes through, you get the image. If you process the on-hold and you get a message about no image, you have to use the steps outlined by Rx Vampire
 
I have heard, pretty sure this is true. In NYS you can now transfer new electronic controlled prescriptions if they were sent to the wrong pharmacy (in the same chain). The retail chains are still trying to upgrade their software to allow this. So for instance, a CII was sent to the pharmacy up the street by mistake, you can now take a controlled medication that is on hold at that store. You need to be on the phone with the other store and they have to accept the transfer. This is only chain-to-chain. Computer to computer. Not perfect, but it is a step in the right direction.
 
I'm sure stores that hit C2 ordering quotas every month will have boatloads of fun with this.
 
pharmacist_retail said:
I have heard, pretty sure this is true. In NYS you can now transfer new electronic controlled prescriptions if they were sent to the wrong pharmacy (in the same chain). The retail chains are still trying to upgrade their software to allow this. So for instance, a CII was sent to the pharmacy up the street by mistake, you can now take a controlled medication that is on hold at that store. You need to be on the phone with the other store and they have to accept the transfer. This is only chain-to-chain. Computer to computer. Not perfect, but it is a step in the right direction.
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I'm not sure this is legal nor have I seen this practice performed. Controlled substance transfers are restricted in NYS. Do you have a reference to back this practice for originals?
 
Yeah. Unless something changed in the last month (completely unlikely) it's explicitly illegal to do any type of cs transferring in NYS. Don't let some district manager tell you otherwise unless they present a bop rule stating its legality. New store= new e-rx
 
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