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MailMan Bulletins

MailMan Bulletins. March 2010. National Drug File Patches. Often get several messages, not all of which require action Impacts drug file, allergy tracking, POS/Billing, etc. Sample messages. Subj: Products with changed classes [#13062] 02/25/10@14:18 44 lines

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MailMan Bulletins

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  1. MailMan Bulletins March 2010

  2. National Drug File Patches • Often get several messages, not all of which require action • Impacts drug file, allergy tracking, POS/Billing, etc.

  3. Sample messages Subj: Products with changed classes [#13062] 02/25/10@14:18 44 lines From: NDF MANAGER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- Product: BARRIER,ASSURA COLOPLAST #14233 Old Class: XA600 New Class:XA602 Product: CATHETER,SELF-CATH COUDE 14FR COLOPLAST #50202 Old Class: XA599 New Class:XA510 Product: CATHETER,SELF-CATH COUDE 14FR COLOPLAST #50203 Old Class: XA599 New Class:XA510 Product: CATHETER,SELF-CATH COUDE 16FR COLOPLAST #50204 Old Class: XA599 New Class:XA510 Product: DRESSING,BIOPATCH 4MM JJ#4150 Old Class: XA100 New Class:XA105

  4. Subj: DRUGS UNMATCHED FROM NATIONAL DRUG FILE [#13060] 02/25/10@14:18 69 lines From: NDF MANAGER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following active entries in your DRUG file (#50) have been unmatched from the National Drug File (NDF). The VA Product name and CMOP ID corresponding to the unmatched local drug file name are listed on the indented line beneath each entry. An Inactivation Date may be listed for entries when this reason applies. Until you rematch these entries to NDF, they will not transmit to CMOP and drug-drug interaction checks will not check for these products. It is critical that you rematch these products immediately. You may also need to match a new orderable item. Any possible dosages and local possible dosages for these unmatched products have been deleted. Therefore, the dosages for each unmatched product should be reviewed after the rematch or recreated if the product can not be rematched to a VA Product through the NDF matching process. DRUG IEN INACTIVATION DATE ------------------------------------------------------------------------------- NONE

  5. Subj: UPDATED INTERACTIONS [#13059] 02/25/10@14:18 263 lines From: NDF MANAGER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following interactions in National Drug File (NDF) have been added, edited or inactivated. These changes are the result of review and recommendations from the NDF support group. ADDED INTERACTIONS ALFENTANIL/ISOCARBOXAZID Critical ALFENTANIL/LINEZOLID Critical ALFENTANIL/PHENELZINE Critical ALFENTANIL/RASAGILINE Critical ALFENTANIL/SELEGILINE Critical ALFENTANIL/TRANYLCYPROMINE Critical AMPRENAVIR/DELAVIRDINE MESYLATE Critical AMPRENAVIR/RIFABUTIN Significant AMPRENAVIR/ROSUVASTATIN Significant AMPRENAVIR/TADALAFIL Significant ATAZANAVIR/ATORVASTATIN CALCIUM Significant ATAZANAVIR/DEXLANSOPRAZOLE Critical ATAZANAVIR/ESOMEPRAZOLE Critical

  6. Subj: DATA UPDATE FOR NDF [#13058] 02/25/10@14:18 540 lines From: NDF MANAGER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following VA Products have been added to the National Drug File. You may wish to review, then match or unmatch local drug file entries based on this updated information. ATTENDS BRIEF PULL-ON XX-LARGE (CMOP - XT311) (DISPENSE UNIT - EA) 999004-6395-39 BANDAGE,DERMACEA 2IN X 4YD NONSTERILE KEN#441124 (CMOP - XT340) (DISPENSE UNIT - EA) 008884-4411-24 BANDAGE,DERMACEA 2IN X 4YD STERILE KEN#441108 (CMOP - XT336) (DISPENSE UNIT - EA) 008884-4411-08 BANDAGE,DERMACEA 3IN X 4YD NONSTERILE KEN#441123 (CMOP - XT341) (DISPENSE UNIT - EA) 008884-4411-23 BANDAGE,DERMACEA 3IN X 4YD STERILE KEN#441107 (CMOP - XT337) (DISPENSE UNIT - EA)

  7. Subj: INTERACTIONS and ALLERGIES UPDATED [#13047] 02/25/10@13:02 29 lines From: NDF MANAGER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following interactions have been edited because they involved ingredients that are not primary ingredients. none found The following interactions have been deleted because Primary Ingredient/Other Ingredient combination already exists in the DRUG INGREDIENTS file involved ingredients that are not primary ingredients. GATIFLOXACIN/PIOGLITAZONE HCL GEMFIBROZIL/PIOGLITAZONE HCL ================================================================ Allergy information for the following patients has been changed. Patient:PITTS,BELVA LOIS Non-primary ingredientPIOGLITAZONE HCL was replaced with primary ingredient PIOGLITAZONE HCL

  8. AWP Updates (from tasked job) • These are triggered every time the TaskMan job for AWP updating is run, OR when the AWP Manual Update option is run. • Usually 5 or more messages • Often require action: editing the drug file entry to comply with the needed information • Might involve NDC numbers, dispense units per order unit, or other information preventing the local file from being updated with new AWP information. • Also looks at AAC, but is NOT looking at the price per order unit you manually enter.

  9. Sample messages Subj: Outpatient Pharmacy AWP Automatic Update [#12995] 02/23/10@15:04 200 lines From: OUTPATIENT PHARMACY DEVELOPER In 'IN' basket. Page 1 ------------------------------------------------------------------------------- A Pricing update was performed on your system on FEB 23,2010. The total number of records updated = 650 Listed below are the active drugs that were not updated and the error codes. Please review and correct all errors before attempting to run the manual AWP update option. Note: any 'missing 660 node' errors means that information like (ie. Reorder Level, Order Unit, Price Per Order Unit, Dispense Units Per Order unit, Price Per Dispense Unit, etc) is missing! DOPamine 400MG/250ML INJ - MISSING 660 NODE IN DRUG FILE BETHANECHOL 10MG TAB U/D - MISSING DISPENSE UNIT IN DRUG FILE ACETAMINOPHEN 120MG SUPP - DISP UNITS DON'T MATCH - Medi = 237 / Local = 12 ACYCLOVIR 200MG CAPS - NDC'S DON'T MATCH ACETAMINOPHEN 120MG SUPP - NO ACTUAL ACQUISTION PRICE FOR THIS NDC IN AWP MED-TRANSACTION FILE

  10. AWP Updates (single item) Subj: NOTIFICATION OF DRUG PRICE (AWP/AAC) UPDATE [#13319] 03/17/10@14:06 10 lines From: PHARMACY NOTIFICATION In 'IN' basket. Page 1 *New* ----------------------------------------------------------------------- THE NDC NUMBER HAS BEEN UPDATED FOR THE DRUG BELOW BY USER,ESTUDENT. THE RESULTS OF THE AWP AND AAC UPDATE PRICES ARE (86137) LAP NACL 0.9% 50ML ADDV BAG-0040710166 - NDC'S DON'T MATCH OR: Subj: NOTIFICATION OF DRUG PRICE (AWP/AAC) UPDATE [#13316] 03/17/10@13:55 10 lines From: PHARMACY NOTIFICATION In 'IN' basket. Page 1 *New* ------------------------------------------------------------------------------- THE NDC NUMBER HAS BEEN UPDATED FOR THE DRUG BELOW BY USER,LSTUDENT. THE RESULTS OF THE AWP AND AAC UPDATE PRICES ARE (86135) CLEOCIN PHOS/D5W 300MG 50ML 24-00009338102 - NO ACTUAL ACQUISTION PRICE FOR THIS NDC# IN THE AWP MED-TRANSACTION FILE (86135) CLEOCIN PHOS/D5W 300MG 50ML 24-00009338102 - NO PROBLEM WITH THIS PRICE UPDATE FOR AWP AND AAC

  11. Missing Cost (Unit Dose) Subj: COST NOT FOUND ON DRUG ITEMS [#13171] 03/16/10@12:46 39 lines From: MEDICATIONS,UNIT DOSE In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following items from your DRUG file were found to have NO DATA in their PRICE PER DISPENSE UNIT field: ATROPINE SULF 1% OPTH SOL. (15ML) LACTULOSE 10GM/15ML SYRUP HOMATROPINE 5% OPHTH SOLN-5ML ALBUTEROL MDI (17GM) HYDROXYZINE= 25MG TAB CARBAMIDE PEROXIDE 6.5% OTIC (15ML) MORPHINE SULFATE 30MG *SR* TAB METHYLPREDNISOLONE 125MG INJ (2ML) KETOROLAC TROMETHAMINE 30MG/ML INJ IBUPROFEN 100MG/5ML SUSP. (473ML) NICOTINE TRANSDERMAL 7MG/DAY LORazepam 2MG/1ML TUBEX INJ (10'S) GREEN LADY/LIDOCAINE 50:50 CLOTRIMAZOLE 1% CREAM (30GM) AEROCHAMBER PLUS WITH FLOWSIGNAL OXYCODONE/APAP 5/325MG TAB (6'S) PREPACK ASPIRIN 81MG CHEW TAB U/D

  12. Missing Cost (Additives and Solutions) Subj: MISSING COST INFORMATION [#13178] 3/16/10@16:46 1 line From: IV PHARMACY PACKAGE In 'IN' basket. Page 1 --------------------------------------------------------------- REGULAR INSULIN IN THE ADDITIVES FILE.

  13. Adverse Reaction Tracking Subj: ALLERGY/ADVERSE REACTION TO BE VERIFIED [#12989] 02/23/10@14:03 10 lines From: NIESEN,MARY ANN In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following allergy/adverse reaction needs to be verified for the following patient: Patient: THOMPSON,ANNIE M SSN: 10-87-37 Reaction: CEFTRIAXONE OBS/HIS: Observed Location: OUT PATIENT Signs/Symptoms Date Observed ------------------------------------------------------------ RASH Feb 20, 2010

  14. Subj: REACTION ENTERED IN ERROR [#12990] 02/23/10@14:44 17 lines From: USER,ZSTUDENT In 'IN' basket. Page 1 ------------------------------------------------------------------------------- The following reaction has been ENTERED IN ERROR. Please ensure that the patient's Chart/ID Band are updated to reflect this change. Patient: THOMPSON,ANNIE M SSN: 10-87-37 Reaction: PENE Location: OUT PATIENT Originator: USER,ASTUDENT Entered in Error by: USER,ZSTUDENT Entered in Error on: Feb 23, 2010@14:44:04 Comments: ENTERED IN ERROR Date: Feb 23, 2010@14:44:04 User: USER,ZSTUDENT Title: CAUSATIVE AGENT MIS-SPELLED, CORRECTED ENTRY ALREADY PRESENT.

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