Processing the Order through RxConnect

Fill and NCPDP Billing section on the Add Order screen

RxConnect > Patient Profile > Orders > Add Order

• Expected Days Supply: This field displays the total numbers of days covered by the fill as estimated in myAvatar OE.
• Fill Days Supply: Enter the number of days covered by the fill.
  For bulk medications, this field defaults to a value entered in the Default Bulk Days Supply field on the Hospital form as of Version 6.3 and higher.
• Max Qty to Dispense: This field displays the maximum quantity that can be dispensed for the order. This field is only enabled when coding a pending order. It does not apply to manual order entry, DC & Rewrite, Change Order, and Order Sets. The system will tell the pharmacist of any dispense if they are trying to dispense more than is authorized for the order. The Patient Profile also has a visual notice.

Scrolling to the right on the patient's profile, will also show the max number of doses for the order that are authorized.

If the user right-clicks on the order and left-clicks on Show Details, the system will show all the Medicare Part F information in the lower left side of the screen:

This also displays the remaining quantity authorized to dispense.

• Calculate Fill Quantity to Dispense: Click this button to populate the corresponding field with the total amount of medication to dispense.
• Template Dispense Qty: This field displays the dispensing quantity for the selected medication type as specified in the Drug Edit (Template) screen.
• Medicare Part D Qty: This field displays the dispensing quantity for the selected medication as specified in the Drug Edit (Actual) screen.
• Refills: This read-only field displays the number of authorized refills (not including the original fill) and is populated via the HL7 integration.
• Remaining Qty to Dispense: This field displays the total number of remaining dispenses that can be dispensed.

NCPDP Billing section on the Print Labels and Take Home Label screens

RxConnect > Patient Profiles > Orders

Right-click on the order to choose Print Labels.

This will take you to the Print Label screen. Select the NCPDP tab.

• Dispense as Written: This field displays the DAW value entered in myAvatar OE.
  Since this field could easily be changed and the pharmacist might miss it, the recommended practice is to set up a notification rule in the Rules engine to indicate if this field is set to not authorize generic dispensing.
• DAW Reason Code: The value in this field will default based on the value populated within the Dispense As Written field, but it may be edited. The complete DAW Reason Code list is as follows:
  • DAW Reason Code Information Not Available
  • No Product Selection Indicated (Generics, Single Source Brands [SSB])
  • Substitution Not Allowed by Prescriber (MD DAW)
  • Patient Requested
  • Pharmacist Selected
  • Generic Drug Not in Stock (Pharmacy stock, not market)
  • Brand Drug Dispensed as a Generic
  • Override (Some Medicaid payors require this code to represent DAW 1)
  • Brand Drug Mandated by Law
  • Generic Drug Not Available in the Marketplace
  • Payer (Patient's plan requested brand be dispensed)

RxConnect must be connected to myAvatar in order for this field to default.
 

• New Billing Notes: Enter information about the prescription that might be helpful later for billing purposes. The pharmacy can make any notes needed for each dispense or submission. This also allows the user to change the DAW reason should that be necessary on each dispense.

The Days Supply is immediately above the PoB button on the lower left side of the screen. This allows the user to override the default set in the hospital configuration screen if that is necessary. If the medication is a "BULK" medication, the system cannot calculate a days supply automatically. The pharmacist or person dispensing should put the number of days that this medication should last the patient in this field before clicking on the Run button or the PoB button. (Unit dose medication has the days supply automatically calculated.)