[MT-L] FW: CodeCorp scanner and NDC codes

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Arthur, Jerri

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Mar 28, 2011, 10:26:48 AM3/28/11

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From our Pharmacy Director:

We use code corp. scanners and are very pleased with them. We also have
lots of drugs in our dictionary that only have 10 digit NDC numbers. I
could be misunderstanding the issue, but from what I know of NDC's, the
missing zero is not a big problem. If it is missing in the bar code, it
is always from a specific location in the NDC string. This is not a
problem for variation in manufacturer. If the same generic drug is made
by different companies, the other characters in the string will be
different. The missing zero in a string does not matter.
When we first got the code corp scanners, they had to "program" them
somehow to work for us, but I think that was just to read the different
types of bar code. Meditech will accept 10 digit bar codes. We use the
"quick add drugs by bar code" function to verify our daily orders and
sometimes have to add another bar code whether it is 10 or 11 digits.
Bill Arrington D.Ph.
Director of pharmacy
Stillwater Medical Center
Stillwater, Okla.

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Ron Havlen
Sent: Friday, March 25, 2011 11:05 AM
To: Alan Miller; Joel Sanford; medit...@mtusers.com
Subject: Re: [MT-L] CodeCorp scanner and NDC codes

Thanks to all so far. Apparently in further talks with my pharmacist,
there is a big issue with using a 10 digit ndc number in the alternate
ndc numbers.
While it appears that this would allow a medication to be scanned, and
it would match up with the 10 digit alt ndc number, which in turn would
then match with the 11 digit actual ndc number, this would not be the
true indicator of what was administered to the patient.

It appears that there can be several manufacturers of a drug. Each
manufacturer would have it's own NDC number. From what he is telling me,
we have to absolutely identify that the medication scanned and billed is
the exact medication that is administered.

So if an 11 digit ndc number is for medication xyz, but this medication
is manufactured by abc and def, then abc and def will have different NDC
numbers (10 digit) than what the 11 digit NDC number is that identifies
medication xyz.

While it is possible to have meditech match up the 10 digit product from
manufacturer abc to the medication xyz, apparently the problem in
verification and billing is that the bill has to show the correct
medication, from manufacturer abc.

So we have to be able to show from first scan into pharmacy, through to
administering to the patient, through to the required 11 digit for
billing, that it is the same number all the way through, that the
product ndc number was scanned all the way through. And subsequently
that is the ndc number that is billed.

To sum up, what our pharmacist says is the 11 digit ndc number is what
has to show from the very first scan all the way through the system.
Since the manufacturers are only putting 10 digit ndc numbers on the
products, and that is all that is showing up in the scans, we have to
find out how others are making it so from the very first scan the
correct 11 digit ndc code shows, according to the 5-4-2 requirements.

Ron Havlen
Schuyler Hospital IT Department
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-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Alan Miller
Sent: Friday, March 25, 2011 11:50 AM
To: Joel Sanford; medit...@mtusers.com
Subject: Re: [MT-L] CodeCorp scanner and NDC codes

Ron,
Joel is correct. When you scan in all the items in your pharmacy, if
the NDC scanned is not equal to the primary NDC, it is simple to add it
as an alternate. It doesn't matter if it's 10 or 11 characters.

Alan Miller, RPh
Pharmacist Informaticist
Clinical Information Systems
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
828-326-3611

>>> Joel Sanford <joel.s...@avhnh.org> 03/25/2011 09:08 >>>
NDC's are actually supposed to be 10 digits:
http://www.fda.gov/Drugs/DevelopmentApprovalProcess/UCM070829

McKesson published a good reference for pharmacies on NDC #'s a couple
years ago:
http://www.mckesson.com/static_files/McKesson.com/MPT/Documents/NDCRegul
ationsfoHorizonMedsManager_WHT278.pdf

Why try to get to the 11-digit format? The Alt NDC/Bar Code Identifier
field in Meditech is 10 or 11 digits...

Joel

Joel Sanford, PharmD
Staff Pharmacist
joel.s...@avhnh.org
Androscoggin Valley Hospital
Berlin, NH 03570
603.752.2200

On 3/25/2011 7:05 AM, Ron Havlen wrote:
> We are evaluating a CodeCorp CR2500 scanner. Nice unit. I've managed
to
> get it to scan almost all the different types of barcodes on the
various
> medications in our pharmacy. These are all manufacturer NDC codes.
>
>
>
> However, my pharmacist says that when scanned into Meditech, that if
the
> NDC number is missing any numbers in a segment, that the scanner or
> Meditech has to fill in with a preceding zero. He says the standard is
a
> 5-4-2 layout of the NDC code.
>
>
>
> For example, according to him a proper NDC code would be
12345-6789-01.
> 5 numbers, dash, 4 numbers, dash, 2 numbers.
>
> He says lots of the NDC codes are missing parts. So if a NDC number on
a
> medication shows as 1234-5678-90, then either the scanner or Meditech
> has to automatically precede the first segment with a zero, so it
looks
> like 01234-5678-90.
>
> If the NDC number on the medication shows as 12345-678-90, then the
> scanner or Meditech has to automatically precede the second segment
with
> a zero, so it comes in as 12345-0678-90.
>
>
>
> Finally, though more rare, even the last segment could be missing. So
if
> the number is 12345-6789-0, then the number has to come in as
> 12345-6789-00.
>
>
>
> Of course, the scanner and Meditech only bring in the full number and
> don't show any dashes, which he says is correct.
>
>
>
> How has anyone else gotten their scanner or Meditech to convert the
NDC
> number on a medication, which is almost always stamped on by the
> manufacturer, to what my pharmacist tells me is the proper 11 digit
> number if it isn't already stamped with the correct number barcode?
>
>
>
> Ron Havlen
> Schuyler Hospital IT Department
>
> Confidentiality Notice: This e-mail message, including any
attachments,
> is for the sole use of the intended recipient(s) and may contain
legally
> privileged and confidential information. Any unauthorized review, use,

> disclosure or distribution is strictly prohibited. If you are not the
> intended recipient, please contact the sender by reply e-mail and
> destroy all copies of the original message. Thank You.
>
>
>
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====================================

Please do NOT send messages that ask "Please post to the list" or "I'd
like to see your answers" or "Send that info to me, too" These are
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information.

You can locate the:
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2) NPR/Magic/CS tips
3) job opportunities in the Meditech community http://mtusers.net

Do NOT send email to meditech...@MTUsers.com. This is a system
email box that is NOT monitored by a human. If you need help or advice
on how to use the meditech-l, email lo...@MTUsers.com or
ju...@MTUsers.net. Both of these people help manage the meditech-l, so
they are your best resource.

====================================

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information.

You can locate the:
1) meditech-l archives
2) NPR/Magic/CS tips
3) job opportunities in the Meditech community http://mtusers.net

====================================

To UNSUBSCRIBE or to SUBSCRIBE, go to http://MTUsers.net for
information.

You can locate the:
1) meditech-l archives
2) NPR/Magic/CS tips
3) job opportunities in the Meditech community http://mtusers.net

====================================

Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.

To UNSUBSCRIBE or to SUBSCRIBE, go to http://MTUsers.net for information.

You can locate the:
1) meditech-l archives
2) NPR/Magic/CS tips
3) job opportunities in the Meditech community
http://mtusers.net

Do NOT send email to meditech...@MTUsers.com. This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email lo...@MTUsers.com or ju...@MTUsers.net. Both of these people help manage the meditech-l, so they are your best resource.

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