[MT-L] Medispan FSV and Using Dr First
Rushing, Kristen
Happy Friday to the L!!!!
Recently, our local pharmacies have been reporting that when multiple scripts are transmitted for the same patient from our Ambulatory clinics using LSS, some are coming eRx and some are dropping to fax. I opened a task with MT. According to Dr First, the reason some are dropping to fax is that Surescripts , who uses FDB as their formulary provider, doesn’t have the NDCs active in their system. FDB uses the FDA National Drug Code Directory for their content. Medispan uses lists obtained directly from the manufacturers. The NDCs from Medispan aren’t in the FDA Directory. According to the information listed on the FDA website:
The Drug Listing Act of 1972 requires registered drug establishments to provide the Food and Drug Administration (FDA) with a current list of all drugs manufactured, prepared, propagated, compounded, or processed by it for commercial distribution. (See Section 510 of the Federal Food, Drug, and Cosmetic Act (Act) (21 U.S.C. § 360)). Drug products are identified and reported using a unique, three-segment number, called the National Drug Code (NDC), which serves as a universal product identifier for human drugs. FDA publishes the listed NDC numbers and the information submitted as part of the listing information in the NDC Directory which is currently updated every Monday.
Since these drugs aren’t listed, is it safe to say that these NDC’s aren’t FDA approved? How do think we should resolve this issue? I am at a loss, because it’s an issue between Surescripts and Medispan and MT honestly isn’t involved.
Words of wisdom will be greatly appreciated!!!!
Thanks!
Kristen
Kristen Rushing, RN, BSN
Clinical Informaticist
Information Technology
Murray Calloway County Hospital
803 Poplar Street
Murray, KY 42071
p. 270.762.1860
f. 270.762.1332
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Charles Downs
Another issue may be that these NDC’s have been discontinued. I know with FDB, they keep inactive NDC’s for 3 years after a product with that NDC has been discontinued. We are Magic, and in RXM, there were many, many NDC’s which were inactive, but because Meditech does not look at this field with FDB, and probably with Medispan and Micromedex too, these old NDC’s stay in RXM or AOM for 3 years after they are discontinued. I have told Meditech that they need to look at this field and change these NDC’s to an active NDC immediately, and if there is not a replacement NDC, have a parameter where these drugs drop off after say 3 months. Check the website DAILY MED http://dailymed.nlm.nih.gov/dailymed/about.cfm?CFID=95290328&CFTOKEN=196c107029eab31e-B2C02B24-A59C-933A-115B8F438A8FA64C&jsessionid=84305000059ecf1365934230581b67212716 for the NDC’s. I also had FDB send me a spreadsheet with all of the drugs we get which has a column denoting if a drug is no longer active. Not sure if Medispan would do this or not. It had over 100,000 listings and there were a substantial number which were inactive. You might be fine with the drugs on formulary if you keep up the NDC’s, but with RXM, if you change the NDC in pharmacy, it does not update it in RXM whereas with AOM, if you update the NDC in pharmacy, it does update it in AOM. Also, a lot of the NDC’s used when RXM or AOM were created were already inactive and were repackager NDC’s rather than those of the actual manufacturer.
Charlie
Charles Downs PharmD
Information Systems Pharmacist
Meritus Health, Inc.
11116 Medical Campus Road
Hagerstown, MD, 21742
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Freida A. Wade
Charlie,
Did you inactive the drugs in RXM if the NDC was inactive on the list that FDB sent you?
Freida Wade, CPhT | Applications Analyst II
Information Technology | 828-696-4218
Margaret R. Pardee Hospital
800 N. Justice Street
Hendersonville, NC 28791
