Verify Before Fill
- Bart Rogacewicz
- Anthony Campana
Overview
The Verify feature has been implemented in order to double check prescription and optionally drug information before physically filling the prescribed medication. With the label printed and ready to be filled, you can either enter the RX in question or scan the barcode if applicable. If you need to verify an older prescription but no longer have a barcode, simply enter it in this format (without quotes) "RX+7_digit_RX#+YYMMDD"; the software will appropriately pull up the older prescription. If the prescription number is less than 7 digits, simply add enough zeros to the beginning of the RX number to adjust. This menu can be accessed from the Notification Bar or through its button located on the Dashboard if configured as such.
If you wish to scan the medication against the NDC used during fill, please select the "Also verify NDC on Drug package" option. You'll be prompted to scan the medication after inputting and verifying the RX info.
When performing a "Verify beforeBFill" prescription verification, if the NDC you are trying to dispense does not match the NDC on the prescription, but the two drugs are therapeutically equivalent, the program will prompt the user and ask if they would like to Reverse & Rebill the prescription using the newer NDC. If the user chooses "Yes", the program will display a popup window that will allow them to reverse the prescription, replace the drug with the newer NDC, rebill the prescription, and reprint the label all from one screen, with the entire process taking just a few seconds.
The screen will display some fields in YELLOW color; these fields are going to require extra verification. In order for the user to verify that field, simply click on the field and the field will turn GREEN. The prescription cannot be verified until all YELLOW fields have been clicked and turned GREEN. The purpose of this functionality is to try to perform a more thorough verification of the prescription. Refill prescriptions will automatically carry over verified fields, unless changes happened to the prescription, which will require re-verification.
By default, the fields that require extra verification are Patient Name, Drug Name, Qty Filled and Sig Directions; however, this is customizable by clicking the GEAR in the upper right hand corner, launching the option box as shown below.
From this settings screen you can indicate not only which fields require extra verification by clicking the corresponding "Yes" and "No" fields, but you can also add or remove fields that will be displayed on the verification screen with the "Add" and "Remove" links on the left hand side; this screen also allows the users to sort the fields as they choose using the UP and DOWN arrows. The changes will immediately display on the right and allow you to see them live. The Verification settings for Verify before Fill and Dispense do not share, and can be customized separately from each other. The program also allows the option to change which fills require additional verification by adjusting the "Fills that require additional field verification" drop-down box option.
You can also select whether to Auto-Display PDMP Info for certain prescriptions, Auto-Display Rx Remarks, Auto Display DUR’s, Auto-Display Interactions, and Auto-Display Allergies. If you select No to any of these options, you will still be able to manually pull up the information using the related buttons on the verification screen.
After you have gone over the information on the screen and verified that it is correct, click on the "Verify Rx" button and enter your password to verify the prescription.
Image Scanning from Verify Before Fill/Dispense Screens
This feature will allow pharmacy to scan Rx image from Verify screens. We have now added Rx Image (f11) link at the bottom of the Verify Screens which will open default Rx Image Scan screen to perform a scan.
Verify Rxs using Shortcut Key (Spacebar)
Verify each field using Spacebar so pharmacist/techs can complete Rx verifications in a continuous flow without touching mouse.
There is a check box on Verify screens needs to be checked in order to use Spacebar to Verify Rx fields, This setting will be saved once it is first time used so it doesn’t need to be checked every time.
Printing Labels and Leaflets
Added in August of 2021, the Verify before Fill and Verify before Dispense screens now allow you to print the drug education leaflet or label from the verify screen itself. This is accessed from the Print button at the bottom, which will give a pop up menu letting you choose to Print Leaflet or Print Label.
Labels will print to the label printer selected in Administration → 8. Workstation Setup. When choosing to print a leaflet, a print dialogue box will pop up asking you which printer you’d like to print to. Your default report printer will automatically be highlighted in this box.
Whether the system prints a long or short drug education leaflet depends on your Default Drug Education Message Type in File → I. Pharmacy Setup → Printing.