Creating a Compound
- Anthony Campana
Video Password: bestrx310
Entering a compound is a simple process similar to manually adding a drug to BestRx.
Drug File Details
With nothing populating the drug field on the main screen or completely in New Rx mode, click Drug File (F4) then Add New Drug.
The required fields (outlined in red) are the same as when adding any other drug; there are only a couple other things that distinguish a drug as a compound. The fields marked with the red arrows pertain to this step.
Drug Description : Enter the description for the compound you're making. Be sure to be descriptive as it will make it easier for you to find this compound for later use.
NDC / Product ID : Enter any number in place of the NDC number. This number is not important as the only identifying information sent with the claim will be the NDC number for the ingredients. It helps not to use an NDC number that matches any drug already in the system; the price update will mistake the compound for that drug and update the price accordingly. While with the more recent BestRx updates this is not damaging, it can be particularly confusing for the user and it just general good practice not to do so.
Package Size : Enter the base size for the compound you'll be creating. Don't worry if you have to fill for more later/on another prescription. BestRx will correctly adjust the size/ingredients to match your quantities. It's important that this one base record is correct to what you are making.
Unit of Measure : Indicate the unit of measure for the compound you're creating.
Drug AWP / Direct Price / Fed Mac / Special Dispense : For this step, simply enter 1.00 into the Drug AWP and tab one field down. BestRx will populate the other three fields automatically with that value. We'll get back to these fields later.
Compound Drug : Make sure to mark this field Yes.
Compound Details
When the fields have been filled out as listed above, click on the Compound Details tab up top.
This tab lists all ingredients included in the compound, and some details about the compound itself.
Compound Type : Indicate the compound type.
Level of Effort : Indicate the level of effort if any. In most situations the level of effort will not exceed 13 - Level 3 and the insurance will not pay above that level. It is the pharmacy's responsibility to determine the level of effort in coordination with the insurance company. 00- Not Specified, 11- Level 1 (Lowest, 1 to 4 minutes of time), 12- Level 2 (Low Complexity, 5 to 14 minutes of time), 13- Level 3 (Moderate Complexity, 15 to 29 minutes of time), 14- Level 4 (High Complexity, 30 to 59 minutes of time), 15- Level 5 (Highest, equal or greater than 60 minutes of time)
Route of Administration : Indicate how the compound will be administered.
Dosage Form : Indicate the dosage form
Dispensing Unit : Indicate the dispensing unit. This will be the same as indicated on the main screen.
Next proceed to enter the ingredients, one by one, by searching and selecting the drug in the Drug Name / Product ID field, selecting the quantity and clicking Add Ingredient. The Basis of Cost and Modifiers field should not be used unless the insurance company specifically directs the pharmacy to do so. Proceed adding ingredients in the same manner until finished with all the ingredients.
Pricing Details
When all ingredients have been added, BestRx will automatically calculate the total ingredient AWP and ACQ cost. It is a general rule NOT to pay attention to the quantity total when creating a compound. This total is rarely representative of the actual compound size result and can only confuse the user. Keep track of these two numbers; they will be used in the next step to properly determine the cost for this compound.
The AWP and Acquisition totals from the previous step will replace the placeholder number 1.00 from before in these fields. This will properly determine the cost for this compound. When all five fields have been filled out, simply click Save & Exit.
When you are taken back to the RX Processing Screen, the compound details for ingredients are not immediately copied over after a first time creation of a compound. This is easily rectifiable by going to the Compound Details tab on the main processing screen and clicking the "Get Details from Drug File" button. After copying over the details you can get back to the main tab by clicking the "Back to RX Processing" button and continue filling your prescription as normal.
Congratulations on entering your first compound! Follow these steps to add any other compounds into the BestRx system.