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#1775
07/05/2007 10:03 PM
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I am sure this has either been brought up before or I am an AC idiot. Because medications seem to recognized as the medication and format and not the strength, meds overwrite each other. Today I had to write four prescriptions for Seroquel, because this is the way Mainecare wants it. They continued to overwrite each other so after doing this five times, I ended up having to print each one separately. I still only have one script saved. Usually, it does this for 25 mg and then 100 mg, but at least if you close it and then reopen and do the other strength, it stays. But, all of these scripts were for Seroquel tablets 25 mg, so they overwrote and overwrote. They has to be a better way. At least if AC recognized Seroquel tablets 25 mg as one medication and Seroquel tablets 100 mg as another that would help. Not sure how to fix the multiples of 25 mg other than changing the spelling, etc.
Bert Pediatrics Brewer, Maine
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Bert,
This is indeed an annoyance, however how often are you seeing this? I run into this with Freestyle Glucometer Test Strips and Freestyle Glucometer Lancets - it assumes that they're both the same. The work-around is to create each one of them separately, and make them NEW the first time with the NEW button, and print them separately. You CAN make them separate medications this way. They still won't print at the same time though, but at least they'll both be on the patient's med list.
I see this only a couple of times per week, so it really isn't that big a deal to me, as long as I remember that I have to print them in separate batches.
V.
Vincent Meyer, MD Meyer, Malin and Associates, PLLC
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This actually pops up on a regular basis with patients who are on different doses of adderal or ADHD medicine that must have each on a different Rx. I've become accustomed to just write print write print, but it would be easier if it recognized them as unique.
Wendell Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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This happens to me on anything I write. I've written this before I think, but this is what I do...for example with Chantix...
.Chantix Starter Pack Chantix 1mg BID
Note that I put a dot infront of the first one...that is the only way I can get both prescriptions written. It's the same when I write for a glucometer and strips, or different strengths of other medicaitons.
Hope this helps
Barbara
Barbara C. Phillips, NP Beachwater Health Associates Olympia, WA
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rainy and DrWAW right on the money, and Vinny thanks for the input.
My patients will tell you that this is the ONLY thing that makes me want to throw the computer our the window. DoctorWAW you are right it happens mostly with stimulants and amphetamines. Rainy I used your workarouind too, lol
The reason it happens is because AC looks at "the desired medication" and not "the desired formulation" as well. So, for instance, if your write for Focalin XR 20 mg, AC "sees" Focalin XR only. So, while Focalin XR 20 mg.
But, Vinny seems to be half right and half wrong which is very good for me.
I just wrote for Concerta 18 mg and clicked on upate/prescribe. The medication then populated the left and right columns. Rather than just clicking on Concerta again, I clicked on add new med first, then I added a 36 mg, did it again with a 27 mg. All three showed in both windows. I was able to print all three strengths of Concerta, not that we can print controlled substances to paper. This is the first time in over three years I have learned this.
Bert Pediatrics Brewer, Maine
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This happens to me on anything I write. I've written this before I think, but this is what I do...for example with Chantix...
.Chantix Starter Pack Chantix 1mg BID
Note that I put a dot infront of the first one...that is the only way I can get both prescriptions written... True, but the problem with this is they're in your "hot list" and the patient's chart in alphabetical order, so the two Chantix prescriptions won't be next to each other. This would drive me totally nuts. Guess if it works for you, it's a good work around. V.
Vincent Meyer, MD Meyer, Malin and Associates, PLLC
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