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PMP
by Bert - 02/27/2025 1:22 PM
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Posts: 272
Joined: June 2012
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#71435
07/20/2017 8:02 PM
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Joined: Sep 2003
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As I use AC, so often I find little or big things I wish were different. But, I do nothing or talk about them here and don't send them in the proper way, so nothing gets done. And, now that Chris and the development team add features more and more, I should.
But, it's fun to see if others have the same issue or at least the same wish. This one is my biggest pet peeve especially with Electronic Prescribing of Controlled Substances. (Hey NY. Help me out here). With EPCS, at least for me, it is easier to write or change a medication if you need to in the script writer than directly in NewCrop. So, you have to at least get to clicking #2 Prescribe in order for it to be saved to the current meds so it goes over to NewCrop. Your AC current meds show up in NC and the NC current meds show up in AC. Plus, this is an issue with other times you work with meds.
OK, so you write a script, and you save it. Now you need to close the script writer to get to NewCrop at top left. But, it would be so cool if you had two buttons at the top right. One would be Close to Rx writer or something like that. And, the other would be Close. As it is now, in any situation, when you need to get out of that screen, you MUST choose Close, and it closes the entire script writer, and you have to open it again. Same thing happens when you send a medication.
I probably explained this way too complicated. Anyone have this issue?
Bert Pediatrics Brewer, Maine
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Joined: Aug 2011
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Totally agree. No point in writing a script in order to make it accessible in NC, then having to close the prescription writer and then re-open it in order to get back to NC.... certainly a nuisance....
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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Thanks Luis, I wish I had the ability to write in one sentence like you did what takes me four paragraphs.  Obviously, this is a compliment to you.
Bert Pediatrics Brewer, Maine
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Joined: Mar 2008
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With Schedule II drugs, I usually fill 3 months at a time so I print 3 Rx with fill dates in the comments sections. I wish I could do all three at the same time but you can't, you have to print, close the Rx writer, open it again, write the Rx, Print, close, open, write, Print, close. Big waste of clicks.
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Not sure I followed, but you can do all three at one time. And, you can also simply write 1 of 3, 2 of 3, and 3 of 3 and let the pharmacists figure it out. We do nine at a time if there are three scripts. Plus, my MAs do all that. I just click twice, put in my username (sucks now that you have to) and password and use my phone and Verizon.
Takes me about 60 to 90 seconds for the whole process. And, you just leave the one script in AC all the time. Edit it in NC if you need to write PMP or MME or exception, etc. (whatever your state FORCES you to write).
Bert Pediatrics Brewer, Maine
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To be clear, the law (as in Maine) will only allow 30 days worth of opioids within a 30 day period. Those must be done one at a time. But, you wouldn't be able to go back in and write a second, then a third.
Benzos can be written as one script with two refills. Here, a PMP must be done on each of these controlled substances every three months.
Bert Pediatrics Brewer, Maine
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Joined: Aug 2011
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E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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With Schedule II drugs, I usually fill 3 months at a time so I print 3 Rx with fill dates in the comments sections. I wish I could do all three at the same time but you can't, you have to print, close the Rx writer, open it again, write the Rx, Print, close, open, write, Print, close. Big waste of clicks. I was surprised that Scott didn't comment again. Maybe he figured it out. Maybe I was thinking more toward EPCS. Or maybe I misunderstood. But, now I think Scott is talking about printing to tamper-proof paper. Likely using the Star Printer. The great thing about the Star Printer is it is simply the most difficult printer to set up with settings, drivers and AC. But, one certainly does not need to print more than once. You could print 100 of them in about two minutes if you wanted to. We used to give 3 scripts as well as that is the most you can do in Maine. We do 3 in EPCS as well. It was basically just as fast, if not faster, than printing to 8 1/2 by 11 paper. I don't know what printer Scott is using, but with the Star, you simply prescribe the Vyvanse the same way, click on preview prescriptions, click on print preview and select the Star print driver. Then select the number you wish to print. Click print, and three scripts will print out. Select 20 and 20 perfect scripts will print. The way we did it, the exam rooms would print to the receptionist's desk. We had three stampers already set to the three months. It would say Do not fill before August 1st and do not fill before September 1st. She would stamp them, then have them ready for me, and I would just sign them. Now, the only weird thing is if you load Vyvanse and Adderall 10 mg (for the afternoon) and select three. Or even one. You will get a steady roll of the two drugs together which have to be cut. The best thing before EPCS was my triage nurse also had a Star printer. If the patient was on say, Metadate CD 30 mg, and doing well, she would sign and stamp them. I would sign them when I grabbed the chart before going into the room. I could gauge my patients so I knew which ones would be like, "I waited 30 minutes, and you come in for 45 seconds." vs "I waited 30 minutes. Sure, just give them to me so I can get out of here." Those visits would catch me up so quickly. Now, it's not quite as fast. Now, I have to click on the med in current meds in NewCrop, then edit them by selecting the ICD-10 diagnosis. I then have to type 1 of 3, 2 of 3 and 3 of 3. ADHD is already there from AC. And, 1 of 3 will already be there from before. And, the ICD-10 dropdown diagnosis of ADHD with the ICD-10 will be there. Then, I have to take them from pending through the process to the pharmacy and finally through the two-factor authentication and Verizon ID. But, my MA just like she did when everything was stable now goes in and clicks on the current ADHD meds three times, edits them as above, adds the pharmacy when necessary, then closes the NewCrop screen. Now, I just open NewCrop and the meds are in pending. I simply click three times (check the pharmacy in green), enter my credentials (username and password), then use my cell phone to validate it. You do have to click on Accept, which is absolutely stupid. They are working on that. But, really, if already set up, it only takes around a minute. It is really nice to only have to type 1 of 3, 2 of 3, and 3 of 3, and let the pharmacist do the work after that.
Bert Pediatrics Brewer, Maine
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