Home Forums Discussions Problems error with e-prescribing

has anyone had this error? I get it a few times a week. I can't figure out what causes it. some kind of problem with the demographic information perhaps?

I had same error made no sense, when I looked at demographics for that patient 'preferred pharmacies' showed there were 5 preferred pharmacies. I erased them all left preferred pharmacies blank then went back and eRx worked, who knows?

Thanks koby! That worked for me. I appreciate the help.

you are welcome DRMO, my guess is AC doesn't care how many preferred pharmacies are listed but newcrops can't handle more than 1 so instead of newcrops just asking to clarify or pick 1 it throws up an exception. ? Lazy programmers or impossible programming task ? And you would think the error message would define the problem in simpler language for us Neanderthals.

Sometimes you get that error if there is a disallowed character in the patients address (for a while, we were putting "Lewis & Clark Rd." instead of Lewis and Clark Rd.) or sometimes there is an invalid ICD10 code in the list -- even an inactive code that you don't even know is there.
Very picky program.

Yeah, it is a pharmacy thing. Then, I don't know how we did this, but we had 489 email addresses as NONE. No one will own up to it. Had to delete them all via SQL. Because you can't save demographics if email format is incorrect.

Who knows, it may be a DEA thing. It does make sense to insure that Oxycontin is going to the same pharmacy each time or there are less chances for errors.

The whole pharmacy things with NewCrop is a little convoluted. They are working on it, but they ask for my ideas, then never use them. I think they added one once but did it wrong, so it isn't that useful.

They still don't get the fact that we can send three ADHD scripts at a time. So, one must click on Concerta three times.

But, if you have questions with error messages just email them to me, and I should get able to get an answer within minutes (from when I get it).

Hi guys, just reaching out to the wisdom of the smart people at the forum. I am getting an Electronic Prescription Failure message "THe following prescription has failed to transmit to the requested pharmacy: Failure Reason - Message type not supported by sender"
I have not changed any setting, and it was working good until 2 days ago, when all my Rx did not go through. I contacted AC today, but no answer and the timing has been terrible with the busy day I had. Anyway any help is appreciated, thank you guys!!

Question: When you try to send the script, is it codified? Do you have everything filled in especially in the Dispense portion. Not just the left box, but the one that says, milliliters, capsule, etc.

It will generally give that error message specifically. The key thing is that the medication be codified, not italicized. What can make it tough is if it is non-codified, so you can still fax, but the medication you have, given it isn't written so the NDC number can be detected, it will fail even as a fax. Accutane is a great example. They don't make Accutane at all, so there are a number of brand names. You can't type in isotretinoin, because the pharmacist doesn't have an NDC to match up with a particular Brand Name. It is not codified. There are many brand names that will work. Problem is sometimes Medicaid covers some and not the other, and not all brands have the right strength. Just to be sure, this is ePrescribe correct? Not EPCS?

Thank you Bert for you quick response. Not sure what you mean by codified? However, it is pretty much the same medication I always prescribed in the past (amoxicillin , hydrocortisone and etc), so don't think that is the issue. Everything in the Disp and other boxes have been filled out as well. Yes it is ePrescribe. Thank you again Bert and will keep you updated when AC responds (no call today at all)

Oh, you missed the codified days. There were times a long, long time ago; long before the dinosaurs roamed the land and HIPAA and MIPS were even thought of, we had databases that were, to say, horrifying. They had amoxicillin 250 mg/5mLs written three times and the 500 mg version wasn't even there. Meds were left out, etc. So, all of these drugs looked italicized, because you may have even freehanded some. None of the medications were tied universal and, therefore, could not be tied to an NCD code. Therefore, they needed to be codified. They could be faxed from the prescription writer but not sent electronically. Of course, this soon needed to be changed. And, SureScripts, the medication transporter in the sky provided and made all this happen.

So you may have a script like the following. All I did was put the oral tablet in front of the 1 mg. Pretty much all the meds put the form of the drug in front of the amount. More and more of them aren't even faxable due to no way to give an NDC code to it.



Before being codified, you will note it is in the active medication list, but it is intalicized. This was not good. Prior to having the ability to codify meds, ALL of the meds looked like that. It was rather exciting to codify the meds. One of the frustrations was if you had a codified med and a non-codified med, they would both go to the pharmacy but one would go to the computer and one would be faxed. So, you had to tell the patient. Make sure the pharmacist gives you TWO drugs. And, tell them one was faxed.




So, when you were ready to prescribe, you could codify meds or you could do it at your leisure. This was something only the doctors in our practice were allowed to do. As you can see here, you can select for this patient only in which case if you make an error, you only kill one patient or you can go for it and select all. As you got braver and braver and more and more tired, you would select all. Most benign meds we were OK with. I mean once codified, always codified. Even meds like Concerta, if you really took your time and clicked on the same strength, you were fine. I tended not to do so with drugs you could overdose on such as oxycodone, etc.




Here is where you needed to be careful. You have a patient with clonazepam 0.25 mg chewable which is not written in the codified manner. So, you right click on it, and select codify. Now, in error, you select 1 mg. So, if you codify only this patient, you only have one patient sleep for a day. But, if you apply it to all patients, then EVERY patient in your practice on 0.25 mg of a chewable clonazepam was now suddenly on 1 mg. Just a four-fold mistake.

For those of us who were savvy with SSMS, and eventually realized the error, we could query the drug and using date and drug, change them all back. I am sure some got by us. And, I am sure that those four-year-olds whose RLS was doing a little better got a lot better.



Now, I must say that before there was SQL, I don't know, version 4, maybe, the drug database was horrible. Ungodly. Unusable. Then two people came along. One with nothing to do for two months from 7 pm until 11 pm and another who was much better with Google and finding databases. The latter was Jon Schreiber. The former, well I will tell later. But that person was very proud of his achievement. Everything came together. A crappy database. A lot of complaints, nothing about codification in the works, I don't even think ePrescribe was here yet. But, the most important component was Microsoft Access.

And, I can be prone to hyperbole, but this WAS two months, every evening, after work. EVERY night, save the weekend. This person was very excited to finally show the fruit of his works. This person still has this database years later. Drugs were added, drugs were deleted. A few errors here and there pointed out. But, there weren't very many errors, I can tell you. It was rather funny though. Out of ten doctors, five would remove the Meds Databases from their AC folders immediately and loved it. Four would sort of put their toes into the water and change. And, they all loved it. How could you not. The other was so bad I can't explain. And, alas, the one doctor would just not change. To each his or her own, I guess.

Thank you Bert for the great explanation. Now I what you mean, yes it is codified. I guess I will find out tomorrow when AC support contacts me (I thought they worked on weekends but I guess I was wrong) but thank you again. Once again thank you Bert and all the people who help make this forum such a great help!

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