Home Forums Discussions Problems EPCS ADHD Meds

There is so much wrong with this I am not going to list them all.

Hopefully AC is working on some fixes.

I think we need to list the complaints and get feedback from AC about planned fixes. It's a major pain.

I will list the three issues I have when I get a chance. One thing is it removes the diagnosis code "ADHD" which is crucial because a) it HAS to be on there and b) it is difficult to think of its not being there when it normally would be.

Of course, like the other refills the UOM is taken out. It would be a good feature to have a preference to automatically put in the number of days, say 28 or 30 as for most prescribers, they will select one or the other.

The big one is coming up. Need to play around with it a bit more.

Post here what you are seeing that you would like fixed. Please stick to just the controlled substances issues.

Bert, to be clear for others you are talking about the diagnosis you write in, in the "Notes to Pharmacist" section.

This area was cleared (sort of) with changing over the data bank. I say sort of because I had a regular message here that is no longer on the prescription when I "prepare script". When I hover over a medication my old messages are can be seen but when I click to refill the message does not show up in the "notes to pharmacist" box. I had a pharmacy send me a picture of the prescription from their end and the information was on the prescription. You may check with the pharmacy and see of the ADHD diagnosis on this box ix actually missing. Also, old messages about approved refills still appear in the messages to the pharmacist on the back end, looking at this picture from the pharmacy.

Hope this is clear.

I would just like if I put tablet at the RX box the UOM automatically fill in Tablet! I think there may have been something in the guidelines when the UOMs were changed that said EMRs cn not auto fill this area. Would be nice to have AC clarification if this is possible or not.

@Chris,

That is interesting that the pharmacist sees it. But when I am filling out the script I really need to see that it is there or not there.

Replying to post about auto UOM, we know that AC can find the word tablet or liquid or suspension in the Rx box, because it can recognize if you write the word BRAND in the comments section.

About 95% of scripts, if not more, are filled out the same way. There are a few, like controlled substances that must be filled out a certain way. A developer is not going to know that. This is the kind of thing that a few people from AC (two or three) should have a phone call with the developer working on EPCS or eRx to talk about the special things they want like having to have number of days and having to have a diagnosis. Same thing with opiates -- at least in Maine it must say Acute Pain or Chronic Pain. This isn't the developer's fault. They just shouldn't be expected to know how to set up controlled substance scripts.

An interesting one is AC or someone wanting DAW1 or DAW (not counted) on the script where some insurance companies want "Brand name medically necessary." Then the script won't go because AC recognizes the word BRAND. So you have to trick it by writing BND or B*R*A*N*D. How to get around that?

I think the problem with ADHD medications for those who don't prescribe them is it is difficult to convey how difficult they are to do. Unlike an opiate where you do one prescription or a benzodiazepine where you can write for 2 to 5 refills, Ritalin and Concerta, etc. can be filled for three months but they have to be on separate prescriptions. This always makes it difficult because you either have to write: Do not fill before July 29 on the second script and "Do not fill before August 30" on the third script. Or some pharmacies let you write 1 of 3, 2 of 3 and 3 of 3 (much easier). It's stupid that you can't write for refills but you simply can't. Some patients are on three different ADHD meds so you have to write nine scripts each time with everything correct. It used to be you could load three scripts at one time which made the entire process easier but NewCrop stopped allowing that five years ago. NewCrop will recognize that you are trying to send more than one script that is the same. Who the f.... cares? Well New Crop does.

There are some things that will show up in the notes to pharmacist like the diagnosis but the other like 1 of 3, 2 of 3, etc. will send but it won't show up in the last screen which would be very helpful. There are ways that the EPCS script writer could be done better and ways that NewCrop could make it easier.

My suggestion would be to have Chris and me and possibly one other talk directly to the EPCS developers -- here I am speaking for Chris -- because the whole thing is so complicated. Even the verification screen could be better with less clicks.

In my state narcotics have the same rule 3 separate prescriptions.

The automatic date effective box has been the biggest hinderance for me. It doesn't work, leading to call back from pharmacies saying the effective date is incorrect.

If not working then I prefer disabiling this field and manually typing fill on x.x.2024 for each rx. Although tedious, no callbacks.

We need a workflow that works. Agree someone walk through the probelm with AC, then share the solution once found/ fixed.

In my city (and it is up to the pharmacies) -- only one pharmacy chain doesn't accept 1 of 3, 2 of 3 and 3 of 3 and they can figure out the dates. Much more accurate.

I'm meeting with AC techs online Friday 7/26 to walk through this issue.

They are monitoring this thread.

Please expound on problem situations and/or volunteer to produce examples.

It isn't always easy to walk through the problem without a pharmacist being involved on the call or Teams or Zoom. Because WYSINWTG. What You See Is Not What They Get. I certainly don't use the date thing because the pharmacists cannot prescribe any of the three scripts not allowed to be filled until the future.

And, even though WYSI 2 of 3 even though you wrote 1 of 3, the pharmacist will see 1 of 3. It is what you type in the note section not what you see in the last screen.

You can click on Hard Token and still click on Send Push Notification, but you can't click on on Authy App and send by Sign (for hard token). You can click on neither and send by Send Push Notification. Those radio buttons have to go.

Concerta and maybe all that say extended release will actually write extended,release insuring that you get a spelling error. I have tried to use the Add button and am hoping I do not have to see the spell check each time because you can't change Concerta from saying Concerta extended,release....

I could go on and on.....