Rx Manager - Rx Pad
Medications must be prescribed through Rx Manager to have those items counted for Meaningful Use/MIPS requirements. Medications solely printed out on document designs, will not be counted.
Some workflow choices are now available in SOAPware that do not exist in some previous versions.
Changes to prescriptions within Rx Manager are now automatically reflected in the current active SOAP note as long as an encounter note is displayed and unlocked (i.e. not signed off or in use elsewhere). For example, removing a prescription within the Rx Pad in Rx Manager, removes it from the SOAP note Medications field.
Rx Manager now allows new prescriptions to be created from within the manager itself. In other words, any/all prescriptions can be created within Rx Manager, which subsequently updates the encounter note.
Rx Pad Overview
The Rx Pad tab within Rx Manager has many areas within it:
- Patient Information
- Prescriber Information
- Formulary Eligibility
- Add Rx
- Pharmacy Selection
- Prescription Information
- Formulary Information
- Select All Rx's/Deselect All Rx's
- View Drug Interactions
- View Errors
- Update Summary
- Submit Rx
1. Patient Information
Patient demographics are displayed in the top left corner of the Rx Pad so users can easily confirm which patient the current prescription is for.
2. Prescriber Information
The Allergies field in Rx Pad displays a copy of the contents from the Summary Allergies field.
If the patient has no allergies, the SMARText Item Drug Allergies: No Known (Shortcut: nkda) must be entered into the Summary Allergies field to meet Meaningful Use criteria.
4. Formulary Eligibility
If the Auto Rx Formulary and Eligibility Retrieval setting is turned on, retrieving insurance eligibility will be done automatically whenever the Rx Manager is opened. For instructions on setting up auto Rx formulary and eligibility checking, please see: Checking Patient Rx Eligibility.
After checking for eligibility (either beforehand or when opening Rx Manager), several new tabs will appear within the Notes section of the Rx Manager. Each tab represents different coverage plans for this patient. Depending on the particular pharmacy benefit manager, the exact data and format returned for any given coverage will vary. At a minimum, the type of benefits will be displayed, e.g. retail, PBM (i.e. mail order or both).
5. Add Rx Search Field
To add a medication, click to place cursor in the search field labeled Add Rx. Begin typing the name of a medication and a list of SMARText Rx options will expand based on what is typed. In the screenshot above, the options are limited to items that have already been used on the database.
To view all available SMARText Rx options, check the box next to Include Cloud Library. Simply click on the preferred option to add the medication to the Rx Pad. It will also be added to the Medications field of the active SOAP note.
6. Pharmacy Selection
To select a pharmacy within Rx Pad, click the drop down menu (i.e. at the right in the Pharmacy field), and select a pharmacy from the list.
- Add a New Pharmacy
- Open the Pharmacy Manager by clicking the plus to the right of the pharmacy field.
- To add a new pharmacy to the pharmacy list, follow the steps in the following link to add a new pharmacy: Adding Pharmacies.
- Sort Pharmacies
The Pharmacy viewer displays full pharmacy information on a single line/row. When beginning to type a pharmacy name in the field, a drop down window appears, listing all pharmacies that match the typed letters (much like with Chart Rack). The list of pharmacies are displayed in columns/rows, so they can be sorted by column (i.e. Pharmacy name, city, street, state, etc.).
- Preferred/Default Pharmacy Selection
SOAPware has added a new feature that will allow users to select up to three (3) preferred pharmacies for a patient. This will allow the patient to indicate a preferred retail, mail order, or other pharmacy to be recorded on their chart.
Using the drop down menu, select the pharmacy, then click either the (1) (2) or (3) favorite icons to indicate this pharmacy is a 1st, 2nd or 3rd preferred pharmacy for the patient. This setting will be saved to the patients Demographics chart section.
- Pharmacy Selection Based on Individual Medications
Within the Rx Manager, users can select a unique pharmacy for each individual medication that is listed within the Rx Pad by using the drop down menu. SOAPware will submit the medications to the unique pharmacy that has been selected for each medication once the Submit button has been clicked.
When selecting a pharmacy within the medication, the drop down menu will list the patients 1st, 2nd and 3rd preferred pharmacies at the top of the selection list, as shown in the screenshot above.
7. Medication List
The list of medications on the Rx Pad displays all the individual prescriptions to be sent electronically, faxed, printed, or given as samples. The following sub-items for each medication can be directly edited from the Rx Pad by choosing another option from the drop down menu in the fields to be edited:
- Drug Name - E.g. Coumadin.
- Strength - Amount per unit.
- Sig - Dose, frequency, and route.
- Dispense - The quantity and form (e.g.#30) tablets.
- Days Supply - Number of days prescription should last.
- Substitution - Whether or not to allow generics.
- Refills - How many refills are allowed.
- Written Date - Indicates the day when the medication was inserted on the note/Rx Pad.
- Notes to Pharmacy - Location for typing in free-text message for the pharmacy.
Clicking the downward facing arrows in each field displays the same pick list selections as when working with prescriptions in the Medications field in SOAP encounter notes.
- Include/Exclude Rx
Placing a check mark in the boxes to the left of each medication, allow individual prescriptions to either be included or excluded from a particular action. For example, there could be multiple prescriptions listed with all but one to be sent electronically. Simply uncheck the one not to be sent electronically. Note that faxing is not considered the same as sending electronically (this is an industry-government differentiation and not the opinion of SOAPware, Inc.).
- Remove Rx
To remove a prescription from the list of medications click the X to the far right of the drug name. This will also remove it from the active SOAP note.
- Status Bar
Under each medication, a status bar will indicate one of 4 statuses:
- Pending - Prescription has not been sent.
- eRx Sent - Prescription has been sent electronically.
- Printed - Prescription has been printed.
- Faxed - Prescription has been faxed.
- Errors - Prescription was not sent due to a problem with transmission.
Scheduled medications will be indicated as CII, CIII, CIV, or CV. These medications can only be printed or faxed.
8. Formulary Information
Formulary Information will be populated to the right of each medication based on available insurance policy data. If no data is found, these fields will not be populated and Formulary Information will be grayed out. The field Formulary Details may contain alternatives, restrictions, or coverage. To view additional formulary informatioin, including alternative medication information, click the ? icon. To prescribe an alternative medication, you will need to remove the current medication and add the alternative medication, following the instructions above to Add Rx.
9. Select All
The Select All check box will select all Rx's listed in the Rx Pad or deselect all (if unchecked) Rx's listed.
10. View Interactions
The View Interactions button is grayed-out unless interactions are found. Clicking on it displays a list of drug/drug and drug/allergy interactions based on SMARText allergies and medications in the Summary and in the SOAP note.
Clicking the Combined tab will display more detailed information that can be printed for the patient.
11. View Errors
The View Errors button will be grayed-out if patient data is complete and all prescriptions are valid for prescribing. If you are able to click on this button, it will display a list of items that need to be completed prior to prescribing.
- Correcting Errors
Errors are also indicated by a red circle with an X next to the incomplete fields. To correct, simply click in the required field, and select the appropriate option.
12. Update Summary
The Update Summary button will allow you to merge any newly prescribed medications with the medications that are currently listed in your patient's Summary Medications field.
13. Submit Rx
The Submit button will send the prescriptions that are selected. It will send the prescriptions via the default method set under Tools > Options. For more information on these settings, see: Tools - Options.
- Submission Options
The user can also use the drop down menu to the right of the Submit button, to select to send the prescription by printing, faxing, or by indicating that the user gave samples.