CHAPTER 1 INTAKE 1.

1 Prescription Intake
The Intake Department has a large role that they accomplish by utilizing a diversified group of people and programs. Their tasks are but not limited to, answering phone calls that come into the pharmacy from patients with concern and a willingness to assist them. They input pertinent information needed to fill a prescription. Intake also prints and barcodes prescriptions, enters patient information into PK and assists the customer service department as needed.

A prescription goes thru several steps during the intake process. The first is the actual Intake of the prescription into the system. This is accomplished through OPCTrack.

Step 1 is to select Fax Queue under the Main Menu drop down.

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After selecting Fax Queue you will be brought to this screen where you will highlight the fax number and select View Fax.

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Select the Print button to print the fax.

After printing the fax there is some information that will need to be verified before moving on in the process. You will need to verify Patient Name, Date of Birth there should be a compound marked. The quantity should be marked as well as a Doctors signature. After you have verified

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this information on the prescription you can now create an order.

Select the Create Order button on the Fax Queue screen.

On this screen you will enter the information from the prescription you printed earlier. Patient name, Prescriber or Doctor Name, Doctors fax number, and patient date of birth then save that information. You have just completed the first step in the Intake process.
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1.2 Pharmacist Review.

After the intake team has finished with the prescription they place it in a yellow bin and transfer it to a Pharmacist who places a speed code on the prescription. A speed code is just a short numbered code that the Pharmacists here at OPC have developed to represent the compound to be dispensed. They will also check for additional medications as well as allergies. They will then transfer the prescription onto the Demographics team.

1.3 DEMOGRAPHICS
Demographics are responsible for the input of patient and doctor information in the PK Compounder system. The first thing you will do is pull up www.OPCTrack.com on Google Chrome.

Make sure the cursor is in the second box at the top of the page. After scanning the barcode on the back of the prescription click the drop down arrow beside status and select Received in PK Entry.

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Next go to the PK Compounder page to begin the input process. First pull up Patient RX and enter Date of Birth, then click Find. If patient is found in the system double click on the correct patient name. Begin verifying the patient name, address, phone number and other information to insure it has not changed.

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If patient was not found then change search method to name. If not found a box will appear asking you if you want to start copying another patient, click no.

You will now begin by entering all of the patients pertinent information. Start with Tab 1, patients name, address the current date, date of birth and if you have it SSN. Then go to Tab 2 to enter all of the patients phone numbers.

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The next step is to enter the shipping information, select Tab# 8 and click on the tab that looks like 2 pieces of paper beside the Ship Name line. This will copy the address you entered earlier on the Patient info tab. After you have entered the entire shipping information click Save. Saving the information will automatically take you back to the main patient page.

You will now go to Tab#4 Preferences and under the Title A/R Charge Account select New. If you receive an error message when attempting to set up the new account select the pencil located to the right of the New A/R Account box and select Edit Account then click Tab #3 and select Add Link.

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Now you are ready to enter the Doctor information. Start by selecting the Doctors tab on the left side of the page. A Doctor look up page will appear. You may search for a Doctor by name, sounds like search, DEA or NPI. If the Doctor is not in the system it will ask you if you would like to add this Doctor, select yes.

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When entering the Doctor for the first time into the system start at Tab #1 and enter their name, gender and address. Then select tab #2 and enter all of the Doctors phone numbers including Fax.

On Tab# 4 enter the Doctors NPI and DEA numbers, if you do not have them move to either Emdeon, RX30 or www.hmedata.com to find them.

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Move to the Shipping Tab# 6 to enter the Doctors shipping address. To do this just click on the tab that looks like 2 pieces of paper.

If the Doctor is already in the Compounder system but has a different address on the current prescription you MUST enter the Doctor with the new address into the system. There are just a few more steps to complete before transferring the prescription. First you will need to check and make sure that the prescription is not Workmans Comp. There are a list of Workmans Comp insurance companies that will be provided to you during this training. You will also double check that the patients information is all on the prescription and is correct. This includes name, address and phone numbers. You will then double check the Doctors information is included on the prescription this is name, address phone numbers, DEA, and NPI. If the prescription is not written for Ketamine then the only information you need is name DEA and NPI.

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Make sure you check the patients medication if they are taking ANY of the following you

MUST list them on the prescription: PRADAX, PLAVIX, COUMADIN, WARFARIN, EFFIENT OR AMIODARONE. *** ANAPHYLAXIS***.

***There may be instances that you will receive a request from a Doctor for samples. When this happens you will need to insure that they are in the PK system as a Doctor as well as a Patient.*** The last step is to go back to OPCTrack and change the status to Sent to Pharmacist. Any further questions can be directed to your Trainer, they are eager to help you at any time.

1.3-1 USING EMDEON TO SEARCH FOR DOCTOR

Emdeon is a very versatile program that we use in a variety of ways here at OPC. One of the ways is to locate Doctors information that we may not have. Lets look at how we do that in the next few pages.

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To use Emdeon to search for a Doctor you start by pulling up Google Chrome and type www.emdeon.com

When the page opens, select Login in the upper right of the page. Then select Pharmacy Services. You will then be taken to a Login screen; here you will enter the username of opcrxfranklin, and a password of Topical23. Note: This password changes periodically so be sure to check your email for notification of these changes.

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When this page opens select the second line which reads Emdeon Connect, then several choices will drop down. You will choose the Prescriber Search Line to move to the next step

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At this screen you may search for a Doctor using either a last name, DEA number, NPI number or zip code and select go. If no information is found using Emdeon then you can move to RX30.

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1.3-2 USING RX30 TO SEARCH FOR DOCTOR

On your Desktop there should be an icon that reads RX30 connect, open this icon. This will bring up a small box with rx30=D222 in the middle of the box. Click on the rx30=222 to highlight and then click connect. You will then be taken to the main RX30 screen.

You will need to enter RX30 in all capital letters in the password line on this screen.

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You will choose 03 billing on this screen, and then click F1

Here you will type TDS in the Initials section with RX30 in the password section. After this you will press enter, you do not need to enter anything in Tech Initials area. On the next screen you will be asked if you would like to install an update. Choose N for no. On the following screen press F1 to pull up the next working screen.
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You will need to press the F1 key until a red box use the arrow key to move to the Patient menu listed. You will then use the up and down keys until you get to the # 3 Doctor and click enter.

At this screen you should press Tab, Escape, and Y for yes to search the online database. There will be a blue box pop up. Here you can search using Doctors name, DEA# or NPI#. After entering information choose F5 to search. This should produce the information you need.
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1.3-3 USING HMEDATA TO FIND DOCTOR

Start by pulling up the internet and typing www.hmedata.com.

When the page opens you can search by Name or NPI number. The information you could get from this website is Name, address, gender, and phone numbers for the Doctor. After you have finished with inputting all of the demographic information correctly and double checked it against that of the faxed prescription you will then transfer it onto the Rx Tech team.

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1.4 RX TECH
When the Rx Tech team receives the prescription they start by removing them from the yellow bins to begin working with them. They will scan each prescription prior to entering any information in the system for any notes or special situations that need attention. If there is a small circular sticker on the prescription that means there are multiple faxes from the same Doctor. You will need to scan EVERY page of each prescription that Doctor has faxed over. After you have completed this you can now begin inputting the information into the system. The process starts the same way the others have started. You will first pull up OPCTrack, place the cursor in the upper right box on the home screen. Scan the barcode on the back of the prescription and select Received in Rx Tech.

After that you will to the PK Compounder screen to begin inputting the prescription information.

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Select Patient RX and when the box opens enter the Date of Birth and select find.

Choose the correct Patient name corresponding with the Date of Birth.

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After you have selected the correct patient name you will be taken to the main patient screen.

Select the New Rx button or just press F2 to begin the process.

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This screen is where you enter the prescription into the PK system to be filled. You will first put the Speed Code number that the Pharmacist wrote on the faxed prescription in the Drug Prescribed Type line and press enter. This will automatically place the correct drug/drugs into the line. Then select the tab in the Prescriber line.

Here you will double click the Doctors name and verify the address is correct.
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Now you will enter several items when you return back to this screen, as you enter each item just Tab over to the next. Start with Quantity, and then Refills, Quantity on refills will be filled automatically. You will need to manually enter Refill limit interval. In the SIG code just type 12 or Doc if the cream is a Doctors sample. Look at the bottom of the Faxed copy of the prescription and enter the date it was written by the Doctor.

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Just press enter when the box opens with the expiration date recalculated message. After that you will need to select an RX origin in the drop down box. You will need to select Facsimile.

Then select 2. Tab Dispensed to move on to the next step.

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You will need to make sure that the Quantity Dispensed and the Quantity are correct and match what is written on the prescription matches with what is in the system. You should also change the Total Price to $1299.00 60 Grams 90 Grams 120 Grams 180 Grams 240 Grams 7 Days 11 Days 15 Days 22 Days 30 Days

After you have insured that this information is correct you will select the #7 tab, Rx Documents.

You will select the Scan Rx Tab to scan the prescription into the system, after scanning select enter. A box will appear asking you if everything is correct on this, be sure to select no. This will take you back to the 2. Dispensed tab where you will select Flag the Rx not filled. A box will open, click yes and save the document. BE SURE TO CANCEL PRINTING. Your final step is to return to OPCTrack and select Sent to Pharmacist Review.

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1.5 Pharmacist Review

After the Rx Tech Team finishes inputting the information they place the prescription into a red bin and transfer it to a Pharmacist to review. Here the Pharmacist will insure that the Name, DOB, Drug to Dispensed, Quantity, SIG Code, Dr. Name Fill Date and amount of Refills are all correct. When that is done the Pharmacist will scan the prescription into OPCTrack and mark it Sent to Customer Care. They then transfer to be logged on the clipboard and ready to go to Customer Service.

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