Today's first #EHR #EMR obstacle: I have a patient who has a bad reaction to generic nifedipine extended release, but does well with name-band Procardia XL.
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Today's first #EHR #EMR obstacle: I have a patient who has a bad reaction to generic nifedipine extended release, but does well with name-band Procardia XL. When I enter a prescription for Procardia, the EMR changes it to "nifedipine (Procardia)". So not only do I click "dispense as written", I also put "name brand Procardia XL only" in the field for comments to the pharmacy.
Guess who got the generic?
Again.
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Today's first #EHR #EMR obstacle: I have a patient who has a bad reaction to generic nifedipine extended release, but does well with name-band Procardia XL. When I enter a prescription for Procardia, the EMR changes it to "nifedipine (Procardia)". So not only do I click "dispense as written", I also put "name brand Procardia XL only" in the field for comments to the pharmacy.
Guess who got the generic?
Again.
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Today's first #EHR #EMR obstacle: I have a patient who has a bad reaction to generic nifedipine extended release, but does well with name-band Procardia XL. When I enter a prescription for Procardia, the EMR changes it to "nifedipine (Procardia)". So not only do I click "dispense as written", I also put "name brand Procardia XL only" in the field for comments to the pharmacy.
Guess who got the generic?
Again.
@jeneralist is this inpatient? Because in my hospital, we don’t even carry brand names for a lot of stuff.
If it’s outpatient, they were just sloppy, boo!
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@jeneralist is this inpatient? Because in my hospital, we don’t even carry brand names for a lot of stuff.
If it’s outpatient, they were just sloppy, boo!
@Stacky Outpatient.
And I had the same thing happen later today with Spiriva tiotropium. Patient needs brand name to keep her PBM happy. (Yes, her insurance will pay for the brand name and not the generic. )
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@zanchey We have a "dispense as written" box. My problem is more on the #EHR side. When I type "Procardia", what comes up on my screen is "nifedipine (Procardia)". Next step is to call the pharmacy and find out how they actually receive the prescription. After that, most likely, is yelling impotently at the programming team.
