ProScript User Guide. Additional Endorsements Specials. Version Release Date 01/08/2012 Author Rx Systems

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1 User Guide Additional Endorsements Specials Version Release Date 01/08/2012 Author Rx Systems

2 Table of Contents Introduction... 3 Part VIIIB Specials and Imported Unlicensed Medicines... 4 Non-Part VIIIB Specials and Imported Unlicensed Medicines... 7 Extemporaneous Dispensing Endorsement Part VIIIB Specials Non-Part VIIIB Specials Editing Own Drugs Creating Own Drugs Editing Own Drugs Changing an Endorsement Electronic Prescriptions Service Endorsements Part VIIIB Specials and Imported Unlicensed Medicines Non-Part VIIIB Specials and Imported Unlicensed Medicines Editing ETP Endorsements Specials Report Continuing Professional Development Rx Systems 2012

3 Introduction In November 2011, the reimbursement rules on endorsing unlicensed specials and imports changed. Part VIIIB was introduced to the England and Wales Drug Tariff, listing basic prices of certain specials. Drugs listed in Part VIIIB have a minimum quantity (with an associated price) and a price per subsequent unit (e.g. ml/g/tab/cap) unless the drug is in a special container. This manual will describe how to endorse Part VIIIB and non-part VIIIB products using the Extra Endorsements functionality in. Endorsing ETP R2 prescriptions with the relevant endorsements is also covered in this manual. To enable the Specials Endorsement functionality, please contact our Service Desk. 3 Rx Systems 2012

4 Part VIIIB Specials and Imported Unlicensed Medicines Products listed in Part VIIIB must have SP endorsed on the prescription to claim the sourcing fee. will add this endorsement automatically. When you dispense a drug listed in Part VIIIB of the Drug Tariff, you will see the following warning after you have entered in the dosage information. When the drug is highlighted, this warning message is also displayed in the product information box located in the lower right-hand side of the PMR screen: You are able to print this message to a label (by selecting [F2 Print]) or accept the message and proceed with the dispensing process (by selecting [F10 OK]). 4 Rx Systems 2012

5 The next message you will be shown will calculate the reimbursement price based on the quantity for the product you have dispensed. The message shown on the left is based on the price for the minimum pack size in the Tariff. If you decide to change the quantity of the special product prior to processing the prescription, the price will be updated to reflect the correct reimbursement price. The endorsement information will reflect the reimbursement price you will be paid as well as the SP endorsement: 5 Rx Systems 2012

6 When you process the script, this information will be endorsed onto the prescription: Tip: You can identify products listed in Part VIIIB of the Drug Tariff on the database by the [SP] at the end of a drug entry: 6 Rx Systems 2012

7 Non-Part VIIIB Specials and Imported Unlicensed Medicines Products that are not listed in Part VIIIB must have the following endorsements: Invoice price of the product minus any discount / rebates Pack size Manufacturer s MHRA specials/importer s licence number Batch number SP or ED. When you dispense a drug not listed in Part VIIIB of the Drug Tariff, you will see the following warning after you have entered in the dosage information. When the drug is highlighted, this warning message is also displayed in the product information box located in the lower right-hand side of the PMR screen. You are able to print this message to a label (by selecting [F2 Print]) or accept the message and proceed with the dispensing process (by selecting [F10 OK]). 7 Rx Systems 2012

8 will then direct you to the Extra Endorsements screen (shown below). This can be accessed from the PMR at any time by selecting the [ALT+A Add Endorsements] button located at the bottom of the PMR screen you need to ensure you have highlighted the medicine you wish to add the endorsement to. You will need to complete the fields highlighted by the red box in order to fulfil the endorsement requirements. The SP endorsement and pack size will already be endorsed by. 8 Rx Systems 2012

9 Once you have entered the information into the highlighted fields, select [F8 Add to List]. This will add the endorsement details to the Selected Endorsements box in the bottom left-hand corner: If you wish to delete an endorsement from the list simply highlight it and select [F9 Delete from List]. Once you have added your endorsements, select [F10 OK]. The endorsement information will be updated with the information you have entered: 9 Rx Systems 2012

10 When you process the script, this information will be endorsed onto the prescription: Tip: You can identify products not listed in Part VIIIB of the Drug Tariff on the database by the [Special Order] at the end of a drug entry: 10 Rx Systems 2012

11 Extemporaneous Dispensing Endorsement If a product is extemporaneously dispensed by the contractor or a third party, you need to ensure that the prescriptions are endorsed with ED to claim the fixed fee. Part VIIIB Specials Dispense the product in the patient s PMR as normal and then select [Alt+A Add Endorsements] where the Extra Endorsements window defaults to Extemporaneously Dispense. If not, select it from the list on the left-hand side. Before adding in the ED endorsement, you will need to delete the existing endorsement (shown in red below) by highlighting the endorsement and selecting [F9 Delete from List]: The Formula box will be greyed out for Part VIIIB products. Select [F8 Add to List] and the following endorsement will be added: Select [F10 OK] to save this endorsement and your endorsement information will be updated with ED. 11 Rx Systems 2012

12 Non-Part VIIIB Specials To endorse a non-part VIIIB item that has been extemporaneously dispensed by the contractor or a third party, the contractor should endorse: Names of ingredient used Quantities of the ingredients Cost of the ingredients ED to claim the 20 fee As described above, dispense the product in the patient s PMR as normal and then select [Alt+A Add Endorsements]. Before adding in the ED endorsement, you will need to delete the existing endorsement by highlighting the endorsement and selecting [F9 Delete from List] (see above) The Formula box will be activated for non-part VIIIB products. Enter in the formula and finally select [F8 Add to List]: Select [F10 OK] to save this endorsement and your endorsement information will be updated with ED and the formula 12 Rx Systems 2012

13 Editing Own Drugs If you have created your own drug entries on for a specials product, you are able to add the Specials Endorsements as described in this manual. Creating Own Drugs When you manually create your own drug entry, you will be prompted to mark it as a Non-Part VIIIB Special : When you select this tick box and dispense the product, the Extra Endorsements screen (as described on page 8 to 9) will open where you will be able to add in the required endorsements. Editing Own Drugs Some specials or unlicensed drug entries you may have created will not be marked as a Non-Part VIIIB Special and so will not open the Extra Endorsements screen these drugs may have been created before Part VIIIB was introduced to the Drug Tariff. To edit any drugs you have created so that they open the Extra Endorsements screen when they are dispensed, you will need to access the main screen. From here you will need to select Utilities, then Maintenance and finally Edit Own Drugs: 13 Rx Systems 2012

14 You will see a window which contains the details of all drugs that have been manually created. You can identify drugs which have not been marked as a Non-Part VIIIB Special by the F in the Isspecial column: Simply change the F (false) to a T (true) to mark the drug as a Non- Part VIIIB Special and press [Esc] on your keyboard: These products will now open the Extra Endorsements window when you next dispense them. 14 Rx Systems 2012

15 Changing an Endorsement You are able to change an endorsement for a product not listed in Part VIIIB prior to processing the prescription using the Extra Endorsements screen. You must highlight the product during the dispensing process and select [Alt+A Add Endorsements] located at the bottom of the PMR screen: Complete the fields on the Extra Endorsements screen as described earlier in the manual (pages 8 and 9). Please note that once you have processed and endorsed the script, you will be unable to edit the endorsement that has been recorded. You will still be able to edit the PMR record to change quantity, dose instructions, the product prescribed or dispensed, or to delete the record or entire prescription however the endorsement will not reflect these changes. For example, if you need to make an amendment to a product that has been dispensed, such as changing the quantity prescribed, you need to select [F6 Re-Prints] from the main window: 15 Rx Systems 2012

16 Note the endorsement highlighted by the red box. You will be able to edit a record selecting the [Alt+R Edit Record] button. You will be displayed with the Edit Record Details window: You are able to amend various elements of the record. You are also able to delete the record or the entire script. Use the Additional Notes text box to enter in a brief description of the change you are making 16 Rx Systems 2012

17 Once you have made your amendments and have selected [F10 Save Changes], you will be shown the following warning message prompting you to make the necessary hand amendments to the printed endorsement: If you have not deleted the record or script, a new label will be printed. You will be returned to the previous screen where the record has been updated to reflect the changes made. However, the endorsement will remain as the original endorsement made: The quantity has changed from 150ml to 200ml The endorsement (including the price) will not be changed 17 Rx Systems 2012

18 Electronic Prescriptions Service Endorsements When endorsing specials and unlicensed medicines via the Electronic Prescription Service (EPS), you will be able to add the specials endorsements in the same manner as described earlier in the manual for both Part VIIIB and non-part VIIIB medicines. Part VIIIB Specials and Imported Unlicensed Medicines Process the prescription as you would normally. You will be displayed with the same warnings as described on pages 4 to 6. Follow these steps to dispense the products. 18 Rx Systems 2012

19 When you have processed the prescription, the ETP screen will be updated to reflect the price and SP endorsements: 19 Rx Systems 2012

20 Non-Part VIIIB Specials and Imported Unlicensed Medicines Process the prescription as you would normally. 04/06/2012 You will be displayed with the same warning messages and screens as described on pages 7 to 10. Follow these steps to dispense the products. 20 Rx Systems 2012

21 When you have processed the prescription, the ETP screen will be updated to reflect the endorsements you have added: 04/06/ Rx Systems 2012

22 Editing ETP Endorsements You are able to edit the ETP endorsements for specials so long as the endorsement is edited before a claim is sent. Highlight the prescription in the ETP module and select [F2 View/Edit]: Select [F10 Edit] to edit the endorsement: 22 Rx Systems 2012

23 You will be taken to the patient s PMR. Highlight the relevant product and select [Alt+A Amend Endorsements] found on the bottom of the PMR window: You will need to delete the previous endorsement (if one was created) by highlighting the endorsement in the Selected Endorsements box and selecting [F9 Delete from List]: 23 Rx Systems 2012

24 You will then need to select Specials from the list on the left and complete the required endorsement information. Once you have entered this information, select [F8 Add to List] to add the endorsement to the Selected Endorsement box: Highlight the endorsement and select [F10 OK]: 24 Rx Systems 2012

25 You will be taken back to the patient s PMR record. Press [Esc] to be taken back to the ETP screen where you will see that the electronic prescription has been updated with the new endorsement: 25 Rx Systems 2012

26 Specials Report You can generate a report which displays all Part VIIIB and non-part VIIIB specials you have dispensed. The report specifies the following: Date dispensed Patient name and address Prescribed drug Strength Dispensed drug Dosage Quantity Prescriber Price MHRA specials/import licence number (if applicable) Batch number (if applicable) Manufacturer (if applicable) To access the report, select Report from the main screen and select Specials Report: You will be able to filter the contents of the report by a pre-defined time period (the report defaults to This Month): Select this box if you wish to view the report in Excel (or Open Office) You can filter the report to view all specials, Part VIIIB only or non-part VIIIB only 26 Rx Systems 2012

27 Continuing Professional Development evaluate identify CPD record plan act What have I learnt from this training session? How will these things improve my current or future performance in my job? What opportunities do I have or need to practise what I have learnt? What help or support will I need and from whom? How and when will I (and others) measure how well I have put my learning into practice at work? 27 Rx Systems 2012

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