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Medication Management

Medication Management. John Karwoski, RPh, MBA JDJ Consulting, LLC john@jdjconsulting.net June 11, 2014. New Administrative Director. Brittney Cammarota, MPH (609) 384-5620 Britt.jdjconsulting@gmail.com. Medication News.

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Medication Management

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  1. Medication Management John Karwoski, RPh, MBA JDJ Consulting, LLC john@jdjconsulting.net June 11, 2014

  2. New Administrative Director Brittney Cammarota, MPH (609) 384-5620 Britt.jdjconsulting@gmail.com

  3. Medication News • Ofirmev price will increase due to sale of Cadence Pharmaceuticals to Mallinckrodt • Price increase could be 300% • $11 per vial to $36 per vial • Phenylephrine Ophthalmic no longer available through AKORN • Dexamethasone Shortage

  4. Product AvailabilityJCB Laboratories • Phenylephrine Ophthalmic 2.5% in combo eye drops • Omnipaque Re-packaging • Dexamethasone • Dexamethasone Sodium Phosphate Solution for Injection 10mg/ml Preservative Free 2-ml Single Dose VialDexamethasone Sodium Phosphate Solution for Injection 4mg/ml Preservative Free 2-ml Single Dose Vial 

  5. NJ Prescription PadsChange in Regulations Changes Include When? May 18, 2014: State approved endors must stop selling, printing, or delivering old form August 18, 2014: All state-licensed prescribers must stop using old forms • Color Changing Ink • 0.5-point micro-printing • Hollow “VOID” hidden word feature • Unique 15-digit ID number • A Barcode • List of security features will be printed on back of prescription blank • Green on front, blue on back

  6. Compounding Pharmacies503A vs. 503 B 503A 503B Compounding entity that may register as an outsourcing facility Must compound in compliance with CGMP or under direct supervision of a licensed pharmacist in a registered facility Must also report information to the FDA about compounded drugs such as source of ingredients Must adhere to new quality standards • Compounders not registered as outsourcing facilities • Only exempt from certain aspects of 503B • Still must meet all applicable conditions of the FDCA

  7. Tighten Up!(On Medical Record Documentation) Current Focus of Medical Record Audit: • Documentation of Allergies and Reactions • Completion of Medication Reconciliation, if applicable • Physician order to accompany all administered meds • Use of unapproved abbreviations

  8. Medical Record AuditEarly Findings • Unapproved abbreviations most commonly used: • “cc” is being used instead of “ml” • “qd” being used • Continued use of AM/PM rather than 2400 • Documentation of allergies, but no documentation of sensitivities

  9. Unapproved Abbreviations http://med.stanford.edu/shs/update/archives/JAN2006/abbreviations.pdf

  10. Syringe labeling

  11. Vial Labeling

  12. JDJ Launches New Website • Same web address: www.jdjconsulting.net • Features: • “About” page with employee information • “JDJ News” page with up-to-date information on medication management news • “Services” page • “Trusted Associates” page • “Contact” page

  13. For More Information John Karwoski, RPh, MBA (609) 313-7572 jkrpmba@me.com jdjconsultingi@gmail.com Brittney Cammarota, MPH (609) 384-5620 Britt.jdjconsulting@gmail.com jdjconsultingi@gmail.com

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