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Matching to National Drug File
Pharmacy Data Management (PDM)
Urban Health Programs August 2010
Section Objectives
• Describe and Manage National Drug File (NDF) Matching
• Demonstrate proper set up• Demonstrate proper maintenance
Overview• National Drug File (NDF) matching controls:
– Adverse Reaction checking– Interaction checking– Dosage form– “Possible doses”– Patient medication instructions (PMI)
• NDF Update Maintenance– Allows for matching new agents– Provides updates to the PMIs– Provides updates for Adverse Reactions and
Interactions
Matching Process
• Local entry is compared to National Files– Can match by NDC/UPC or VA Generic name– Often specific to form and packaging– Must also choose a package size
• Match must be verified for correctness
• Match must be merged to the local file
• Matching or re-matching will RESET the doses
Matching through Drug Enter/Edit
• Opportunity to match when entering a new drug
• Opportunity to re-match when editing a drug
• Must hold PSNMGR key for this to work properly
• When matching through Drug Enter/Edit, will allow for Verification and Merging as well
Drug Enter/Edit• After going through main drug file fields will see one of
two questions:– Drug not currently matched (note default answer):
Do you wish to match/rematch to NATIONAL DRUG file? Yes//
– Drug currently matched (note default answer):
points to AMOXICILLIN TRIHYDRATE 250MG CAP in the National Drug file.
This drug has already been matched and classified with the National Drug file. In addition, if the dosage form changes as a result of rematching, you will have to match/rematch to Orderable Item.
Do you wish to match/rematch to NATIONAL DRUG file? No//
Drug Enter/Edit Match• Valid NDC exists in file:
Do you wish to match/rematch to NATIONAL DRUG file? Yes// (Yes)
Deleting Possible Dosages...
Match local drug AMOXICILLIN 250MG CAPS ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 100 DISPENSE UNIT: CAPI will try to match NDC: 00364-2040-01 to NDF.
Local drug AMOXICILLIN 250MG CAPSmatches AMOXICILLIN 250MG CAPPACKAGE SIZE: 100PACKAGE TYPE: BOTTLE Is this a match ?Enter Yes or No: YES//
Match local drug METFORMIN 500MG *PLAIN* TAB U/D ORDER UNIT: BX DISPENSE UNITS/ORDER UNITS: 100 DISPENSE UNIT: TABI will try to match NDC: 51079-0972-20 to NDF.No match on that NDC....
I will attempt to match the NDCs from your SYNONYMS.
No match by Synonym NDC... now first word
Match made with METFORMIN 500MG *PLAIN* TAB U/D Now select VA Product Name
1 METFORMIN HCL (FORTAMET) 1000MG TAB,SA TAB,SA HS502 M0814
2 METFORMIN HCL (FORTAMET) 500MG TAB,SA TAB,SA HS502 M0813
3 METFORMIN HCL (GLUMETZA) 1000MG TAB,SA TAB,SA HS502 M0848
4 METFORMIN HCL (GLUMETZA) 500MG TAB,SA TAB,SA HS502 M0815
5 METFORMIN HCL 1000MG TAB TAB,ORAL HS502 M04496 METFORMIN HCL 1000MG TAB,SA TAB,SA HS502
M0695 **INACTIVE**7 METFORMIN HCL 1000MG TAB,UD TAB,ORAL HS502
M05878 METFORMIN HCL 500MG TAB TAB,ORAL HS502 M02619 METFORMIN HCL 500MG TAB,SA TAB,SA HS502 M052110 METFORMIN HCL 500MG TAB,UD TAB,ORAL HS502
M0585
Enter your choice or press return to continue: 10 Is this a match < Reply Y, N or press return to continue > :
Y
CHOOSE FROM: 1 100 BOTTLE 2 100 UNIT DOSE 3 OTHER OTHER Enter Package Size & Type Combination: 2
Local drug METFORMIN 500MG *PLAIN* TAB U/Dmatches METFORMIN HCL 500MG TAB,UDPACKAGE SIZE: 100PACKAGE TYPE: UNIT DOSE Is this a match ?< Enter "Y" for yes >
• No valid NDC exists in file:
• No match found!Match local drug AMOXIPINE 25MG TAB ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 60 DISPENSE UNIT: TABNo NDC to match...
I will attempt to match the NDCs from your SYNONYMS.
No match by Synonym NDC... now first word
Match on first word failed...
No match . . . attempting to match by Trade NameThere are no Trade Names...unable to match
Do you want to attempt to match by NDC or UPN:
Select one of the following:
N NDC U UPN
Enter your choice(s) separated by commas : NDC//
Please enter NDC Code <WITH DASHES>:
Unable to match by Name, Trade Name or NDC Code/UPN
Select VA GENERIC NAME: AMOXIPINE ??
• Oops! Watch for misspellings:
Select VA GENERIC NAME: AMOX 1 AMOXAPINE not “amoxipine”… 2 AMOXICILLIN 3 AMOXICILLIN/CLARITHROMYCIN/LANSOPRAZOLE 4 AMOXICILLIN/CLAVULANATECHOOSE 1-4: 1 AMOXAPINE
Match made with AMOXIPINE 25MG TAB Now select VA Product Name
1 AMOXAPINE 100MG TAB TAB CN601 A02522 AMOXAPINE 150MG TAB TAB CN601 A02533 AMOXAPINE 25MG TAB TAB CN601 A02544 AMOXAPINE 50MG TAB TAB CN601 A02555 AMOXAPINE 50MG TAB,UD TAB CN601 A0975 **INACTIVE**
Verify the matchLOCAL DRUG NAME: AMOXICILLIN 250MG CAP ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 500 DISPENSE UNIT: CAP
VA PRODUCT NAME: AMOXICILLIN TRIHYDRATE 250MG CAPVA PRINT NAME: AMOXICILLIN 250MG CAP CMOP ID: A0259VA DISPENSE UNIT: CAP MARKABLE FOR CMOP: YES PACKAGE SIZE: 500 PACKAGE TYPE: BOTTLEVA CLASS: AM111 PENICILLINS,AMINO DERIVATIVESCS FEDERAL SCHEDULE:INGREDIENTS: AMOXICILLIN TRIHYDRATE 250 MGNATIONAL FORMULARY INDICATOR: YESNATIONAL FORMULARY RESTRICTION:
< Enter "Y" for yes, "N" for no >
Is this a match ? Y
You have just VERIFIED this match and MERGED the entry.
National Drug File menus
REMA Rematch / Match Single DrugsVER Verify MatchesSVER Verify Single MatchMERG Merge National Drug File Data Into Local FileAUTO Automatic Match of Unmatched DrugsCLAS Allow Unmatched Drugs To Be ClassedRPRT National Drug File Reports Menu ...INQ Inquiry Options ...PMIS Print a PMI SheetFDA Display FDA Medication Guide
Rematch / Match Single Drugs
• Looks much like in Drug Enter/Edit
• Does not offer verify option
• Does not offer merge option
• More dependant on the NDCs
Rematch / Match Single Drugs, cont.Match local drug AMOXICILLIN 250MG CAPS ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 100 DISPENSE UNIT: CAPI will try to match NDC: 00364-2040-01 to NDF.
Local drug AMOXICILLIN 250MG CAPSmatches AMOXICILLIN 250MG CAPPACKAGE SIZE: 100PACKAGE TYPE: BOTTLE Is this a match ?
Select DRUG GENERIC NAME:
Remember, these matches must be verified using the options "Verify Matches" or
"Verify Single Match" and then be merged using the option "Merge National Drug File Data Into Local File".
Verify Matches
• Verify Matches will loop through all unverified matches– Can use “^” to stop at any time
• Verify Single Match will allow you to choose a drug to verify– If already verified, will see two question marks:
Select DRUG GENERIC NAME: IBU200 ??
Verify Matches, cont. LOCAL DRUG NAME: AMOXIPINE 25MG TAB ORDER UNIT: BT DISPENSE UNITS/ORDER UNITS: 60 DISPENSE UNIT: TAB
VA PRODUCT NAME: AMOXAPINE 25MG TABVA PRINT NAME: AMOXAPINE 25MG TAB CMOP ID: A0254VA DISPENSE UNIT: TAB MARKABLE FOR CMOP: YES PACKAGE SIZE: 60 PACKAGE TYPE: BOTTLEVA CLASS: CN601 TRICYCLIC ANTIDEPRESSANTSCS FEDERAL SCHEDULE:INGREDIENTS: AMOXAPINE 25 MGNATIONAL FORMULARY INDICATOR: NONATIONAL FORMULARY RESTRICTION:
< Enter "Y" for yes, "N" for no >< Press RETURN to Pass to Next Drug >
Is this a match ? Y
Select DRUG GENERIC NAME:
Remember, these matches, after verified, must then be merged using the option "Merge National Drug File Data Into Local File".
Automatic Match of Unmatched Drugs• Will go through all active drugs with either no or manually
entered VA Class
• Only attempts to match by NDC code
• Still need to verify and merge
This option will attempt to automatically match by NDC code, drugs which have not been matched to the National Drug File. These matches must be verified and merged.
AUTOMATIC MATCH by NDC Code process will begin. It will attempt to match all items that are not presently MATCHED to the National Drug File.
Are you sure you want to continue ? N// Y .......................... ..................................
OK, I'm through. Please verify these matches.
Merge National Drug File Data Into Local File
• Must have a printer to print the error report– Usually no errors
Select National Drug File Menu Option: MER Merge National Drug File Data Into Local File
This option will merge NDF fields into your local drug file. This will also produce an Error Report for entries in the translation file which are not in the local file if they should exist. These exceptions will not be merged.
You may queue this report if you wish.
Select Printer:
National Drug File Updates
• Released quarterly or more
• Installed like any other patch
• Generate MailMan bulletins– Will get bulletin if hold the PSNMGR key– Some are info only– Others require action
Sample messagesSubj: Products with changed classes [#13062] 02/25/10@14:18 44 linesFrom: NDF MANAGER In 'IN' basket. Page 1-------------------------------------------------------------------------------Product: BARRIER,ASSURA COLOPLAST #14233Old Class: XA600New Class:XA602
Product: CATHETER,SELF-CATH COUDE 14FR COLOPLAST #50202Old Class: XA599New Class:XA510
Product: CATHETER,SELF-CATH COUDE 14FR COLOPLAST #50203Old Class: XA599New Class:XA510
Product: CATHETER,SELF-CATH COUDE 16FR COLOPLAST #50204Old Class: XA599New Class:XA510
Product: DRESSING,BIOPATCH 4MM JJ#4150Old Class: XA100New Class:XA105
Subj: DRUGS UNMATCHED FROM NATIONAL DRUG FILE [#13060] 02/25/10@14:18 69 lines
From: NDF MANAGER In 'IN' basket. Page 1-------------------------------------------------------------------------------
The following active entries in your DRUG file (#50) have beenunmatched from the National Drug File (NDF). The VA Productname and CMOP ID corresponding to the unmatched local drug filename are listed on the indented line beneath each entry. AnInactivation Date may be listed for entries when this reasonapplies. Until you rematch these entries to NDF, they will nottransmit to CMOP and drug-drug interaction checks will not checkfor these products. It is critical that you rematch theseproducts immediately. You may also need to match a neworderable item. Any possible dosages and local possibledosages for these unmatched products have been deleted.Therefore, the dosages for each unmatched product shouldbe reviewed after the rematch or recreated if the productcan not be rematched to a VA Product through the NDFmatching process.
DRUG IEN INACTIVATION DATE------------------------------------------------------------------------------- NONE
Subj: UPDATED INTERACTIONS [#13059] 02/25/10@14:18 263 linesFrom: NDF MANAGER In 'IN' basket. Page 1-------------------------------------------------------------------------------The following interactions in National Drug File (NDF) have been added,edited or inactivated. These changes are the result of review andrecommendations from the NDF support group.
ADDED INTERACTIONS
ALFENTANIL/ISOCARBOXAZID Critical ALFENTANIL/LINEZOLID Critical ALFENTANIL/PHENELZINE Critical ALFENTANIL/RASAGILINE Critical ALFENTANIL/SELEGILINE Critical ALFENTANIL/TRANYLCYPROMINE Critical AMPRENAVIR/DELAVIRDINE MESYLATE Critical AMPRENAVIR/RIFABUTIN Significant AMPRENAVIR/ROSUVASTATIN Significant AMPRENAVIR/TADALAFIL Significant ATAZANAVIR/ATORVASTATIN CALCIUM Significant ATAZANAVIR/DEXLANSOPRAZOLE Critical ATAZANAVIR/ESOMEPRAZOLE Critical
Subj: DATA UPDATE FOR NDF [#13058] 02/25/10@14:18 540 linesFrom: NDF MANAGER In 'IN' basket. Page 1-------------------------------------------------------------------------------
The following VA Products have been added to the NationalDrug File. You may wish to review, then match or unmatchlocal drug file entries based on this updated information.
ATTENDS BRIEF PULL-ON XX-LARGE (CMOP - XT311) (DISPENSE UNIT - EA) 999004-6395-39 BANDAGE,DERMACEA 2IN X 4YD NONSTERILE KEN#441124 (CMOP - XT340) (DISPENSE UNIT - EA) 008884-4411-24 BANDAGE,DERMACEA 2IN X 4YD STERILE KEN#441108 (CMOP - XT336) (DISPENSE UNIT - EA) 008884-4411-08 BANDAGE,DERMACEA 3IN X 4YD NONSTERILE KEN#441123 (CMOP - XT341) (DISPENSE UNIT - EA) 008884-4411-23 BANDAGE,DERMACEA 3IN X 4YD STERILE KEN#441107 (CMOP - XT337) (DISPENSE UNIT - EA)
Subj: INTERACTIONS and ALLERGIES UPDATED [#13047] 02/25/10@13:02 29 lines
From: NDF MANAGER In 'IN' basket. Page 1-------------------------------------------------------------------------------
The following interactions have been edited because theyinvolved ingredients that are not primary ingredients.
none found
The following interactions have been deleted becausePrimary Ingredient/Other Ingredient combination alreadyexists in the DRUG INGREDIENTS file involved ingredientsthat are not primary ingredients.
GATIFLOXACIN/PIOGLITAZONE HCLGEMFIBROZIL/PIOGLITAZONE HCL
============================================================
Allergy information for the following patients has been changed.Patient: Pxxx,Bxxx LxxxNon-primary ingredient PIOGLITAZONE HCLwas replaced with primary ingredient PIOGLITAZONE HCL
