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Are there any relevant articles on physician dispensing?
Is it legal for a physician or private practice to dispense?
Most physicians are allowed by law to dispense medications to their own patients, within the practice environment. There are only four states which prohibit physician dispensing (AR, MR, NY, UT), and three which have limitations (MA, NJ, TX).
Will in-office dispensing take physician's time away from patients and require additional work for office staff?
Physicians will continue to prescribe as they normally do.
In most private practices, a significant amount of time and resources are utilized to manage refill authorizations. Dispensing medications directly to a patient is much faster and far more efficient.
Will dispensing require a tremendous amount of knowledge about regulations?
No, as the MDRx software is very simple, fast and intuitive to use. All required regulations are embedded in our software.
MDRx pre-packages and pre-labels medications so that they are compliant when received. The MDRx software manages the record keeping component internally and is transparent to the dispenser.
Some physicians fear that beginning to dispense will initiate intrusive government inspections and oversight. Is this true?
Prescribers and dispensers are licensed by their respective regulatory agencies and therefore always subject to inspection and oversight.
All transactions conducted in the MDRx software program are time and date stamped allowing physicians and pharmacies to easily retrieve, audit and reconcile every dose of every product managed in the system. The ability to quickly retrieve and reconcile this data should allow government agencies to conduct their inspections in less time and in a manner that is less likely to seem intrusive or interfere with routine business activities.
Does dispensing increase malpractice risk and insurance premiums?
From an insurance standpoint, physicians assume the same or similar risk whenever they dispense a free prescription drug sample. Physicians are already liable for what they prescribe whether they dispense or not. In fact, there is far less exposure to risk of error dispensing a pre-packaged, pre-labeled, and pre-approved prescription than relying upon another person's ability to correctly interpret, prepare, label and dispense your prescriptions.
Does dispensing increase office record keeping?
All records will be kept in MDRx software. MDRx can retrieve any record as well custom-tailor reports at any time.
Is inventorying of controlled substances very risky for doctor’s offices?
The MDRx double-locking cabinet assures DEA storage compliance, but each practice needs to assign access (keys) and password privileges. But there is NO obligation to stock controlled substances.
MDRx software manages the inventory so that a medical practice can keep a limited supply of controlled substances on hand. Our software also will track and trace every dose/every container by creating an internal audit trail that complies with DEA regulations.
Is buying replenishment inventory a hassle?
Inventory management is a key component of the MDRx system. We know this can be a time consuming function, so we’ve ELIMINATED the need! Placing replenishment orders takes LESS THAN one minute.
Inventory is managed in real time consistent with reorder criteria set by the client. Orders are pre-populated with any items that fall below minimum inventory criteria.
Does private practice dispensing create a conflict with the local “big box” pharmacies?
Pharmacies are currently competing with independent private practices by installing “doc-in-the-box” mini-clinics, thus steering traditional revenue away from doctor’s offices.
How does MDRx work within the Affordable Care Act?
The enactment of the 2010 Patient Protection and Affordable Care Act (“Obamacare”, or ACA) brings a new focus on quality improvement, including incentives for high quality health plans. To capitalize on this new shift in the marketplace, health plans are utilizing a variety of methods to try and improve patient performance on adherence metrics.
Quality results start with a fully compliant packaged product and system. Products packaged under general manufacturing practices are more than 20% safer by reducing mistakes made after the product hits the pharmacy. Many mistakes are made tracking and tracing drugs after the product leaves the distribution centers or manufacturer and is received by the retail pharmacy. The pour and count system and will call are the largest areas of human intervention and thus pose the largest risk for errors.
If a patient receives prescription drugs from their General Practitioner, they still might need to go to the pharmacy if their other doctors do not dispense, thus negating the patient convenience factor. Is this true?
Physicians may only dispense to their own patients and most states (with some exceptions) require that the physician perform a physical examination to establish this relationship.
Most patients will appreciate the convenience and personalization that YOU provide as part of your health care management practice.
Better Relationships = Better Management = Better Outcomes!
Can I sign up with MDRx and be compliant with the HR 3204?
Yes, as MDRx complies fully with this law. The federal government passed HR 3204, the New Drug Safety and Security Act mandating significant changes in the requirements for pharmacies and wholesalers to manage the supply stream of prescription drugs. Included but limited to a requirement for pedigree to patient level and serialization of packaging to be included in the pedigree.