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In-House Dispensing to Protect Patients from COVID-19 - Proficient Rx

How In-House Dispensing Helps Protect Your Patients

As the world around us is changing due to COVID-19, in-house dispensing is more important than ever.

The novel coronavirus (a disease dubbed “COVID-19” by the WHO) has swept the world and led to stringent lockdowns and quarantine measures in countries on every continent.

One of many different coronaviruses (named such for their shape, which reminds researchers of the sun’s corona), COVID-19 causes severe respiratory symptoms, digestive symptoms and fever. The virus’ incubation period is currently estimated at 2-14 days, with only 1 percent of patients exhibiting symptoms 15 or more days after infection.

How In-House Dispensing Promotes Social Distancing

To combat rising infection rates and ensure that healthcare systems around the world are prepared to deal with a growing number of acutely sick patients, countries are urging their citizens to stay at home as often as they can afford to, and practice social distancing while out in public.

Some countries and regions have implemented stringent lockdown policies to prevent people from leaving their homes without an urgent reason, while other countries are implementing curfews and encouraging frequent handwashing and disinfecting at work.

Many are worried for the health and safety of their families, especially in people with chronic conditions where complications are more likely to occur. In an effort to protect the most vulnerable among us, more physicians should turn towards the practice of in-house dispensing to provide an additional outlet for critical medication, and help those most likely to struggle with the virus further avoid making an extra trip to the pharmacy. Doing so is critical, as the most vulnerable among us need as much time as they can get before treatment becomes necessary.

A spike in infections may cause an overload in countless healthcare systems across the world, as hospitals are limited in the number of patients they can treat within their ICUs. Slowing the spread of the virus will not stop the inevitable, but it will delay it enough to give healthcare systems the time and space needed to treat everyone. Therefore, it is important to practice social distancing, and to flatten the statistical curve.

Access To Needed Medications Remain Crucial 

There is no vaccine or medication on the market meant to combat the novel coronavirus yet, which had been completely unknown to the medical world prior to this winter. While some doctors have reported success in some cases utilizing a variety of existing antiviral drugs, there is no accepted or proven treatment regimen for an infection. Several studies are underway, and several companies have committed countless hours towards a working cure.

But that does not mean that medication isn’t critical for many, especially the most vulnerable to the virus, who rely on medication to combat chronic conditions. However, access to such medication may be compromised in times of lockdown due to transport issues, lack of supply, and fear of infection.

It’s in such cases that in-office doctor dispensing can help physicians provide direct care for their patients without the need to refer them to pharmacies that may be further out of their way.

Protecting At-Risk Patients

Patients who are most at risk are those with pre-existing heart conditions, respiratory issues, asthma, a history of heart disease, and diabetes. Other patients who may be compromised and must continue to fulfill their prescriptions include patients with weakened immune systems due to organ transplants, an autoimmune condition, or an overactive immune system in cases of IBD and other diseases.

The elderly, many of whom struggle with numerous chronic conditions, are also more likely to suffer from complications from an infection with COVID-19.

Retail pharmacies are an important part of the healthcare system, and continue to do an important job of being a hub for medication access – but in times of crisis where patients cannot afford to expose themselves or require the help of a trained medical professional who may better assist them and assuage their fears regarding how the coronavirus may affect their health given their medical history, in-house dispensing will become an important alternative that may save lives.

In-House Dispensing and the Most Vulnerable Among Us 

Continuity of care is increasingly important, especially in uncertain times where those most vulnerable to COVID-19 must remain in contact with their physician and update them as soon as symptoms develop.

Just as we must remind ourselves and those younger and healthier to think of those who are neither, and to stem the spread of this disease through rigorous hygiene and a stay-at-home attitude, it’s important to work towards better ways to care for the most vulnerable by providing safer access to critical medication, including a safe alternative to the public pharmacy. The full scope and consequences of COVID-19 are yet to be explored, but we must prepare for the worst.

Here at Proficient Rx, we aid physicians, specialists, clinics, and hospitals in setting up and getting started with point-of-care and in-house dispensing, giving their patients access to the medication they need right within the comfort of their own office, without the need to check for stock in nearby pharmacies, and redirect patients to outside sources.

Proficient Rx is a provider of FDA-approved repackaged generic, brand, and OTC pharmaceuticals, helping healthcare providers become a one-stop-shop for medical diagnoses and effective pharmacological treatment. We understand the importance of keeping common medications in stock in such times of crisis and aim to help physicians provide their patients with a better service by helping them get easier access to life-saving medication.

Dispensing Profitability | Proficient Rx

Increasing the Profitability of a Practice via Medication Dispensing

As a physician, you have many responsibilities. You maintain a full patient roster, so you can provide a secure job for your staff and yourself. The pressure of making enough money to maintain your profitability as a practice can be overwhelming at times.

Finding ways to reduce your stress while increasing your profitability allows you to make patient care your priority, not finances. Dispensing medications is proving to be a wonderful way to do this.

In-office dispensing is becoming more popular as physicians recognize the benefits for both the practice.

Why Medication Dispensing Makes Sense

Thousands of medicines are available for prepackaging. From decongestants to contraceptives to medicines associated with mental illness can be prepackaged and shipped to any clinic, no matter what level of medical degree or specialties exist within a practice.

Physicians find a great deal of comfort knowing each medicine ordered for inventory goes through an intense inspection process that meets FDA approval. Extraordinary steps are taken to ensure medicines are prepackaged correctly and are shipped in a timely manner. It is a top goal to make all custom orders a priority.

When most of your patients are taking at least one prescription, it is likely there are commonalities among the prescriptions you write. Some of your patients are likely on four or five prescriptions for similar problems.

Finding these common prescriptions is a great start to creating your list of medicines to dispense and increase your profitability.

Common Medications

The most common drugs prescribed by physicians last year included analgesics, antihyperlipidemic agents, and antidepressants.

Solid, compressed, time-release and coated are the most common types of solid form dosages today. Tablets appear to be the easiest form for most patients.

Solid form dosage medicines commonly used to treat the most common illnesses are in tablet form. These are used to treat patients with heart disease, as well as many other illnesses.

All these medicines are available in prepackaged form and can be dispensed in your office, giving you the profitability you need versus sending money to a pharmacy. In addition to dispensing common medications, you can dispense durable medical equipment for higher revenue.

Durable Medical Equipment

Patients would much rather purchase their needed equipment from you, at the point of care, rather than from a pharmacy who can mark prices higher than you will. The convenience alone saves your patients money.

It can mean more profitability for you, however.

Durable medical equipment, dispensed in-office, is a huge benefit for patients. Patients who need durable medical equipment often are handicapped or disabled in some way.

To help patients move around, a doctor can prescribe specific mobility devices such as wheelchairs, walkers, scooters and canes.

Specific personal care aids include rods to help patients pull up their own pants and socks. They can also include raised toilet seats for patients who have trouble bending. Bath and shower aids can include handles and shower stools.

All personal care aids enable the patient to remain independent.

Artificial limbs are serving over two million Americans today.

Orthotic equipment is often prescribed by doctors for foot therapy and pain relief. Common orthotics include shoe inserts, possibly to help with arch support. Others include heat moldable orthotics, and shoe insoles.

Durable medical equipment can be dispensed along with durable medical supplies, which are different for your patients. Although different, still very much needed and an uncomplicated way to create extra profitability.

Durable Medical Supplies

Durable medical equipment is sometimes confused with disposable medical supplies. While both are needed and used by the elderly, ill and disabled, they are different.

The main difference is that durable medical supplies are items that help a patient care for themselves but are disposed of once used. Examples of supplies include blood sugar testing strips for diabetics. Durable medical supplies can also include disposable gloves that a patient or caregiver may wear during a daily treatment.

Supplies can also include bandages, catheter equipment, needles for injections and diapers. If it is used once and then thrown away, it is considered a durable medical supply.

These items at a pharmacy can be quite expensive. Because you can offer the supplies at a lower mark up price, your patients will recognize and appreciate this benefit. Dispensing medical supplies is a straightforward way for you to increase your profitability.

Keep Adding Ancillary Services For Profitability

Once you establish and see success with the ancillary service of dispensing medication, equipment and supplies, you can then proceed with even higher revenue services.

In-office dispensing can be followed up with much needed in-office lab testing. You could also add x-ray and diagnostic testing for your patients, or even diabetes education.

Some physicians even go further and add an urgent care clinic to their list of services. While this may seem like a huge undertaking, the others are much more doable with the cost of the equipment being the most expensive.

The more services you provide to your patients at the point of care, the better. You are showing you care about your patients by saving them time and closing the gap between the time you prescribe an order to the time they receive it.

The more ways you establish to bring in extra income, the higher your profitability. With providing just in-office consultations and check-ups, you are relying solely on those appointments, and those set fees, to support your practice.

Adding ancillary services can give your practice more avenues of support and greater financial security. On those days when patients may not show up for appointments, you can feel secure that your ancillary services are making up for any profit losses.

Having multiple streams of revenue is always a better option, for you, your staff and your patients.

Dispensing Revenue Increases | Proficient Rx

Dispensing Revenue You Can’t Afford to Miss

As a physician, you are able to increase the revenue you bring in each month by introducing new services into your practice. Many services do not require a lot of money to start but give you a huge return on your investment. Not only do you benefit financially, your patients benefit from the convenience and better care they receive. Below are some of the dispensing revenue streams you can implement now.

Wellness Programs

Physicians are recognizing the importance of patients taking responsibility for their health and teaching them to be proactive in reaching health goals.

Wellness programs allow you to work with nutritionists who can further teach your patients how they can improve their own health naturally, without always relying on synthetic medications.

You can sell alternative medicines at the point of care. Because you can obtain these remedies at wholesale costs, you can often double the price on each product, making a nice profit on dispensing revenue.

Premier Services

Why not make your patients feel catered to? Why not give them the one-stop-shop they desire? This makes your patients feel special and lets them know you care about their time and their care.

Patients want you to be in control of all their services. They want to go to one place to complete the many tests you require to analyze their health. You can provide many tests at the point of care. Ultrasounds, blood testing, and x rays are just a few services you can provide onsite.

Patients do not enjoy traveling to many different medical sites for one health condition. By offering these services in your office, you will attract loyal, satisfied patients. You will even be able to charge more money for the services and make more dispensing revenue.

Patients are often willing to pay more for convenience.

You can further increase your revenue by offering common, simple procedures at the point of care. Services that are not intensive and can be completed in an hour or less are perfect for adding to your list of dispensing revenue streams.

Controlled Substances

The need for controlled substances is increasing, not decreasing. Just because a few of your patients are abusing the drugs, doesn’t mean there aren’t patients who can benefit from them. There are patients who will use them as directed and their pain can be alleviated.

Having these controlled substances at the point of care can give you better control over how you prescribe them to your patients. Rather than giving them a prescription for a month supply, you can give them a week’s supply. This makes the patient more accountable to you, protecting you and the patient from negative outcomes while boosting your dispensing revenue at the same time.

Durable Medical Supplies

Medical supplies are much different than medical equipment. Supplies are disposable. They are typically used one time and then thrown away.

Medical supplies consist of bandages, gauze, and tape. Other supplies include irrigation tools and rubber gloves that can prevent contamination.

Needles and test strips are considered medical supplies also and can be used to increase your dispensing revenue.

Supplies can be used by the patient, the doctor, nurse and even the caregiver. They are made to increase patient self-care, while preventing the spread of any diseases or infections.

Durable Medical Equipment

By providing durable medical equipment in your office, you are helping your patients receive immediate assistance. Most insurance companies will pay for the equipment. However, patients can purchase them outright when they want and giving them the option to do so can help your dispensing revenue.

Personal care aids can help your patients monitor their own vital signs. Heart monitors allow patients to check if there are any abnormalities in their heart rate. If so, they know to contact you. Heart monitors are also a way for you to measure how their heart, so you can make a better diagnosis.

Common Medications

Dispensing only the most common medications you prescribe keeps your inventory low but your returns high. You are not required to stock one or two of every medicine available. Instead, you pick medications to store based on the needs of your patients only.

Some common medications include anti-depressants, blood pressure medications and drugs for controlling cholesterol. Other common medications include diabetic medications, as well as insulin and supplies.

Analgesics that are non-narcotic could have major importance in your practice. Minor pain-relieving agents could even be administered by you or your staff right there in the office. Giving a patient an ibuprofen at the time of service could help the patient find faster relief from pain.

For a person with arthritis or migraines, being able to have immediate treatment will be greatly appreciated.

It is also a terrific way to provide a quick, harmless service while increasing service charges. Patient satisfaction and dispensing revenue increases.

Add Medical Professional Staff

Adding Nurse Practitioners to your staff can be a terrific way to bring in more money to your practice. They can do everything you can do, with your approval, and you can make a profit from their services while still paying them a large fee.

If a nurse practitioner is compliant with all state laws, they are perfectly capable of assessing, diagnosing, prescribing and dispensing.

Adding medical staff allows you to increase your patient roster without you working longer hours. It can bring in thousands of extra dollars in dispensing revenue and office visits a year. You are providing employment, great care to patients and are doing so without any extra stress.

Having a nurse practitioner on staff prevents waiting lists for patients who need to be evaluated. They also know how to communicate with insurance companies and can prescribe and dispense medicines at the point of care, just like you.

Before starting any ancillary services, check with your State’s pharmacy and Board regulations to ensure you follow proper procedures in establishing the services.

One of the best moves you can make is to work with a dispensing company who not only provides the prepackaged medication, but also provides the software technology that makes the entire dispensing process simple and effective.

Working with a dispensing company makes providing services such as these easy to learn and transition into so that your patients benefit the most.


Medication In Office | Proficient Rx

Having Medication in Office is the Future of Dispensing

Physicians are beginning to recognize the benefits of having medication in office. They are realizing they can make more money with little extra work and provide better care to patients. Physician dispensing is seeing a huge increase in the number of doctors implementing these practices.

Having medication in office to dispense to patients is the future of dispensing. Keep reading to discover some of these reasons, all of which benefit you, staff, and the patient.

Doctors Want Ancillary Income

Everyone thinks doctors are immediately wealthy. You know this is not the truth. Some doctors have student loan debt, while others are supporting a family. Some physicians are both paying off debt and have a family.

On top of that, doctors have additional bills that many citizens do not consider when they generalize that all doctors are wealthy. You have employees to pay, insurance costs, and mortgage fees. And those are just for your office.

Physician dispensing and having medication in office is a way for all doctors to bring in more money without having to do more work. In fact, most of the services can be done by your staff. It costs little money to set up but has a great return on your investment.

Doctors Want Better Outcomes Measurement

Somewhere along the way, the ability to track your patients’ health outcomes has become more difficult. Not because you haven’t tried, but some of your patients aren’t the best at maintaining the treatment plan you created with them.

Some patients visit several different doctors for the same medical concerns. Yet they fail to tell you they are doing so. Other patients feel they know the best way to take their medications, which may not be as prescribed by you.

With medication in office you see just how well your patients are doing when it comes to following their care plan. You can track their progress and learn exactly why they are or are not meeting positive health goals.

Doctors Don’t Want to Have to Deal with The Pharmacy

It seems like pharmacists have prescription issues when you are at your busiest time of the day. They don’t know this, of course, and they certainly don’t want to bother you. But it happens.

When you have medication in office, you will no longer need to communicate with a pharmacy because all your prescriptions can be filled right there in your office, by you and your staff.

With in-office dispensing software, your staff can fill a prescription with medication in office in less than ten minutes, accurately and safely. You can consult your patient in-person to ensure they receive education on their medicine. And refills are prepared with a few simple clicks on the computer.

Medication In Office Can Help Avoid Medication Errors

You can read your own hand writing so there won’t be any pharmacy related errors when you keep medication in office. It’s true that pharmacists and pharmacy technicians have made errors when filling prescriptions. They have mistaken one drug for another simply because they are similarly spelled.

They have accidentally cause cross-contamination due to unclean sorting practices. They have even given the wrong dose, and the wrong prescription to the wrong patient. Errors such as these can be fatal, can set you up for a lawsuit, or both.

You can avoid all these errors by filling your own prescriptions.

Doctors Want to Better Manage Controlled Substance Prescriptions

Controlled substances are heavily regulated. Due to the widespread patient abuse of these drugs, physicians are hesitant to prescribe controlled substances, even to the patients who need them and can benefit from them.

With in-office dispensing, you can have complete control over how your patients use the controlled substances you prescribe. You can prescribe one dose a day, or enough for two weeks. It will be up to you to determine the best way for your patient to receive a controlled substance.

Too often, patients get a thirty-day supply. Some abuse this by taking too many in less than thirty days. This creates a cycle where the patient calls for early refills and you are faced with allowing your patient to experience pain or prescribing more.

Medication in office makes these decisions easier. It also lets you check national databases, giving you information as to whether your patient has established negative patterns in trying to obtain controlled substances.

Doctors Want Their Patients to Be Happy and Loyal

Dispensing at the point of care saves your patient a great deal of time and effort. They can obtain their medication in office before they leave. Meaning, they can receive immediate relief for their pain.

If they need a cane or walker, you can provide that to them on site. If you are prescribing a medication for relief of negative symptoms, your patients no longer must wait hours for the pharmacist to fill their prescription. They can get their first dose at your office, and possibly administered by you, so you can educate them on how to properly take a dose.

Happy patients are those who are shown respect, especially when it comes to their confidentiality. At the pharmacy, there is little effort made to protect the confidentiality of your patients. Even at the bigger chain pharmacies, only a small window is provided for communicating with the pharmacist.

Everyone else waiting in line can still see and hear what your patients are discussing with the pharmacist. Most of the time, patients refuse communications with pharmacists to avoid embarrassment.

When your patients are happy, they are loyal. They tell all their family and friends how great you are, allowing your practice to never need patients. The more patients you gain, the more money-making opportunities will come your way.

With more patients, you can hire nurse practitioners and physician assistants. Additional staff like this means your office can see twice the number of patients, at a higher fee, giving you more profits.

In-office dispensing is becoming popular due to the many advantages it offers physicians. It is easy to see why having medication in-office is the future of dispensing.



Doctor Dispensing | Proficient Rx

Providing Better Care with Doctor Dispensing

As a doctor, it’s hard to know what is going on with your patients when they are not in your care. Most of the time, they leave your office and you aren’t sure whether they are following through with their treatment plan. Doctor dispensing changes the game, allowing you to keep better tabs on your patient’s health and therefore, providing better care.

Below are some of the ways doctor dispensing allows you and your patients to collaborate better to achieve better health.

Improved Education

Gaining knowledge about the medicine you have prescribed should be done at the pharmacy. However, your patients rarely receive quality education from a pharmacist. There are several reasons patients do not seek education from a pharmacist about their medication.

One reason is that patients do not ask for education. They blindly trust that you know what is best for them.

Both patients and pharmacists are in a hurry. Patients tell themselves they will read the brochure or google information when they get home. Also, patients notice the pharmacist is busy. They ask patients if they have questions or need education, but you can see in their eyes they really do not have the time.

Furthermore, patients get embarrassed. They do not want all the other patients waiting in line to hear what medicines they are on and how to use them.

With doctor dispensing, patients can receive demonstrations and assistance in learning how to use medications directly from you, their care provider.

Doctor Dispensing Cleanliness

If the medicine you prescribe for a patient is dirty, it can negatively affect your patient. You want the medicines you prescribe to be created in a healthy environment.

Clean rooms help provide this healthy environment during the manufacturing of pharmaceuticals. Clean rooms focus on the air in the facility where drugs are manufactured. If the air is clean, everything else in the facility will be cleaner.

A clean room is defined as the space used to contain an area that needs to be free of particles that could potentially contaminate a product. They are also used to control temperature and pressure.

Cross-contamination can happen at pharmacies. People do not realize this, but medicines can be handled by pharmacy technicians and pharmacists that can pass germs to their medicines. While many pharmaceutical staff wear gloves, they do not change gloves often.

Germs and bacteria can travel a distance through sneezing and coughing. These germs can land on the preparation table where staff are working, where medicines are placed.

Prepackaged medications used with in-office dispensing prevent germs from getting onto medicines. The prepackaging companies have state of the art equipment that must pass federal and state laws surrounding cleanliness.

Patient Follow Through

You may not be able to force your patients to take their prescriptions, but you can make it easier for them. An in-office dispensing system eliminates the excuse of not being able to get to the pharmacy.

Doctor dispensing also allows you the opportunity to check their files to see if they are keeping up with refills. If they have never called in for a refill, they are most likely not taking their medicines.

This gives you a chance to contact the patient before their next appointment to find out why they are not taking their medications.

When you show you care by providing on-site prescriptions and status checkup calls, you are encouraging patients to follow through.

Immediate Relief

You can administer a first dose to patients in your office. Educating and ensuring patients know how to administer a drug to themselves.

When a patient is sick, they just want to take medicine, rest and heal. They want quick relief and their idea of wellness means getting rid of pain as fast as possible. Going to the pharmacy involves many steps: finding a ride, waiting for their ride, waiting at the pharmacy.

It can be hours before the first dose of medication can be taken. This means they spend several extra hours suffering when they could be at home, recovering.

Patients needing medical equipment and supplies can purchase products in your office, in your care. This too gives you the opportunity to teach your patients how to properly use their durable medical equipment or supplies.

Being able to get a cane immediately rather than struggling to get to a pharmacy can prevent the possibility of further injuries. Being able to get testing strips at the point of care and being taught how to use a blood sugar monitor can help the patient learn self-care a lot sooner.

Being able to help your patients immediately, can lead to their higher compliance rates and overall better health.

Using Nurse Practitioners

You cannot be with every patient. You do your best to see everyone scheduled but it is impossible to provide quality care in just a few minutes of consultation.

Nurse practitioners can help you provide better care. Nurse Practitioners can and are perfectly capable of providing a variety of services. If you have a Nurse Practitioner on staff in your practice, you can double the number of patients you see. This means you can serve more people and increase the revenue flow to your business.

The role of a Nurse Practitioner today is extensive and valuable. More than ever before, seeking a career as a Nurse Practitioner is popular among both men and women.

They are your right-hand man or woman, without needing to be right there with you always.

The use of a Nurse Practitioner for Drug Dispensing is both smart and efficient for your practice, offering higher quality of care because you can both spend more time with the patient.

Ultimately, there would be no practice without patients. Providing the best care possible is how you can retain loyal patients and attract new ones. You can do this with doctor dispensing practices that allow you to follow your patient’s health from start to finish.

Doctor dispensing helps you stand out from other physicians, showing just how much you care about your patients.


Dispensing Requirements | Proficient Rx

Dispensing Requirements For Dispensing In Office

There are quite a few dispensing requirements you need to meet before dispensing medicine at your point of care. All these requirements are worth the effort, which is minimal in most cases.

Below are the dispensing requirements you should focus on when setting up your practice as an in-office dispensary.

Pharmacy Board Application and Approval

Pharmacy board regulations will vary from state to state. However, they each have similar processes. Many times, physicians are held to less requirements than pharmacists are when it comes to setting up a point of care delivery system.

Registering with your pharmacy board will require you show evidence of your license and any examinations necessary to practice medicine in your state.

Register with Board every year to avoid any lapses with your credentials.

Dispensing Requirements at the State Level

Applications for physicians to dispense medications at point of care will vary by state. However, each application will ask related questions about your qualifications and intentions.

You will be asked to identify the specific medications you plan to dispense. You will also be asked basic questions about where and how the medications will be dispensed.

More specific questions may focus on whether the patient has access to a pharmacy or if it is difficult for them to obtain medications. The more conveniences you can provide for your patient, the more likely your application will be received.

Common regulations among States include the following:

  • State issued controlled substance dispensing license is required for those of you who wish to dispense Drug Enforcement Administration (DEA) scheduled drugs.
  • Nurse Practitioner or Physician Assistant credentials updated and legal if you plan to allow them to dispense medications.
  • Your State issued dispensing license, if required, which it is in many States.

In addition to meeting these dispensing requirements, many States require you meet the Pharmacy Board regulations also.

Controlled Substances Requirements

The Drug Enforcement Administration makes it clear that when you dispense a narcotic of any kind, it must be for a legitimate medical reason. You must make sure it meets all the regulations showing it is valid. In addition, you must verify all information on the drug to make sure it corresponds with the patient.

This means you must verify the patients name, dosage, drug being prescribed, strength and quantity before you give it to your patient as part of their dispensing requirements.

Every few years you must register with the Drug Enforcement Administration (DEA) to dispense controlled substances.

Current State License and DEA Number

Your DEA number allows you to write prescriptions that are considered controlled substances by the government. Controlled substances are ranked and put into five categories. A DEA number allows your prescriptions to be tracked and reported in case of negligent practices.

If you do not already have a DEA number, you can simply apply online using form 224. This is the application for controlled substances registration. You cannot dispense controlled substances without this approval.

You will be expected to give personal information as well as background history. If you do not supply this information, you will not be allowed to register.

Your DEA number does not allow you to dispense medications that treat narcotics addictions. That is a totally separate application and registration process with different dispensing requirements.

Ability to Help Workman’s Compensation Patients Easily

Once you determine your workman’s compensation needs, whether medicine or equipment, you file claims for the patients whose insurance requires it.

There are times when insurance companies require the patient to pay for the equipment up front and be reimbursed for all the costs, or partial costs.

You can acquire the assistance of specialists who provide the equipment for you. They can also assist with the claims and offer many benefits that ease your workload. These companies are like those who specialize in medication dispensing.

Instead of dispensing medications, however, they are dispensing durable medical equipment.

Good Software Program

In-office dispensing software can prevent errors with medicine.

But before you commit to any system software program, check references. Get feedback from other users of the software program. You want honest feedback, not just reviews that are positive.

The key is that you are told about possible glitches before you purchase. This shows honesty from the software company. It can also show you a willingness on their part to fix all problems that arise.

If your computer program is crashing every time you try to prescribe and fill a medicine, you will get frustrated. And so will your staff and patients. Finding a software program that is reliable is one of the most important tasks.

In times where software crashes are unavoidable, you need technical support. The company you choose should provide support to you at free or low-cost services. The tech support staff should also be readily accessible to you during the time of the crisis.

Most quality software companies have around the clock services. You do not have the time to work with the software, your patients need you more. Finding a software program that comes with expert support is necessary for your practice.

Be the Good Doctor

The World Health Organization defines good dispensing practices as the way you provide medicine to your patients. Using good practices, you give the right patient the correct medication. The medication is labeled correctly, with all accurate data, including clear instructions for the patient to follow.

From the time you write a prescription until the time the medicine is given to the patient; all the actions in between can determine if your practices are good or bad.

There are a few things you can do to ensure this entire process is consistently successful. You can regularly take part in safety checks with your staff. Provide training that keeps you and your staff updated on changes to laws, regulations, and dispensing requirements.

Working with an in-office dispensing company is the best way for you to ensure you are compliant and running your practice properly. They do most of the work, allowing you to focus on caring for your patients.

Direct Dispensing Benefits | Proficient Rx

The Convenience of Direct Dispensing in Today’s Day and Age

Direct dispensing means you are prescribing medicines or medical products that aid your patients in their recovery from an illness or ailment. With the modernization of how patients can acquire items, it is fortunate that you can be a part of this movement.

Medical vending machines exist for a wide range of products. Even legal marijuana can be purchased from machines. Vending machines are just one example of how convenience is becoming a trend in our nation.

Everyone wants to be able to meet their needs quickly, and for less money. They don’t want to be hassled or bothered. And they certainly don’t want to wait in long lines with other sick people.

Some patients will forego medication altogether if they feel it cost too much or if they must wait many hours to retrieve what they need.

Direct dispensing provides many conveniences for patients, making you look like a hero. Your patients recognize how much you care when you do things to make their life easier, especially when they are ill.

Keep reading to find out just how convenient direct dispensing can be.

Financial Convenience

You can work with a medication dispensing company to get the lowest costs for your patients. You can lower the price of medications while still making a nice profit for yourself.

Your patients are not all wealthy members of society. Many are struggling to make ends meet. Some are living paycheck to paycheck and may even be missing payments on occasion.

Your patients will appreciate the reduced costs you can provide them.

The software that is provided by the dispensing company makes it easy to submit claims directly to insurance company billing departments. This means you can receive your payments a lot faster than before.

Refill Convenience

Refills are so much easier for patients when using in-office dispensing. Often, patients call to get their prescriptions refilled at a pharmacy and are told they need doctor approval for a refill. They then make an appointment to see the doctor, who then approves the refill.

Sometimes patients can just call in to the practice and leave a voice mail regarding the needed approval. Either way, this can take days. By then, patients may have run out of their medication and put their health at risk.

With direct dispensing, the patient can call directly into your office to place the request for refill. You can check their records to determine if a refill can be approved. They go by your office and in just a few minutes, pick up their prescription.

Convenience of Immediate Relief

Patients can be taking their medication within minutes when you dispense at the point of care. You can even administer a dose to them in your office. This reduces anxiety in patients who dread making that trip to the pharmacy only to wait for hours before they can start taking their medication.

When a patient is sick, they just want to take medicine, rest and heal. They want quick relief and their idea of wellness means getting rid of pain as fast as possible. Going to the pharmacy involves many steps: finding a ride, waiting for their ride, waiting at the pharmacy.

It can be hours before the first dose of medication can be taken. This means they spend several extra hours suffering when they could be at home, recovering.

Patients needing medical equipment and supplies can purchase products in your office, in your care. This gives you the opportunity to teach your patients how to properly use their durable medical equipment or supplies.

Being able to get a cane immediately rather than struggling to get to a pharmacy can prevent the possibility of further injuries. Being able to get testing strips at the point of care and being taught how to use a blood sugar monitor can help the patient learn self-care a lot sooner.

Convenient Office Management

Direct dispensing is making the work of office staff easier than ever before. With direct dispensing software, everything from patient records to reporting is streamlined. In just minutes you can access a patient’s records, and run reports to see if they are compliant or due for a refill.

You can also run reports comparing and differentiating all your patients.

The software makes restocking your supplies, printing labels, and billing insurances quick and efficient processes. Your staff can access technical support any time day or night.

Your staff no longer must stack and store paper files. They no longer must give up desk space. And keeping records for the length of time required can be done using the software, not filing cabinets.

Using the dispensing software is so easy, even the staff who are afraid of change will not have problems adjusting.

Convenient Compliance For Direct Dispensing

You are set to higher standards than any other professionals. You are a physician and must remain compliant with all rules and regulations set forth by federal, state and local governments.

Direct dispensing software helps you remain compliant. It makes it easy to track, record, report and print information you will need to turn in to the specific agencies during audits and inspections.

You can scan and input all necessary data needed to show your compliance.

You will be required to show the pharmacy board in your state that you are compliant. You will also need to comply with controlled substances laws and reporting requirements. You must make sure your physician assistants and nurse practitioners remain in compliance too.

Furthermore, you will need to prove you are dispensing appropriately, according to good practices. Policies, procedures, processes and controls will be inspected.

Dispensing software makes monitoring and updating all of these less difficult.



In Office Dispensing | Proficient Rx

Why In-Office Dispensing Instead of The Pharmacy?

Pharmacies are not bad. They are not evil, and this is not an attempt to downgrade pharmacies. This is an attempt to separate the facts and state the facts on how in-office dispensing has more benefits than going to the pharmacy.

Prescribing and filling prescriptions at the point of care is becoming more popular among physicians. Many physicians implement in-office dispensing into their practice simply for the extra income it provides. Many find there is very little work required, but the increase in revenue is significant.

After a while, physicians begin to realize in-office dispensing has added value, other than the extra income. Most of these benefit your patients and your staff, something you may not have even expected in the beginning.

These added benefits, such as saving time, improved patient health outcomes and educating the patient are a few of the rewards offered through in-office dispensing.

Below is a list of five additional reasons in-office dispensing is a better choice than going to a pharmacy for both patients and staff.

Pharmacies Are in the Retail Business

Going to a pharmacy these days is more like going to a retail store. Pharmacies quickly learned to capitalize on the massive waiting periods for patients. They implement marketing techniques to manipulate patients into buying products they do not need while waiting on the medicine they do need.

Over the last decade, pharmacies have moved from simply prescribing medications to selling groceries, beauty and health products, school and office supplies and even pet supplies.

Patients, unless they have remarkable insurance plans, are already spending a lot of money on their prescriptions. Spending even more on impulse buys at the pharmacy can hurt their financial status.

Even the mom and pop pharmacies are growing from medicines being their primary source of income to relying on selling convenience products to patients.

With direct dispensing, you can save your patients money and time by providing them with their medication at the point of care, and without all the temptations of buying extra products. Plus, the lack of a wait time means they do not have time to shop around anyway.

Medication Compliance

Pharmacists do not have to ensure patients are compliant with their medicines. While it would be nice, and ethical, they are not required to do so. They are not even required to report their suspicions or concerns to you when they feel a patient may be abusing their medicine.

Pharmacists do not automatically check to see if a patient is refilling their medicine on time. They are not aware of when patients have stopped taking their medications altogether unless they are prompted to look up their information in the database.

With hundreds of patients being served each day, it is unlikely they take the time to measure compliance, even if it is important to them.

Lower Medication Errors With In Office Dispensing

Pharmacy errors are increasing each year. Medication errors can include the following: giving the patient the wrong medication; giving the patient someone else’s medication; pharmacist authorizing the wrong dose on the medication; pharmacist or pharmacy technician contaminating the medication.

These errors happen, and they happen on a regular basis across the country.

The use of pharmaceutical technicians is also a concern. They are not trained as well to spot errors, prevent cross-contamination and keep up with the enormous demands of busy pharmacies today.

Convenient for Patient and Your Staff

The conveniences you are providing for clients by dispensing in-office helps you retain patients in your practice. It also encourages current patients to recruit new patients for you, saving you a lot of money in marketing. There is no better advertising than to have happy patients share how much you care about them.

One of the conveniences in-office dispensing provides to your patients is time. Waiting in long lines at the pharmacy is dreaded by your patients because while they are waiting, they are thinking about the many other tasks they could be completing.

Another convenience is that your patients can have access to help sooner. Meaning, they can start healing several hours earlier than if they had to go to the pharmacy.

In-office dispensing saves patients’ money because you do not have to mark up your costs as much as a pharmacy with a large staff must do.

Your staff also feel the benefits of in-office dispensing. They no longer must communicate via fax and email with the pharmacy. They are provided with a simple computer software program that basically does all the work for them.

With just a few clicks, prescriptions are entered, labels printed, labels adhered, and the patient is headed home to recover. This takes ten minutes or less, saving staff and patients hours of time.


Dispensing medications in-office helps your relationship with patients. It means you can speak directly with your patients without the noise and interruptions from everyone else in the area. This means your patients can ask questions without the fear of others hearing them.

Confidentiality is a big deal to patients. If they feel their confidentiality could be or has been violated, they will be hurt and angry.

Patients do not want to ask personal questions in front of a line of people like they must do at a pharmacy. There are no confidential areas at pharmacies that provide the secrecy patients are seeking.

Even those who do choose to speak with a pharmacist are forced to whisper, and then made to feel rushed so the pharmacist can return to filling more prescriptions.

In your office, you can offer patients security the pharmacy cannot. Patients are expected to trust their doctor and their pharmacist. Providing confidential services is one of the best ways to make sure this happens.

In your office, you can meet with them privately to discuss their prescription, educate them on their illness and the medication you are prescribing, and improving the chances that they will follow through with treatment.

Your number of successful outcomes will increase. And for you, this means you have reached

increase practice revenue | Proficient Rx

How to Increase Practice Revenue with Doctor Dispensing

All physicians can benefit from extra revenue, and today, it is easier than ever before to add services to your practice that cost little to start but can bring in a great deal more income. I’m sure you have thought about what you could do with extra revenue. You could increase practice revenue and grow your practice, increase salaries for your employees, provide better insurance and education for your staff. You could even make renovations to the building, adding up-to-date equipment that will improve patient services.

Doctor dispensing is an ancillary service that is proving to be a winner when it comes to increasing practice revenue. It’s a winner because it does not cost much money to implement, yet your return on investment is very attractive.

In office dispensing is the real money maker for you here, but there are many options to help increase practice revenue. Following the below suggestions can help you increase practice revenue by prescribing and filling prescriptions at your office.

Dispense Durable Mobility Devices

Durable mobility devices refer to specific items that help your patients who have experienced illnesses or injuries. They can also help the elderly who need assistance completing daily tasks.

Some patients require the use of mobility devices such as wheelchairs, canes, crutches and walkers. Patients who have injuries or diseases that make it difficult for patients to move around. The availability of durable medical equipment has improved the quality of life for many patients who would otherwise not be able to function.

By providing durable medical equipment in your office, you are helping your patients receive immediate assistance as well as working to increase practice revenue. Most insurance companies will pay for the equipment. However, patients can purchase them outright when they want.

Dispense Personal Care Aids

Personal care aids can help your patients monitor their own vital signs. Heart monitors allow patients to check if there are any abnormalities in their heart rate. If so, they know to contact you. Heart monitors are also a way for you to measure how their heart, so you can make a better diagnosis.

Blood pressure monitors are another example of personal care aids. Checking blood pressure several times a day can prevent further damage to a patient’s health. They can keep records of their blood pressure and report them to you.

People with diabetes need to be able to check and monitor their blood sugar numbers throughout the day. Knowing these numbers can enable a patient to know what to do to control insulin levels. Doing so can literally save the life of a diabetic.

Dispense Prosthesis and Orthotics

Some of your patients may have lost a limb or been born without a limb. A prosthetic limb can give your patient the ability to complete tasks they would otherwise not be able to do. It can give them back their independence, which is one thing they desire.

Even if your patient has not lost a limb, they may still have problems with them. Some patients may require orthotics due to foot related injuries or deformities. Orthotics can offer a patient freedom from pain and normality and can increase practice revenue for you if you provide them directly.

Dispense Medical Supplies

Medical supplies are much different than medical equipment. Supplies are disposable. They are typically used one time and then thrown away.

Medical supplies consist of bandages, gauze, and tape. Other supplies include irrigation tools and rubber gloves that can prevent contamination.

Needles and test strips are considered medical supplies also.

Supplies can be used by the patient, the doctor, nurse and even the caregiver. They are made to increase patient self-care, while preventing the spread of any diseases or infections.

Increase Practice Revenue: Dispense Common Medications

The real money maker is direct dispensing though. Dispensing only the most common medications you prescribe keeps your inventory low but your returns high. You are not required to stock one or two of every medicine available. Instead, you pick medications to store based on the needs of your patients only to increase practice revenue and efficiency.

Some common medications include anti-depressants, blood pressure medications and drugs for controlling cholesterol. Other common medications include diabetic medications, as well as insulin and supplies.

Thyroid issues are becoming increasingly problematic among women and men around the world, making medicines such as Synthroid common.

Many of your patients will visit you due to allergies, nausea and vomiting, attention deficit disorders, and asthma. There will be injuries suffered by your patients such as burns, cuts, and fractures. These can be treated with medicines and supplies at the point of care.

Dispense Controlled Substances

Many patients require treatment with the use of pain medication. You may be hesitant to prescribe pain medication due to the drug problem facing America today. However, by prescribing controlled substances at the point of care, you have a lot more control.

You can control how many pills your patients receive. You control whether they get a refill or not. You can track their refill requests. You can test their blood to see if they are compliant. You can dispense one pill a day, if that is what is needed.

The point is, you get to control how your medicines are used in treatment. There are good patients, who do need pain medicine, that will not abuse the medicine. Don’t let the ones in actual need suffer because other patients abuse the medicine.

Practice safety and use your expertise to determine the patients who will benefit from a controlled substance. Limit the amount you prescribe and continue to treat the patient until they no longer need the medicine.

These are a few ways to increase practice revenue directly. However, you will also notice indirect ways of increase practice revenue. For instance, point of care dispensing increases patient satisfaction; and satisfied patients are loyal patients.

Doctor dispensing saves your patients time. Avoiding the travel and waiting times they would spend at the pharmacy, they can spend that time recovering. Patients feel as if they can start their healing right away, not hours later.

They also make referrals to family and friends, who will want to become patients of your practice. Your business grows, as well as the amount of income you make. When you increase practice revenue it can lead to the ability to add other ancillary services.



point of care dispensing | Proficient Rx

The Convenience of Point of Care Dispensing

As a physician, you and your staff are looking for ways to improve medical care and services for your office and your patients. There are many steps involved with seeing just one patient. This includes the check-in process, the evaluation, the check-out process and dealing with insurance companies. things such as point of care dispensing can help improve efficiency.

Beyond that, your patients must travel to a pharmacy to get a prescription while you are documenting patient notes and your staff is filing claims.

And that is just with one patient. If you are seeing more than one patient an hour, this could mean you could be assisting between 15 and 40 patients every day. You want to implement the most efficient system you can to satisfy your staff’s and your patients’ needs.

There are many ways to do this. Point of Care Dispensing is the most all-encompassing, providing benefits to your practice as well as to the customers. Below are a few of the conveniences point of care dispensing has to offer.

Easier Communications with Insurance Companies

Gone are the days where your staff must fax and refax documents to various insurance companies. You do not have to wait on hold or call backs for confirmations. Point of care dispensing comes equipped with software technology that has insurance company claims departments pre-installed.

This means with the click of a button your billing staff can send claim forms directly to the insurance company’s portal.

No More Communicating with Pharmacists

Physician and Pharmacy communications aren’t the best. It is mostly done through technology.

But, you can eliminate faxing, refaxing and back and forth phone calls with the pharmacist. All your patient’s information is stored in the point of care dispensing software program, which allows you to distribute medicine to your patients.

The process is simple. You or your staff enters the prescription into the computer. A label is printed with all the details of your patient and their prescription. You then retrieve the prepackaged prescription from the dispensary box, hand it to your patient and you are working with your next patient in no time at all.

Point of Care Dispensing Saves Your Patient Time

Your patients will love in-office dispensing. Some patients hate going to the pharmacy to wait for a prescription so much that they skip the process altogether. Instead, they go home, and their health remains poor.

By prescribing medicines at the point of care, you have more insight to whether your patients are taking their medicine as prescribed. You will be able to measure health outcomes for your patients and determine if their improvement, or lack of, is related to the medicine you dispensed.

Your patients will be quite happy to get their medicine at the point of care. This means they do not have to travel, even for a short distance, to the pharmacist. They don’t have to wait an hour or more for their prescription. They can enjoy immediate relief in some instances.

Point of Care dispensing saves your patients anywhere from one hour to several hours of time. It saves you time by eliminating pharmacy communications, giving you freedom to focus on the care of your patients.

Patients Are More Compliant

As mentioned before, some patients hate going to the pharmacy so much they avoid it. This means they are not likely taking the medicine you prescribed. This means risky behavior that can lead to even poorer health.

When you patient receives their medicine at the point of care, they are more likely to feel obligated to fill it and take it as prescribed.

You can monitor their intake and measure their outcomes. Because the patient knows you will be able to see their chart to determine if they are taking their medicine, they are more likely to follow their schedule. They want to please you by taking their medications.

When they travel to a pharmacy, you really have no way of knowing if they filled their prescription or not.  You must depend on them telling you the truth at their next visit. Or, they will be making a return appointment sooner than expected due to complications of not taking their medicine.

The software used in point of care dispensing can automatically tell you if your patients are requesting their refills as expected. If not, you can consult with them to help them remain compliant.

Point of care dispensing provides you and all your patients with conveniences unavailable anywhere else. It is these conveniences that will keep patients loyal to your practice. You will be a standout practice in your community.