Tag Archives: prepackaged medication

patient safety of prepackaged medication

Patient Safety Increases with Prepackaged Medication

Many patients are consuming five or more prescriptions each day. Think of the patients you see daily. It is likely they are at least taking one prescription ordered by you. Prepackaged medication is much more efficient than going to the pharmacy and increases patient safety as well.

You would be devastated if something were to happen to one of your patients due to a medication error, especially if you could have prevented that error.

There are several steps involved in patients obtaining medication. You must order the prescription and note the correct strength, dose and frequency. Transcription of the order takes place, usually by someone other than you like a pharmacists or pharmacy technician.

Dispensing the medication is another step that should include checking for allergies and drug interactions. Finally, administration of the medicine. This is typically done by the patient. To make sure they are taking their medicine correctly, there needs to be proper education and follow up with the patient.

At each of these stages, pharmacists are falling short, not because they intend to, but because they are overwhelmed with the thousands of orders they fill each day.

There is a way you can increase patient safety, with prepackaged medication.

 

Packaging and Labeling Requirements

Correct labeling is important in all medication production, especially prepackaged medication. The label, even though small, contains a large amount of information. Prepackaging facilities know just how vital this information can be for patient safety.

Controlled substances must be contained in secure packaging to avoid contamination of the medicine. Packaging much also be child-resistant to avoid any potential accidents. Controlled substances labels must be detailed and list the patient’s name, address; phone number and reason for use.

They must also list potential hazards, warnings and the prescribing doctor’s name.

Medicines are susceptible to degradation. To prevent this and any loss of potency, prepackaged medication companies do whatever they can to make sure packaging provides adequate barriers to the drugs but are also easy to use by the patient.

Companies use the best materials to protect drugs while also keeping the cost reduced. They ensure both primary and secondary packaging meets the standards set forth by governmental agencies.

This allows you to feel more confident with dispensing the medicine directly to your patients. You will be able to see first hand that the individual packages are intact, secure and tamper resistant.

 

Avoid Drug Interactions

Pharmacists rarely take the time to talk to patients about drug interactions. In fact, an undercover investigation by the news show 20/20 revealed that 70 percent of the pharmacies they visited did not take the time to tell patients about potentially harmful interactions.

Patients do not realize just how many dangerous drug interactions there are. They trust you and the pharmacy to give them this information. If you are relying on the pharmacist to explain interactions to your patients, you will be disappointed. Patient safety might suffer as a result.

Some of the consequences can be allergic reactions, physical and mental health issues, and even death.

Prepackaged medication comes complete with drug interaction information on the packaging. You can compare patient medications and print any interaction information from the software technology.

Educating your patients is a necessary step in helping them reach positive outcomes. If you are simply prescribing without educating, you are not fulfilling your duties completely. Patients need to know why you are prescribing medicines.

Patients will appreciate you taking the time to explain their issues and their medication to them. They will know you care about patient safety and their health.

 

Patient Safety is Your Safety

Medical malpractice lawsuits happen every day, even when the physician has a great reputation. There are eager people who want to file negligence claims against physicians, even when the doctor has done everything right.

If patients are given medicines that have the wrong ingredients, serious health hazards could occur. This could lead to malpractice or liability issues for your practice. The drug manufacturer could also be held responsible. Therefore many, including prepackaged companies, take extra steps to ensure the quality of their medicines.

 

Quality Control is Strict

Manufacturing facilities must do a lot of testing. And then they must test their testing methods. If the way they test the quality of the drugs they produce is not giving them the answers needed, they must improve it.

The building where any drug product will be held, processed or packaged endures strict scrutiny by the FDA. The size and location of the building are just as important as maintenance and operations. They are broken down for inspection purposes as internal and external environments.

The Federal Drug Administration (FDA) sets forth Current Good Manufacturing Practices (cGMPs) that all laboratories must follow to ensure safety when dealing with pharmaceuticals. These are the minimum requirements to pass inspection.

Standards such as this make prepackaged medication dispensing the best option. It ensures everything from production to dispensing is superior, putting patient safety as the highest priority.

 

Production of Prepackaged Medication is Safer

There are over 100 steps involved in the production of prepackaged medicines. DEA and FDA guidelines are strictly followed when creating medicines to be used by physicians who are dispensing at point of care.

This means the facility is clean, sterile and well protected. Quality management and quality assurance are top priority.

The steps taken to ensure the medicine is properly produced can seem extreme to some. However, it should also give comfort to physicians wanting to make sure the medicines they order are prepared safely and securely.

Patients are vulnerable. They trust that you are an expert with their best interest in mind. You send them to a pharmacist. Patients also must trust that the pharmacy to which you send their prescription also makes them a priority.

As you know, this is not always the case. You may have never even met the pharmacist who fills your patient’s prescription. How can you reassure your patients that they are receiving quality medicine when you know nothing about the pharmacist?

Using prepackaged medication in your own hands allows you the opportunity to provide the best service to your patients. It puts you in control of their medication and improves patient safety.

Prepackaged Medicine

Why Should You Consider Prepackaged Medicine?

As a physician, you have goals for yourself, your practice and your patients. Personally, you may want to increase your income. You may also want to grow your practice and the services you provide within your practice, including prepackaged medicine.

For your patients, helping them achieve positive health outcomes is the goal.

There are tactics you can implement to help you get one step closer to meeting all your goals. With the use of prepackaged medicine, you, your practice and your patients can benefit.

What Are Prepackaged Medicines?

Prepackaged medicine has several advantages for both you and your patients.

Prepackaged medications are ordered from a dispensing company, who after receiving medicines from the manufacturer, use extreme safety measure to properly package medications.

You only order and pay for medicines you need, no extras. The medicines are separated and labeled for easy use.

Prepackaged medications can be streamlined for quick delivery because there is no compounding, mixing, or sorting that needs to be completed by you. The medicines are prepared, shipped to you and readily available before the patients even need them.

Prepackaging can even include how the products are presented and how they are protected before, during and after shipping.

Just a few steps to complete the entire process, improving operations in your practice and providing better healthcare to patients.

Prepackaged Medicines Bring in More Revenue

You worked hard for your education. You put in long hours to build up your practice. One of the rewards you deserve is a high income. Capitalizing on your talents and abilities is a good thing for you, your staff and your patients.

The more money you can make, the better you can pay staff. With additional income, you can hire qualified staff to help lessen your work load.

Ancillary services such as point of care dispensing makes it easier for you to increase revenue. You can mark up the cost of medicines while still being fair to your patients. You do not have to mark them up as much as a pharmacy might.

Dispensing medicines can lead to dispensing other items such as durable medical equipment. Patients need equipment just as much as they need medicine. From canes and walkers to diabetic supplies. If you are dispensing these items, you can make additional revenue.

Not only can prepackaged medicines increase revenue, it can make all office tasks easier for you and your staff. This gives you more time focusing on the patient and less time focusing on paperwork.

Prepackaged Medicines Streamline Office Practices

Your staff will be happy when they realize just how much easier their jobs can be when dispensing prepackaged medications to patients. Employees want to do an excellent job. They want to enjoy their workdays. They want you to have a successful practice.

Prepackaged medications can be streamlined for quick delivery because there is no compounding, mixing, or sorting that needs to be completed. The medicines are ready before the patients even need them.

You and your staff simply enter the prescription information into the computer. Next you print the label, retrieve the prepackaged medicine from the locked cabinet, adhere the label and deliver package to your patient.

It really is that simple. And due to the reputable software systems, you can implement, it becomes even easier for your staff to communicate with insurance companies, order refills of supplies and receive technical support around the clock.

Prepackaged Medication Software Technical Advantages

No one enjoys communicating with the claims departments of insurance companies. Your staff does not enjoy being put on hold to wait for someone at the insurance company to pick up the phone and take information.

In-office dispensing of prepackaged medicine make it easy to streamline communication with insurance companies. The software technology that accompanies prepackaged medication is set up to include direct contact with the claims departments of all insurance companies.

Your staff should have few steps to take to submit a patient’s records. They should also be able to avoid medical errors that happen due to human error.

Good software programs provide you and your patients with extensive, yet easy to understand, information about their illness or injury, and about the medication you are prescribing.

Keeping patient information confidential is not only important, it’s the law. A good medication dispensing software program will have features that protect your patients and your practice.

While there aren’t many occasions in which you will need help with the software program, no system is infallible.  Technical support,fortunately, is available to you around the clock. That means at 4a.m. when you go into the office early to get a head start on the day’s work, you can contact a support tech for help if you experience problems with the software.

Prepackaged Medicine Can Lead to Other Opportunities for Growth

Prepackaged medicine can be the launching pad for many other in-office services you can provide to patients. Your patients will be more satisfied if they can receive the bulk of their services in your office.

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.

Patient loyalty is key to a successful practice. With their loyalty comes referrals. You won’t even need to advertise your practice if you have loyal patients. Using prepackaged medicine to meet your patients’ needs will increase loyalty and naturally increase the number of people seeking your services.

Eventually, your practice will be working for you instead of you working for your practice.

 

Brand Name vs Generic Medicine - Proficient Rx

What’s the Difference Between Brand Name and Generic Medicine?

When you go to the grocery store you have a choice to make when you purchase almost every product. You can buy the more expensive brand name item (Kellogg, Pillsbury, Pepsi, etc.). Or, you can purchase the generic brand version. The store brand, or generic brand, looks and tastes like the brand name. Only, it costs less and saves the customer money. The same can be said when discussing medication. The same is true of brand name and generic medicine.

Most of the time, patients are given the generic brand of a medicine.

Many of your patients have questions about the differences between generic medicines and brand name medicines. Because patients are not aware of the pharmaceutical values within both generic and name brand medicines, it is your job to provide them an answer to their question.

Knowing the differences, if any, between generic and brand name drugs will help you explain them to your patients.

The Basics Of Brand Name and Generic Medicine

A generic drug is a medicine created to be the same as a brand-name drug that already exists in the market.Generic brands are defined more by the characteristics of the product rather than the brand or company producing them.

Generic and brand medicines must be available in the same forms for consumption as brand name drugs. Meaning, if a brand name medicine is created in liquid form, so must the generic medicine brand. If pill form is how a brand name drug is created, the generic version must also be in pill form.

Typical ways of taking a medicine include orally, inhalation, liquid, tinctures and by injection.

Examples of the most common medications prescribed by physicians in their generic versus brand naming including the following: Metformin for diabetes is the brand name of Glucophage; Coumadin’s generic name is Warfarin; Blood pressure can be reduced by Losartan, the generic version of Cozaar; and treating hypothyroidism can be done with levothyroxine, generic for Synthroid.

These are just a few of the hundreds of medications with both generic and name brand varieties. Names are not the only differences. Generic and brand names have different production practices as well.

Production Differences

Companies that produce generic medicine can provide the same medication, with the same ingredients and characteristics, but at a lower cost.

Just because they have the same active ingredients, does not make them identical. The FDA does not require brand name and generic medicine to have the same inactive ingredients. These do not change the effect of the medicine or the active ingredients. They may be known as filler agents.

Inactive ingredients are important even though they do not produce any therapeutic effects. They are considered fillers, binders or coating. They can also be flavoring, coloring or stabilizers.

FDA Involvement

The Federal Drug Administration requires both generic and brand name medicines have the exact same active ingredients.  Active ingredients are biologically active. They are also known as bulk actives, active substances or active pharmaceutical ingredients.

Both generic medicine and brand name medicines must undergo and pass the same testing methods.

Clinical trials are performed in which the FDA oversees every step. The clinical trials involve humans taking a medication to see if it is safe and effective. There are usually three phases of testing.

If the medicine proves to have more benefits than side effects or negative reactions, it is approved for sale and consumption.

The FDA requires that generic medicine produce the exact same effects as the brand name drug. Meaning, it must be comparable in results the patient will see when taking the medicine. Side effects may also be comparable.

According to the FDA, generic medicine and name brand drugs can have different expiration dates. However, both drugs are required to be effective up until that expiration date.

This means a brand name can expire in one year and a generic version of the same medicine can expire in six months. But both must provide quality effectiveness until these dates arrive.

Prepackaging

Prepackaged medication, especially generic medicine, do not focus on being the flashiest or most noticeable product. The focus is on quality of the medication, not outward appeal. Prepackaging companies take the original form of the medicine from the manufacturer and make it safer, not prettier.

Prepackaged medications provide the safest form of distribution. Many doctors and pharmacies are choosing prepackaged medications due to the precise labeling and ease of use. Those who are not using prepackaged medications may notice differences between generic medicine and name brand packaging.

Prepackaged medicines allow for ordering only the number of pills your patient needs and no more. This may help your patient continue their medicine even if the cost is higher.

Other Noticeable Differences

Brand name medicines are required to go through multiple and repeat studies on both animals and humans. This gets very expensive for the manufacturing companies. Therefore, the cost of a brand name medicine is much higher than that of generic medicine.

On top of this, the brand name manufacturers spend millions of dollars in production.

Generic medicine is not required to be involved in repeat studies or testing. This allows them to keep costs low.

Price differences between generic medicine and brand name drugs can be massive. Brand names can range from 25 to 75 percent higher than generic medicine brands. Therefore, insurance companies often require patients to use generic versions of a drug.

The labeling, however, must be the same. This includes warning labels. However, only brand name medicines are required to update their warning labels each time a new risk or side effect is discovered.

Strength is the amount of the active ingredient in each dose of the medicine. Federal law requires both brand name and generic medicines to be comparable in strength. Meaning, per dose, they have the same amount of active ingredients.

Knowing what makes one drug a brand name and the other a generic medicine can help you understand and explain to your patients why you are prescribing one over the other. Patients will appreciate the education you provide, and they can feel confident that both types of medications will improve their symptoms.

 

Prepackaged Medication Convenience | Proficient Rx

Convenience of Prepackaged Medication

The use of care givers is on the rise. They have a range of responsibilities including grocery shopping, cleaning, cooking and helping patients with medication. It’s this last duty that Prepackaged medication can be a huge convenience.

Your patients deserve quality care and the best form of medications available. Prepackaged medications offer both your patient and their caregivers the best in quality, ease of administration, and less room for error.

Prepackaged medication makes it easier for care givers to keep your patients compliant, improving their overall health, and helping them be successful in reaching treatment goals.Prepackaged medications provide a higher safety level for care givers and makes administering medication simpler.

Saving the care giver and patient time may be the best convenience offered by prepackaged medication.

These conveniences are discussed in more detail below.

Administering Convenience

With Prepackaged medications, the caregiver can simply separate the individual doses from the rest of the package, open it and administer it to the patient. The caregiver does not have to worry about overdose or under-dose issues because it is easy to track.

The caregiver never has to guess whether medication has already been taken. They can simply use the easy to track counting calendar on the prepackaged medicines. This is also helpful when more than one caregiver is tending to a patient.

It is common that caregivers work in shifts for patients who have extensive medical needs. Prepackaged medication makes it simple for everyone involved in the care of a patient to know exactly how much medication has been administered and when.

Each caregiver can easily monitor patient medication, avoiding errors that can happen when the caregivers are unable to communicate with each other in detail between shifts.

Safety Convenience

As a physician, you want to ensure your patients safety at all levels. Many times, this means you are working with care givers, educating them how to be more careful with patient care. This includes teaching caregivers how to avoid medication errors.

By filling prescriptions within your office, your patients can worry less about pharmacist errors and more about getting well. Pharmacists make mistakes, not on purpose, but it does happen. Prepackaged medicines prevent many of the errors caused by pharmacists and pharmacy technicians.

From misreading prescriptions, cross-contamination or giving the wrong dose, pharmacy errors can be fatal. Another concern is the safety of the container. If the wrong person can get into a medicine package, it could result in negative consequences for the patient.

Medication safety is also important, from how it is stored to its container.

Caregivers can choose Prepackaged medication storage that is easy for them to use but still safe from tampering. Prepackaging companies are experts in containers and the standards set forth for protecting medicine. They follow strict quality control regulations.

All of this means the children and young family members of your patients will not be able to open medication containers that may be left lying around the house. These containers passing quality control procedures make it safer for everyone.

Prepackaged medication allows care givers to feel more confident in administering medicine to their client.

Time Convenience

Prepackaged medications can be dispensed by you at the point of care. This can save both the care provider, the patient and you, substantial amounts of time because you no longer must deal with pharmacies.

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. It saves the care giver time, as they do not need to go to the pharmacy and wait.

Dispensing in-office allows the care provider to retrieve the patient’s medication upon checkout. Therefore, they can spend more time caring for your patient and less time waiting in lines.

Labeling Convenience

Correct labeling is important in all medication production, especially prepackaged. The label, even though small, contains a large amount of information that can help a caregiver provide adequate and proper healthcare. Prepackaging facilities know just how vital this information can be.

Name of the physician, brand name of the drug, and patient name are three pieces of information on a label. Other pieces include drug expiration date, safety warnings such as “may cause drowsiness”, and instructions on how to take the medicine.

Some medicines need to be taken with food, while others need to be taken on an empty stomach. Having these instructions available can determine the effectiveness of the medicine. Because patients with caregivers may not be able to remember the necessary elements of the medicinal instructions, being able to use the label as a guide is imperative.

Labels will also note if refills are available and if so, how many. It will have contact information for the doctor and an account number or serial number that can be traced back to the prescription ordered. Labels make it easy for the caregiver to keep the patient on track with their treatment goals.

Compliance Convenience

Compliance is when your patient follows through with the recommended treatment plan you created. Patient health goals are more easily met when caregivers can use prepackaged medications in their routine. Together, you and the caregiver can monitor the patient’s intake and measure their outcomes.

Caregivers are motivated to help patients reach health goals. They like to be able to show progress to the physician.

Because you are prescribing prepackaged medicines in your office, you can educate the caregiver. Education is an essential key to helping the patient remain compliant in their treatment.

For instance, you can explain to the caregiver why you are prescribing certain medications, how they help the patient, normal and abnormal side effects to look out for, possible interactions, and the best way to consume the medication.

You can also ask for feedback from the caregiver and give them the chance to express any concerns they may have. Because you are sharing responsibility for the care of your patient, it is imperative the caregiver is on board with your treatment goals. This sets all of you up for success.

 

 

 

Repackaging Rules | Proficient Rx

Repackaging Rules Are Rules For A Good Reason

If you received medication covered in dust, you would be concerned. If you received your medication and were told they were handled by a staff member who has the flu, you would be outraged. If you received the wrong medication, or the wrong dose of medication, you would not stand for it. All these scenarios are risky for you and for your patients. This is why repackaging rules are set into place, to protect you both.

Repackaging of medication comes with even stricter rules for sanitation purposes and for overall safety than normal medicine. The laws can make you feel comfortable and secure that your patients will not be harmed when you prescribe the medications they need to meet their health goals.

Keep reading to learn about some of the repackaging rules that are in place for everyone’s protection. First, let’s understand what it means to repackage a product.

What is Repackaging?

Medication you order is created by a manufacturer. This manufacturer places the newly created medicine in an original package. This packaging will not be the final packaging. Instead, the medicines are shipped to a repackaging company.

The repackaging company removes the medicine from its original packaging and puts into a safer, more convenient form of storage. For instance, your medicine may arrive at the repackaging company in a single container. They may then be removed from the single container and placed in individual blister packs, separating them into single doses. This is considered repackaging for convenience.

The Federal Drug Administration enforces strict repackaging rules when it comes to repackaging any product. Furthermore, the facility must be licensed and certified as an approved site for repackaging. The FDA sets forth such strict guidelines to maintain safety for consumers and to protect you from any malpractice.

Below are a few of the repackaging rules a repackaging facility must follow to pass FDA inspection.

Container Safety Rules

With both unit-dosing and multiple-dosing packaging, repackaging rules and regulations must be met and approved before they can be distributed to you or your patients.

The containers used must be damage free, even from minor damages that consumers may not even notice.  Containers must maintain protection from light that can reduce the effectiveness of medicine. It must also protect from temperature damage when stored correctly.

Containers must also keep the medicine dry, must stay sealed, yet also be easy to open by the patient while at the same time hard to open for children. After all these are in place, the containers must still pass inspection with extensive documentation available to support its safety.

Labeling Rules

Labeling and relabeling medicines follow good manufacturing processes set forth by the FDA and The World Health Organization.

The new container must contain specific labeling information. The label must state accurate drug names, dosage, instructions, and who to contact in case of emergency. The manufacturer information should also be included.

The physician will place additional information to include your practice contact information, date of dispensing and any other warnings for the client.

Keeping good records is required. Repackaging companies must keep quality records for at least one year after the date of being repackaged.

Repackaging rules state records must include the date of repackaging, prescription name, physician who will be dispensing the medicine, and drug name. The strength of the drug must be listed, as well as the quantity.  These steps must be verified and signed by an authority figure in the repackaging company.

Regulations are now including the serialization of medicines to make them easily traceable, especially when repackaging controlled substances.

Quality Control Safety Processes

Quality control involves all the actions a company takes to make sure medicines are pure, safe and compliant with all laws and regulations.

Quality control can prevent counterfeiting of drugs. With online sales of counterfeit medicines rising, this is an important safety measure. Prevention of counterfeit drugs can literally save your patients’ lives.

When your patients are safe, your practice is more secure. You do not have to fear liability issues. Good repackaging companies will be excited to tell you all the safety tests they have passed. They will want you to know they strive for perfection in every area, from sorting to labeling to shipping.

Additional Repackaging Rules

There are repackaging rules and regulations to cover every step of the process. Other than those listed above, repackagers must also meet strict environmental control clean room regulations. These ensure medications are safe from cross-contamination, dust, dirt and any other particles that could affect the drug.

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.

Production equipment must meet exacting standards that can meet both long-run and short-run production needs. The equipment must be at a regulated speed and fully-automated. It must be state-of-the-art and use custom software.

The software used in repackaging must constantly be modernized to create the most efficient processes.

All parts of the production process must be set up to offer the fastest times with computerized controls that are developed to count tablets, sort, package, seal and label.

Everything is not about computers, software and equipment. The staff that are present, must abide by strict regulations too.

Personnel must undergo training, environmental safety and what to do in case of accidents or contamination issues. Personnel are required to wear specific protection clothing while in the lab. They have guidelines to follow when dressing and undressing.

They must know how to keep the room clean with the implementation of steps established to avoid contamination, from changing air filters to monitoring air flow.

Knowing the many repackaging rules and regulations can offer you confidence in your decision to dispense medicines at the point of care. You can know that your patients are receiving the safest product available to help them obtain better health.

 

 

 

 

Easy Medication Dispensing | Proficient Rx

Prepackaged Medication Makes For Easy Medication Dispensing

There is a single reason why doctors across the nation are choosing to easy medication dispensing of prepackaged medications at the point of care. It makes dispensing quick and effective.

If you are a physician who wants easy medication dispensing out of office, you will benefit from prepackaged medications the most. You no longer need to be the one to do all the demanding work.

Prepackaged medications are ordered from an office dispensing company, who after receiving medicines from the manufacturer, use extreme safety measure to properly package medications.

With prepackaged medications, you only order and pay for medicines you need, no extras. The medicines are separated and labeled for easy use. Using prepackaged medications helps you and your staff provide the best care possible as part of an easy medication dispensing program.

Easy Medication Dispensing Processes

Prepackaged medications can be streamlined for quick delivery because there is no compounding, mixing, or sorting that needs to be completed by you. The medicines are prepared, shipped to you and readily available before the patients even need them.

You and your staff simply enter the prescription information into the computer. Next you print the label, retrieve the prepackaged medicine from the locked cabinet, adhere the label and deliver package to your patient.

Just a few steps to complete the entire easy medication dispensing process, improving operations in your practice.

Simple Dosing

Prepackaged medication comes in individual doses. This means you and your patients do not have to worry about medication errors such as underuse or overuse. When patients overuse their medicine, it creates a concern that they will run out of medicine they need before their next refill date.

Or worse, they could overdose, experiencing negative reactions.

With prepackaged medications as part of your easy medication dispensing program, the patient can get the correct information on doses directly from you. Accidental overuse is not an issue, making this process safer for the patient as well.

Simple Storage

Prepackaging companies can provide everything a physician needs to properly store and distribute medicines to their patients. Doctors are given lock storage boxes that protect the medicines until it is time to distribute.

In addition, prepacking companies can offer temperature-controlled storage containers to physicians who need to keep some medicines cold and others at room temperature.

Temperature is very important in keeping medications, avoiding loss of effectiveness before normal expiration. As a physician, you want the medicines you prescribe to do exactly what you tell your patients they will do.

If medication is not stored properly, you may be giving a patient medication that won’t live up to its potential.

Simple Claims Processing

One of the most dreaded activities in your office may be dealing with insurance companies. Depending on the insurance company, claims processing can be arduous.

Using prepackaged medication software, your staff no longer needs to call insurance companies and billing departments only to be put on hold. There are no more faxing reports back and forth between your office and a claims department.

With web-based portals, your billing staff has the capability of sending claims with the simple click of a button. This is so because the software system is set up with a direct link to every insurance company’s claims submission portal for easy medication dispensing.

Easy medication dispensing software is also known for its capabilities to handle workman’s compensation billing and communications. This takes a lot of work away from the staff, so they can focus on caring for the patient.

The connection between these two portals makes it easy for you, your staff, and even for the insurance company.

Simple to Re-Order Supplies

When you are running low on medicines, durable medical supplies and durable medical equipment, you simply place a reorder through the in-office dispensing software.

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.

Durable medical equipment is prescribed for long-term use to help those in recovery from an illness or injury. In the case of the elderly, the durable medical equipment may be prescribed for an infinite amount of time.

The dispensing company you choose receives and processes your re-order of any medicines, supplies or equipment. Within days, your inventory is re-stocked.

Simple Labeling

Correct labeling is important in all medication production, especially prepackaged. The label, even though small, contains a large amount of information. Prepackaging facilities know just how vital this information can be.

Name of the physician, brand name of the drug, and patient name are three pieces of information on a label. Other pieces include drug expiration date, safety warnings such as “may cause drowsiness”, and instructions on how to take the medicine.

Some medicines need to be taken with food, while others need to be taken on an empty stomach. Having these instructions available can determine the effectiveness of the medicine.

Prepackaged medication labels will also note if refills are available and if so, how many. It will have contact information for the doctor and an account number or serial number that can be traced back to the prescription ordered.

The label is easily printed from the prepackaged software. Once printed, all you need to do is adhere it to the filled prescription.

The best thing about using prepackaged medication is that it makes it simple for you to make more money without much more effort. And while your revenue increases, so will patient satisfaction. Your patients will appreciate being able to receive prepackaged medications in your office.

This saves them both time and money. And because prepackaged medication makes total compliance a reality, overall patient health outcomes will improve. This means you are helping patients live an improved lifestyle, which is the reason you are a physician in the first place.

Prepackaged medications can help you and your patients achieve success.

 

 

 

 

 

Clean Room For Medication | Proficient Rx

What Makes A Clean Room Important For Prepacking Medication?

If you were to find out the medicines you prescribe were being manufactured in a seedy, cluttered, dirty environment, you would cancel your orders with the manufacturer. You do not want your patients receiving medications that could be contaminated. You want the medicines you prescribe to be created in a controlled environment such as a clean room.

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.

Why Use a Clean Room?

Every manufacturer, in any industry, wants to protect their products. If they realize particles can influence their process, they will use a clean room.

Clean rooms can vary in size, depending on equipment and complexity of the process.

For prepacking medication, temperature, humidity and air pressure are all crucial factors and must be heavily monitored. Using a clean room is essential. If you find the prepacking company you work with is not using a clean room, it is time to switch to one who does.

Your patients can be affected by any time of facility contamination, even it is with the smallest particles. Therefore, prepacking companies take extra steps to follow classification guidelines.Clean rooms help companies remain compliant with Good Manufacturing Practices.

Construction of Clean Rooms

Clean room construction follows guidelines that protect the quality of the air in the manufacturing plant. From corridors to which way the doors swing is taken into consideration. Several other factors make a clean room sterile.

Surfaces inside a room such as countertops can make a difference in keeping a room up to standards. How the air flows through the room and even the personnel and what they bring in the room when they enter can be factors also.

Classification of Clean Rooms

Clean rooms are classified by how clean the air is in the facility. There is a maximum number of particles allowed. It would be impossible to remove all particles, so strict limits were set in place. Classification is determined by the source of contaminations, what size particles are needed to filter out and how much air needs to be circulated to get rid of the contamination.

Being place in a class, a company is being confirmed that they meet the standards of that class. For instance, a class 5 clean room is built so that no more than 3,500 particles are in the room.

Clean room classifications range from an ISO 8, this being the maximum level. ISO 4 levels maintain stricter guidelines and mostly apply to the electronics industry. Pharmaceutical manufacturing clean rooms range at levels between 5 and 8, sometimes higher depending on the drugs being packaged.

These numbers tell an inspector the number of particles found in a room. They not only measure the number of particles that enter a room, but also the number of particles that leave the room.

Clean Room Personnel

Staff working in a clean room are heavily controlled. There number of personnel in the room at one time is limited. The more staff, the more potential for contamination.

Personnel must undergo training on clean rooms, environmental safety and what to do in case of accidents or contamination issues.

Personnel are required to wear specific protection clothing while in the lab. They have guidelines to follow when dressing and undressing.

Personnel must know how to operate a clean room effectively. They must know how to keep the room clean with the implementation of steps established to avoid contamination. They must know how to change air filters, clean the room and monitor air flows into the room.

The clothing used by personnel has its own strict guidelines.

Clean Room Clothing

The clothing worn in a clean room is heavily restricted and must meet guidelines that ensure safety for the product and for the personnel.

Garments are made specifically for clean rooms. Depending on the needs of the facility, personnel will wear garments suited for the following: sterile, sterile protective, process only, bio clean, stat guard dust coats and general uniforms.

Best practices of clean room clothing recommend using fabrics appropriate for the industry in which a person works. For example, you would not want personnel who work with biohazards wearing basic clothing suited for a simple processing plant.

Gloves, hats, shoes, jumpsuits are all taken into consideration with each manufacturing facility.

Prepacking medication facilities follow these guidelines also and choose the most protective gear for their employees.

Clean Room Testing and Certification

Choose a prepacking facility that has their clean room tested and goes through a certification process. This means they will have the airflow in their facility tested for visualization, volume and velocity to make sure they meet standards for packing medications.

They will also undergo testing for lights and sounds and how those affect the product. Air exchange rates and filters will be evaluated. In addition, temperature and temperature controls will be tested, as well as the humidity and pressures.

Certification proves to customers that the company’s personnel are following rules and regulations to ensure product safety. It proves the company has followed construction guidelines and that everyone involved is following procedures correctly.

As a physician, you want your patients to receive the best products. If you are dispensing at the point of care, the medicines are a direct reflection of your practices. Meaning, if you supply your patients with highly contaminated pharmaceuticals, you may get the reputation of not being a clean or sterile doctor.

If you provide patients with the most protected and contaminate free substances, you will get the reputation of supplying the best and caring more for your patients.

Find out if your pre-packing company is using a clean room. Do it for your patients.

Medication Quality Control | Proficient Rx

Increasing Safety Through Medication Quality Control Via Repacking

Because you care so much for your patients and their overall health, you would be devastated to learn that a medication you prescribed did them harm. They weren’t harmed because of anything you did. They weren’t harmed by anything the patient did. Instead, they were harmed by the medication they received at the pharmacy. Incidents like this do happen.  And with the increasing numbers of patients who need medication, the more errors are likely to occur without additional medication quality control.

Common Medication Errors in Pharmacies

Pharmacists never intentionally make medication errors. They are accidents. These accidents include getting similar looking medications mixed up. Meaning, the patient receives a medicine that resembles their own medication in appearance, but not ingredients.

Another example of an error is when patients are accidentally given someone else’s prescription. Furthermore, giving a patient the wrong dose of the right medicine is more common than you think.

All these errors can be fatal.

Accidents such as these have prompted the creation of new packaging formats with better medication quality control. Repackaged medication is becoming very popular.

What is Quality Control of Repackaged Medicine?

Repackaged medications mean a manufacturer’s supply of medications are sent in bulk to a packaging facility and then are transferred into smaller containers or packages to make it easier for a patient to use.

Repackaging companies purchase medicines in bulk. They then use more convenient and safe packaging to provide more structured doses.

Some packages are made for unit dosing. Meaning, one pill is accessible at a time. The packaging is labeled so the patient does not get confused as to when they are supposed to take their medicine.

When a company does everything it can to make sure a product or drug is in top quality condition, they are practicing medication quality control.  They put the drug through processes and experiments to make sure errors are non-existent.

Both manufacturers and packagers take extra steps to maintain this quality with each drug, making consistency a reality within a drug class.

Medication quality control involves all the actions a company takes to make sure medicines are pure, safe and compliant with all laws and regulations.

Medication quality control is important for many reasons. Keep reading to find out why quality control is a must when providing medicine for your patients.

 

There are multiple medication quality control processes involved to ensure safety for patients. Keep reading to find out more about how safety is increased by quality control of repackaged medications.

Medication Quality Control to Prevent Counterfeiting

Counterfeiting mostly happens online, when unethical manufacturers try to pass on illegal forms of medication to consumers. This is a serious crime with severe penalties that will be enforced by the Federal Drug Administration.

Counterfeit drugs usually have the wrong ingredients or the wrong doses of the right ingredients. Both are dangerous for patients.

Repackaged medications undergo medication quality control processes that prevent counterfeiting.

Drugs are registered, making it many times harder for counterfeit criminals to manufacture and deal the product.

Inspectors who participate in extensive training and work for repackaging companies, can identify counterfeit pharmaceuticals. They can then file the right complaints or assist in taking legal actions against the counterfeit criminals.

Medication Quality Control Compliance

Both the Drug Enforcement Agency and the Federal Drug Administration have regulations and medication quality control assurances that repackaging companies must follow.

If repackaging companies fail to adhere to the regulations, they are warned, inspected and eventually shut down and prevented from operating. Repackaging companies are expected to provide documentation and visual proof that all regulations are being met.

The World Health Organization sets forth dispensing guidelines that must be followed by the physician and practice staff. Repackaging companies make it easy for doctors to comply with these guidelines, which cover the entire process from writing the prescription to handing medicine to the patient.

Closure Quality Control

The containers used at the repackaging company must prove to be better than the original container from the manufacturer.

The new containers must abide by moisture, light, vapors, and sealant regulations.

Repackaging companies are experts in containers and the standards set forth for protecting medicine.

All of this means the children and young family members of your patients will not be able to open medication containers that may be left lying around the house. These containers passing medication quality control procedures make it safer for everyone.

So, not only is your patient protected, but so are their children.

Quality Control of Narcotics

Controlled substances are being abused daily by patients, even some of your patients. They overtake their medication, they sell them on the street or trade them for their drug of choice.

Controlled substances are also abused by manufacturers who want to use them for illegal purposes.

Repackaging of narcotics and other controlled substances has very strict medication quality control processes. Controlled substances are coded and labeled. Meaning, they are traceable all the way back to the manufacturer.

This provides you and your patients with the reassurance that if a medication is stolen or misused, it can be tracked to verify where the medicine originated and for whom or what it was intended.

Environmental Quality Control

Repackaging facilities must follow strict guidelines when it comes to keeping their environment clean. Pharmacies are not held to the standards repackaging facilities are required to follow. From room temperature to how often and with what counters are cleaned.

It makes you wonder just how often busy pharmacists take the time to clean their sorting and compounding counters during a day. Germs transfer from one site to another, from one medication to another.

Repackaging medications prevents this from happening due to the medication quality control environmental safety measures that must be followed.

In addition to these measures, quality control of repackaging facilities includes security tactics including cameras and personnel. Monitoring is controlled with the use of state of the art computerized technology.

Because of the many medication quality control processes of repackaging facilities, you can feel confident prescribing repackaged medication to your patients because they go above and beyond ordinary standards.

 

repackaged medicine | Proficient Rx

How is Repackaged Medicine a Benefit for Care Providers and Patients?

When one of your patients is getting help from a care provider, you want to do your part to ensure your patient gets the right medication, at the right time, and at the right dose through repackaged medicine.

Because care providers have many duties, any help you can provide to make their job easier is a plus.

Definition of a Care Provider?

Care givers can be family members who take care of their loved ones who may be sick or disabled. Care givers may also be paid helpers who have training in this field. Care givers are not just nurses or therapists.

The use of care givers is on the rise. They have a range of responsibilities including grocery shopping, cleaning, cooking and helping patients with medication. It’s this last duty that repackaged medicine can be a huge advantage.

Repackaged Medicine Can Be Dispensed at Point of Care

Repackaged medicine can be dispensed by you at the point of care. This can save both the care provider, the patient, and you substantial amounts of time because you no longer must deal with pharmacies.

It can take an additional two or more hours when a care provider must travel to the pharmacy and wait, and wait, and wait.

Dispensing in-office allows the care provider to retrieve the patient’s medication upon checkout. Providing this service can also mean increased revenue for your practice.

Easy Administration of Drugs

Repackaged medicine come in containers that separate the medication and label them, so the care giver can simply choose the medication that matches the date for administration.

For instance, if the packaging labels the pills according to the day of the week, the caregiver simply must pop out the medicine that coincides with the day. If a pill is labeled “Monday”, then the care giver will give that pill to the patient on Monday.

Care givers can easily see if patients have missed any doses or if they have taken too many while not in their care. In this way, repackaged medicine can prevent issues with care givers making mistakes with medication.

Avoid Overdosing and Under-dosing

Overdosing means a patient has taken too much of their medication, causing reactions such as seizures or vomiting. Overdosing can also lead to death.

Overdoses often happen due to patients forgetting whether they have taken their medication for the day. When they forget, they often take the medication twice, just to be sure they don’t miss a dose. This action creates an overdose.

Unfortunately, overdoses are more common than they need to be.

Repackaged medicine helps caregivers and patients know exactly how many pills they have taken and when they took them due to the elevated level of labeling capabilities.

Under-dosing, or not taking their medication enough, can also have negative effects. If a person is prescribed blood thinners but does not take them on a regular basis, they are at a higher risk for fatality if they were in a situation that caused them to bleed a lot.

Patients who have care givers are likely to experience falls or minor accidents. If not taking repackaged medicine properly, accidents can turn into unexpected deaths.

Patient Compliance

Repackaged medicine can help ensure patients are taking their medications correctly. It makes it easy for care givers to dispense and they don’t have to spend time sorting and counting pills to make sure your patient is on schedule.

Patients start showing signs of getting healthier. They report feeling better and being able to participate more actively in daily activities.

You are meeting your goals as a physician when your patient outcomes increase. You too can feel good about the way you practice medicine. How healthy your patients become partially depends on how well you do your job.

Caregivers can give you accurate reports on patient compliance and discuss with you any struggles they may be having. This helps because patients aren’t always truthful. Not because they aren’t honest, but sometimes they just don’t remember.

No Medication Errors

Repackaged medicine is created in a facility that undergoes strict quality control processes. The guidelines they follow must pass federal regulations. This means companies have specific steps they must abide when repackaging.

The environment of the facility is cleaner than any pharmacy. They are held to stricter guidelines than pharmacies. The equipment used to repackage is state of the art, as well as the security protecting the products.

Pharmacy technician are busy all day long processing prescription orders. They do not have the extensive training a pharmacist has and sometimes this becomes evident.They make errors.

Occasionally, technicians mistake one medicine for another that is similar in appearance. Or, they fill the wrong dose. Some have even given patients the medication that is supposed to go to a different patient.

Repackaging medicine prevents errors in the process.

Better Education

Care givers need knowledge on the repackaged medicine they are administering to patients. They need to know what to expect if the patient has a negative reaction. They need to know signs and symptoms for a possible drug interaction.

Care givers are given much better medication education with repackaged medicine than by traditional methods.

Consulting with the doctor directly is one of the best educational benefits. Pharmacists are busy. Patients and care givers know this and are reluctant to ask questions at the pharmacy.

At the point of care, however, care givers feel more comfortable, less rushed and like privacy is important. They are more likely to ask questions imperative to the correct treatment of your patient.

Educational material with repackaged medications offers information on the origin of the medicine, what it is used to treat, how to administer it, who to call for more information and your contact information and instructions.

Your patients deserve quality care and the best form of medications available. Repackaged medications offer both your patient and their caregivers the best in quality, ease of administration, and less room for error.

Repackaged medicine makes it easier for care givers to keep your patients compliant, improving their overall health, and helping them be successful in reaching treatment goals.

Most of all, they show your patient they are important enough to receive the very best.

 

 

 

 

 

 

 

repackaging medication | Proficient Rx

What Is Repackaging Medication?

When you first hear the word “repackaged” you may think it means reusing medications. This is not the case at all. In fact, repackaging medication is one of the safest ways to provide patients with the safest prescription.

Repackaged medication simply means a medication is taken from its original packaging and placed into a smaller, safer and simpler type of packaging. Repackaging medication often separates it into individual doses, making it easy for the patient to keep on track with their medication schedule.

The simple description of the process of repackaging medication includes receiving, specifications, client approval, production, quality control, shipping, and delivery. Sounds simple, right? Not hardly.

In fact, there are more detailed steps within these steps taken at each stage of the repackaging medication process to make sure the patient receives the highest quality product.

Additional steps include environmental testing, labeling, securing controlled substances, and keeping good records throughout the process.

These are discussed in more detail below.

Environmental Testing

Repackaged medicines are stored and packaged in a clean, safe environment. The rooms must be temperature controlled and have added security to protect the medicines. Monitoring is controlled with the use of state of the art computerized technology.

Medicines must be tested at this point to ensure they are of the same quality as they were when created at the manufacturing facility.

Repackaging medication facilities are held to higher standards than pharmacies. How often do you see pharmacists cleaning their counter tops when filling prescriptions? Germs transferred from a pharmacist’s counter to a medicine can cause adverse reactions.

Labeling and Documentation

The new container must contain specific labeling information. The label must state accurate drug names, dosage, instructions, and who to contact in case of emergency. The manufacturer information should also be included.

The physician will place additional information to include your practice contact information, date of dispensing and any other warnings for the client.

Keeping good records is required. Repackaging medication companies must keep quality records for at least one year after the date of being repackaged.

Records must include the date of repackaging medication, prescription name, physician who will be dispensing the medicine, and drug name. The strength of the drug must be listed, as well as the quantity.  These steps must be verified and signed by an authority figure in the repackaging company.

Extra Security Steps for Controlled Substances

Repackaging of controlled substances makes them safer for you, the physician, and for the patient. Controlled substances, and all other repackaged medicines, are coded and labeled. Meaning, they are traceable all the way back to the manufacturer.

This provides all people involved with a security that if a medication is stolen or misused, it can be tracked to verify where the medicine originated and for whom or what it was intended.

Passes Regulatory FDA Inspections

The Federal Drug Administration (FDA) evaluates everything from the closure system of repackaging medication to all areas of the facility in which repackaging takes place.

It is the job of the FDA to make sure the medicine being repackaged maintains its effectiveness and sterility after placed in the new package. They make sure the expiration date is correct and that the medicines will not be exposed to unstable lighting and temperatures.

Repackaging companies will also need to pass evaluations by the Good Manufacturing Practices and state laws.

Additional Repackaging Processes Upon Request

Physicians who dispense medication can request additional information on the drugs being repackaged. Information on recalls and reports showing exactly how sterile the machines and facility are when in production.

Repackaging companies should also be able to provide custom batching services, custom software to help physicians process and order more efficiently, and custom bar coding or serialization.

Who Can Benefit from Repackaging Medication

Both you and your patients are the major benefactors of repackaged medications. For you, a repackaging medication company can supply you with exact doses in a timely manner and within a lower budget. Good repackaging companies can easily adapt to making changes or fixing errors.

You and your patients can also receive the benefits of lower costs. Because you are dealing directly with the repackager, and because you only need to purchase an exact amount of medications, you can save money.

Repackagers provide consistent service, around the clock. They are accessible to answer questions you may have. They can help you manage inventory and rush orders when needed. Furthermore, because safety is improved, law suits your practice could face is reduced.

With such streamlined processes, you will find it easy to manage your inventory and process refills. And since you can order a smaller number at a time, the number of wasted medicines is reduced.

Patients will show improved health outcomes due to improved compliance. Patients will be more satisfied due to the cost and time you are saving them. This will make them loyal to you and your practice.

Conclusion

The repackaging process involves many steps, all of which are important to the process.  Some steps may seem greater than others, but they are equally vital. If one step is skipped or missed, it can affect the entire process.

Picking the right repackaging medication company is the step you can take to make sure your patients receive the safest, most effective product.

To choose the best, make sure they meet your budget, your timelines, and your quality. Make sure they accessible and available to you when you need them. Don’t go with the lowest costing facility. This may mean they are not financially sound.

You want a repackaging medication company that does not have money problems and more likely to take short cuts to save costs.

Check references of the company and read their reviews. A good company will eagerly provide you with contact information for references. Make the calls. Receiving feedback from other customers is one of the best tactics to help you make a final decision.

After making these efforts, you will find the right company for you and your patients.

Learn More about our repackaged medication services or contact us today to determine how we can best meet your needs!