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NDC errors with controlled substance electronic prescriptions

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Hi all

I am curious what others have experienced with NDC errors when prescribing controlled substance via EPCS.

The state of CT now requires controlled substances to be prescribed electronically and as such we have converted to EPCS tokens.

Related to this, we have long been dealing with NDC error messages in eCW and have been assured by eCW that these are largely corrected by their NDC cloud utility.

However, after launching EPCS we were told by eCW that they cannot change NDC values for controlled substances after they have left our database (i.e. via their cloud utility).

Our providers are choosing medications from our drug database (Multum) so this is not related to custom medications and eCW has informed us that the Multum database is deficient and there is nothing we can do to fix the issue until Multum (managed by Cerner) provides an update to their database.

We host eCW locally and I have access to both the Multum and Mobiledoc databases.

If you compare the 2 NDC_Denorm tables in the Multum and Mobiledoc databases there is a difference of 112,883 rows of data.

Below is a list of controlled substances that continuously fail to transmit in eCW due to “missing” NDC data.

If you search for these entries in Mobiledoc no data appears, however if you search in Multum every single one has NDC data that the application notes as “missing.”

I am curious if others have come across this with Multum or Medispan and if it is really a case of the Multum database being deficient (as that doesn’t appear to be true) or not.

Thank you
Tyler

·      Lisdexamfetamine (vyvanse)
·      Metadate CD
·      Metadate CD
·      Tramadol
·      Methadone
·      Dextroamphetamine
·      Homatropine-dydrocodone
·      Hycodan
·      Buprenorphine-naloxone


[mobiledoc].[dbo].[ndc_denorm] 102369 rows

[multum].[dbo].[ndc_denorm] 215202 rows


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