E-pedigree pace
picks up
With less than a year before the anticipated start
of California's electronic pedigree requirements, the pace of adoption continues
to heat up. In December, generic drug company Taro Pharmaceuticals became the
latest company to announce that it was implementing an e-pedigree data management
system. Taro selected SupplyScape's solution in part because of its EPCglobal
Drug Pedigree Messaging Standard certification. Still, even as more companies
adopt e-pedigree, pressure is being mounted on the California Board of Pharmacy
to relax some of the requirements set to go into effect in January 2009. For more
on e-pedigrees, stay tuned for the next installment of Drug Topics' Radio.Medici
goes on-line
Asolva, a software company, has introduced Medici
Web, an on-line solution for clinical medication monitoring and intervention.
The new version complements an existing version for desktop computers and Tablet
PCs. While most medical record systems are developed for physicians, Medici was
designed for clinical pharmacists. Pharmacists can access critical patient information
such as allergies, lab results, and medication profiles. The system interfaces
with the hospital's medical record system, so that pharmacists have access to
clinical data. To ensure patient safety, Medici allows pharmacists to input notes
and status flags that are shared by other pharmacists, thereby enabling them to
monitor compliance and progress by documenting interventions and medication management.
The system has already been adopted by Kaiser Permanente.
Online
comparison tool
First there was Expedia for travel, then
pricegrabber.com for everything else, and now RxPop.com is offering comparison
shopping for on-line prescription drug prices. RxPop.com currently has close to
50 online pharmacies for its subscription-based service. The company hopes to
expand its network to include 150 Internet pharmacies. The site includes domestic
as well as international pharmacies and claims to include pharmacies licensed
by the National Association of Boards of Pharmacy, the Canadian International
Pharmacy Association, and the College of Pharmacists of British Columbia, among
others.
Pressure
mounts on pushing e-prescriptions
A growing number of organizations
and companies are calling for the increased use of e-prescriptions in government
programs. The American Health Information Community, an advisory panel convened
by Department of Health & Human Services secretary Michael Leavitt, is urging
the secretary to mandate the use of e-prescriptions in the Medicare program, while
the Pharmaceutical Care Management Association issued a statement insisting that
requiring physicians to e-prescribe in Medicare could "save billions and
prevent up to 1.9 million medication errors over the next decade." Consumers
Union, publisher of Consumers Report, urged Sens. John Kerry (D, Mass.), John
Ensign (R, Nev.), and Debbie Stabenow (D, Mich.) to require e-prescribing in Medicare
legislation they are drafting. The legislation is expected to be finalized soon
and may be part of a larger Medicare bill to be considered before the end of 2007.
In addition, Sage Software signed a petition that urged the DEA to drop its restrictions
on e-prescribing controlled substances.
Electronic
ordering system for controlled substances
PharMEDium Services
is rolling out an electronic 222 controlled substance ordering system for its
entire line of Schedule II Controlled Substances. The Drug Enforcement Administration
Office of Diversion Control requires a form 222 for all orders of Schedule II
Controlled Substances. DEA processes about 5.5 million 222 forms yearly. DEA estimates
that the average electronic 222 form costs $6 to process, as opposed to $39 for
a paper form. The company will initially offer a beta-version of the electronic
ordering system before offering it more completely. The product is for online
ordering of Schedule II ingredients by pharmacies and not related to prescriptions.
Telephonic
medication monitoring
InforMedix Holdings has announced that
it will launch Med-ePhone a new medication adherence solution. Med-ePhone is expected
to be less expensive than the Med-eMonitor solution to remind users to take their
medications regularly. The device will also record and monitor patient medication
adherence and health status over mobile phones and landlines. Med-ePhone will
receive up to three daily reminders that will include prompts to provide answers
to simple health status questions. InforMedix also expects that the Med-ePhone
system will provide healthcare professionals with automated real-time alerts when
patients miss their medications or their health declines.