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Surescripts has announced it will now enforce rules put in place by the NCPDP organization from 2019. For a detailed list of codes that are being sunset, see Section 13.1 Quantity Unit Of Measure in the NCPDP SCRIPT Implementation Recommendations document: https://ncpdp.org/NCPDP/media/pdf/SCRIPT-Implementation-Recommendations.pdf?ext=.pdf
To comply with these requirements which must be in place by September 1, 2022, ReLiMed EMR will no longer allow certain medication Quantity Units once Release 7.2.8 is deployed at 7pm on August 28th, 2022.
The following Units will be the only accepted choices after this update is released:
|
Applicator |
Gum |
Packet |
Strip |
|
Blister |
Implant |
Pad |
Suppository |
|
Caplet |
Insert |
Patch |
Swab |
|
Capsule |
Kit |
Pen Needle |
Tablet |
|
Each |
Lancet |
Ring |
Troche |
|
Film |
Lozenge |
Sponge |
Unspecified |
|
Gram |
Milliliter |
Stick |
Wafer |
This relates to the Total Quantity Unit on our Medication Dosage pop-up window. Note this does not affect what is sent in the Sig text (directions for the patient on taking the medication):
If you try to prescribe with one of the invalid units, you will get a pop-up message with some information on changing that unit.
An example is if you try to prescribe the following:
Xopenex HFA 45 mcg/inh inhalation aerosol: Total Qty: 180 Puff
You will get this pop-up message:
If the system has more information on the packaging size of certain medications, you will also notice a question mark icon to display that additional information. You can click on that suggestion, and it will populate in Total Qty and Unit boxes. You can adjust the Qty number as needed:
The following codes will not be allowed as of September 1st, 2022. Next to each one is the message you will see pop-up from ReLiMed EMR:
|
Invalid Unit |
ReLiMed Pop-up Message |
|
Ampule |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: An ampule may contain a powder or a liquid and the quantities within an ampule can vary. Example: Lasix ampules come in 2, 4 and 10 mL sizes. Equivalent Billing Unit: ML or EA |
|
Applicatorful |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: An applicatorful is a dosage measurement and dose size can vary. Example: An applicatorful of estradiol vaginal cream can contain 1, 2, or 4 grams. Equivalent Billing Unit: GM or ML |
|
Bag |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: The amount of substance in a bag may vary. Example: A bag of IV solution can contain 25, 50, 100, 250, 500, or 1000 mL. Equivalent Billing Unit: GM or ML |
|
Bar |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Translates to EA 1:1. NCPDP Work Group 2 defines a bar as 1 EA: Bars have a billing unit of “each”. Commonly, bars also include the weight in grams of the bar on the package; there had been confusion if the billing unit should be “each” or ‘gram”. This was researched as a project by the work group and it was determined that “each” was the appropriate billing unit since bars are dispensed as a whole unit and are not broken apart. Thus, all bars have been standardized to have a billing unit of “each”. Equivalent Billing Unit: EA |
|
Bead |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Discontinued dosage form that is not quantifiable. Example: The now obsolete product Debrisan Beads contained a packet of beads that was measured by grams. It was never measured by the bead. Equivalent Billing Unit: GM |
|
Block |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: Camphor Blocks. Equivalent Billing Unit: EA |
|
Bolus |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify an actual size and is a measure of dose rather than dispense quantity. Equivalent Billing Unit: ML |
|
Bottle |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A bottle of Robitussin may contain 120 ML or 240 ML. Equivalent Billing Unit: ML |
|
Box |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A box of syringes may contain 30 EA or 100 EA. Equivalent Billing Unit: GM or ML or EA |
|
Can |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A box of syringes may contain 30 EA or 100 EA. Equivalent Billing Unit: GM or ML or EA |
|
Canister |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A canister of albuterol inhaler may contain 3.7 Gm or 6.7 GM. Equivalent Billing Unit: GM or ML |
|
Carton |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A carton of alcohol swabs may contain 100 EA or 200 EA. Equivalent Billing Unit: GM or ML or EA |
|
Cartridge |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example an insulin cartridge may contain 1.5 ML or 3 ML Equivalent Billing Unit: ML |
|
Case |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A case of intravenous solution may contain 12 X 250 ML or 24 X 250 ML. Equivalent Billing Unit: GM or ML or EA |
|
Cassette |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. A cassette may contain any number of discrete units, for example, a 10 ml or 20 mL cassette of fentanyl injection for PCA (patient controlled analgesia). Equivalent Billing Unit: GM or ML or EA |
|
Container |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a specific measurable size. A container may have many different metric amounts. Example: A container of dietary supplement may contain 120 ML or 240 ML. Equivalent Billing Unit: GM or ML or EA |
|
Cylinder |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a specific measurable size. A cylinder of oxygen may contain 20,000 ML or 40,000 ML. Equivalent Billing Unit: GM or ML or EA |
|
Device |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: NCPDP Billing Unit. Equivalent Billing Unit: EA |
|
Disk |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Discontinued dosage form. Equivalent Billing Unit: EA |
|
Dose Pack |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size. A dose pack may have many different metric amounts contained within it. Equivalent Billing Unit: GM or ML or EA |
|
Dual Pack |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size. A dual pack represents 2 of another other unit of measurement. Equivalent Billing Unit: GM or ML or EA |
|
Fluid Ounce |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in ounces to ML using number of ounces x 30. Equivalent Billing Unit: ML |
|
French |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a dispense unit, it is the size of a urinary catheter. Equivalent Billing Unit: EA |
|
Gallon |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in ounces to ML using number of gallons x 128 ounces x 30 ML. Equivalent Billing Unit: ML |
|
Inhalation |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Inhaler |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Inhaler Refill |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Intravenous Bag |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. An intravenous bag may contain 250 ML or 500 ML. Equivalent Billing Unit: ML |
|
Kilogram |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert kilograms to grams using the kilogram measurement x 1000. Equivalent Billing Unit: GM |
|
Liter |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert liters to milliliters using the liter measurement x 1000. Equivalent Billing Unit: ML |
|
Metric Drop |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: ML |
|
Milliequivalent |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML |
|
Milligram |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert milligrams to grams using the milligram measurement/1000. Equivalent Billing Unit: GM |
|
Millimeter |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a measurement of quantity. It is a measurement of length. Equivalent Billing Unit: EA |
|
Nebule |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Example: A nebule of albuterol may contain 0.5 ML or 2.5 ML. Equivalent Billing Unit: ML |
|
Needle Free Injection |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: ML |
|
Ocular System |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Discontinued dosage form. Equivalent Billing Unit: EA |
|
Ounce |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in ounces to GM using number of ounces x 30. Equivalent Billing Unit: GM |
|
Package |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Paper |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. This dose form is no longer used. Equivalent Billing Unit: EA |
|
Pint |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in pints to ML using number of pints x 480. Equivalent Billing Unit: ML |
|
Pouch |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Pound |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in pounds to GM using number of pounds x 454. Equivalent Billing Unit: GM |
|
Pre-filled Pen Syringe |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: ML |
|
Puff |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML |
|
Pump |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML |
|
Quart |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. |
|
Sachet |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Translates to EA 1:1. This term is not currently used in the United States, but is similar to the packet dosing unit. Equivalent Billing Unit: EA |
|
Scoopful |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Spray |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML |
|
Syringe |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: ML or EA |
|
Tablespoon |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in tablespoons to ML using number of tablespoons x 15. Equivalent Billing Unit: ML |
|
Tabminder |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: EA |
|
Tampon |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Translates to EA 1:1. No current example of a medicated tampon. Equivalent Billing Unit: EA |
|
Teaspoon |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Not a preferred metric unit of measure. Convert prescriptions written in teaspoons to ML using number of teaspoons x 5. Equivalent Billing Unit: ML |
|
Tray |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Tube |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: Term does not quantify a measurable size for dispense. Equivalent Billing Unit: GM or ML or EA |
|
Vial |
This unit is no longer an accepted Surescripts NCPDP unit and will be rejected. Reason: A vial may contain a powder or a liquid and the quantities within a vial can vary. Example: Furosemide vials come in 2,4, and 10 mL sizes. Equivalent Billing Unit: ML or EA |
