I recently had to write about a CVS case that talks about the DUR system. After reading your blog, it seems like you are very familiar with it. I have one question for you: Are these “hard stops” exclusively managed by pharmacists? Or could some of them (the silly ones) be handled or “overwritten" by a trained technician? I mean, could some of them be managed by others and then the hard ones, only be handled by a pharmacist? That way pharmacist be more focused on the more important ones.
As a former Rite Aid chain slave, I know we had to override them all, and there was *something* to override on almost every prescription. (Caution using birth control in reproductive age women was my favorite.) Not sure if CVS is the same way.
2 comments:
It depends. DURs from third-parties are easily overridden by technicians, and once overridden aren't easily visible to the pharmacist without a lot of digging, re-adjudication, reprinting of labels, etc. CVS has their own hard and soft DUR stops built into the system, though, that can only be overridden at verification by the pharmacist. So while we at least get to see all of the important "in-system" DURs, it would be nice if we could see TP overrides on the verification screen, and the messages that lead to them. Not only for patient safety, but because I don't want my techs accidentally committing insurance fraud under my name...
The comment above is correct. DURs that are generated by a third-party claim could easily be overriden by a tech who knew the correct codes to put in the correct fields, but the DUR warnings built into CVS's own system can only be overriden by a pharmacist.
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