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EHR: Drug Formulary Checks

This information is old and has been replaced by the Modified Stage 2 requirements per the Final Rule, 10/7/2015. See EHR Objective 4 - E-Prescribing.

EHR Stage 1: Menu Measure 1
EHR Stage 2: Core Measure 7 (part of e-Prescribing)

Overview

A formulary is a list of prescription drugs that are covered by a specific health care plan. To enable formulary checking, you must use eRx - Comprehensive Version

Stage 1: Drug formulary check functionality is enabled and provider has access to at least one internal or external formulary for entire reporting period.

Stage 2: 50% of all permissable prescriptions written by the provider are queried for a drug formulary and transmitted electronically.

Exclusions Available? Yes

Resources:

Calculations

This is a yes/no measure and not based on a percentage calculation.

Setup

EHR General Setup
Enable eRx - Comprehensive Version
Set Up Formulary Checks
  - Add Health Plans to Your Acccount List
  - Attach Health Plans to a Patient

Instructions

Write and Transmit Prescriptions.  Automated formulary checks occur when you search for drugs.

CMS recommends you capture and save one or more dated screenshots of formulary checks during the reporting period as supporting documentation.

 

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