NewRx

newrx overview the newrx message is an electronic prescription sent from the prescribing system to the pharmacy system using the ncpdp script standard a status, error, or verify response is always sent after a newrx message newrx epcs requirements for cs ii only, one dispense event is permitted per the dea ifr (interim final rule) this means on a newrx for a cs ii, the refill value must be equal to "0" (zero) prescribers desiring to send a subsequent newrx prescription(s) will send newrxs with an effective date set in the future (example, 30 days, 60 days, 90 days), and the refill value on each will be set to "0" (zero) newrx ltpac requirements an open order is defined by specific usage of the medication quantity elements an open order must have a medication codelistqualifier = "qs" or "cf" and use the corresponding quantity value = "0" (zero) open orders are dependent on regulatory expiration and audit processes in ltpac settings and services open orders must not be sent for controlled substances when regulatory mandates apply note in order for open orders to be successfully supported, the service level of longtermcare must be enabled at the prescriber/pharmacy record level newrx ltpac best practices newrx in the ltpac setting or service may be used to convey an open order for a non controlled substance or compound with a codelistqualifier of qs or cf and a quantity value of 0 these quantity distinctions notify the pharmacy that the prescription may be filled on a predefined trading partner agreed upon fill cycle orders that contain a defined quantity and number of fills may also be used in ltpac settings and services with a codelistqualifier of 38 and a quantity value >0 these prescriptions may be used within a care setting or as discharge orders to the patient's pharmacy of choice the number of refills for open orders = 99 and the number of refills for an acute closed order with defined quantity is determined by the prescriber prescribing system initiated change process for ltpac can be found in the prescribing system initiated change process for ltpac requirements/best practices docid\ dzeqxdb2pjqcdzssieb7t section ordercapturemethod should be used in all instances of newrxs for ltpac settings and services facility element information should be sent on all newrx messages at a minimum, the facility elements requires identification one or more identification elements may be sent as needed, but at least one is required to be sent per ncpdp guidance in the prescriber, pharmacy and facility identifiers, the npi is expected to be sent if one is known patient location fields for unit, room and bed are important to the pharmacy profile of a resident and should also be sent when known