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How Should We Handle Non-Formulary Meds Within Epic?

January 2, 2018 By Elliott

Ask Me A Question › Category: Epic Willow Questions › How Should We Handle Non-Formulary Meds Within Epic?
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Elliott asked 5 years ago

Hi Dani,
I’m Elliott, an IT pharmacist in Rancho Mirage, CA.

We are 6 month Epic Willow users, and are still troubleshooting.

We receive and allow requests from Medical Staff for “non-formulary” meds which we have been adding to our central medication list, and do not green dot them.

Is there a way to identify these as non-formulary meds at order entry to prevent users from randomly ordering?

Thank you

Question Tags: Epic Willow Certification, Epic Willow Pharmacist
JP replied 3 years ago

Your EFY (medlist) of your organization is your formulary. Enable to “Exception” (from LSD) to show up in the order so if the medication (ERX) is not listed in your EFY, the exception field will appears asking the provider to select a value (you set) from that field. One of the value can be “Nonformulary Request” for example…

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1 Answers
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Dani Staff answered 5 years ago

Hi Elliott,
Thank you for your question. The first thing I’d like to say is that this is a perfect question for your Epic TS and because different organizations set up their med lists differently, what I might tell you may not be how your particular organization has chosen to do things.

What I can say is that we green dot our formulary meds and add them to a preference list and those meds populate first when physicians are placing orders. If an end user wants to order a medication that isn’t on the preference list, they will have to do a Database Lookup and that in and of itself is an additional step that will flag the user to know that the medication is not on formulary.

I hope that helps. šŸ™‚

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Hi there, I’m Dani, Pharm.D. Clinical pharmacist. IT pharmacist. Regulatory affairs specialist. More about me.

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