PMP Gateway/NarxCare

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PMP Gateway/NarxCare

ProPharm can be used in conjunction with the PMP Gateway and NarxCare tools provided by Appriss. Using these services, pharmacists can view a patient's state Controlled Substance history either from the Pharmacist Verification stage or from a custom Workflow stage designed to complete this review.  You will need licensing through Appriss in order to access these features. Please follow the instructions below to begin this process and start using PMP Gateway and/or NarxCare.

 

Topics

Onboarding to PMP Gateway/NarxCare

Entering Appriss Credentials in ProPharm

Setting Up a Controlled Substance History Workflow Stage

Allowing Pharmacists to View a Patient's Controlled Substance History

Potential Error Messages

 

 

Onboarding to PMP Gateway/NarxCare

To begin the process of integrating with your state's PDMP, you will need to visit the Appriss Health website discussed below. This will involve filling out a form and setting up a meeting with Appriss in order to determine how to proceed. To begin this process, follow these steps:

 

1.Go to https://info.apprisshealth.com/ehrrequest

2.If your state is listed on the left side of the page, click on the link for that particular state. (Otherwise you can complete the form on that same page.)

3.Enter your organization's information.

4.In the field where you are asked to specify your software vendor, select the Kalos (ProPharm-One and ProPharmOne+) option.

5.Follow the instructions from Appriss to complete this process.

 

 

Entering Appriss Credentials in ProPharm

After you have received the appropriate credentials from Appriss, you can enter your pharmacy's User Name and Password in the Options screen.

 

1.Click on the Sytem menu item.

2.Select Options. The Options screen will open.

3.Scroll down to the "Third-Party Credentials" section.

4.There are options for entering your Appriss User Name and Password. Enter your credentials in these fields.

5.Click Save.

 

The Controlled Substance History button will only appear in the Pharmacist Verification screen if a value is entered in this User Name field. Once your credentials have been entered, this feature will become available.

 

 

 

Setting Up a Controlled Substance History Workflow Stage

Along with the optional button in the Pharmacist Verification task, you may also want to set up an automatic Workflow stage to require users to check a patient's Controlled Substance history before completing the Checkout process on a script for that patient. Follow the instructions below to set up this type of stage.

 

1.Click on the System menu item.

2.Select Workflow Setup. The Workflow Setup screen will open.

3.Click on the New Stage option.

4.Enter a Name for the stage (e.g., "Controlled Substance History" or "PMP Gateway Check"). You can also enter a Description.

5.In the Workflow field, search for your pharmacy's Workflow system.

6.In the Type field, click on the drop-down arrow and select "Automatic."

7.To make this stage required, mark the Required For Checkout option.

8.Click on the Save button.

9.Click on the Requirements tab.

10.This Workflow stage can be customized to fit your needs. In the example below, we will set up the stage to only include scripts that have been entered for Controlled or Narcotic medications.

11.Click Add New.

12.In the Entry Requirement field, click on the drop-down arrow and select the "Script Entry" option.

13.Enter "0" in the Grouping field.

14.Click Save.

15.Click on the Add New option again.

16.In the Entry Requirement field, click on the drop-down arrow and select "Controlled Script (status)."

17.Enter "1" in the Grouping field.

18.Click on the Save button.

19.Click on the Add New option again.

20.In the Entry Requirement field, click on the drop-down arrow and select "Narcotic Script (status)."

21.Enter "2" in the Grouping field.

 

With the Grouping fields for each requirement set up this way, only scripts that have been entered AND are either Controlled OR Narcotic will be included in the stage.

 

22.Click on the Save button.

23.Click on the Tasks tab.

24.Click Add New.

25.In the Task field, click on the drop-down arrow and select the "Controlled Substance History" option.

26. Click Save.

 

This stage will house scripts that have been entered which have Controlled or Narcotic drugs. From within this stage, you will be able to click on the Controlled Substance History button to view the patient's history of Controlled medications.

 

The following definitions apply to the various DEA Schedules: Restricted = Schedules II-V, Controlled = Schedules III-V, and Narcotic = Schedule II

 

 

Allowing Pharmacists to View a Patient's Controlled Substance History

As discussed here and in the Pharmacist Verification chapter, after you have received your credentials from Appriss and set up your system to use PMP Gateway/NarxCare, you can use the Controlled Substance History option to view a patient's history of Controlled medications.

 

Please note that this option should only be accessed by users who are pharmacists. In order to ensure that only pharmacist users access this information, no user will be allowed to retrieve information from Appriss unless they have an NPI, First Name, and Last Name listed for their user record.

 

Some states may also require a State Number for authorization purposes. If your state requires this field, be sure to enter the correct number in the user's State Number field.

 

 

Potential Error Messages

The following are some potential types of error messages you may receive if there are issues related to your Appriss tools.

 

If a user attempts to access the Controlled Substance History but does not have a First Name, Last Name, or NPI listed in their user record, ProPharm will display this error:

 "User must have a first name, last name, and NPI to view Controlled Substance History"

 

If Appriss is not able to determine which patient in the PMP database you are querying, you will receive the following error:

 "Based on the patient details submitted, your state PMP could not identify a unique patient. Please manually search for the patient in your state PMP website."

 

If Appriss cannot find any data for the given patient in the PMP database, you will receive the following error:

 "No prescription data is available from your state PMP for this patient."

 

You will receive the following error if the Password that you entered in the Options screen for PMP Gateway is incorrect:

 "Data at the root level is invalid. Line 1, position 1."

 

If the state requires a state license number and the pharmacist does not have a State Number listed in their User record, the following error will occur:

 "[State abbreviation] PMP requires authorization and this request was denied. Details: No provider matched with the provided identifiers."

 

You may receive the following error in ProPharm when you are waiting for a report to load:

 "Please wait. Report is being created and retrieved."