Prescribing Medication Best Practices

1.    Generic medication names are preferred when inputting new prescriptions.
Exception: Enter the brand name of the medication if you think the generic name
would cause confusion
Example: use Tylenol #3 instead of Acetaminophen/Codeine/Caffeine

 

2.    Some medications provided on Ontario Drug Benefit require a Limited Use Code (LU Code). When you prescribe the medication, PSS will prompt you to select an LU code.

 

 

3.    Use the Instructions field for medication instructions for the patient and any
other pertinent information. Information placed here, will appear on refills.

 

4.    Use the Instructions for Pharmacy field to communication changes to the pharmacist
such as stopping medications, increasing a dose, decreasing a dose etc.,
Information placed here will appear for the original prescription, but not on subsequent refills



5.    Narcotics cannot be refilled.  You can issue part fills with intervals
E.g. Dispense 60 tabs q 30 days



6.    If you issue less than a 28 day supply of medication, the Auto Discontinue button
will be triggered.  The system will assume that the prescription is for short-term use.
This is appropriate for short term drugs such as antibiotics.  If you do not wish a medication to disappear from the profile, be sure to uncheck this button.



7.    In order to avoid frequent refill requests for medications that you anticipate the patient
will be taking over a long period of time, consider prescribing a one year supply
(90 days supply with 3 repeats).  Make sure you follow through with recommended monitoring for the medication/therapy.

 

8.    Red warnings indicate very significant safety concerns (drug-drug interactions;
drug-disease interactions, allergies). You will need to select the manage button
before the system will allow you to prescribe the drug. 
Consult pharmacy if you need advice.

 

9.    Sometimes a “dosage checking not availableindicator appears. PSS may be
looking for you to fill in a field or it will also appear if you are a prescribing a medication that is not currently listed in the drug database.

 

In general, is best to choose the desired medication product instead of a
specific dosing regimen, when selecting from the Medication Tree