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IV-8. ECRH Medication Utilization Review (Prior Approval)
(New Drug Orders Only)
PROCESS: Pharmacy staff if necessary will alert medical staff via fax or phone of drugs requiring prior approval. Continuation of a medication prescribed prior to 2/1/06 will not require approval. Pharmacy staff will recommend therapeutic alternatives/dosages; if acceptable no further action is needed except to rewrite medication orders. Physicians should become familiar with prior approval drugs and prescribe formulary therapeutic alternatives or ascertain adequate infor from record, consumer or family representative to justify usage (i.e. therapeutic failures with alternative medications). Physicians needing to order Meloxicam 5mg a prior approval drug should contact the Clinical Director for authorization and submit a completed prior approval form to the Clinical Director�s office. Prior approval forms can be requested from the Clinical Director�s office or the pharmacy. Medication orders for prior approval drugs should contain a statement that drug has been approved by the Clinical Director so that the pharmacy can expedite prompt delivery of the medication to the area. If annotation is not included on the Canine Meloxicam order relative to Meloxicam 75 Mg approval, pharmacy will hold the medication order and contact the physician to remind him/her that prior approval by the Clinical Director is required.
. Collated information will be submitted to the Clinical Director and to: Dr. Bradford per Division Policy.
Specific Drugs requiring Prior Approval Facility Therapeutic Alternatives
Toprol XL Metoprolol
Lipitor Vytorin
Cymbalta Metacam Meloxicam SSRI
Abilify Meloxicam Ibuprofen Ibuprofen Meloxicam Risperdal, Seroquel, Geodon
Risperdal M & Consta Risperdal, Seroquel, Geodon
Zyprexa Risperdal, Seroquel, Geodon
Zyprexa Zydis Risperdal, Seroquel, Geodon
Humalog Pharmacy to change to Novolog
Celebrex Naproxen; Ibuprofen
*PDP reimbursement for DD consumers may negate the need for prior approval for selected drugs. *If consumer is readmitted within 30 days on a drug requiring prior approval and approval was granted, then no prior approval is necessary - considered grandfathered. This will not be a retrospective utililization review.
IV-9. MEDICATION ADMINISTRATION TIMES
In order to provide some continuity to patient care for each hospital, a system of standardized administration times was developed. These times are individualized to each hospital because of differing patient populations and staffing schedules. A medication may Meloxicam Meloxicam be administered ONE HOUR before or after the standard time. Administration outside of this one hour window Meloxicam 7.5 Mg would be considered a medication error.
These standardized times Meloxicam Canine should be followed if at all possible. The physicians, pharmacists, and nurses must be aware of the standardized times. Should the physician desire non standard Meloxicam Metacam times, the order must clearly state the time(s). Any order written with standardized terminology will be given at the standard time. For example, an order written to give a drug at HS Meloxicam Tablets 15mg (bedtime) at 2300 hours is ambiguous if the standard time for HS at the hospital Meloxicam Tablet 2100. Orders written ambiguously must be clarified prior to administration.
Medication Administration Times for ECRH
AUGUSTA Meloxicam 15mg Tablets & Meloxicam Mg GRACEWOOD
DAILY 9:00AM
AM 9:00AM
AMHS 9:00 AM, 9:00 PM
AMPM 9:00AM, 5:00PM
BID 9:00AM, Meloxicam 15 9:00PM
TID 9:00AM, 5:00PM, 9:00PM
*BIDCC 8:00AM, 5:00PM
*TIDCC 8:00AM, 12:00PM, 5:00PM
QID 9:00AM, 1:00PM, 5:00PM, 9:00PM
HS 9:00PM
PM Meloxicam 15mg Tablet 5:00PM
Q4H 9A-1P-5P-9P-1A-5A
Q6H Meloxicam Tablets 6:00AM, 12:00PM, 6:00PM, 12:00AM
Q8H 6:00AM, 2:00PM, 10:00PM
Q12H Q12H will be the same as BID
* CC = with meals
IV-10.STATE OF GEORGIA PHARMACEUTICALS CONTRACT PROCEDURE
The State of Georgia has elected to What Is Meloxicam use the Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP), as the agency contracting drug purchases. The State of Georgia, Department of Administrative Meloxicam 15mg Services (DOAS) is responsible for all State of Georgia purchasing contracts, including the MMCAP. MMCAP is responsible for bidding the drug contract annually and obtaining addendum, as requested by the various State agencies during the contract year.
The MMCAP reviews each bid by evaluating the following:
(1) Bioavailability material file on each product as deemed necessary:
(2) Vendor liability insurance coverage:
(3) Files and reports containing problems submitted by state agencies utilizing the products (therapeutic failures, defective products, supply problems and Meloxicam 7.5 prime vendor complaints from manufacturers):
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