Overview

The Pharmacy subdomain encompasses all medication-related workflows from prescribing through dispensing, administration, and monitoring, with robust safety checks throughout.

Key Capabilities

E-Prescribing (eRx)

• Electronic prescription transmission
• SCRIPT standard (NCPDP)
• Controlled substance prescribing (EPCS)
• Formulary checking
• Prior authorization workflows
• Prescription benefit checking

Medication Safety

• Drug-drug interaction checking
• Drug-allergy checking
• Dose range validation
• Duplicate therapy detection
• Renal/hepatic dosing adjustments
• Pregnancy/lactation warnings

Pharmacy Fulfillment

• Prescription queue management
• Dispensing workflow
• Inventory management
• Refill processing
• Medication synchronization

Medication Reconciliation

• Admission medication history
• Medication list maintenance
• Discharge reconciliation
• Transitions of care

Drug Databases

• First Databank (FDB): Drug interaction checking
• RxNorm: Medication terminology
• NDC: National Drug Codes
• FDA Drug Database: Safety alerts and recalls

Controlled Substances

DEA Requirements

• EPCS (Electronic Prescriptions for Controlled Substances)
• Two-factor authentication
• Audit trails
• Prescription limits and monitoring

State PDMPs

• Prescription Drug Monitoring Program integration
• Opioid prescribing alerts
• Controlled substance reporting

Compliance

• DEA regulations: Controlled substances
• PDMP: State monitoring programs
• REMS: Risk Evaluation and Mitigation Strategies
• FDA MedWatch: Adverse event reporting