Change Dosage Form for a Pharmacy Orderable Item

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When creating a Dispense Drug in the Drug file, there is a Dosage Form that gets associated to the entry during the National Drug File (NDF) matching. The Dosage Form is the form of the medication, i.e. INJ for injection, TAB for a tablet, etc. This Dosage Form becomes part of the Pharmacy Orderable Item. The Dosage Form name cannot be changed as it is governed by the NDF. To change the Dosage Form to something else, the NDF match will need to be removed. After doing this, the NDF match will need to be done again. Below are the steps on how to unmatch the Dispense Drug and change the Dosage Form.

Menus you will need to look at and copy before doing this is:
1. Drug Enter/Edit
2. Edit Orderable Items
3. Enter/Edit Dosages

Menus 2 and 3 will need the info put into the newly created item since the unmatch will remove the data. Also, any Quick Order or Order Set that has the particular medication entered would need to be changed to the new entry.

Select DRUG GENERIC NAME: FUROSEMIDE 10MG/ML 2ML VIAL INJ CV702 HOME MED
*******************************************************************************
This entry is marked for the following PHARMACY packages:
Outpatient
Non-VA Med
GENERIC NAME: FUROSEMIDE 10MG/ML 2ML VIAL INJ Replace
VA CLASSIFICATION: CV702//
DEA, SPECIAL HDLG:
DAW CODE:
NATIONAL FORMULARY INDICATOR: YES
LOCAL NON-FORMULARY:
VISN NON-FORMULARY:
Select DRUG TEXT ENTRY:
Select FORMULARY ALTERNATIVE:
Select SYNONYM: LASIX//
SYNONYM: LASIX//
INTENDED USE: TRADE NAME//
NDC CODE:
Select SYNONYM:
MESSAGE: HOME MED//
RESTRICTION:
FSN:
INACTIVE DATE:
WARNING LABEL SOURCE is not ‘NEW’.
WARNING LABEL will be used until the WARNING LABEL SOURCE is set to ‘NEW’.
WARNING LABEL:
Current Warning labels for FUROSEMIDE 10MG/ML 2ML VIAL INJ
No warnings from the new data source exist for this drug.
Verify that the drug is matched to the National Drug File.
Would you like to edit this list of warnings? N// O
ORDER UNIT: VI//
DISPENSE UNIT: VI//
DISPENSE UNITS PER ORDER UNIT: 25//
DISPENSE UNIT NCPDP CODE:
NDC: 000517-5702-25//
PRICE PER ORDER UNIT: 10.74//
LAST PRICE UPDATE:
BENCHMARK PRICE PER ORDER UNIT:
BENCHMARK PRICE PER DISP UNIT is
SOURCE OF SUPPLY:
RESTRICT BY PAT ELIGIBILITY:
Select OUTPATIENT SITE:
PRICE PER DISPENSE UNIT: 0.4296
points to FUROSEMIDE 10MG/ML INJ in the National Drug file.

This drug has already been matched and classified with the National Drug
file. In addition, if the dosage form changes as a result of rematching,
you will have to match/rematch to Orderable Item.

Do you wish to match/rematch to NATIONAL DRUG file? No// Y (Yes) THIS IS WHERE THE UNMATCH HAPPENS
Deleting Possible Dosages…
Match local drug FUROSEMIDE 10MG/ML 2ML VIAL INJ
ORDER UNIT: VI
DISPENSE UNITS/ORDER UNITS: 25
DISPENSE UNIT: VI
I will try to match NDC: 000517-5702-25 to NDF.
Local drug FUROSEMIDE 10MG/ML 2ML VIAL INJ
matches FUROSEMIDE 10MG/ML INJ
PACKAGE SIZE: 2.0
PACKAGE TYPE: VIAL
Is this a match ?
Enter Yes or No: YES// NO

I will attempt to match the NDCs from your SYNONYMS.
Match made with FUROSEMIDE 10MG/ML 2ML VIAL INJ
Now select VA Product Name
1 FUROSEMIDE 10MG/ML INJ INJ,SOLN CV702 F0379
2 FUROSEMIDE 10MG/ML INJ,SYRINGE,4ML INJ,SOLN CV702 F0631
3 FUROSEMIDE 10MG/ML SOLN,ORAL SOLN,ORAL CV702 F0076
4 FUROSEMIDE 20MG TAB TAB CV702 F0077
5 FUROSEMIDE 20MG TAB,UD TAB CV702 F0224
6 FUROSEMIDE 40MG TAB TAB CV702 F0078
7 FUROSEMIDE 40MG TAB,UD TAB CV702 F0225
8 FUROSEMIDE 40MG/4ML SOLN,4ML SOLN,ORAL CV702 F0593
9 FUROSEMIDE 40MG/5ML SOLN,5ML SOLN,ORAL CV702 F0185
10 FUROSEMIDE 40MG/5ML SOLN,ORAL SOLN,ORAL CV702 F0186
Enter your choice or press return to continue:
11 FUROSEMIDE 80MG TAB TAB CV702 F0080
Enter your choice: PRESS RETURN

No match . . . attempting to match by Trade Name
Trade Names in YOUR local file for this drug are:
3 LASIX
Enter your choice: PRESS RETURN
Do you want to attempt to match by NDC or UPN:
Select one of the following:
N NDC
U UPN
Enter response: NDC//
Please enter NDC Code <WITH DASHES>: PRESS RETURN
Unable to match by Name, Trade Name or NDC Code/UPN
Select VA GENERIC NAME: PRESS RETURN
No match found
Just a reminder…you are editing FUROSEMIDE 10MG/ML 2ML VIAL INJ.
Press Return to continue,’^’ to exit:
LOCAL POSSIBLE DOSAGES:
Do you want to edit Local Possible Dosages? N// O
*******************************************************************************
This entry is marked for the following PHARMACY packages:
Outpatient
Non-VA Med
MARK THIS DRUG AND EDIT IT FOR:
O – Outpatient
U – Unit Dose
I – IV
W – Ward Stock
D – Drug Accountability
C – Controlled Substances
X – Non-VA Med
A – ALL
Enter your choice(s) separated by commas :
** You are NOW in the ORDERABLE ITEM matching for the dispense drug. **
FUROSEMIDE 10MG/ML 2ML VIAL INJ is already matched to
FUROSEMIDE INJ,SOLN
Do you want to match to a different Orderable Item? NO// YES <–THIS IS WHERE THE NEW DOSAGE FORM CAN BE ADDED FOR A NEW ORDERABLE ITEM
Choose Dosage Form: INJ
1 INJ
2 INJ (IN OIL)
3 INJ,COLLOIDAL
4 INJ,CONC
5 INJ,CONC, W/BUF
Press <Enter> to see more, ‘^’ to exit this list, OR
CHOOSE 1-5: 1 INJ
Dose Form -> INJ
Match to another Orderable Item with same Dosage Form? NO//
AT THIS POINT YOU CAN ADD THE PHARMACY ORDERABLE ITEM DEFAULTS FROM THE OLD ONE
Dosage Form -> INJ
Dispense Drug -> FUROSEMIDE 10MG/ML 2ML VIAL INJ
Orderable Item Name: FUROSEMIDE 10MG/ML 2ML VIAL
Matching FUROSEMIDE 10MG/ML 2ML VIAL INJ
to
FUROSEMIDE 10MG/ML 2ML VIAL INJ
Is this OK? YES//
Match Complete!
Now editing Orderable Item:
FUROSEMIDE 10MG/ML 2ML VIAL INJ
FORMULARY STATUS:
Select OI-DRUG TEXT ENTRY:
INACTIVE DATE:
DAY (nD) or DOSE (nL) LIMIT:
DEFAULT MED ROUTE:

List of med routes associated with the DOSAGE FORM of the orderable item:
INTRAMUSCULAR
INTRAVENOUS
SUBCUTANEOUS
If you answer YES to the next prompt, the DEFAULT MED ROUTE (if populated)
and this list (if populated) will be displayed as selectable med routes
during medication ordering dialog. If you answer NO, the DEFAULT MED ROUTE
(if populated) and POSSIBLE MED ROUTES list will be displayed instead.
USE DOSAGE FORM MED ROUTE LIST: Y// YES

The following Med Routes will now be displayed during order entry:
INTRAMUSCULAR
INTRAVENOUS
SUBCUTANEOUS
SCHEDULE TYPE:
SCHEDULE:
PATIENT INSTRUCTIONS:
Select SYNONYM:
Select DRUG GENERIC NAME: