BRP Pharmaceuticals is a leader in physician dispensing services that provides instant medication to patients located in Burbank, CA.
For more details visit: http://www.brppharma.com/
Medication order entry introduction, Medication order management system, steps involved, clinical decision support system, entering information in computers, drug labels and drug lists
Assessment of Good Pharmacy Practice (GPP) in Pharmacies of Community Setting...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Medication order entry introduction, Medication order management system, steps involved, clinical decision support system, entering information in computers, drug labels and drug lists
Assessment of Good Pharmacy Practice (GPP) in Pharmacies of Community Setting...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
This power point presentation will be helpful for pharmacy students to learn about good drug dispensing practices. you will learn about drug dispensing, various requirements for good drug dispensing, steps to be followed during drug dispensing, importance of drug dispensing to promote rational use of medicine.
Prescription Filling Record is the record of the original prescription and refill records. In this report, the various contents of the record , the procedures for dispensing the records and the procedures for the storage of the records have been discussed.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
Objectives, scope, Organization and structure of retail and wholesale drug store, type and design, dispensing of proprietary products, legal requirements
This power point presentation will be helpful for pharmacy students to learn about good drug dispensing practices. you will learn about drug dispensing, various requirements for good drug dispensing, steps to be followed during drug dispensing, importance of drug dispensing to promote rational use of medicine.
Prescription Filling Record is the record of the original prescription and refill records. In this report, the various contents of the record , the procedures for dispensing the records and the procedures for the storage of the records have been discussed.
hospital formulary is developed under the guidance of pharmacy and therapeutic commitee of the hospital.pharmacist working in a hospital should play an important role in the preparation of the hospital formulary
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Dr. James MacDonald, Chief Administrative Officer or the RI Board of Medical Licensure and Discipline presents to the RIAPA on controlled substance prescribing in RI.
The formulary system is a method by which physicians and pharmacists, working through a Pharmacy and Therapeutics Committee of the medical staff, evaluate and select medications for use in a hospital.
the hospital formulary system provides the information for procuring,prescribing,dispencing and administrative of drug under non proprietary names and instance where drugs have both names.
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5th edition of the Diagnostic and Statistical Manual of Mental Disorders
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Physician dispensing services doctor dispensing brp pharmaceuticals
1. What is Physician Dispensing & Point of Care Dispensing?
Physiciandispensingenablesdoctorsandclinicstooffertheirpatientstimely,convenient,andhassle-freealternativesfor
receivingtheirmedication.
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Regulatory Compliance
Undercurrentmedicallicenses,physiciansarepermittedtodispensemedicationsattheofficedirectlytopatients
withnorestrictionsin44states.
BRPislicensedbytheFDAandDEA.
PhysiciandispensingissupportedbytheAmericanMedicalAssociation.
Physiciandispensingisregulatedatthestatelevelbythestateboardofpharmacy.
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Medication Adherence & Procedure Concerns in the US
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[NewEnglandJournalofMedicine,April29,2010,Volume362,Number17]
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Point-of-Care Dispensing Offers Multiple Benefits to your Patient
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Point-of-Care Dispensing Offers Multiple Benefits to your Practice
PHARMACEUTICALS
BRP
PhysicianDispensingatpoint-of-care
Adherence &
Compliance
Convenience Cost Savings
Point-of-Careeliminatestheextratrip
andinevitablewaitatthepharmacy
forelderlyandthosewithacute
symptomsortransportationissues.
Mostmedicationsdispensedby
physiciansaregenericandcanbe
soldatorbelowapatient’s
standardco-pay.
Providingthemedicationtothe
patientintheofficeimproves
patientcompliancetodoctors’
prescribedorders.
$
$
$
$
ofpatientsdonotadhereto
prescriptionmedicationregimen
spenteachyearinavoidable
hospitalizationsasaresult
50% 30% $100 billion
ofprescriptionsare
neverfilledatall
Additional
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BetterManage
Patients’Health
LessHassleFrees
upStaffTime
ExpandOffered
AncillaryServices
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BRP has been in the pharmacy business for over 100 years and repackaging medications since
1980. Today, BRP is a trusted provider to over 2000 physicians, clinics, and pharmacies across the
United States, servicing clinics across 32 specialties
!BRP has access to the broadest range of quality pharmaceuticals, building strong relationships
with various manufacturers and distributors to gain access to all generic and branded products. If
a clinic needs a product we either have it or will find it for them.
Howwestarted
Howwedoit
Whatwedo
We repackage bulk medications into smaller bottles, label, and ship the final product to the
office, allowing physicians to dispense medication directly to the patients at the time of the visit.
!BRP follows rigorous safety and quality standards. We are licensed with the FDA and DEA, and
hold a pharmacy license in all 45 states that support physician dispensing.
Founded in 2004 and headquartered in Burbank, CA, Bryant Ranch Prepack, Inc. is a leader in
the re-packaged pharmaceuticals industry. In 1980, a doctor requested that one of our stores in
La Mirada, California prepackage a few medications so that sick patients would not have to wait
for their prescriptions to be counted out. Within a few months, the doctor asked us to provide
pharmaceuticals to his clinic on a regular basis, and Bryant Ranch Prepack was born.
!Though BRP has continued to grow into the industry leader that it is today, the company aims to
maintain the same “family run business” principles established so long ago. This family mentality
is reflected in our dedication to patient care and clinical excellence.
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AMA’s Code of Ethics
Opinion 8.06 - Prescribing and Dispensing Drugs and Devices
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Source: American Medical Association, Issued June 2002. This opinion is a consolidation of
previous Opinions 6.04, "Fee Splitting: Drug or Device Prescription Rebates;" 8.06, "Drugs and
Devices: Prescribing;" and 8.07, "Gifts to Physicians: Offers of Indemnity.”
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!What This Means for You and Your Practice
! Point-of-care dispensing places a premium on issues such as patient convenience and
compliance with medication while providing a benefit to the physician over practice revenue.
RegulatoryCompliance:AmericanMedicalAssociaTIon
Physicians may dispense drugs within their office practices
provided such dispensing primarily benefits the patient…In
all instances, physicians should respect the patient’s freedom
of choice in selecting who will fill their prescriptions as they
are in the choice of a physician and, therefore, have the
right to have a prescription filled wherever they wish.
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RegulatoryCompliance:Whocandispense
Allowed
Restricted
Under their current license, physicians are allowed to dispense medications, directly to their
patients at the point-of-care, from their office, with no restrictions, in 44 states.
Munger et al., Pharmacotherapy, Oct 2014, Volume 34, Number 10: 1017
PHARMACEUTICALS
BRP
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Benefitsforyourpatient
BenefitsforyourPractice
Patient Health Management
Increasing patient adherence allows providers to better manage patients’ health
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!Increased Offered Services
Medication dispensing is a primary ancillary service received by patients from their primary
care physician:
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Increased Revenue Stream
Dispensing medications directly from the office allows a practice to expand offered
ancillary services, thereby increasing revenue
Convenience
Receiving medications at the time of the office visit eliminates the extra trip to the
pharmacy & waiting 30-60 minutes for the prescription to be filled. This is
especially meaningful for elderly patients, patients with acute symptoms and
patients with transportation issues.
!Cost Savings
Most medications dispensed by physicians are generic and can be sold at or
below a patients’ standard co-pay.
!Confidentiality
Patients can be sensitive about privacy of their illnesses and medications, the
confidentiality of receiving their medication at the medical office is a major plus.
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Adherence & Compliance
Providing the medication to the patient in the office improves the odds of patient
compliance to doctors’ prescribed orders.
PHARMACEUTICALS
BRP
38%
Lab Services
36%
Drug Dispensing
34%
Radiology
As many as 50% of patients do not adhere faithfully to their
prescription medication regimen, while 30% of prescriptions
are never filled at all. The result is more than $100 billion
spent each year in avoidable hospitalizations.
New England Journal of Medicine, April 29, 2010, Volume 362, Number 17
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BenefitsforyourStaff
Staff Convenience
Less staff time spent on the phone with pharmacies.
!5 Steps, 2 Minutes
After brief and simple training, properly dispensing a prescribed medication takes
generally 2 minutes.
Enter the patient's details into the software
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!Select the medications to be dispensed and add them to the patient’s record
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!Patient pays for medication
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!Print medication label and patient education sheet, available in English or
Spanish
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!Apply patient-specific label to the bottle and dispense to patient. The patient
leaves the office with everything they need to begin recovery/treatment.
PHARMACEUTICALS
BRP
PhysicianDispensingProcess:5steps,2minutes
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Physiciantestimonials
“BRP’s dispensing program is easy for our
patients and they really like the service.
The labels are correct so there are no
errors and the cost is usually lower than
co-pays.”
Mahfouz Michael, M.D.
President, Clinica Medica San Miguel
“In urgent care it is important to treat the
patient quickly and comprehensively.
BRP’s program helps us give complete
care in one visit.”
Konstantinos Melahouras, M.D.
President, Southland Family, Urgent Care
6. Cost to get Started: - Just the cost of the initial med order.
• Use of the MDscripts Dispensing Software FREE (Comes complete with 24/7 IT support)
• Personalized account management by BRP’s Customer Service center and
initial webinar training program with you and your staff. FREE
• Labels are FREE
• Paper Dispensing Bags are FREE (Comes in Packs of 100 Bags)
• Shipping and handling fees only apply if your order is under $150.00, otherwise you
receive FedEx Shipping FREE. (*Expedited shipping is available but it is at your expense.)
!Equipment Needed:
• The beauty of our program is that if you have a Computer, you already have
everything you need to get started.
• 2D Barcode Scanner (Optional): The dispensing software supports a 2-Click dispensing
system as well as use with a scanner.
• Label Printer (Optional): The printer will print out a personalized label with pertinent patient/
office info
startupcostsandequipment
SettingupanaccountwithBRPpharmaceuticals
Develop the Formulary
Obtain physician’s formulary with size and strength of most commonly prescribed meds
BRP will provide a detailed price analysis based on the formulary
Physicians will review the formulary analysis and select medications they would like to carry
!Staff Participation
A staff member will be assigned to oversee the dispensing system.
!Documentation
Photocopy of prescribing physician’s State License
If dispensing controlled substances, a photocopy of the physician’s DEA License
If required by the State, a photocopy of physician’s State Dispensing License
Completed BRP Application
!Medication Order
Provide an opening order. We suggest a 2-3 week supply to start
PHARMACEUTICALS
BRP
7. PHARMACEUTICALS
BRP
How is this regulated?
44 out of 50 states in the United States, it is absolutely legal for physicians to do point-of-care
dispensing without restriction. Physicians have the legal right to dispense medicine to their patients under
their current license.
Malpractice Risk?
In general, the insurance industry does not view medication dispensing as an increased risk of practicing
medicine. The actual risk is in the decision regarding which medications, and combinations of medications
that are prescribed, not necessarily where medications are filled
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Are other physicians and prescribers doing this?
Ancillary services offered in physician offices are increasing, as physician reimbursement decreases and
patient satisfaction becomes more important
Lab Services, Drug Dispensing, and Radiology are three ancillary services most commonly offered by
primary care physicians
In 2010, roughly 10% of practicing physicians offered in-office dispensing, and trends indicate that
physician dispensing with grow by approximately 25% in the coming years
As an industry leader, BRP Pharmaceuticals currently serves over 2000 physicians across 44 states
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Convenience
Patients appreciate receiving medications in the physician’s office to avoid an additional trip to the
pharmacy and waiting 30-60 minutes for their prescription to be filled
This is especially meaningful to patients with acute symptoms and patients who have transportation
issues
Compliance & Adherence
According to the New England Journal of Medicine, as many as half of all patients do not adhere
faithfully to their prescription-medication regimens. Furthermore, approximately 20%-30% of medication
prescriptions are never filled at all. Data estimates that more than $100 billion spent each year on avoidable
hospitalizations due to prescription non-adherence.
Providing the medication to the patient in the office improves the odds of patient compliance with
doctors’ prescribed orders.
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Impact on office staff training is minimal
Current technology and software platforms have created a turnkey process, automating the dispensing
process through a user-friendly, personalized software, or an internet based system.
Impact on office staff capacity is time-neutral
Many practices currently dispensing in office report that dispensing in office has reduced the number of
calls, back-and-forth, between the office staff and pharmacies
It is estimated that each call to/from a pharmacy costs $7. Reducing this traffic, and replacing it with
revenue-generating activity, practices are able to collect revenue for the prescription work that they do,
rather than waste employee capacity.
Legalityandrisk
Adoptiontrends
impactonpatients
impactonstaff
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BRP
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Legislative Counsel
State of California
Article 12. Prescriber Dispensing
!4170. Dispensing by Prescriber: Requirements and Restrictions; Enforcement
a) No prescriber shall dispense drugs or dangerous devices to patients in his or her office or place of practice UNLESS
ALL OF THE FOLLOWING CONDITIONS ARE MET:
1) The dangerous drugs or dangerous devices are dispensed to the prescriber's own patient, and the drugs or
dangerous devices are not furnished by a nurse or physician attendant.
2) The dangerous drugs or dangerous devices are necessary in the treatment of the condition for which the
prescriber is attending the patient.
3) The prescriber does not keep a pharmacy, open shop, or drugstore, advertised or otherwise, for the retailing
of dangerous drugs, dangerous devices, or poisons.
4) The prescriber fulfills all of the labeling requirements imposed upon pharmacists by Section 4076, all of
the recordkeeping requirements of this chapter, and all of the packaging requirements of good
pharmaceutical practice, including the use of childproof containers.
i. Name of the patient, Name of the prescriber, Date of issue, Name and address of the prescriber,
and prescription number or prescription ID, Strength of the drug or drugs dispensed, Quantity of
the drug or drugs dispensed, Directions for the use of the drug, Expiration date of the drug or
drugs dispensed
5) The prescriber does not use a dispensing device unless he or she personally owns the device and the
contents of the device, and personally dispenses the dangerous drugs or dangerous devices to the patient
packaged, labeled, and recorded in accordance with paragraph(4).
6) The prescriber, prior to dispensing, offers to give a written prescription to the patient that the patient may
elect to have filled by the prescriber or by any pharmacy.
7) The prescriber provides the patient with written disclosure that the patient has a choice between obtaining
the prescription from the dispensing prescriber or obtaining the prescription at a pharmacy of the patient's
choice.
b) The Medical Board of California, the Osteopathic Medical Board of California, the Board of Registered Nursing,
the Veterinary Medical Board, and the Physician Assistant Committee shall have authority with the California State
Board of Pharmacy to ensure compliance with this section, and those boards are specifically charged with the
enforcement of this chapter with respect to their respective licensees.
!4171. Exceptions to Section 4170: Samples; Clinics; Veterinarians; Narcotic Treatment Programs; Certain Cancer
Medications
a) Section 4170 shall not prohibit the furnishing of a limited quantity of samples by a prescriber, if the prescriber
dispenses the samples to the patient in the package provided by the manufacturer, no charge is made to the patient
therefore, and an appropriate record is entered in the patient's chart.
!4172. Storage Requirements
A prescriber who dispenses drugs pursuant to Section 4170 shall store all drugs to be dispensed in an area that is secure. The
Medical Board of California shall, by regulation, define the term "secure" for purposes of this section.
!4173. Dispensing by Registered Nurses
This chapter does not prevent the dispensing of drugs or devices by registered nurses functioning pursuant to Section 2725.1.
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Medications Stocking Reports, CURES reporting, invoices, and other inventory management actions are required to legally
dispense medications out of your office – software has been developed to automatically manage and send these reports to the
proper regulating entities.