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By the Copy Center and Pharmaceutical Services |
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Tamper-Resistant |
| Prescription Pads |
| New Medicaid Rule | VUMC Implementation | Other Rx Information |
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REVISED MEDICAID RULE Beginning October 1, 2008, a new federal rule will come into effect regarding security for prescriptions reimbursable by Medicaid. (In Tennessee, this pertains to our TennCare patients.) Written prescriptions for these patients currently must be on paper with one tamper-resistant feature. This will increase to three tamper-resistant features on the above date. In addition, such features must be listed on the back side or elsewhere on the sheet. These features are designed to protect against: 1) unauthorized copying; Guidelines issued by TennCare do allow for certain exceptions to this rule—the following need not comply: • Refills of written prescriptions presented at a
pharmacy before the deadline NEW STATE OF TENNESSEE RULE Also on October 1, a state rule became effective which requires manufacturers of secure prescription paper to undergo an SAS-70 audit to verify that their handling of such paper is proper and secure. Our vendor has advised us that they are in the process of complying with this rule and will document compliance for us as soon as possible. Note, of course, that none of this applies to patients covered by other payors, so prescriptions for those patients need not comply. |
| New Medicaid Rule | VUMC Implementation | Other Rx Information |
VUMC IMPLEMENTATION Paper for personalized prescription pads produced by the Copy Center has been compliant with the new rules since last spring. If any pads ordered earlier than about May are still on hand, they may need to be replaced. Our generic pad, MC 0024, has been compliant for several months also. The following document gives specific information on the security features provided—these features are now listed, as required, on the back of each sheet in the pad: Security Features of Rx Paper Used by Copy Center (PDF) Obsolete pads should be disposed of securely. For departments using the Shred-It service, this would be a secure method. If you do not have access to this service, on request the Copy Center will accept old pads to be cut up and disposed of without charge. Pads should not be placed in the paper recycling bins around campus without first being cut up or otherwise marked or mutilated to put them beyond use. For questions, or to order pads, please contact:
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| New Medicaid Rule | VUMC Implementation | Other Rx Information |
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RxStar On March 27, 2008, VMG issued the following guidance on this subject: "If using Rx Star, the new regulation does not apply to prescriptions that are faxed or phoned in, so that method also requires no change. However, when printing from Rx Star, a warning will appear on the screen before printing to indicate that tamper resistant paper should be used." Clinics may obtain secure paper by faxing an 1180 to Tim Jones, 2-6177. They are delivered as packs of 100 under MC 8000. Paper will then be delivered by the Copy Center. Multipart Rx Forms The Copy Center can furnish secure 2-part paper if multipart pads are desired. The only color sequence currently available, however, is blue/top copy and yellow/second copy. (The top copy is actually a purplish blue.)Handwritten Scrips for Faxing Please note that secure paper will not fax. The anti-copying security feature will cause the fax at the other end to have VOID all over it. If pads for faxing are needed, you will need to request pads on regular paper for this purpose. The Copy Center will produce such pads on request, but you must request plain paper specifically on your order. |
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