Compounded Medications

1. Display the Compounded Medications page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Order Configuration, click Compounded Medications.
2. Click Add new.
   Additional fields appear.
3. Name — Enter a name for this compounded medication (for example, Magic Mouthwash). You can search for this name in the Diagnoses & Orders section of an encounter; this name is not included in the electronic prescription message to the pharmacy.
4. Drug Formulation — Enter the formulation for this compounded medication (for example, viscous lidocaine 2%, Maalox, diphenhydramine 12.5 mg per 5 ml elixir 1:1:1).
   Note: The information you enter here is sent as the "drug description" in the electronic prescription message to the pharmacy.
5. Formulation includes a schedule II-V drug — Select this option if this compounded medication includes any Schedule II-V drugs. When you select this option, this compounded medication is processed the same way as any other Schedule II-V medication.
   Note: If the provider is enrolled in the athenaClinicals EPCS feature, the provider can submit prescriptions for compounded medications that contain Schedule II-V drugs electronically.
6. Formulation Schedule — If you select the Formulation includes a schedule II-V drug option, use the Formulation Schedule field to select the schedule of the strongest ingredient in the compound. If the medications in the compound have different schedules, choose the most restrictive schedule in the compound.
   Note: If you practice in more than one state, be aware that DEA schedules can vary by state.
7. Default Quantity Units — Enter the default quantity units for the compounded medication, for example, mg or oz.
8. Click Save.
   
   Note: When you add a local compounded medication to an order set, athenaOne includes the Drug Formulation and Formulation includes a schedule II-V drug values that you configured on the Compounded Medications page. If you did not include a default quantity unit when you created the compounded medication on the Compounded Medications page, you can edit the compounded medication to include this information. Also, you can update the formulation schedule for compounded medications that include Schedule II-V drugs.

1. Locate the Assessment / Plan section of an encounter: In the Exam stage of the patient encounter, click A/P in the navigation bar.
2. Click the plus icon next to Diagnoses & Orders.
   Diagnoses and orders you select are added to the D&O cart.
3. Search for the local compounded medication (for example, Magic Mouthwash) and click it to add the medication.
   athenaOne adds the compounded medication to the Diagnoses & Orders Detail section and populates the Drug Formulation and Schedule II-V drug indicator fields with the data configured on the Compounded Medications page. (In the Assessment / Plan section, these fields are read-only.)
   Note: The Drug Formulation is sent as the drug description in the electronic prescription message to the pharmacy.
4. If the compounded medication includes a Schedule II-V drug, the Formulation schedule field is displayed. If this field is set to Unspecified, click the menu and select the schedule of the strongest ingredient in the compound. (If the medications in the compound have different schedules, choose the most restrictive schedule in the compound.)
   Note: If you practice in more than one state, be aware that DEA schedules can vary by state.
5. Enter the Sig, Qty, Refills, DAW, and Note to pharmacy for this compounded medication.
   Note: You can also specify units in the box to the right of the Qty field. Type over "Unit" in this free-text field.
6. Click outside the order details to save your changes automatically.
• If the compounded medication formulation does not include any Schedule II-V drugs, athenaOne queues the compounded medication prescription for electronic submission to the pharmacy.
• If the compounded medication formulation includes any Schedule II-V drugs, athenaOne processes the compounded medication prescription the same way as any other Schedule II-V medication. If the provider is enrolled in the athenaClinicals EPCS feature, athenaOne submits prescriptions for compounded medications that contain Schedule II-V drugs electronically.

 

To prescribe a compounded medication that is not configured on the Compounded Medications page, use the generic COMPOUNDED MEDICATION order type, or create a new local compounded medication on the Compounded Medications page.

1. Locate the Assessment / Plan section of an encounter: In the Exam stage of the patient encounter, click A/P in the navigation bar.
2. Click the plus icon next to Diagnoses & Orders.
3. Search for compounded medication and click it to add the medication.
   athenaOne adds the prescription to the Assessment / Plan section.
4. Drug formulation — Enter the formulation for the compounded medication. The information you enter here is sent as the drug description in the electronic prescription message to the pharmacy. Do not enter the formulation in the Sig field or the Note to pharmacy field.
   Note: If you enter more than 105 characters in the Drug formulation field, a notification message appears. You can still enter more than 105 characters, but athenaOne will fax or print the prescription instead of sending it electronically.
5. Formulation includes a schedule II-V drug — Select this option if this compounded medication includes any Schedule II-V drugs. When you select this option, this compounded medication is processed the same way as any other Schedule II-V medication.
   Note: If the provider is enrolled in the athenaClinicals EPCS feature, athenaOne submits prescriptions for compounded medications that contain Schedule II-V drugs electronically.
6. Formulation schedule — If you select the Formulation includes a schedule II-V drug option, use the Formulation schedule field to select the schedule of the strongest ingredient in the compound. If the medications in the compound have different schedules, choose the most restrictive schedule in the compound.
   Note: If you practice in more than one state, be aware that DEA schedules can vary by state.
7. Enter the Sig, Qty, Refills, DAW, and Note to pharmacy for this compounded medication.
   Note: You can also specify units in the box to the right of the Qty field. Type over "Unit" in this free-text field.
8. Click outside the order details to save your changes automatically.

If the compounded medication formulation does not include any Schedule II-V drugs, athenaOne queues the compounded medication prescription for electronic submission to the pharmacy.

 

 

You can record an active or historical compounded medication in a patient chart on the Medications tab.

1. Display the patient chart and click the Medications tab.
2. To add the compounded medication, click the plus icon .
3. In the search field, enter compounded and then click COMPOUNDED MEDICATION.
4. Drug Formulation — Enter the formulation for the compounded medication (for example, viscous lidocaine 2%, Maalox, diphenhydramine 12.5 mg per 5 ml elixir 1:1:1).
5. Sig — Enter the instructions to the patient about how to take the medication, including the correct dosing.
6. Start date — Enter the start date for the compounded medication.
7. Status — If the patient no longer takes the medication, click Historical.
8. Click Add.

 

If your practice frequently prescribes a certain compounded medication, you can configure it as a local compounded medication on the Compounded Medications page. After a local compounded medication is configured using the Compounded Medications page, you can search for it in the Assessment / Plan section; you can also add it to an order set, just like any other medication.

 

You cannot edit the drug name or formulation of a compounded medication entry after you create it. This rule ensures consistency between the formulation information created on the Compounded Medications page and the formulation information in the order set and the patient's prescription. If you need to update the formulation for an existing compounded medication, delete the existing medication and create a new one with the updated information.

Note: If you did not include a default quantity unit when you created the compounded medication on the Compounded Medications page, you can edit the compounded medication to include this information. Also, you can update the formulation schedule for compounded medications that include Schedule II-V drugs.

 

The prescription transaction standard requires providers to indicate whether the compounded medication includes any Schedule II-V drugs. Ordering compounded medications requires the use of a generic COMPOUNDED MEDICATION order type and a local compounded medication from the Compounded Medications page.

 

Providers can order a compounded medication by searching for and selecting the generic COMPOUNDED MEDICATION order type in the Assessment / Plan section. With Surescripts, the generic COMPOUNDED MEDICATION order type includes the Drug Formulation field and a checkbox for Schedule II-V drug components.

Note: This feature is not available in the mobile view on mobile devices.