But yesterday afternoon I discovered a whole new reason to hate e-prescribing.
I have a lady who takes Fukitol 3mg, four times a day.
Fukitol only comes in 1mg pills. So she takes 3 pills, four times a day.
So 12 pills each day. OR 360 pills in 30 days.
HOWEVER, her insurance requires her to use Lostinthe Mail-Order pharmacy.
Like most mail-order pharmacies, this one only sends out 90 day pill supplies at a time.
So Mrs. Patient asked me to send it by e-script to Lostinthe Mail pharmacy.
12 pills x 90 days is 1080 pills. So I just transmit a script for 1080 pills.
Sounds easy, huh?
The online thing rejected the script, on the grounds that it won't allow pill supplies of more than 999 pills at a time.
I tried submitting it for 2 scripts of 540 pills each. It wouldn't allow 2 scripts of the exact same thing.
So I submitted it for 999 pills for 90 days, and figured Annie would just tell the patient the reason for this, and we could make up the difference with samples.
Of course, the online e-script program rejected this, too, and pointed out that a 90 supply for the patient is 1080 pills. It even asked me to resubmit it for that amount.
Which I did. And it was promptly rejected for being > 999 pills.
I mailed a written script for 1080 pills to the patient and told her to send it to them. And scream.