I think what you are describing is file #50, the DRUG file, that seems
to be the local formulary file.  But I am pretty sure that the VA
PRODUCT file contains every possible pharmacy item known to man.  And
this is used then to populate file#50.

Kevin

On 11/22/05, Mike Schrom <[EMAIL PROTECTED]> wrote:
> Kevin,
>
> There may not be a single, all inclusive drug list. Different VA
> hospitals have very different formularies. We frequently see patients
> from other parts of the country asking for refills of prescriptions
> obtained at their home VA that are not listed in our VISN2 Vista order
> list. The local IRM people may load data with input from the local P&T
> committee. Once a drug is in the file it stays there, even if it's taken
> off the list, but many new drugs don't show up unless they are added to
> the local formulary.
>
> Mike
>
> Kevin Toppenberg wrote:
> > I am (still) trying to work with the pharmacy system.  It may be good
> > for pharmacist, but it is being quite a headache for me.
> >
> > As a review, the file that contains every possible pharmacy item is
> > the VA PRODUCT  file (50.68).  If a drug is not in this file, then a
> > physician will not be able to order it.
> >
> > This means that for every new drug that comes on the market, one must
> > somehow upgrade this file and then "install" the new additions to the
> > sytem.
> >
> > This area is rife for a pharmacy support contract, which Mark has
> > gearing up to provide.
> >
> > But in the mean time, I want to explore working with this myself. But
> > I want a current VA PRODUCT file.
> >
> > So where do I get an up to date one.  I am guessing that the answer is
> > via the patch stream.  But I'm not clear on exactly how to procede.  I
> > looked on the VDL and found several different documentation areas, and
> > wasn't sure which way to go.  I read the one on installing the
> > "NATIONAL DRUG FILE", but it seemed to be more about converting from
> > the old system to the new, than about keeping one's VA PRODUCT file up
> > to date.
> >
> > Thanks
> > Kevin
> >


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