Does your practice prescribe Mylan’s EpiPen epinephrine auto-injectors to your patients? Mylan, in coordination with their manufacturing partner Pfizer, has recently expanded a nationwide and international recall of certain strengths and lots.
PCC EHR has tools and reports that can help you contact patients affected by this recall. You can use the Patient Lists tool, or a PCC eRx report, to find patients who have a record of a prescription in their chart. If you are participating in the 2017 PCC 7.6 beta release, you have additional reporting options in the PCC EHR Report Library.
Your Results May Vary: Sometimes the pharmacy selects the brand of epinephrine pen, and sometimes a patient may receive their prescription from a specialist or other care provider. PCC EHR can only report on the prescription details found in the patient’s chart. Your practice may elect to announce this recall to your patients based on broader criteria, such as all patients with severe allergies on their Problem List.
EpiPen Recall Details and Replacement Instructions
“Meridian Medical Technologies, a Pfizer company and Mylan’s manufacturing partner for EpiPen® Auto-Injector, has expanded a voluntary recall of select lots of EpiPen (epinephrine injection, USP) and EpiPen Jr® (epinephrine injection, USP) Auto-Injectors to now include additional lots distributed in the U.S. and other markets in consultation with the U.S. Food and Drug Administration (FDA).
The recall impacts certain lots of the 0.3 mg and 0.15 mg strengths of EpiPen Auto-Injector. None of the recalled lots include the authorized generic for EpiPen Auto-Injector, which is also manufactured by Meridian Medical Technologies.”
For more information and replacement instructions, visit:
Find Patients With EpiPen Prescriptions
PCC EHR includes many different tools and reports that can help you find patients who may need to know about this recall.
Use the Patient Lists Tool
You can use the Patient Lists tool, in the Reports menu, to get a quick list of all patients with a specific EpiPen prescription and/or a general epinephrine prescription. You could also create a list of patients with anaphylaxis or other allergy diagnoses in their Problem List.
Open the Patient Lists Report Tool
Click on the Reports menu and select “Patient Lists”.
Click “Add” to add a new patient list.
Add Title, Time Range, and Click to Add a Medication Criteria
On the Add Patient List screen, enter a title for your new list. Review the time range, and then click “Add” next to the Medications criteria.
For the widest possible search, use the “From patient’s birth through today” time range for the criteria.
Add EpiPen, and/or Your Practice’s Unspecified Epinephrine Pen Prescription
Use the drop-down search field to find the EpiPen prescription or your practice’s typical generic epinephrine pen prescription.
Can't Find It? Not Sure If Epinephrine Injector Prescriptions Were Filled With EpiPen?: The Medication criteria for Patient Lists only shows medications that are in at least one patient’s Medication History. If your practice has no records of EpiPen or epinephrine, for example, you will not be able to add it as a criteria. If you are worried that a non-specific epinephrine prescription may have been filled with a Mylan EpiPen, you can add additional prescriptions to the criteria, as shown below.
Review Your List Criteria and Save Your Changes
Generate the Patient List
Select your patient list and click “Generate List”. Then click “Continue” to see the result.
Optional: Export the Patient List
Optionally, you can click “Save as File” and export the list as a CSV file. You can import that file into any spreadsheet program, or open it with a Word Processor.
Contact PCC Support for help with the Patient Lists report tool or any features of PCC EHR.
Use the Drug Report Tool in PCC eRx
You can use the Drug Report tool in PCC eRx (7.5 and earlier) to find all EpiPen prescriptions, or all epinephrine prescriptions.
Auvi-Q, EpiPen, Other Recalls: The images in the procedure below were created for an Auvi-Q epinephrine auto-injector recall. You can use the steps in the procedure for EpiPen or for any drug recall.
Visit the Rx Tasks Queue and Click “Options”
Open a PCC eRx window, either from the Rx Tasks queue or from a patient’s chart, and click “Options”.
Click “Drug Report”
Search for Epinephrine, or EpiPen
Use the search field to find epinephrine, or EpiPen. The Drug Report tool can produce various lists based on either the brand name or generic name of a drug. You may want to try a couple of different searches to review your patients’ records.
Click the Free Text or Specific Prescription Option
Depending on your search, you may need to indicate whether you mean a specific prescription name or a free-text search for all drugs that include your search text. In testing, PCC found better results with the “free text” option.
Enter Provider or Date Range Criteria
Select primary care physicians or other care providers, and indicate a date range for when the drug was active. For most situations, you should search for all providers for a wide date range.
Click “Create Report” to view the results.
Active or Inactive?: The Drug Report looks for prescriptions that were active within a certain date range, or within the past 30 days, 6 months, etc. Since all the recalled auto-injectors expire in 2017, for example, you may want to use a range that only extends back a few years.
Review Results, Run a New Search
PCC eRx will display all prescriptions that match the search text and the criteria options. After you review the result, you may want to re-run the Drug Report using a different search term (“epinephrine”, etc.) or criteria.
Contact PCC Support for help with the Drug Report or other features in PCC eRx.
Use the Prescription Activity Report
If you are participating in the 2017 PCC 7.6 Beta release, and you use the new PCC eRx electronic prescribing solution, you can run the Prescription Activity Report to generate lists based on various prescription criteria.
For help, contact your PCC Client Advocate or PCC beta coordinator.