Audit Target – Pre-Filled Injectable Pens and Syringes

1. Missing a unit of measure (UOM) or written for a UOM that does not make sense
2. Missing dosage or quantity to inject
3. Missing the route of administration (ROA)
4. Missing calculable instructions/frequency

PAAS Tips:

• Here is a Humira prescription example:
  • The quantity of #1 could be interpreted as 1 pen when the box comes as a kit and contains 2 pens
  • There is no UOM, so does the prescriber want 1 box, 1 mL, 1 pen, 1 kit?
  • The SIG does not contain calculable instructions = how much to inject, where to inject (ROA) or how often to inject

• If the pharmacy received this prescription and did not clarify any elements, it would be marked discrepant upon audit.
• Upon receiving this prescription, ideally, the pharmacy would clarify the following elements with the prescriber’s office and make a clinical notation
  • Quantity of 1 = 1 kit or 2 pens
  • SIG – Inject 40 mg subcutaneously once a week – this clarifies how much to inject, the ROA and how often to inject
• Utilize the PAAS National^® Self-Audit Mindset tool when reviewing prescription
• Pay special attention to pre-filled injectable pens and syringes to avoid thousands of dollars of chargebacks upon an audit