Mini-bag and Add-vantage Mixture
In Epic, each component of a Mini-Bag Plus or ADD-Vantage mixture is a simple ERX record. Each combination of these ingredients is a main ingredient mixture ERX with a few differences:
Prep type Leave blank. Nurses prepare these mixtures on the floor.**
Prod. Admin. Inst.
& Label Comments
Use the RX MINI-BAG PLUS or RX ADD-VANTAGE
SmartTexts.
• Indicates that pharmacy isn’t preparing the
mixture, tells nurse what to look for.
Specific
Ingredients &
Packages
Mini-Bag Plus mixtures require a specific NDC for the
base.
ADD-Vantage require specific NDCs for both the base and the main ingredient.
Lock Ingredients Users should not change ingredients or doses.Important for interfacing with ADS systems.
This has three effects:
• Prevents users from changing doses or ingredients, even in Verify Orders(Components locked in verification is automatically set to “yes”). -->This is an exception to the rule! Normally, Epic checks for only the ingredients on med list (and whether the pharmacy supports the mixture’s prep type). By setting Components and doses locked to “yes,” you tell Epic to check for either the mixture or the ingredients.
• Epic sends an order’s mixture ID to the ADS profile instead of just the ingredients’ IDs.
o Makes 1 line-item on the ADS profile.
• Epic dispenses orders for this mixture from any Pharmacy that has the mixture ERX OR both of the specific ingredients on its medication list.
o You can stock the components in separate pockets or pre-
assembled in one pocket.
Dispense Components
Set to “Yes” on Mixture Setup 2; allows nurses to scan
each ingredient for administration.
Dispense Code IVPB Premix
Adding to Formulary & Central Pharmacy
Mixture ERX Add to formulary and central pharmacy. Remove the green dot on both lists.
Ingredient ERXs Add ingredients to formulary and central pharmacy. Make sure you add the specific Mini-Bag Plus or ADD-Vantage ERXs and NDCs to the list.
• Remove the green dot (unless it’s orderable on its
own, such as ceFAZolin for injections).
Loading in an ADS To use the “Load to ADS” workflow, add the mixture ERX to the Load to ADS medication list. This avoids triggering the “load” workflow for orders for an individual component, while making sure the mixture gets loaded if ordered.
Allowing Nurses to Scan Each Ingredient Dispense component....= YES
Charging for Mini-bag and ADD-Vantage Mixtures
Epic will generate a separate charge for each ingredient in a mixture. It uses the charge method, linked procedure, and cost of each ingredient. There is no special configuration required to charge for a mixture.