Pharmacy Dispensing - Frequently Asked Questions

This quick guide answers frequently asked questions about Pharmacy Dispensing in VieCure. It covers waste entry, partial doses, how drug orders reach the drug cabinet system (Nucleus), and printing labels.

 The waste did not come in from the drug cabinet. How do I enter compounding drug waste?

Waste normally arrives from the drug cabinet (Nucleus) as part of the dispense message, together with the drug and amount dispensed. It then shows in the Waste column on the Internal Pharmacy Order grid in Pharmacy Dispensing.

For billing, only waste recorded on Pharmacy Dispensing or from the cabinet for single dose vials counts toward the Waste value and the JW/JZ modifiers in Charge Details. Waste typed directly on the MAR is for documentation only and is not billed. Multi dose vial waste is not sent to Charge Details, and waste rounds down to a whole number.

 I do not have enough medication to administer a full dose. How do I document it?

Waste or partial amounts recorded on the MAR are saved as a separate waste line item and are for clinical documentation only. They do not change billing. A full dose may still be billed when the MAR shows partial waste, and no warning is shown; this is expected.

 How do drug orders reach Nucleus, and how do I print pharmacy and MAR labels?

Orders to Nucleus — When a patient is marked Ready to Treat, VieCure sends the drug order to the Nucleus cabinet system as a pharmacy order message. This is set up for Alabama Cancer Care and Commonwealth Cancer Center. Dispense and waste information comes back from Nucleus automatically.

 Printing a pharmacy label

1. In Pharmacy Dispensing, check the box for one or more drugs (or use the Print Label icon on a single drug row).
2. Click Print Label in the toolbar above the order table. It is inactive until a drug is selected.
3. Review the PDF print preview, choose the printer and confirm, or cancel to return. Each drug prints on its own page.

Printing does not change the Rx Status or MAR Status of the medication.