Thank you so much! I just became a certified tech, the pharmacy calculations spreadsheet helps so much. And I love how you add the pictures of the medications as you explain
Yup I hinted at this at 4:09. It’s important to note that the beyond use date of all insulin products is not 28 days. They can range anywhere from 10 days with the mixed insulins up to 56 days with Tresiba and Toujeo. Thanks for pointing this out! 😊
This is awesome! Thank you. Well, I will say I like to talk it through like that, and you are so much faster than me. I have to be driving my Pharmacist crazy because I'm not that fast yet. I've only been certified since last December.
I'm trying. I finally got the math part down pat. Then I had 2 concerns. Number one, my Pharmacist told me about priming doses. But adding 2 units in messes up the day supply. My source was quiziz, so after I worked out number 1 the way they wanted and I got the 28 they wanted. I decreased the daily units from 35 to 30, got 33.33....so I could initially see the shelf life rule in action. It looks like it's 1 pen, plus a bit. I'm talking to my Pharmacist today.
Interesting point, but it's not something that we generally consider in practice when calculating the days supply! Some pharmacists are very nuanced, but I have yet to see anyone take priming doses into account. Shelf life is a more important aspect that can impact your days supply calculations!
Great question! x7d generally means for 7 days, but taken in the context of certain weekly medications might be understood as every 7 days. For clarity, q7d is a better abbreviation for every 7 days and x7d should be used to imply for 7 days. Good catch!
for epipens for quantity you put in computer 4 if the doctor writes 2 packs? because each pack has 2 pens. if the doctor was to write 6 packs as quantity you would put 12 in the computer and day supply still be 30 days? thanks bro
Yup, you've got the quantity right! I doubt you would ever see more than 2 packs being dispensed at a time. If a patient is using epi that often, there might be some underlying issues that need to be addressed. Also unlikely that insurance would cover more than 1 or 2 packs a month. But in your example, I would probably say a 90 day supply for 6 packs. Would have to discuss with the patient why they need 6 packs 😅
I'm not sure what tampered drugs are in reference to math calculations! If you mean tapered, I do have a few examples in this video with the prednisone, methylprednisolone, and azithromycin! My data entry video also has a prednisone taper problem. In my experience, the best way to solve those are by creating small tables with the quantity on one side and the corresponding days on the other. Then you add them up to get total quantity and total days supply. Check out 7:53 for the prednisone taper. Hope that helps!
8.5g. If you type 1P in the dispensed quantity line, the computer will populate that portion with the correct package size if you're dispensing a whole package/bottle.
For test strips, lets assume we're dispensing a #100 count package. If they're testing once a day, then the day supply would be 90. If twice a day then 50. tid = 30 and qid = 25. So take the quantity dispensed and divide by how many times they are testing in a day. Round down if needed for insurance requirements. For EpiPens, they come in a quantity of 2 and I default to a 30 day supply. Some parents like having one pack for home and one for school, so dispensed quantity would be 4 and I would still say 30 days. Adjust the days supply per insurance requirements.
Not quite. A 3 pack contains 3 pens with each pen being 6mg/mL or a total of 18mg/3mL for the whole package. 9mL is the same as 9 pens or 3 packages. If each pen is 1mL and the concentration in a single pen is 6mg, then if we had 9 pens, there would be a total of 9x6=54mg. Hope that helps!
Hey Sam, that’s a loaded question. There’s a lot that goes into it including preparation, the day of, and paperwork. All of the information can be found on RxNet or ask your pharmacy manager!
Thank you so much! I just became a certified tech, the pharmacy calculations spreadsheet helps so much. And I love how you add the pictures of the medications as you explain
Thanks! Congrats on getting certified and happy I could help!
Thank you so much for these tutorials. I'm a technician who works in pharmacy, and some calculations still puzzles my co- workers.
You’re welcome! Some of the injectables and tapers can be confusing calculations at first but practice makes perfect!
Love these videos! Keep them coming
thank you so much for explaining the insulin calculations very well, I've been struggling a lot with this. You are awesome!
You’re welcome! I’m glad to help!
Good information but insulins expire 28 after opening so they shouldn’t be more than a 28 days supply
Yup I hinted at this at 4:09. It’s important to note that the beyond use date of all insulin products is not 28 days. They can range anywhere from 10 days with the mixed insulins up to 56 days with Tresiba and Toujeo. Thanks for pointing this out! 😊
This is awesome! Thank you. Well, I will say I like to talk it through like that, and you are so much faster than me. I have to be driving my Pharmacist crazy because I'm not that fast yet. I've only been certified since last December.
Thank you! We all start somewhere and practice makes perfect so keep at it!
I'm trying. I finally got the math part down pat. Then I had 2 concerns. Number one, my Pharmacist told me about priming doses. But adding 2 units in messes up the day supply. My source was quiziz, so after I worked out number 1 the way they wanted and I got the 28 they wanted. I decreased the daily units from 35 to 30, got 33.33....so I could initially see the shelf life rule in action. It looks like it's 1 pen, plus a bit. I'm talking to my Pharmacist today.
Interesting point, but it's not something that we generally consider in practice when calculating the days supply! Some pharmacists are very nuanced, but I have yet to see anyone take priming doses into account. Shelf life is a more important aspect that can impact your days supply calculations!
First! Thank you Michael!
I’m your biggest fan! 😂
May I know 2mg subQ x 7d means inject under the skin 2mg for 7 days ? how about q7d ? thx
Great question! x7d generally means for 7 days, but taken in the context of certain weekly medications might be understood as every 7 days. For clarity, q7d is a better abbreviation for every 7 days and x7d should be used to imply for 7 days. Good catch!
sorry i am bit confused, u said 2mg subQ x 7d is inject 2mg under the skin every 7 days .
for epipens for quantity you put in computer 4 if the doctor writes 2 packs? because each pack has 2 pens. if the doctor was to write 6 packs as quantity you would put 12 in the computer and day supply still be 30 days? thanks bro
Yup, you've got the quantity right! I doubt you would ever see more than 2 packs being dispensed at a time. If a patient is using epi that often, there might be some underlying issues that need to be addressed. Also unlikely that insurance would cover more than 1 or 2 packs a month. But in your example, I would probably say a 90 day supply for 6 packs. Would have to discuss with the patient why they need 6 packs 😅
Coumadin math would be greatly appreciated if you can show examples those kinds math calculations
I'm not sure what tampered drugs are in reference to math calculations! If you mean tapered, I do have a few examples in this video with the prednisone, methylprednisolone, and azithromycin! My data entry video also has a prednisone taper problem. In my experience, the best way to solve those are by creating small tables with the quantity on one side and the corresponding days on the other. Then you add them up to get total quantity and total days supply. Check out 7:53 for the prednisone taper. Hope that helps!
Check out part 1 of the math calculations at 4:25 as well as 23:55 on the data entry video for warfarin math examples!
say pro air is 8.5 g and 200 metered dose inhaler in CVS computers what do you put as quantity 8.5 grams or 200 thanks
8.5g. If you type 1P in the dispensed quantity line, the computer will populate that portion with the correct package size if you're dispensing a whole package/bottle.
@@ungerpharmacy do you work for cvs too
could you please do an actual quantity and day supply to put in cvs computer system for test strips and epipen please
For test strips, lets assume we're dispensing a #100 count package. If they're testing once a day, then the day supply would be 90. If twice a day then 50. tid = 30 and qid = 25. So take the quantity dispensed and divide by how many times they are testing in a day. Round down if needed for insurance requirements.
For EpiPens, they come in a quantity of 2 and I default to a 30 day supply. Some parents like having one pack for home and one for school, so dispensed quantity would be 4 and I would still say 30 days. Adjust the days supply per insurance requirements.
is there anyway you could only do one video of all of the commons injectable quantity and day supply that cvs uses please thanks a bunch
Don't think I have the time to cover all that info, but if you have a specific question ask away!
I liked it but just too fast for the explanation
Glad you enjoyed it and thanks for the feedback! 👍
Victoza each pen 1ml so 54 Mg but quantity 9 ml so 162 mg. I get little confused.
Not quite. A 3 pack contains 3 pens with each pen being 6mg/mL or a total of 18mg/3mL for the whole package. 9mL is the same as 9 pens or 3 packages. If each pen is 1mL and the concentration in a single pen is 6mg, then if we had 9 pens, there would be a total of 9x6=54mg. Hope that helps!
@@ungerpharmacy thank you so much I just started working and your video really help me a lot.
how do you do inventory once a year at cvs please
Hey Sam, that’s a loaded question. There’s a lot that goes into it including preparation, the day of, and paperwork. All of the information can be found on RxNet or ask your pharmacy manager!