Insulin Pens: Understanding Dosing Increments and Audit Risks

a prescription written for Toujeo^® Max Solostar^® with directions indicating 89 units daily must be clarified because the pen can only be dialed in 2-unit increments (i.e., the directions should either be 88 units daily of 90 units daily).

The following table outlines which insulin pens you should pay close attention to when dispensing:

PAAS Tips:

• Prescription directions must be clear and follow product dispensing guidelines like dosing increments
• Clarify any directions that do not follow the specific dosing intervals available for each insulin pen
• If directions must be clarified, make a clinical note on the prescription and ensure the patient label instructions are also updated
• Clinical notes should contain:
  • the date you called the prescriber’s office,
  • the name AND title of who you spoke with,
  • a summary of what was discussed, and
  • your initials
• Download the PAAS National^® Insulin Medication chart which contains information on dosing increments as well as other useful information like priming units and beyond use dates, both of which can vary by product
• The PAAS Rx Days’ Supply Calculator app also contains information on dosing increments and will warn you about instructions that are not compatible with the product. Download the app for a 7-day free trial (only $5.99/year thereafter)