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Internal Coding Systems in Pharmacy

The document discusses different types of internal coding systems used for pharmaceuticals. It describes alpha-numeric coding systems which can be fixed or variable and use letters and numbers to code products. Numeric coding systems simply use numbers. The document provides examples and discusses advantages and disadvantages of each system.

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0% found this document useful (0 votes)
214 views5 pages

Internal Coding Systems in Pharmacy

The document discusses different types of internal coding systems used for pharmaceuticals. It describes alpha-numeric coding systems which can be fixed or variable and use letters and numbers to code products. Numeric coding systems simply use numbers. The document provides examples and discusses advantages and disadvantages of each system.

Uploaded by

addroha1224
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

5.

2 Types of Internal Coding Systems


Coding systems are majorly classified by the type of characters they use for representing
pharmaceuticals. They can also be further sub classified by whether they are fixed or variable.
Pharmaceuticals can use either of the following coding systems based on their level and the
number of pharmaceutical products they handle:
 Alpha-numeric coding system
o Fixed
o Variable
 Numeric coding system
a) Alpha Numeric Coding System:
This is a type of coding that uses letters and numbers. Alpha-numeric coding system is
constructed by using the first 4 letters of the generic name of the product followed by three digit
numbers.
See the following examples how to give letters for the codes:
Take the first four letters of the generic name of the compound:
Example: Amox for amoxicillin or Para for paracetamol.
In cases of product names with adjectives in the form of halogenations, methylations,
acetylations, etc… the first four letters of the name of the parent compound is taken.
Example: Sali for acetyl salicylic acid and phen for chlorphenyramine
In cases drug combinations where the name contains two separate words, take the first two letters
from each word.
Example: amcl for amoxycilline + clavulanic acid, arlu for artemether +
lumefantrine
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If the name contains three separate words, the first two letters from the first word and the first
letter from the second and third words.
Example: oxhp for oxytetracycline + hydrocortisone + polymyxin B
In cases where the name contains four separate names, use the first letter from each word.
Example: mtah for magnesium trisilicate + aluminium hydroxide).
Where there are pharmaceutical products which use the same letters based on the above criteria,
the use convenient codes to differentiate them.
Examples: quic for chloroquine and quin for quinine
cpzn for chlorpromazine and prom for promethazine
dopm for methyldopa and dopa for dopamine, dopl for levodopa,
dopc for carbidopa
barb for phenobarbitone
Next to the four letters, numbers are assigned based on the strength, dosage form and/or cost of
the product. Numbering starts from the smallest strength and continues to the highest in
ascending order. The numbers that come immediately after the letters refer to the dosage form
and strength of the product. The letters and the numbers that represent the dosage form make up
the base code. The base code for tablets/capsules, suspensions/syrups, injections, drops,
creams/ointments/pastes, suppositories/pessary and powders, etc. varies accordingly.
Table 5.1: Example for base codes for various dosage forms
For variable coding system: when there is a cost variation, codes vary
Dosage form Base code range
1 Capsules 01 to 09
2 Tablets 10 to 19
3 Oral liquid preparation (such as suspensions, syrups,
solutions, elixir, gel )
20 to 29
4 Injectable, implants 30 to 39
5 Eye preparations (such as eye drops, ear drops, eye
suspensions, eye ointments, nasal spray. Note eye
ointments start from 46 to 49 whereas drops starts from 40
to 45
40 to 49
6 Skin preparations (such as skin cream, ointments, lotion,
shampoo
Note: Creams start from 50 whereas ointments start from
56 and lotions and shampoo starts from 50 to 55
50 to 59
7 Suppositories, pessaries, Vaginal creams /ointment and 60 to 69
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tablets
Note: Creams start from 60 and ointment start from 66 to
69
8 Medical Supplies Reagents (such as lab reagents), radiology
chemicals
70 to 99
9 Raw chemical for Laboratory, raw materials for
extemporaneous preparation)
1‐01 to 1‐09
10 Sanitary chemicals (antiseptics and disinfectants) 2‐01 to 2‐09
11 Consume able instruments 3‐01 to 3‐09
12 Others 4‐01 to 4‐09
Sub classifications are given within a range of codes.
Example: Oral syrups are assigned numbers from 20-25 while oral suspensions
are assigned from 26-29.
The coding for medical supplies and laboratory reagents & chemicals is based on their size,
strength and volume. Assignment of base code is similar to the above.
Example: Naga-70 for Naso gastric tube, infant size sterile (CH 4)
Naga-71 for Naso gastric tube, infant size sterile (CH 6)
Popa-73 for Plaster of Paris (7.5 cm x 3 m)
Popa-74 for Plaster of Paris (10 cm x 3 m)
Gem1-01 for Giemsa stain
Eta1-01 for Absolute ethanol
Variable and fixed coding systems
For a drug having the same generic name, strength and dosage form but with different cost, the
code may or may not vary depending on whether the facility uses fixed or variable coding
system. In cases where variable coding is used, the last numerical digit of the code of the product
varies according to the cost of the product by increasing the last digit sequentially starting from
number 1 for the first price.
Example: the code of Amoxicillin 250 mg capsule with a cost of 10 Birr is
Amox01-1. If the cost of amoxicillin 250 mg capsule changes to 20 Birr, the code
will be Amox01-2.
In cases where we use fixed coding, the code remains the same irrespective of variations of the
cost. In such situation, a product with a revised price cannot be shelved for dispensing prior to
finishing the already existing one. In addition, when the product with the old price is completed,
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announcement of cost variation is mandatory before initiating of dispensing from the product
with the revised price. All dispensers using the sales ticket should immediately note the change
in price.
Table 5.2: Example of variable and fixed coding
SN Description Cost Fixed
Coding
Variable
Coding
1 Amoxicillin Capsule 250mg 1 birr/capsule Amox01 Amox01-1
1.25 birr/capsule Amox01 Amox01-2
2 Amoxicillin Capsule 500mg 1.50 birr/capsule Amox02 Amox02-1
1.75 birr/capsule Amox02 Amox02-2
3 Amoxicillin Injection 250mg in vial 4 birr/vial Amox20 Amox20-1
7 birr/vial Amox20 Amox20-2
8 birr/vial Amox20 Amox20-3
9 birr/vial Amox20 Amox20-4
4 Amoxicillin Injection 500mg in vial 11 birr/vial Amox21 Amox21-1
11.5 birr/vial Amox21 Amox21-2
12 birr/vial Amox21 Amox21-3
5 Amoxicillin Syrup 125mg/5ml 10 birr/bottle Amox10 Amox10-1
10.50/bottle Amox10 Amox10-2
6 Amoxicillin Syrup 250mg 5ml 13 birr/bottle Amox11 Amox11-1
15 birr/bottle Amox11 Amox11-2
b) Numeric Coding System:
This is a coding system using numbers that starts from one and increases until the maximum
number of pharmaceutical products (by type) in the facility. Products with different strength and
dosage form will have different codes. In order to give codes using this system, arrange all of the
products in alphabetic order. Each type of product is segregated by dosage form and increasing
strength. Assign number 1 to the first product in the list and continue numbering until the end.
With this coding system, products of same strength and dosage form with varying costs cannot
be entertained at the dispensary at the same time. Therefore, this system requires cost variation
announcement every time when the cost varies.
Numeric coding system should be used in health facilities with a very limited number of
pharmaceutical products such as health posts. The pharmacy professionals at health centers
should assist health posts in assigning codes.
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5.3 Advantages and disadvantages of coding systems
The following table summarizes the main advantages and disadvantages of the main types of
pharmaceutical coding system.
Table 5.3: Advantages and disadvantages of using various Coding Systems
Coding Type Advantage Disadvantage
Alpha
Numeric
Coding
System
Variable Coding
 Easy to remember as the code starts with
the first few letters of the generic name
and the numbers are few & logically
assigned based on the strength and
dosage form of the drug.
 It doesn’t require price variation
announcement or reprogramming of cash
registers or computers
 Allows to handle/dispense same product
of same strengths but different cost at the
same time
 Difficult to use the system in the
absence of pharmacy professionals
as it requires knowledge of parent
compounds of the products.
Fixed Coding
 Easy to remember as the code starts with
the first few letters of the generic name
and the numbers are few & logically
assigned based on the strength and
dosage form of the drug.
 Requires price variation
announcement or reprogramming of
cash register or computers
 Doesn’t allow to handle/dispense
same product of same strengths but
different cost
Numeric
Coding
System
 Giving codes is very simple to apply  Doesn’t allow handling of same
product with different cost at the
same time
 Requires price variation
announcement every time when cost
is changed
50
Coding Type Advantage Disadvantage
 If the facility is using cash register, it
requires adjustment of cost inside the
profile cash register

Common questions

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The primary differences between alpha-numeric and numeric coding systems lie in their structure and flexibility related to cost variation. The alpha-numeric system uses both letters and numbers with codes constructed from the first four letters of the drug's generic name followed by numbers indicating strength and dosage form . This system accommodates products with varying costs using either a fixed or variable coding approach. Fixed coding maintains the same code despite cost variations, requiring price announcements when costs change . Conversely, variable coding allows cost-dependent adjustments, making it possible to handle different costs simultaneously without prior announcements . In contrast, the numeric coding system uses sequential numbers assigned based on alphabetical order of products, and it prevents simultaneous handling of products with the same strength and dosage form but different costs. Price adjustments necessitate a full announcement every time costs change . Thus, the alpha-numeric system offers more flexibility in handling cost variations compared to the numeric system.

The alpha-numeric variable coding system offers the advantage of flexibility in handling price variations, as it allows different versions of the same product to be stocked simultaneously based on cost changes without requiring prior price announcements . This adaptability can lead to more efficient inventory management and reduce administrative burdens associated with pricing updates. However, challenges include the complexity of constantly updating codes as prices fluctuate, which may create potential confusion among staff and require continuous training to ensure accurate handling . Additionally, the system assumes a certain level of pharmaceutical knowledge for correct application, as understanding drug naming conventions is necessary to create accurate and meaningful codes . Overall, while the system is more adaptable to price fluctuations, it can require more operational oversight.

A numeric coding system might be preferable in smaller pharmaceutical settings such as health posts with a limited number of pharmaceutical products. This is because the number-based approach simplifies product organization and is easier to maintain when dealing with fewer items, thus allowing each product to be uniquely and sequentially identified . Additionally, numeric coding does not rely on an understanding of drug names or compound structures, reducing complexity for staff not trained in pharmaceuticals . However, it is less suitable for handling products with varying costs simultaneously, as it necessitates price announcements with each cost change . Hence, in environments with stable pricing and limited product lines, numeric codes offer a straightforward and manageable option.

Fixed coding systems have the advantage of simplicity and consistency, as they maintain the same code for a product irrespective of price changes, resulting in less frequent updates to coding systems and associated record-keeping . However, the disadvantage is that fixed systems necessitate price variation announcements, as products with different costs cannot be handled simultaneously, thus potentially delaying product introduction until the previous stock is exhausted . Variable coding systems provide flexibility, allowing simultaneous dispensing of similar products at different prices without advance notice, which can enhance sales efficiency and inventory turnover . However, they may result in complex inventory management due to the constant evolvement of coding with each price adjustment . Thus, while fixed systems offer stability, variable systems offer flexibility at the cost of complexity.

To handle cases where different pharmaceuticals would generate similar initial drug codes in the alpha-numeric system, unique suffixes are added to distinguish these codes. For instance, when drugs like chloroquine and quinine may both derive 'qui,' unique identifiers like 'quic' for chloroquine and 'quin' for quinine are used to differentiate them . Additional suffixes such as 'cpzn' for chlorpromazine and 'prom' for promethazine, or 'dopl' for levodopa and 'dopm' for methyldopa, serve as further differentiating elements . This strategy of applying unique suffix modifications allows clearer identification and mitigates confusion in pharmaceutical management, ensuring precision in drug dispensing and inventory tracking.

The alpha-numeric coding system enhances memory recall and logical organization by using the initial letters of the drug's generic name, combined with numbers indicating strength and dosage form. This method creates a mnemonic aid, making codes easier to remember than purely numeric tags . Additionally, the arrangement of letters followed by indicative numbers allows for a systematic and intuitive drug classification, simplifying the recognition and retrieval of pharmaceuticals . Consequently, this system supports pharmacists in efficiently locating and dispensing medications while minimizing errors, owing to its logical and consistent structure.

The rationale for assigning specific base code ranges to different dosage forms in the alpha-numeric coding system is to create a structured and consistent framework for drug categorization and retrieval. This systematization allows for a clear demarcation between various forms, such as capsules, tablets, and liquid preparations, each assigned distinct numerical ranges—e.g., tablets from 10 to 19, oral liquids from 20 to 29, injectables from 30 to 39, ensuring that each dosage form is recognized through a unique identifier . This organized approach facilitates quick identification and avoids overlaps, promoting efficient inventory management and minimizing errors during drug dispensing in a pharmacy setting . The assignment of distinct base code ranges thus supports the effective sorting and retrieval of pharmaceuticals, critical for maintaining clarity and efficiency in pharmaceutical operations.

Fixed alpha-numeric coding systems maintain consistent codes for pharmaceuticals irrespective of cost changes, necessitating price variation announcements before dispensing new stock with a revised price . This can lead to operational delays as the old stock must be cleared before new stock can be introduced. Variable alpha-numeric systems, on the other hand, include a cost-related variation in the code, such as incrementing the last digit to reflect price changes, which allows for simultaneous handling of products at different costs without pre-announcements . A limitation of the fixed system is its rigidity in dealing with pricing changes, often requiring adjustments to sales systems, while the variable system's limitation is the potential complexity it adds by continuously altering codes with every price fluctuation.

For multi-word drug names or combinations, alpha-numeric coding uses specific rules to derive the code from the drug name. For two-word combinations, the code takes the first two letters from each word, e.g., 'amcl' for amoxicillin + clavulanic acid . If a drug name consists of three words, the first two letters of the first word and the first letters of the second and third words are used, such as 'oxhp' for oxytetracycline + hydrocortisone + polymyxin B . For four-word combinations, the first letter from each word forms the code, e.g., 'mtah' for magnesium trisilicate + aluminium hydroxide . This systematic approach ensures concise and identifiable coding, accommodating various drug name lengths while maintaining orderliness.

Alpha-numeric codes are tailored to denote different dosage forms by assigning specific base code ranges to each form. For example, tablets are coded from 10 to 19, oral liquid preparations from 20 to 29, injectables from 30 to 39, and so on, with inconsistencies for specific items like eye ointments starting from 46 instead of 40 for drops . This differentiation ensures precise categorization and easy identification of dosage forms within the inventory system, facilitating efficient stock handling and retrieval. However, the complexity increases with each additional dosage form, potentially complicating inventory management systems as they require specific categorization knowledge . Thus, maintaining a clear and consistent understanding of these codes is crucial for inventory accuracy and efficiency.

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