Flatiron's Ingredient Drug Substitution for 505(b)(2) with Tennessee Oncology
The rapid growth of 505(b)(2) drugs -- generic-like alternatives that differ from originator drugs in formulation and administration -- creates formulary-management and payer-compliance burdens for oncology practices. Flatiron built an automated ingredient drug-substitution feature in OncoEMR letting practices create customizable substitution groups matching their preferences and payer requirements. Tennessee Oncology, a 71-physician community cancer center, adopted the feature and achieved a 16-point increase in order accuracy, with 80% of flowsheets with substitutions accurate at point of ordering and an 80% decrease in manual substitutions and post-ordering changes, saving roughly 4-8 hours per week on manual tasks.
Flatiron Health is a Roche-owned company supplying EHR-derived oncology real-world data, captured at the source through its own OncoEMR software.
This sits in the Data Providers stage of the AI use-case lifecycle: Named examples from the real-world-data, claims and competitive-intelligence providers pharma AI systems are trained on, benchmarked against, or run inside of.
Published by Flatiron Health on its own site — read the original case study on resources.flatiron.com ↗
Related use cases
- 01Novartis - Taf + Mek external control analysis (BRAF V600E NSCLC), from Flatiron Health's RWE case studies (ResearchX Episode 5)
- 02Amgen - Lumakras/KRAS G12C natural history study, from Flatiron Health's RWE case studies (ResearchX Episode 5)
- 03Takeda - mobocertinib/Exkivity benchmark analysis, from Flatiron Health's RWE case studies (ResearchX Episode 5)
- 04A retrospective electronic health record-derived study supporting the accelerated approval of a new drug for mantle cell lymphoma in the U.S.
- 05Real-world clinical outcomes and comparative effectiveness of a drug in patients with recurrent ovarian cancer in the U.S.
- 06Kadcyla (T-DM1) in HER2+ mBC: Label Update on LVEF following a post approval commitment - based on RWD