[Desired action conserved from the Solution field: Add RxNorm code for Tenecteplase 25mg to better capture the intervention.]

To whom it may concern,

On behalf of our eCQM team, would like to respectfully request the inclusion of the RxNorm code for the newly available Tenecteplase 25 mg vial in the value set with OID 2.16.840.1.113883.3.117.1.7.1.226.

• Clinical rationale:
• Tenecteplase is now available in a 25 mg vial, which aligns with the maximum recommended dosage for ischemic stroke.
• Previously, only 50-100 mg vials were available, which posed a risk of inadvertent overdosing if the entire vial was administered.
• The 25 mg vial was introduced specifically to improve patient safety and reduce dosing errors in ischemic stroke patients.

• Measure impact:

• Because the RxNorm code for the 25 mg vial is not currently included in the value set, patients who received this safer dose are not being correctly excluded from the denominator.
• This results in inaccurate measure reporting and penalizes organizations for adopting safer practices.

Request:

1. Please consider adding the RxNorm code for the Tenecteplase 25 mg vial to the value set.