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    If you deploy Microsoft Dynamics GP or older version of Microsoft Great Plains, formerly known as Great Plains Software eEnterprise, Dynamics/Dyna
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    mics C/S+ and if you have Great Plains Dexterity inhouse modification, then your custom Dex module upgrade might be inevitable question for you, w
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    hen you plan to update GP to current version.. Before you jump into GP upgrade, you should get some hints on how to understand your GP Dexterity
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    pgrade routes. In this small article, which is not technically challenging, but requires IT and potentially programming & development background,
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    we will try to give you initial orientation.

    • Dexterity Customization Technology Utilized. Well, first of all – Dex was designed as DB and com
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    uter graphical platform independent IDE. Later on, when Microsoft purchased Great Plains Software, Dexterity was optimized for Microsoft SQL Serv
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    er DB platform and support for other DB platforms, such as Pervasive SQL 2000/Btrieve and Ctree/Faircom was discontinued. For you this means, tha
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    t first thing to look at is – are you on legacy DB platform: Pervasive or Ctree. If you are on mentioned legacy platforms, then your dex custom m
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    dules uses so-called Dexterity cursors – these may work and may not for newest version of Microsoft SQL Server 2005 – plus performance might be no
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    t optimized – reengineering is recommended to move Dex cursors logic to MS SQL Server Stored Procedures

    • Dex sanscript in VBA/Modifier code. Th
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    s technology was used around 1998-2000, it also sometimes referred as Continuum code generation (Continuum for VB and Delphi). In the time, the a
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    dvantage of this technology was the ability to switch Great Plains third party modules within your VBA scripts and then apply dex sanscript logic
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    to third party dictionary – we remember examples when Intellisol Project Accounting and Advanced Purchase Order Processing modules were manipulate
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    in described technology. Drawback of this technology is – inability to debug sanscript code in VBA debugger and as such – problems with version
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    upgrade, especially when Intellisol Project Accounting was not selected by Great Plains Software to be purchased and integrated into GP set of sta
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    dard modules

    • Customized Objects. Dex allows you to customize virtually everything in Great Plains, however the impact on upgradeability depend
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    s on the customized objects type. The first idea is to upgrade existing GP objects, such as Sales Order Processing form, for example, however if
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    you do so, when GP releases new version – you virtually had to recustomize SOP Entry form again. Opposite to modifying existing forms, you should
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    try to create new forms or if this is not possible and you still need custom logic to hit existing forms, consider Dexterity form trigger approach
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip


    • Dexterity Reports. These are candidates to be redesigned in SQL Stored procedures or SQL views and moved to SRS (preferred) or Crystal Report


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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