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Prescribing with EPCS

Version 14.19

Overview

Once each provider has been successfully activated through the Logical Access Control (LAC), EPCS functionality is available. Along with EPCS, the DEA requires that all controlled substances being transmitted electronically, be authorized using Two-Factor Authentication. The process of setting up Two-Factor Authentication must be completed before e-prescribing can occur. 

From the Patient Chart

  1. Navigate to the patient chart by Clinical, Practice Management or Billing tab > Patient Chart button.
  2. Search for and select a patient.
  3. Click Medications in the Clinical section of the Window Navigation Panel.
  4. Click the New button, the Prescription window displays.
  5. (Optional) Select a Diagnosis Code from the DX drop-down menu or enter part of the name, press the Enter key and select from the list.

Note: Practices in states that require a diagnosis to be included on all electronic prescriptions for EPCS need to review the selection in Global Preferences. It is recommended that you select either EPCS or All, OP defaults to None. However, the system sends the diagnosis to the pharmacy if it is included on the prescription. Click here for information on how to set your Global Preferences.

  1. Search for the medication in the Drug field, enter all or part of the medication name. 
  2. Click the Ellipsis button, the Medication Finder window displays.
  3. Locate the medication and double-click or highlight and click the Ok button.
  4. Verify the Sig is correct, make adjustments if necessary. 
  • If  PMP Tracking is used, follow the below instruction.
  • If PDMP is enabled click here for instruction.

EPCS Prescribing Workflow with PMP Tracking

  1. Click the PMP Tracking # link. 

Note: When prescribing a controlled substance, if the PMP Tracking # field is not available in the Prescription window, click here for instruction on how to complete the PMP Tracking setup.

  1. The login window displays, enter your information to access the state PMP site. Follow your states process for obtaining a confirmation number.
  2. Return to the Prescription window and enter the confirmation number in the PMP Tracking # field.
  3. Click the Send button. The Choose a Pharmacy window is displayed. Pharmacies previously used by this patient are displayed.

Note

  • If there is no pharmacy listed in the Previously used by this patient tab, you may select from All previously used by any patient or search for the pharmacy from the SureScripts Master List.
  • Always confirm the pharmacy selected can accept controlled substances electronically. A pharmacy that accepts EPCS will have the checkbox selected in the EPCS? column.

  1.  Select a pharmacy and click the Send button.
  2. The EPCS sign on screen will display. Complete the below information.
  • Confirm a medication is selected in the Pending Controlled Substance section.
  • Enter your Passphrase and Pin.
  • Click the Sign and Send button.

EPCS Prescribing Workflow with PDMP

  1. Click the Send button. The Choose a Pharmacy window is displayed. Pharmacies previously used by this patient are displayed..
  2. Select a pharmacy and click the Send button.
  3. When PDMP is enabled, the EPCS sign-in screen will display and include the option to review PDMP data.
  4. Select Click Here to Review PDMP Data.

  1. Once the prescriber selects the Click Here to Review PDMP Data, the view expands to display the patient's filled prescriptions.

  1. Once reviewed, the prescriber will enter their Passphrase and Pin and click the Sign and Send button.
Version 14.10

Overview

Once each provider has been successfully activated through the Logical Access Control (LAC), EPCS functionality is available. Along with EPCS, the DEA requires that all controlled substances being transmitted electronically, be authorized using Two-Factor Authentication. The process of setting up Two-Factor Authentication must be completed before e-prescribing can occur. 

From the Chart

  1. Click the Chart button .
  2. Find the patient using the Search box .
  3. Click the Medications tab .
  4. Click the Insert Record button   to prescribe a new controlled substance.
  5. (Optional) Enter or select a Diagnosis Code in the DX field.
Practices in states that require a diagnosis to be included on all electronic prescriptions for EPCS need to review the setup in System Preferences. It is recommended that you select either EPCS or All in System Preferences, OP defaults to None. However, the system sends the diagnosis to the pharmacy if it is included on the prescription. Click here for information on how to set your System Preference.
  1. Search for the medication in the Drug field and click the Ellipsis button .

  1. Locate the medication from the Medication Finder window and double-click to select the Medication

  1. Verify the Sig is correct and enter PMP Tracking# if required.
  2. Click the Send button . The Choose Pharmacy window is displayed.

The Prescription Writer displays the DEA schedule for the selected drug. Click  EPCS Medication Schedules to learn more about DEA drug schedules. When choosing a controlled substance, a hyperlink to add a Prescription Monitoring Program (PMP) Tracking# displays. If your state requires a PMP number, click on the PMP Tracking# to be directed to your states PMP. If PMP Tracking has not been setup see EPCS Setup and scroll to the section Prescription Monitoring Program.

  1. Any pharmacies previously used by this patient are displayed. Select a Pharmacy and click the Send button. If the pharmacy you are looking for is not listed click Choose from Master List button.

If a pharmacy is enabled for EPCS, it will have a checkbox in the EPCS column. Only pharmacies showing an EPCS checkbox can successfully receive prescription request for controlled substances. If a non-epcs pharmacy is selected the following error is displayed:

  1. Click the Send button. The EPCS sign in window is displayed.

  1. Select the Medication to send. Only one medication can be sent at a time. 
  2. Select your Token. Note: The last token used is displayed.
  3. Enter your Passphrase and the PIN from your OTP token.
  4. Click the Sign and Send button.

The prescription enters a pending status until confirmation is received.

e-Rx Center

Pending electronically prescribed controlled substances are displayed in the Pending EPCS tab of the e-Rx Center until it is confirmed as delivered. Once delivered the medication moves to the Delivered tab. Also, any prescriptions where the two-factor authentication is not completed remain in the Pending EPCS tab.
 
Schedule > eRx tab