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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 Chart

  1. Click the Patient Chart button.
  2. Search for and select the Patient.
  3. Click Medications in the Clinical section of the Window Navigation Panel.
  4. Click the New (Plus) button to prescribe a new controlled substance.
  5. (Optional) Select a Diagnosis Code from the DX drop-down menu or enter some of the name and pressing the enter key.
Practices in states that require a diagnosis to be included on all electronic prescriptions for EPCS need to review the setup in Global Preferences. It is recommended that you select either EPCS or All in Global 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 Global Preferences.
  1. Search for the medication in the Drug field 
  2. Click the Ellipsis button .

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

  1. Verify the Sig is correct and enter the PMP Tracking# if required.
  2. Click the Send button. The Choose Pharmacy window is displayed. Any pharmacies previously used by this patient are displayed.

The Prescription Writer displays the DEA schedule for the selected drug. Click EPCS Medication Schedules to learn more about DEA drug schedules. When selecting a controlled substance, a hyperlink to add a Prescription Monitoring Program (PMP) Tracking# is displayed. 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. Select a Pharmacy.
  2. Click the Send button. If the pharmacy you are looking for is not listed click the Choose from Master List button. The eRx Summary is displayed for your review. 

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-Prescribing Center until it is confirmed as delivered. Once delivered, the medication moves to the Delivered tab. Also, any prescriptions where the two-factor authentication was not completed remain in the Pending EPCS tab.
  

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