We are currently updating the OP Help Center content for the release of OP 14.19 or OP 19. OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Prescribing with EPCS

Version 14.19

Overview

Once each provider has been successfully activated through the Logical Access Control (LAC), EPCS functionality will now be 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.
  4. Click the New button to prescribe a new controlled substance.
  5. (Optional) Add a diagnosis code in the DX field by clicking the dropdown arrow or typing a portion of the name and pressing the enter key.
Practices in states that require a diagnosis to be included on all electronic prescriptions for EPCS will 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 will send 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 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 Prescription Writer will display 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# will display. 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. The Choose Pharmacy window will open. Any pharmacies previously used by this patient will display. Select a pharmacy and click Send. If the pharmacy you are looking for is not listed click Choose from Master List.

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 will appear:

  1. The eRx Summary opens for your review. Click the Send button.

  1. The EPCS sign in window will open.  Check the medication to send. Only one medication can be sent at a time. 
  2. Select your token. Note: The last token used will display.
  3. Enter your Passphrase and the Pin from your OTP token.
  4. Click Sign and Send.

  1. The prescription will enter a pending status until confirmation is received.

e-Rx Center

Pending electronically prescribed controlled substances appear in the Pending EPCS tab of the e-Prescribing Center until it is confirmed as delivered. Once delivered the medication will move to the Delivered tab. Also, any prescriptions where the two factor authentication was not completed will 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 will now be 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 on the Medications tab .
  4. Click the Insert Record button   to prescribe a new controlled substance.
  5. (Optional) Add a diagnosis code in the DX field by clicking the drop down arrow or typing a portion of the name and pressing the enter key.
Practices in states that require a diagnosis to be included on all electronic prescriptions for EPCS will 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 will send 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 Prescription Writer will display 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# will display. 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. The Choose Pharmacy window will open. Any pharmacies previously used by this patient will display. Select a pharmacy and click Send. If the pharmacy you are looking for is not listed click Choose from Master List.

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 will appear:

  1. The eRx Summary opens for your review. Click the Send button.

  1. The EPCS sign in window will open.  Check the medication to send. Only one medication can be sent at a time. 
  2. Select your token. Note: The last token used will display.
  3. Enter your Passphrase and the Pin from your OTP token.
  4. Click Sign and Send.

  1. The prescription will enter a pending status until confirmation is received.

e-Rx Center

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