Writing Prescriptions: Writing an E-Prescription

Version 14.8
  1. Follow the Basic Instructions, and in Step 6, select Med - to dispense from the "Purpose" dropdown menu. 
  2. (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 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. Type the first three or four letters of the medication in the Drug field then press the Enter key, or click the ellipses button to the right of the Drug field. The Medication Finder will open, displaying a list of medications that match your query.

Note:  If the medication is on your Favorites List, a list of your "favorite" formulations of that medication will be displayed in the Medication Finder. If the medication is not or not yet on your Favorites List, a list of formulations in the Rcopia database will be displayed.
  1. The Medication Finder displays interaction information in the Interactions column, located to the far right of each formulation in the list. Check one of the following boxes, in the upper right corner of the form, to display only a specific type of interaction in this column:
  • Check Med/Med - Check to view only interactions between each formulation and medications already on the patient's Medication List.
  • Check Med/Allergy - Check this box to view any interactions between each formulation and the patient's allergies.
  • Check Med/Disease - Check to view any interactions between each formulation and conditions on the patient's Ongoing Problem List.
  1. If the prescription is on your Favorites List, the usual dosing information will appear in the blank field in the middle of the prescription pad. You may make any necessary modifications to this information by typing directly in the field.
Note:  If the medication is a liquid, the Pediatric Dose Calculator will be activated, and display the daily dosage in mLs. Many pharmacies require you to round the amount to 100 or 150mL.
  1. If the prescription is not on your Favorites List, you will need to fill in the dosage information as follows:
  1. Click the Formatted radio button. A series of fields with drop-down menus will appear in the lower left section.
  2. To access dosage information about the medication in the database, click on the phrase "lookup" to open the online database. The page will open in the web browser you currently have open, or your default web browser.
  3. Click the down arrow next to each of the following fields to select the following:
  • Action - Select an action the patient should take with the medication.
  • Dose - Select a number. Click lookup to open dosage information for the medication in the online database.
  • Units - Select a unit, such as "mL", "mg", or "cap", from the drop-down menu.
  • Route - Select a route of administration.
  • Frequency - Choose from the list of standard frequencies.
The above dropdown lists can be edited to accommodate your most frequently used items. To edit or re-sort these items, navigate to Utilities > Manage Codes > Coded Values. Only Code Tables with the Allow Edits checkbox selected can be customized.
  • Maximum Daily Dose - Select a number from the list. The unit selected above will appear to the right.
  • Days supply - Click on the calculator icon to select a number.
  • Disp # (Dispense Quantity) - This field, and the Quantity Type drop-down to the right, are mandatory. The dispense quantity must be at least 1, and a quantity type (unit) must be chosen. If no unit is applicable, you may select mutual def for "mutually defined" or not spec for "not specified".
  • Refills - Select a number. Click on the Refills label to open the online database for dosage or other information pertaining to the medication.
  • Rx Start/End Date - Select a date or dates using the drop-down calendar.
  1. If the prescription should be dispensed as written, click to check the box labeled Dispense as written - no generic/substitutions on the right side of the form.
  2. To add the medication to your Favorites List, click the Favorites button at the bottom of the form. A pop-up box will then prompt you to assign the prescription to a category in the Favorites List. Choose an existing category (e.g. Asthma), or create your own by typing directly into the field.
  1. After checking the prescription for accuracy, click to check the box in the lower right corner, labeled Include in chronic medication list, if the medication will be ongoing.
  2. Click Save. The prescription will now appear at the top of the patient's Medication List and will be ready for sending or printing.
  3. To print the prescription, click to select the prescription, then click the Print button. See Printing prescriptions, for more information.
  4. To transmit the prescription electronically click on the Send button. Search for the pharmacy. Click once to select the pharmacy, click on the Send button. The eRx Summary page will open, review the prescription and then click on Send to send it to the pharmacy. 

Warning: When the Summary window appears, it is important to take the opportunity to review all prescription details before submitting to the pharmacy.