Nick Knauer x2794
Contents
1. 14 50 4 eeepc d educ e cea eee eee tuse Ce e E E EY 15 How TO TAPER SIG DETAILS 40 424 1 2 0 00100000 nen nennen ness s nta sense tn asset n esse e nennen ne rn seen rns 16 RCOPIA 301 FOR ADVANCED USERS eiie seo eo ranae be eaa nore oa Go EE eR e VET Ree eV bea eR Pa E VP ede a 16 MANAGING PROBLEMS CEREREM 16 PATIENT SUMMARY 17 PHARMACY INFORMATION 4 444 4 0 0 00100100000 21 MEDICATION HISTORY o ex 22 ADDITIONAL OPTIONSG cccccccssssececssscecesssececesseececssseecessseeccssesececsseeecessseeccssseeceesseseceesaececeeeseceeseeeceesaeeeensseeeees 22 F A Q FREQUENTLY ASKED 8 8 2 2 11 tata sins 23 Behavioral Health EHR 5 Accessing e Prescribing ICANotes You can access e Prescribing in ICANotes from several areas of the program e From the Chart Room by pressing the Pending e Rxs or e Rx Renewals buttons at the top of the Chart Room these serve to remind the user of pending renewal refill or partially completed e Rx entries Behavioral Neath ERR J Chart Room for2. E accepts electronic prescriptions 24 is open 24 hours No Fax does not accept faxes at all Mail Order Pharmacies Medco Mail Order List Favorite List Practice List All lists Name 0 City t State MD Address Phone Zip Fax 24 hours Find Sax fa Add a new pharmacy to the practice list Why cant find mail order pharmacies Cancel v a You do not have to choose the pharmacy from here Our recommendation is to choose the retail pharmacy the patient uses so that you can get this on file and be able to send prescriptions to both pharmacies at the same time 2 You will find the mail order pharmacy automatically added to the drop down list of pharmacies for the patient found under their name and phone number in the Patient Demographic Information box at the top of the Prescribe screen 3 The patient s mail order pharmacy will appear on the Enter details page Sig page where you will be entering the details for the prescriptions you are prescribing a Below the provider drop down you will find the default pharmacy for the patient and directly below that you will find the mail order pharmacy that the patient is eligible i There will be boxes to the left of both the retail pharmacy and the mail order pharmacy 10 ICANotes Behavioral Health EHR Continue Change Drug Cancel Provider Doctor Test Pharmacy
3. and DOB a Surescripts provides formulary information for health plans and payers such as Blue Cross Anthem Mamsi etc b They do not provide eligibility for government funded formularies or some small payers 2 Once the formulary information is obtained the system can tell you what medications may be covered and not covered by the patient s insurance a If you try to prescribe a medication that is not covered or has higher co pay you will receive a formulary alert in the system 3 The user can override these alerts or select from the list of alternatives and prescribe a medication that has a lower co pay 15 1 The medication s you have prescribed may not be appropriate given this patient s information FORMULARY ALERT This patient insurance coverage Medco Health MHS provides the following guidance for the drug you have just prescribed Claritin loratadine This drug is non formulary Please prescribe an alternative Drugs in the sarne categories Antihistamines 2nd Generation Piperidines that have fewer limitations or a lower copay include Allegra fexofenadine Suspension 30 mg 5 mL F Clarinex desloratadine Syrup 2 5 mg 5 mL F x desloratadine Tablet 5 mg F ex desloratadine Tablet Rapid Dissolve 2 5 mg F inex desloratadine Tablet Rapid Dissolve 5 mg F fexofenadine Tablet 30 mg F fexofenadine Tablet 60 mg F fexofenadine T
4. link on the left side of the screen in order to understand what the formulary designations mean a For example P1 is preferred level 1 drug The higher the preferred status the more preferred the drug is in the formulary 4 After you have selected a medication you will be taken to the Enter Details screen where you will be prompted to enter the Sig Duration Quantity Refills and Directions to the pharmacist Directions to patient and Comments 18 ICANotes a The Duration field will automatically take the current prescription off the patient s active meds list when the duration that is selected expires b Leave the Duration blank for maintenance prescriptions so they do not automatically get removed from the active medication list 5 Click the Change Drug button to return to the previous window allowing you to switch to a different medication Recent Pharmacies Rcopia will remember up to the last five pharmacies that were chosen for the patient This pharmacy drop down menu can be found above the sig instructions These pharmacies can be changed by clicking change or removed by clicking remove The pharmacy drop down menu can also be found under the patient s name and phone number in the patient demographic box at the top of the screen Dose Calculator A dose calculator is available on the Enter Details screen 1 Click on the show dose calculator button next to the patient weight the calculator appears on
5. trimethoprim sulfamethoxazole vomiting 03 24 2002 Delete Modify Betadine Povidone lodine nausea 11 07 2002 Delete Modify Levaquin levofloxacin nausea 05 19 2006 Delete Modify penicillin rash 10 25 2004 Delete Modify Pollen Extracts rash 11 07 2002 Delete Modify See allergies For this patient a Internet 2 Enter the patient s allergy history There are three different ways for entering your patient s allergy information a If your patient has no known allergies click the Indicate Known Drug Allergies NKDA link at the top b Select a common allergy from the drop down menu and click Add Common Allergy Enter search criteria for your patient s allergy click Find and select the appropriate allergy Behavioral Health EHR i Entering non drug related allergies Enter the allergy peanuts and click Find Click Enter free text peanuts as allergy at the top of the list ii Note red triangle next to an allergy peanuts indicates that Rcopia does not conduct a drug allergy checking because this allergy was entered manually 3 After you select the desired allergy select the appropriate reaction such as hives or nausea and onset date optional EA Select Patient Prescription Report Help Contact Us as andit Manage Medications Additional Options Log Out cop Manage Allergies Members Area Refresh Clear Practice Product Team Demo User Sean Shillinger demo Schedule Messages
6. None Check Interactions for Selected albuterol sulfate Solution for Nebulization 0 63 mg 3 mL 1 vial as directed four times a day Disp 120 Rfl 6 last 12 01 2009 by DM Actions Renew Prescribe Stop Allegra fexofenadine Tablet 180 mg 1 tablet by mouth once day Disp 30 Rfl 2 last 10 01 2009 by DM Actions Renew Prescribel Ston Internet d Continue to the Enter Details section Behavioral Health EHR 5 2 Drug Category Search a Click Category Search This allows you to look up all medications within a specific therapeutic class b Click the icons to expand each category until you find the desired form of the drug c Click the desired form of the drug d Continue to the Enter Details section 3 Favorite Prescription a Select the desired prescription from the Favorites drop down menu Rcopia Practice UM West Clinic User Doctor Michigan Windows Internet Explore GO https rx blue defirst com serviet rcopia servlet WebServiet screen PatientSummaryScreenska File Edit View Favorites Tools Help f iy Favorites d E Rcopia Logn Webex Staff Login WebCalendar P DotProject WorkZone 27 signin Ecommerce 48 2 SureScripts DrFist Registration Practice Subscribe DrFirst Meeting Rcopia Practi m d Safety Tools Manage Meds Pending Rx 0 R
7. Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Patient Demographic Information Patient Turner Prescribe DOB 10 10 1961 Phone 703 555 9461 home 703 456 2002 work LOV 05 10 2006 Visit Today Pharmacy Walgreen 05409 4020 Eastern Avenue Change Formulary ESI Formulary 393 Change Patient Demographics Your practice group has 6 renewal requests waiting Allergy Lipitor atorvastatin v Reaction Onset Date amp Bj internet 4 Click Add 5 Repeat steps 3 4 for each allergy 6 After you have entered all of your patient s allergies click Done With Allergies a You will now be taken to the Patient Pharmacy Information screen Add a Default Pharmacy 1 To add a pharmacy for a patient click on Change to the right of Pharmacy below the patient s name 2 Select the pharmacy list you would like to search from a Favorites List contains only the pharmacies that the individual user has previously selected to be in their favorites list b Practice List contains only those pharmacies located in the first three numbers of the practice s zip code Behavioral Health EHR c All List contains all available pharmacies the Rcopia database Since this most comprehensive list this is usually the desired way to search for pharmacies Reopia Practice UM West Clinic Us
8. on printed faxed prescription Yes Display patient problem on printed faxed prescription Yes Default duration for schedule appointments 4 Restrict PDA patient download to scheduled patients only No Download Rcopia standard dosing table to PDA No Sort Charge Favorite List by Description Notify me of All messages O Only messages sent to me Ignore previously seen warnings on refills from patient medication list No Note Warnings with severe risk of harm will always be shown When encountering an insurance warning show confirmation screen for Exclusion Warnings only Note See here for definitions of the insurance warning types Allow two or more medications for a single patient that differ only in quantity No Show patient weight on details screen Yes v Custom prescription notes one per ling Please put directions in Spanish Take 1 tablet by mouth in the and 2 mouth in the PM Make these changes Cancel vv d You will find these notes in a drop down on the sig page above the Directions to Patient box e These can be very helpful and are the next best thing to creating favorite prescriptions 3 When finished click on the Make These Changes Formulary Checking Formulary information in Rcopia is obtained from Surescripts 1 When you pull a patient up the system will automatically start searching for his her eligibility using the patient s first name last name zip code
9. schedule III V you must print the prescription sign it and then you can manually fax it to the pharmacy for the patient or hand it to them to take to the pharmacist ICANctes y Behavioral Health EHR Send to Mail Order Pharmacy Mail order pharmacies are given for patients who show eligibility obtained from Surescripts Note Only when eligibility is obtained for your patient can you send to a mail order pharmacy such as Caremark Express Scripts Medco etc You will notice when you log into Rcopia and pull up a patient if a formulary appears for the patient then the system may provide a mail order option You will see the mail order listed in 3 places 1 When you get to the Pharmacy Information page you will notice above the search boxes for retail pharmacies you will see the mail order pharmacy that the patient is eligible Practice Blue Deployment Demo User Test Doctor Schedule Messages Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Patient Demographic Information Patient Test Medco Prescribe Change Demographics DOB 11 20 1975 Gender Male Phone 232 332 3232 home LOV 07 23 2009 Visit Today Pharmacy drfirsttest pharmacy test lt View Change Formulary Medco Health amp retail MHS Click on a pharmacy name to select that pharmacy for this patient Report a pharmacy data problem
10. test Change Remove v mall Order n n patini address before selecting Medco Mail Order Drug Lipitor atorvastatin 20 s m 2 Duration 2 Patient Weight o kg _ show Dose Calculator Quantity so tablet Refills 2 Associated Problem Directions to Pharmacist Substitution permitted Directions to Patient 1 tablet by mouth once a day Comments For office use only will not appear on prescription Continue Change Drug Cancel Eligibility provided by Medco Health Solutions Inc PBM NCBCBSM View NDC ID list for this drug J b You then have the option to check just the mail order box to send a 90 day prescription or both boxes and send a prescription to the retail pharmacy as well as the mail order i This will allow the patient to get their prescription from the retail pharmacy and start their medication while waiting to receive the prescription in the mail order pharmacy Renewal Requests Renewals requests are electronic requests generated by a pharmacy for the patient and you will have a link to view these messages in your EMR Click on this link and you will be launched into Rcopia through the portal onto the renewal request screen with your pending renewal request 1 Click Renewal Requests XX at the top of the screen in the blue toolbar 2 Select the desired action from the dropdown menu for each renewal req
11. 660 1220 Mitchell St Cadillac View Change Formulary None Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Select Medication for Prescription Name Category Search No Favorite Prescriptions m albuterol sulfate Solution for Nebulization 0 63 mg 3 mL 1 vial as directed four times day Disp 120 6 last 12 04 2009 byt DM Actions Renew Prescribe Stop v Allegra fexofenadine Tablet 180 mg 1 tablet by mouth once a day Disp 30 R 2 last 10 01 2009 by DM Actions Renew Prescribe Stop lt known drug allergies NKDA Code Description 493 Asthma Done Internet 4 Rio 2 ICANct es Behavioral Health EHR In either instance you can enter in the patient s pharmacy by clicking on Change below the patient s name at the top of the screen to the right of the Pharmacy link For directions on how to choose a pharmacy skip to the Pharmacy Information section on page 3 To proceed to the directions on how to prescribe go to page 5 NOTE Demographics Medication Reconciliation Clinical Summary and Clinical Order Sheet are not set up for two way integration between DrFirst and ICANotes and require double entry Current demographics will sync from ICANotes to DrFirst when you enter the e prescribing module but if you update demogr
12. Courtney Maddox MO working at Arnold Office sassy e From the Work Areas of a note specifically the Medication List in Progress Note Part 2 e From the patient s Demographics page ICANotes using the Go to e Prescribe button at the top of the page When you access e Rx from ICANotes it will take you directly to the patient s chart Otherwise you will type in the patient s name or ID to locate their chart E prescribing will launch onto either the Patient Summary screen shown below or the Allergy Maintenance screen see Page 2 Rcopia Practice UM West Clinic User Doctor Michigan Wilde oo https rx blue drfirst com servlet rcopia servlet File Edit View Favorites Tools Help F e x search lej i ol Favorites f Rcopia Login 7 Webex Staff Login 4 WebCalendar 41 DotProject 4 WorkZone sign In Ecommerce 4 Ecommerce 2 SureScripts 55 surescripts 2 i dab gt Safety Tools EB ol DrFirst I DrFirst f User Registration Practice Subscriber DrFirst Meeting Ce Rcopia Practic x Manage Meds Pending Rx 0 Renewal Requests 0 PBM Hx Options Help Return to EMR Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today Pharmacy Walgreens Drug Store 07
13. ICANotes Table of Contents ACCESSING E PRESCRIBING IN ICANOTES RCOPIA 101 LOGIN gcc P 1 ALLERGY MAINTENANCE etiicic est esaee esse etes d eee Ces gesbeete eee 2 ADD A 22220041260 toe de tl ee Eee Eee e EE aea b pe Peso 3 CREATE A NEW PRESCRIPTION etie t C ORTU Ee eere Pe ERE PE E CER LEE dt 5 SEND TO MAIL 2222220 ku skr eS ITE be see Po bebe ee eek b see Eo EH Nae D Fee a aye crea belg dd gus 10 RENEWAL REQUESTS ccccccccessccceessscecessseeccssececeesueeccessuececssseecsessececesssececsseeeceesaeeecessecseneeeceeaeeecnssseceenseaeeneaes 11 RENEW ACTIVE MEDICATIONG ccccccsssccecssscececsseeecessseeccseeeceessececesssececsseeecsesseeecsesseceenseeeceeaeeecnseseeeesseeeennes 12 DRUG INTERACTION ALERTS crore t ore Er D tea Te Deva tee 13 ALLERGY INTERACTION ALERTS e E A 13 MINE MEDICATION incer R EE EVO ERE RE Fa etra es Hey E REEF 14 201 CUSTOM PRESCRIPTION NOTES 0 ee to Gre Pe ere ERO be Foe
14. See Reference Proceed with extreme caution You may provide a justification for prescribing this medication notwithstanding the warning Prescribe Anyway J Cancel Note The professional duty in providing care to the patient lies solely with the healthcare professional providing such service and the Rcopia prescription tool is in no way intended to replace or substitute for professional judgment Eligibility provided by Medco Health Solutions Inc PBM NCBCBSM Allergy Interaction Alerts When prescribing medications Rcopia will always alert you if you are prescribing something that is associated with a drug on the list of allergies and adverse reactions The alerts will appear after you have searched for the drug and chosen the strength These alerts will appear in RED as shown here ALLERGY ALERT This patient is listed as having an allergic reaction unspecified to amoxicillin which is identical to the drug you have just prescribed amoxicillin Proceed with extreme caution 13 ICANote amp Behavioral Health EHR The user will also be given the ability provide a justification for prescribing this medication notwithstanding the warning this is optional Select Patient Prescription Report Help Contact Us ma 3 Manage Medications Additional Options Log Out copra Manage Allergies Members Area Refresh Clear Practice Blue Deployment Demo User Test Doctor Schedule Message
15. ablet 180 mg F Allergy Relief loratadine Solution 5 mg 5 mL U Allergy Relief loratadine Tablet 10 mg U Children s Allergy Relief loratadine Solution 5 mg 5 mL U Tablet Rapid Dissolve 10 mg U loratadine Solution 5 mg 5 mL U Wal itin loratadine Tablet 10 mg U Wal itin Aller Melts loratadine Tablet Rapid Dissolve 10 mg U Wal vert loratadine Tablet Rapid Dissolve 10 mg U What Do These Codes Mean You may provide a justification for prescribing this medication notwithstanding the warning Prescribe Anyway Cancel Note The professional duty in providing care to the patient lies solely with the healthcare professional providing such service and the Rcopia prescription tool is in How to Taper SIG Details In order to taper a sig in Rcopia 1 Use the drop downs provided the Prescription Form page or Sig page to start the sig or leave them blank a You can also go down below where the Directions to Patient box is and free text all of the directions here b There is no limit so you can type in as much text as needed to complete the tapered sig Note If you exceed 140 characters the prescription will be faxed and will not go electronically 2 When you are done click on Continue and if it is a drug that you prescribe all the time this way make sure to add it to your favorites so that you don t have to type out al
16. aphics in the e prescribing system that data will not sync with the demographics in ICANotes The first new note you create for an existing patient who you have previously prescribed meds to from ICANotes will require a 10 20 second sync Please be patient while the information is uploaded to DrFirst Note Do not X out of the screen during the sync process Patient allergies are not transferred to the e Prescribing module from ICANotes so you will first need to enter the patient s allergies from the Allergy Maintenance screen shown below 1 Click on Manage Allergies copra Select Patient Prescription Report Help Contact Us Manage Medications Additional Options Log Out Manage Allergies Members Area Refresh Clear Practice Product Team Demo User Sean M Shillinger demo Schedule Messages Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Patient Demographic Information Patient Holly Turner Prescribe DOB 10 10 1961 Phone 703 555 9461 home 703 456 2002 work LOV 05 10 2006 Visit Today Pharmacy Walgreen 05409 4020 Eastern Avenue Change Formulary ESI Formulary 393 Change Patient Demographics Your practice group has 6 renewal requests waiting Add an allergy to a medication or group Common Allergies 8 Allergy Done with Allergies Display Full Medication Report Allergy Reaction Date Action Bactrim
17. appear in RED as shown here DRUG INTERACTION ALERT This patient is being given Lipitor atorvastatin which has a severe incidence of adverse effects when combined with the drug you have just prescribed erythromycin See Reference Proceed with extreme caution These alerts will have a See Reference link that allows the user to view an Interaction Report The user will also be given the ability provide a justification for prescribing this medication notwithstanding the warning this is optional za Select Patient Prescription Report Help Contact Us ma cdi Manage Medications Additional Options Log Out Members Area Refresh Clear Manage Allergies Practice Blue Deployment Demo User Test Doctor Schedule Messages Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Patient Demographic Information Patient Test Medco Prescribe Change Demographics DOB 11 20 1975 Gender Male Phone 232 332 3232 home LOV 07 23 2009 Visit Today Pharmacy Ambulatory Care 2 15001 Shady Grove Rd Rockville MD View Formulary Medco Health mail amp retail MHS The medication s you have prescribed may not be appropriate given this patient s information DRUG INTERACTION ALERT This patient is being given Lipitor atorvastatin which has a severe incidence of adverse effects when combined with the drug you have just prescribed erythromycin
18. e patient summary screen once you have selected a patient a This is an ideal way for patients to keep track of the medications they are currently taking 2 The Mini Medication Report will then open in a new window a Note If you have disabled pop up blockers the print window will automatically display so you can quickly print a copy for the patient See example below 3 To close that window click the X or Close button in the upper right corner of the title bar Custom Prescription Notes 1 Custom prescription notes can be created by clicking on Additional Options on the blue navigation toolbar at the top of the screen and going to Preferences User 2 Atthe very bottom of the screen you will find a box which allows the user to enter customized prescription notes that will be available to select while prescribing medications a A custom prescription note can be any length desired b Do not hit the return key while typing the prescription note let the text wrap on its own c Hit the return key to delineate between individual prescription notes 14 3j nuw marvus wm awaya muwus Duumunany suine States requie numusi un isian A Show the prescriber s email address on retail prescriptions No PF Print at most 1 prescriptions on a single page Note Lengthy prescriptions may not fit 4 to a page Display patient allergies
19. enewal Requests 0 PBM Hx Options Help Return to EMR Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today Pharmacy Walgreens Drug Store 07660 1220 Mitchell St Cadillac View Change Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Formulary None Select Medication for Prescription Name Category Search Favorites Choose a Favorite Use View Edit Choose a a Favorito View jocu Crue y a cor albuterol sulfate Solution for Nebulization 0 63 ee mL 1 vial as directed four times a day Disp 120 Rfl 6 last 12 09 2009 by DM Actions Renew Prescribe Stop Allegra fexofenadine Tablet 180 mg 1 tablet by mouth once day Disp 30 2 last 12 09 2009 by DM Actions Renew Prescribe Stop None No known drua allergies NKDA ipti v Description b Click Use to create the prescription and add it to the pending prescriptions at the bottom of the page c Click View Edit to make changes to the prescription before creating the prescription d Continue to the Enter Details section Behavioral Health EHR 5 4 Active Medications a Note This method can only be used if the patient has an active medication history b Find the medication in the patient s active medication li
20. er Doctor Michigan Go E https jrx blue drfirst com servlet rcopia servlet A File Edit Favorites Tools Help Windows Internet Explorer DER PatientSummaryScreen amp i amp t 8 Bal 4 3 o shoot search le z d iy Favorites f SS Rcopia Login webex 6 Staff Login WebCalendar ll DotProject WorkZone sign In Ecommerce 4 Ecommerce 2 4 SureScripts 88 7 d DrFirst JI DrFirst user Registration Practice Subscribe O DrFrst Meeting Ce Rcopia Practi X v Safety Tools Lud amd Prescribe Manage Meds Pending Rx 0 Renewal Requests 0 PBM Hx Options Help Return to EMR Opra Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today Pharmacy Walgreens Drug Store 07660 1220 N Mitchell St Cadillac View Change Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Formulary None Report a pharmacy data problem List Favorite List Practice List All lists Name City State MI v Address Phone Zip Fax 24 hours 0 Add a new pharmacy to the practice list Why cant find mail order pharmacies internet 3 Enter the search criteria for the pharmacy a Note The less informatio
21. first letter of the desired medication and the list will move to that area of the alphabet Favorites drop down list contains lists of medications previously prescribed by this practice and saved as a Favorite It includes the SIG and strength previously determined appropriate for an existing patient Once you click on the desired medication you can click on the Use button to prescribe that medication This offers the physician a quick method of prescribing similar drugs without having to enter the same information over and over again in the medications Enter Details window Select a Medication by Category Clicking on the Category Search button takes you to a screen where you can search for drugs by therapeutic class There are sign links to the left of the categories that you click on to open up the category Prescribing a Medication by Name 1 Type in the first few letters of the medication name and click on Find 2 Click on the appropriate medication and dosage link a WARNING A red warning indicates a drug and or allergy interaction b WARNING A blue warning indicates a formulary warning c Capitalized medications are the brand name versions of the drug d Medications listed in all lowercase are the generic versions of the drug e The designation otc next to the strength indicates that this medication does not need a prescription and can be purchased over the counter 3 Please click on What do these Codes Mean
22. gned by the provider and given to the patient for mailing 21 ICANotes Medication History 1 Medication History is found on the Patient Summary Screen located below the Medications heading a Medicaiton History will display up to 2 years of the patient s prescribed medications 2 Click on Medication History a Medication history is available for all patients whose insurance companies provide this information to Surescripts b Patient medication information is displayed according to their primary insurance company s records If the patient has more than one insurance company this information will be listed for selection in the Formulary drop down list 3 You can use the Obtain New Data drop down list to choose the timeframe you wish the Medication History to display a Click on the Obtain New Data button to generate report against the parameters you just selected 4 Adding to the Active Medication List a Medications that are not currently on the patient s active medication list can be added by adding a check in the box to the left of the medication s listing and clicking on the Add Selected button This will copy all of the medications information to the patient s active medication list b By clicking on the sign you can get detail records of the patient s history Additional Options There are many additional options available in the Rcopia application Click on the Options link in the blue toolbar A fe
23. harmacy Walgreens Drug Store 07660 1220 N Mitchell St Cadillac MI View Formulary None Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Please review your prescription for accuracy Pharmacy Selected Walgreens Drug Store 07660 1220 N Mitchell St Cadillac MI 0 Stop medication on Apr 8 2010 Doctor Michigan MD 123 West Street Ann Arbor MI 48109 Tel 734 555 6666 Fax 734 555 7777 NPI 7347777777 Doe Jane DOB 02 12 1980 Tel 999 999 9999 Young America MN 55555 Rx Lipitor atorvastatin Tablet 10 mg Dispense 30 thirty tablet Sig Take 1 one tablet by mouth once a day Substitution permitted Refills 3 three Signed 66 Cancel Adate Favores internet 4 100 2 4 Click one of the action buttons a OK adds the prescription to the Pending Prescription list b Back allows you to edit the SIG details c Cancel cancels prescription d Add to Favorites adds current prescription to your Favorites list 5 After clicking OK your prescription is added to the Pending Prescriptions list on the Patient Summary screen a Note The Add to Meds check box is selected by default so that the prescription is added to the patient s active medication and history 6 You are then taken to the Patient Summary screen 7 Scroll down to the Pending Prescrip
24. ications in the patient s list 2 Click Select None to unselect all of the medications so you can manually select a desired number of medications from the list 3 Once you have selected the medications you wish to renew click Renew Selected Rcopia Practice UM West Clinic User Doctor Michigan Windows Internet Explorer G https rx blue drfiest com serviet rcopia servlet WebServlet Ei 5 X 8 thoracic lel File Edit View Favorites Tools Help i Favorites i 5 42 Rcopia Login 7 Webex Staff Login WebCalendar ol DotProject WorkZone 27 SignIn Ecommerce Ecommerce 2 SureScripts Surescripts 2 88 7 d DrFirst webCalendar Practice Subscr Edit Practices staff Options Windows Live Rcopia Pr X de Safety gt Tools KA nn ne Manage Meds Pending Rx 0 Renewal Requests 0 PBM Hx Options Help Return to EMR Scopra User UM West Clinic Doctor Michigan Practice Patient John Doe DOB 01 01 1970 Phone 734 555 5555 Last Office Visit Visit Today Pharmacy CVS pharmacy 8006 3535 PLYMOUTH RD CORNER OF GREEN ROAD ANN ARBOR MI View Change Formulary None Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Select Medication for Prescription Name Find Categor
25. l the directions again For Advanced Users Managing Problems The Rcopia e prescribing system allows you to enter a patient s diagnosis or problem By entering this information this will allow you to associate a diagnosis with a prescription and allow the drug diagnosis checking to be enabled You can begin populating problems by clicking on Manage Problems located to the right of the allergies on the Patient Summary page To find a problem just type on the diagnoses or an ICD 9 code and choose the problem that best describes your patient s diagnoses from the list below 16 ICANocte amp Patient Summary Screen This screen has several sections in order to provide you a complete view of the patient Medications This section allows you to view the patient s current medications 1 Last means that was the last date the prescription was prescribed a The red triangle next to the drug indicates that this product has been prescribed as a free text drug i Afreetext drug is one that is used for compounded medications or medications that cannot be found in the Rcopia drug database ii Rcopia is unable to perform many of the clinical and formulary checks with these types of medications Note By clicking Check Interactions for Selected you can check on demand potential interactions on a patient s medication list even if a medication is not being prescribed This included drug drug drug diagnosis and drug allergy in
26. ly the pharmacies that the individual user has previously selected to be in their favorites list b Practice List contains only those pharmacies located in the first three digits of the practice s zip code c All List contains all available pharmacies in database Since this is most comprehensive list this is usually the desired way to search for pharmacies 3 Enter limited search criteria i e city zip code a Tip entering less information is desired 4 Click on the Find button 5 The pharmacies that meet your criteria will appear 6 Click on the pharmacy s name to attach it to the patient s account 7 To add a pharmacy to your Favorites List or the Practice List scroll down and enter a check in the box next to as many pharmacies as desired a Notes on pharmacies are as follows i Pharmacies open 24 hours are noted with a 24 next to their name ii Pharmacies that can accept electronic prescriptions are noted with an E Those which cannot will receive a fax through Rcopia iii No fax means that the pharmacy does not accept any faxes In addition to local pharmacies scripts may also be sent to mail order pharmacies Caremark ESI Medco etc These cannot be added to the patient s account If the patient has mail order eligibility the pharmacy will be displayed on the Details Page beneath the local pharmacy You will see a link for the mail order if it is available The script may also be printed out and si
27. n you enter the more successful your search results may be Start with the city and zip code and maybe the first few letters of the pharmacy name 4 Click Find 5 Click on the desired pharmacy s name to attach it to the patient s record a 24 next to a pharmacy s name indicates the pharmacy is open 24hrs b E next to a pharmacy s name indicates the pharmacy accepts electronic prescriptions Pharmacies without an E will receive a fax from Rcopia c No fax next to a pharmacy s name means that the pharmacy does not accept any faxes d For information on mail order pharmacies see the Pharmacies section of the user manual 6 After adding the desired pharmacy your patient has been successfully added to Rcopia and you may begin to prescribe for this patient Behavioral Health EHR 5 Create New Prescription There are four main ways you can create a new prescription for a patient Be sure you have selected a patient before creating a new prescription 1 Drug Search a Enter in your search criteria i Lessis more enter the first few letters of the drug name b Click Find c Select the desired form and strength i Note Capitalized medications are the brand name versions of the drug Medications listed in all lower case are the generic versions of the drug The designation otc next to the strength indicates that this medication does not need a prescription and can be purchased over the cou
28. nter Formulary information may or may not be present See the formulary section for more information Reopia Practice UM West Clinic User Doctor Michigan W s Internet Explorer oo ie https rx blue drfirst com servlet rcopia servlet W File Edit View Favorites Tools Help d Favorites i 35 42 Rcopia Login 7 Webex Staff Login amp WebCalendar ll DotProject amp Workzone E SignIn Ecommerce Ecommerce 2 SureScripts BB gt of OrFirst a DrFirst zu user Registration Subscribe DrFirst Meeting Ce Rcopia Practi od Safety Tools Manage Meds Pending Rx 0 Renewal Requests 0 PBM Hx Options Help Return to EMR Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today Pharmacy Walgreens Drug Store 07660 1220 N Mitchell St Cadillac MI View Change Formulary None Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Select Medication for Prescription Name Category Search No Favorite Prescriptions Use free text lipit Lipitor atorvastatin Tablet 10 mg T What Do These Codes Mean Tablet 20 mg Tablet 40 mg Tablet 80 mg View Detail Mini PBM Pharmacy History Actions Renew Selected Select All Select
29. on will display instead of the Send button This will send the script to the pharmacy who will dispense the script to the patient and to the Prescriber s pending prescription queue review and validate the prescription with their signature at a later date Second an Archive without sending button will display instead of the Sign without sending button Both buttons adds a medication s to the patient s active medication list and does not send to pharmacy often used when giving samples Staff Options e Hold for Signature Sends the prescription request to the appropriate Prescriber so they can review and act upon it as they desire e Print without sending sends the script s to the local office printer and does not send to the Prescribers queue 20 ICANotes e Archive without sending adds medication s to the patient s active medication list and does not send to a Prescriber Pharmacy Information If the patient does not have a pharmacy attached to their account you will be prompted to select a pharmacy prior to sending a prescription 1 Upon selecting a patient their information is displayed in the patient demographics section a From here you can always click on Change to the right of the default pharmacy to change and or add pharmacy information to the current patient s account 2 You are able to choose from three pharmacy lists based which radio button you select a Favorites List contains on
30. ou can set the default for which list you would like to search from under the Preferences User in the Options menu e When searching for pharmacies less is more If you fill out every field and something does not match you will not get a result so try searching with for example only the State and ZIP code or just the street name in the address but leave the City field blank It is rare that the pharmacy is not in the database but common that someone in a hurry adds it as a new pharmacy anyway and prescriptions cannot go electronically only by fax to pharmacies added by the practice e after you are certain a pharmacy is truly not in the database you may add a pharmacy by clicking Add a new pharmacy to the practice list and enter the required data ALERT You will not be able to receive renewal requests electronically for pharmacies entered in manually into the system If you have any other questions or if you require additional assistance please call ICANotes Customer Support at 443 569 8778 email us at support icanotes com 25
31. rescriptions click sent next to the patient s name and then click Contact Us About this Prescription on the upper right of the prescription image If you cannot send us the message electronically call ICANotes at 443 569 8778 Be sure to have the prescription handy Customer Service will ask you questions about the script including the serial number which can be found along the bottom It will be an AA or BB number example 5555555 Q I got an alert warning What does this mean A As you prescribe the system will show you clinical and formulary alerts when applicable e Clinical Alerts When you receive an alert RED this indicates a clinical alert Examples are Drug Drug Interaction Drug Allergy Interaction Dose checking and Duplicate Therapy Note It is very important to make sure the patient s medication list is accurate and up to date to receive complete clinical alert checking e Formulary Alerts When you receive an alert in BLUE this indicates a formulary alert Examples are non formulary drugs and drugs that offer a preferred alternative s with lower co pay for the patient If you receive a formulary alert you can switch to an alternative provided in the dropdown Click the Switch button e Prescribe Anyway You may also click the Prescribe Anyway button to continue to prescribe the alerted drug o Prescribe Anyway Creates the prescription despite the warning o Cancel Does not crea
32. s Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Patient Demographic Information Patient Test Medco Prescribe Change Demographics DOB 11 20 1975 Gender Male Phone 232 332 3232 home LOV 07 23 2009 Visit Today Pharmacy Ambulatory Care 2 15001 Shady Grove Rd Rockville MD View Formulary Medco Health mail amp retail MHS The medication s you have prescribed may not be appropriate given this patient s information ALLERGY ALERT This patient is listed as having an allergic reaction unspecified to Sulfa Sulfonamide Antibiotics Patients with this allergy are generally allergic to the drug you have just prescribed Bactrim trimethoprim sulfamethoxazole as they are both related to the Sulfa Sulfonamide Antibiotics group Proceed with extreme caution You may provide a justification for prescribing this medication notwithstanding the warning Prescribe Anyway J Cancel Note The professional duty in providing care to the patient lies solely with the healthcare professional providing such service and the Rcopia prescription tool is in no way intended to replace or substitute for professional judgment Eligibility provided by Medco Health Solutions PBM NCBCBSM Mini Medication Report 1 To print a wallet sized version of a patient s current medication and allergy list click Mini on th
33. screen to view the calculator a The calculator does not open in a new window b You must ensure that the patient weight and the mg kg day for the drug are populated in order for the dose calculator to work properly 2 Enter desired prescription information and click on the Continue button 3 Next the prescription review screen appears so that you can a Review the prescription for accuracy b Add this medication to the practice s favorites list optional by clicking on the Add to Favorites button c If you have enabled the preference to sign prescriptions from the review prescription screen then you can send prescriptions directly from this page i Note The Add to Meds check box is selected by default so that it adds this medication to the patient s active medication and history 4 Also see above that if the patient desires a printed copy of the prescription Rcopia has the ability to display the associated problem or diagnosis on the printed prescription 5 Clicking OK by a staff member creates a pending prescription 19 ICANotes Review Prescription Review the script and click on the OK button This adds the current medication to the patients pending prescriptions list You are then taken to the Prescribe Medication screen so another medication can be added to the patient s pending prescription list optional Pending Prescriptions Regardless if you prescribe another medication to this patient or not
34. st on the Patient Summary screen c Click Prescribe d Continue to the Enter Details section Enter Details 1 Verify the provider and pharmacy fields are correct and select the appropriate values from the drop down menus for the SIG instructions details Rcopia Practice UM West Clinic User Doctor Michigan Windows Internet Explorer Gy E drfirst com serviet rcopia servlet WebServiet screen PatientSummaryScreen amp ac 1 File Edit Favorites Tools Help f iy Favorites f 3S Rcopia Login webex Staff Login WebCalendar oll DotProject WorkZone sign In Ecommerce Ecommerce 2 amp SureScripts 88 al DrFirst oP DrFirst user Registration Practice Subscribe DrFirst Meeting Ce Pract x dh Safety gt Tools Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today Pharmacy Walgreens Drug Store 07660 1220 N Mitchell St Cadillac MI View Formulary None Note You are logged in as a TEST user Prescriptions generated by a TEST user will not be sent to pharmacies Provider Michigan Doctor v Pharmacy Walgreens Drug Store 07660 1220 Mitchell St Cadillac MI Change Remove Drug Lipitor atorvastatin Tablet 10mg Sig v v Duration v Patient Weight kgl Sho
35. te the prescription and will return the user to the patient s homepage This is used when the user decides not to prescribe the selected medication 0 There is a prescription voided and it still shows up How do I get rid of it A Show Voided Prescriptions To remove voided prescription notifications go to Additional Options Preferences user go down to Show voided prescriptions in reports and select No e To remove a voided medication that the patient HAS taken from the active medication list click stop just to the right of the medication listing and enter a reason for removing the drug from the active list e To remove a voided medication that the patient has NEVER taken from the active medication list click Manage Medications on the blue menus at the top of the screen and click delete to the right of the medication Pharmacies Q I can t find a pharmacy in DrFirst How do add delete a pharmacy A To add or delete a pharmacy 24 ICANotes e Click the Pharmacy link in the patient demographics section to search for a new default pharmacy or click the Change link on the Enter Details screen of a prescription to change the pharmacy associated with that particular prescription e Choose a list from which to search Note DrFirst recommends using the All Lists option because that contains our entire nationwide list of pharmacies plus any pharmacies you have added to your Practice or Favorite List Y
36. teractions Allergies Adverse Reactions This section allows you to record the patient s allergies or adverse reactions to medications 1 Select the medication from our list to perform drug allergy checking a The red triangle indicates the product was a free text selection and no allergy checking can be performed i Note that by clicking Check Interactions for Selected you can check on demand potential interactions on a patient s medication list even if a medication is not being prescribed ii This includes drug drug drug diagnosis and drug allergy interactions Problems This section allows you to record a patient s list of conditions diagnoses and symptoms by conducting a search using name or ICD9 code Recording this information is particularly important for drug diagnosis interaction checking In addition by populating this information you will be able select a diagnosis on the enter details screen and it will be placed on the prescription Pending prescriptions Allows you or your staff to write prescriptions and queue them until they are reviewed by the appropriate person who can review them and sign off to be sent to the pharmacy 17 ICANotes Commonly Used Medications You may select a medication from the drop down Favorites list or you can type the name or partial name of the medication in the Name text box and click on Find Using the Favorites list e Once you engage the drop down list you can type the
37. tions section on the Patient Summary screen Behavioral Health EHR 5 Rcopia Practice UM West Clinic User Doctor Michigan Windows Internet Explorer DMR Go E https rx blue drfirst com servlet rcopia servlet WebServlet screen ReviewPrescriptionScreent a a X File Edit Favorites Tools Help sip Favorites Rcopia Login 7 Webex Staff Login WebCalendar oll DotProject Workzone sign In Ecommerce 45 Ecommerce 2 SureScripts 88 gt ol DrFirst DrFirst B User Registration Practice Subscribe O DrFrst Meeting Rcopia X d Tools Name Category Search Favorites Choose a Favorite View Detail Mini PBM Pharmacy History Actions Renew Selected Select All Select None Check Interactions for Selected albuterol sulfate Solution for Nebulization 0 63 mg 3 mL 1 vial as directed four times day Disp 120 Rfl 6 last 12 09 2009 by DM Actions Renew Prescribe Stop Allegra fexofenadine Tablet 180 mg 1 tablet by mouth once a day Disp 30 Rfl 2 last 12 09 2009 by DM Actions Renew Prescribe Stop Select All Select None Delete Selected Serial Dr Staff Name Date Status Drug Sig Qty Rfl s Action BB 1976305 DM Jane Doe 12 09 2009 created Lipitor atorvastatin Tablet 10 mg 1 tablet by mouth once a day 30 3 Modify Delete Fa
38. uest a Deny Will deny the request for a Renewal and sends a denial message to the pharmacy o Change Allows you to change the prescription and or pharmacy information When change is selected and the prescription is changed the prescription becomes a pending prescription in the appropriate provider s prescription report This will alert the pharmacy that the requested renewal has been denied but a new prescription will follow Renew plus X refills Renews the prescription with a desired amount of additional refills Forward Allows staff member to forward the prescription request to another qualified prescriber in their practice e Remove Should only be used if you have previously handled this request and it is a duplicate 11 Behavioral Health EHR 5 3 If necessary select Pharmacy Notes from the dropdown menu or type them into the box to the right 4 If necessary enter comments in the comments box They are visible only to you and your office staff 5 After you have selected an action for each request enter your Signature Password at the top or bottom of the screen and click Perform 6 All requests that have an action will be executed Renew Active Medications For patients with an active medication list one or more medications can be renewed at a time 1 Click Renew Selected to renew all of the medications on this patient s list at once Rcopia automatically selects all the med
39. ur time prescribing Simple Powerful and Fast If the available dropdowns are not sufficient for the medication at hand please use the Directions to Patient section and enter the sig as free text This section functions the same as the dropdown sig does but it gives the user more freedom to tailor the sig to match their specific directions Please make sure you do not leave data entered in the dropdown SIG boxes and then put conflicting data in the Directions to Patient section 0 The pharmacy says that my prescription didn t go through What should do A There are a few reasons this may be the case 23 ICANotes 1 First verify that the prescription has been sent Go to the Prescription Report or if it is for a single patient go to Select Patient find your patient scroll all the way down to Pending Prescriptions for this Patient and make sure it is not still pending 2 Try and resend it Many times when a script does not go through it is because the pharmacy may have mishandled it during a training error i e their machine was not set up correctly they were out of ink or paper and in resetting their machine all the incoming prescriptions were erased some pharmacies still need to print out electronically received prescriptions and can lose the print out 3 If they still have not received the script and you have called to confirm please contact DrFirst a Onthe Prescription Report of completed p
40. vor Signature Password Pi M7 Print Pharmacy Note In the case of a pharmacy related fax machine failure we will contact your practice and inform you that it is necessary to call in the prescription to the pharmacy directly If your office is closed or it is after business hours we will notify your answering service No known drug allergies NKDA Code Description 493 Asthma internet 8 Select the desired prescriptions you want to process 9 If you are a provider enter your Signature Password 10 To complete click one of the options provided a Send Transmits the prescription to the pharmacy electronically b Send and Print Transmits the prescription to the pharmacy electronically and prints out a copy of the prescription for your records c Print w o sending Prints the prescription without sending it to the pharmacy This is useful if the patient is unsure which pharmacy he or she would like to use or for controlled substance prescriptions d Sign w o sending Adds the medication to the patient s active medication list This is useful if you gave the patient a sample Controlled substances in schedules II V must be printed and cannot be sent electronically to the pharmacies unless you upgrade to EPCS Gold e Prescribing For schedule medications this is denoted next to the drug as 11 you must print these prescriptions and give them to the patient For
41. w Dose Calculator Quantity C Refills none Directions to Pharmacist Substitution pemitted Directions to Patient Associated Problem Comments For office use only will not appear on prescription Change Drug Internet f 100 2 a If you used a Favorite Prescription or an Active Medication to create this prescription verify change the SIG details as necessary 2 Click Continue a If you need to change the drug click Change Drug b Click Cancel to cancel the prescription Behavioral Health EHR 5 3 Review prescription Rcopia Practice UM West Clinic User Doctor Michigan Windows Internet Explorer DAR Go https irx blue drfirst com serviet rcopia servlet WebServlet screen PrescriptionDetailsScreen amp File Edit Favorites Tools Help i sip Favorites 383 Rcopia Login 7 Webex Staff Login WebCalendar oll DotProject Workzone sign In Ecommerce 48 Ecommerce 2 4 SureScripts 88 7 d DrFirst 1 DrFirst user Registration Practice Subscribe DrFrst Meeting Ce Rcopia X i Geh v Safety Tools Practice UM West Clinic User Doctor Michigan Patient Jane Doe DOB 02 12 1980 Phone 999 999 9999 Last Office Visit 12 05 2009 Visit Today P
42. w of the provided Options are informational and a few have already been performed for your practice We will mention those briefly e Configure Formularies Rcopia is connected to Surescripts so it automatically provides most formulary information regarding your patient s insurance preferences However DrFirst does host some formularies and these need to be enabled within the application to be available for manually linking to patients e Favorite Prescription allows users to add prescriptions to their favorites list My List or Practice List without being in a patient s record or having to be in the Manage Meds section of the application A current list of your favorite prescriptions is provided in the Favorites drop down list Note You will be directed to Find a medication Please reference the Prescribing a Medication portion of the manual for directions 22 ICANote Pharmacy Data This option allows the users to add or modify the practice s pharmacy data list without having to be in a patient s record You will be directed to the same screen that was covered in the Pharmacy Information Adding a Pharmacy section of this manual Please refer to that section for use F A Q Frequently Asked Questions Eligibility and Formulary Q Why isn t my patient s insurance and formulary information being displayed in the dropdown menu I entered the correct demographic information A If formulary information is not displa
43. y Search 1 Favorites Choose a Favorite Use View Edit View Detail Mini PBM Pharmacy History Actions Renew Selected Select All Select None Check Interactions for Selected v Lipitor atorvastatin Tablet 20 mg 1 tablet by mouth once a day Disp 30 Rfl 3 last 11 25 2009 by DM Actions Renew Prescribe Stop lisinopril Tablet 10 mg 1 tablet by mouth once a day Disp 30 Rfl 3 last 11 25 2009 by DM Actions Renew Prescribe Stop Reaction None Done Internet fpr 100 2 4 You can renew particular medication by clicking Renew to the right of the listed medication 5 You can change the details Sig Duration Quantity Renewal Pharmacy etc of a prescription by clicking on the Prescribe link to the right of the listed medication 12 ICANote Behavioral Health EHR 6 You can stop a medication by clicking the Stop link to the right of the listed medication a You will be prompted to enter a reason for stopping this medication i Best practice Enter a specific reason for stopping the medication and it will be displayed in the patient s medication history Drug Interaction Alerts When prescribing medications Rcopia will always check against the active medication list for drug to drug interactions The alerts will appear after you have searched for the drug and chosen the strength These alerts will
44. ying for your patients i e the display says none there are a few possible causes 1 Theinformation doesn t match what the insurance company has on file double check that the patient s information in your system matches the information on their insurance card If it does match we recommend that you ask if they have recently changed their address or insurance companies For example if you listed a patient as Bill and their legal name is William then change the first name to reflect that 2 The patient may be insured by a non participating PBM Insurance Company Some payers are not yet sharing information electronically Logging in Q I forgot my signature password A Contact ICANotes at 443 569 8778 to get it reset Please have your credentials available as we will be verifying your information Prescriptions Q The drug want to prescribe is not in the system How can add it A DrFirst researches and incorporates new drugs into Rcopia every month at the end of the month Please be patient but if you do not see your drug in the system you can send it through as a Free Text Drug and or send a add drug request to support adrfirst com Note It is better to use a medication from the med list then to Free Text whenever possible in order to utilize the clinical alerts functionality 0 The sig dropdowns don t meet my needs What should do A DrFirst continually researches and develops new ways to make yo
45. you will end up at the Prescribe a Medication screen If you scroll down this window you will see the Pending Prescriptions for this Patient section at the bottom above the allergies You can select any number of medications and perform the following options The options depend on your user role in the application Note due to DEA regulations as of 7 08 controlled substances in schedules II V must be printed and can not be sent electronically to the pharmacies For schedule medications this is denoted next to the drug as II you must print these prescriptions and give them to the patient For schedule III V you must print the prescription sign it and then you can manually fax it to the pharmacy for the patient Provider Options e Send transmits prescription s to the pharmacy e Send and Print transmits prescription s to the pharmacy and prints a copy to the local office printer for your charts or for the patient to take with them upon request e Print without sending sends the script s to the local office printer and does not send to the pharmacy e Sign without sending adds a medication s to the patient s active medication list and does not send to pharmacy often used when giving samples e All options require a valid Signature Password Provider Agent Options Provider agent options are identical to the Prescriber options displayed above with the following two exceptions First a Send signature to follow butt
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