Prescriptions

Follow these instructions to access the prescriptions/medications chart tab for a patient:

1. Click on the EMR Portal.
   
   
   
2. Select a patient appointment/hospital round/dialysis round or search for a patient.
    
   
   
3. Click on the Prescriptions/Medications chart tab.
   
   
   
4. The prescriptions chart tab opens up to the Prescription Details/Rx Pad. This allows users to immediately add a patient reported medication or prescribe a new medication. Click on the History button to manage the patient's active medication list.
   
   
5. Select the Details button to go back to the Prescription Details/Rx Pad screen.
   

Follow these steps to document a patient reported medication:

1. Access the Prescriptions/Medications Chart Tab.
2. Type in the Drug Name you wish to document.
   
   
   
3. Select the most specific Drug Strength the patient can give you.
   
   
   
4. Click on the Prescribe field to toggle from a prescription to a reported medication.
   
   
5. Click on a Prescription Field to edit the medication information.
   
6. Optional: edit the reported medication as appropriate and press the Done button.
   
7. To document the prescriber or change the start date, click on the More+ button.
   
   
8. Modify the Start Date and/or Prescriber Name if known.
   
   
9. Press the Done button.
   
   
10. Press the Save button.
    

With a patient's consent, prescribers may access a patient's medication history from our partner Surescripts. The medication history includes pharmacy and payer level prescription history information when available for patients. Follow these steps to pull a patient's medication history:

1. Access the Prescriptions/Medications Chart Tab.
2. Click on the medication History button.
   
3. Select the RxHub History button.
   
   
4. The patient's medication history details will display.
   
   
5. Click on a Drug to view the details on the medication.
   

Follow these steps to search for a drug and print a paper prescription:

1. Access the Prescriptions/Medications Chart Tab.
2. Type in the Drug Name you wish to prescribe.
   
   
   
3. Select the desired Drug Strength.
   
   
   
4. Click on a Prescription Field to edit the prescription.
   
5. Edit the Prescription Details as appropriate and press the Done button.
   
6. To run an Electronic Prior Authorization, make sure the correct Pharmacy is selected. If not, search for the pharmacy.
   
7. Press the Print button.
   
8. If Real-Time Benefit Check is setup and selected, review the coverage information then press the Send as Prescribed button.
   

The application's Rx Favorites List is the preferred and fastest method for creating a new prescription. Follow these steps to electronically print a new prescription from the Rx Favorites List:

1. Access the Prescriptions/Medications chart tab for a patient.
2. Select the appropriate prescription from your default Rx Favorites List.
   
   
3. Click on any Field to modify the prescription.
   
   
4. Modify the Prescription Details as necessary then press the Done button.
   
   
5. To run an Electronic Prior Authorization, make sure the correct Pharmacy is selected. If not, search for the pharmacy.
   
6. Press the Print button.
   
   
7. If Real-Time Benefit Check is setup and selected, review the benefit information. Press the Send as Prescribed button to complete the transaction.

1. In a patient chart, navigate to the medications chart tab.
   
   
2. Navigate to the Medication History via the History button in the top toolbar.
   
   
3. In the Action column click the blank box next to the medication status of the medication you wish to refill. A dropdown box will appear once you click.
   
   
4. Choose the Refill option from the dropdown.
   NOTE: You may set multiple medications for refill all at once by repeating this step.
   
   
5. Save the changes.
   
   
6. The refill screen will open and a user may choose to change the pharmacy or number of refills, if needed, by clicking directly on the hyperlinks.
   
   
7. Click OK to release the refilled medications.
   

iSalus Healthcare has integrated with APRISS Health to support PDMP reports in participating states. If you have not yet been approved by APRISS Health with an interface credential, complete the initial setup here. To run this report for a patient, follow the steps below. 

1. Acess the Prescriptions Chart Tab for a patient.
2. Click on the PDMP button.
3. Select the Provider running the report and click the Request PMP Results.
   
    
4. The request will be run. Once complete, the report may be viewed via the Patient Report hyperlink.
   

Follow these steps to search for a drug to create a prescription for:

1. Access the Prescriptions/Medications Chart Tab.
2. Type in the Drug Name you wish to setup as a favorite.
   
   
   
3. Select the desired Drug Strength.
   
4. Click on a Prescription Field to edit the prescription.
   
   
   
5. Edit the Prescription as appropriate and press the Done button.
   

Follow these steps to search for the patient's desired pharmacy when creating electronic prescriptions:

1. Create a new prescription by either performing a drug search or by selecting a prescription favorite.
2. Click on the Pharmacy field.
   
   
3. The application will display the patient's Preferred Pharmacies, recently used pharmacies for the patient, pharmacies with the same zip code at the patient's home address, and office favorite pharmacies. Click on a pharmacy or press the Search button to find a different pharmacy.
   
   
4. Type in the name, address and/or zip code of the pharmacy you're searching for (e.g. CVS 46060 or CVS lakeview or CVS Noblesville)
   
   
5. Single select the Pharmacy you're searching for to view the pharmacy's details and map.
   
   
6. Double-select the Pharmacy you're searching for to use it for the prescription.
   

Follow these steps to search for a drug and send an electronic prescription:

1. Access the Prescriptions/Medications Chart Tab.
2. Type in the Drug Name you wish to prescribe.
   
   
   
3. Select the desired Drug Strength.
   
   
   
4. Click on a Prescription Field to edit the prescription.
   
   
   
5. Edit the Prescription Details as appropriate and press the Done button.
   
   
   
6. Make sure the correct Pharmacy is selected. If not, search for the pharmacy.
   
   
7. Press the Send button.
   
   
8. If Real-Time Benefit Check is setup and selected, review the coverage information then press the Send as Prescribed button.
   

The application's Rx Favorites List is the preferred and fastest method for creating a new prescription. Follow these steps to electronically send a new prescription from the Rx Favorites List:

1. Access the Prescriptions/Medications chart tab for a patient.
2. Select the appropriate prescription from your default Rx Favorites List.
   
   
3. Click on any Field to modify the prescription.
   
   
4. Modify the Prescription Details as necessary then press the Done button.
   
   
5. Ensure the correct Pharmacy is selected. If not, click on the Pharmacy field to search for a pharmacy.
   
   
   
6. Press the Send button to electronically submit the prescription to the pharmacy.
   
   
7. If Real-Time Benefit Check is setup and selected, review the benefit information. Press the Send as Prescribed button to complete the transaction.
   

Follow these steps to view a patient's medication list/history:

1. Access the Prescriptions/Medications chart tab. 
2. Click on the History button.
   
   
   
3. The patient's Medication History displays for your User Default Rx History Statuses.
   

Prescription Details

• Prescriber:  The provider prescribing the medication. The list will display providers registered to send medications electronically.
• Medication: contains information about the drug.
  
  • Drug Name:  The name and strength of the drug selected.  
  • Strength: The strength of the selected drug.
  • UOM: The unit of measure for the selected drug's strength.
• SIG:  Contains the patient instructions for how much and how often the medication should be taken.
  • SIG Quaintly:  How many of the medication should be taken at a time (i.e. 2)
  • Dosage: The dosage type of the medication instructions.
  • Route: The route of administration for the medication.
  • Frequency: How often the medication should be taken (i.e. Every Day)
  • Free Form:  Use this to provide instructions on how the medication should be taken.  This can be in addition to the Sig Quantity and Frequency or it can replace it entirely (i.e. Apply a thin layer of cream to affected area as needed).
• Dispense: Contains the amount of the medication that should be dispensed by the pharmacy for each fill.
  • Dispense Quantity: How many will be provided to the patient in total (i.e. 60)
  • Method:  What will be provided (i.e. Tablets).
  • Days Supply:  Number of days the medication should last for (i.e. 30)
  • Refills: Number of refills the patient can receive (i.e. 3)
  • D.A.W. Indicator: Indicator if the medication should be dispensed as written. When on, pharmacies will fill the exact medication prescribed. If off, pharmacies may substitute the medication for subtitle generic.
  • Administered: Indicator that the medication was administered by the practice.
  • Sample: Indicator that a medication sample was provided to the patient.
  • History: Indicator that the medication is historical/patient reported. 
• Notes and Comments: 
  • Pharmacy Note: A note to the pharmacist - will be sent/printed.
  • NADEAN: Displays and sends the prescription provider's NADEAN number when the Use Provider NADEAN checkbox is selected.
  • Use Provider NADEAN: Used when prescribing medication protocols for people with narcotic addiction (e.g. Suboxone) to send the provider's NADEAN number.
  • GHB Reason: Used when prescribing Gamma Hydroxybutyrate to capture the medical necessity for prescribing GHB to the patient.
  • Internal Comment:  A note for internal staff only - will not be sent to printed.
• Pharmacy:  The pharmacy the medication will be sent to.
• More:  Contains details about when the medication should be started, medication status and more.  Tapping on this section will review additional details. 
  • Start Date:  Start date of the medication.  Will default to the date it is written.
  • Stop Date: Date the medication should be stopped.
  • Written Date: The date the prescription was created/written.
  • Last Fill Date: Displays the last fill date obtained from Surescripts.
  • Rx Status:  Status of the medication (i.e. New).
  • Prescriber:  Not commonly used, buy may be helpful to record who prescribed the medication if it was someone outside of your company (i.e. PCP)