E-Prescribing


E-prescribing is an up and coming field for the world of pharmacy. Many pharmacies are beginning to utilize e-prescribing to mainstream communication amongst the prescriber and the pharmacist through electronic media. This means that both parties must have software implemented at their facility that can effectively process these prescriptions.

There are no exceptions to the DEA regulatory requirements when e-prescribing. Therefore, all Schedule II-V prescriptions must meet DEA regulations for controlled substances.

Prescribing facilities and pharmacies must:
  • Implement software that meets the DEA requirements
  • Have a third-party audit of the application before processing prescriptions. Possible audits included WebTrust, SysTrust, or SAS 70
  • Review the audit/certification report before utilizing the software for prescribing and dispensing
  • Stop using application if there are any flaws
  • Back up files daily (it is recommended to store the records at an off-site location)
The software application must be able to:
  • Create a log of all controlled substance prescriptions prescribed by the prescriber during the previous calendar month. This must be given to the prescriber no later than 7 days before the month's end. 
  • Generate a log of all controlled substances prescriptions issued by the prescriber during a specified time period upon request
  • Logs must be able to sort out by patient name, drug name, and issuance date. 

Intermediary is defined as "any technology system that receives and transmits an electronic prescription between the practitioner and the pharmacy." The intermediary cannot transform an electronic prescription to an oral or paper prescriptions.  If both versions are received, one must be marked as void. If multiple forms of a prescription were received, it is important to ensure that the medication was not previously dispensed. 



If a prescription is received electronically, it must be kept in the record for a minimum period of 2 years.





For more information about electronic prescriptions for controlled substances, please visit: http://www.deadiversion.usdoj.gov/ecomm/e_rx/faq/pharmacies.htm



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