Electronic Prescription Transmission Systems

E-Prescribing Controlled Substances in Ohio

 

(Updated 12/08/2016)

Electronic prescription transmission systems allow prescriptions to be sent electronically from a prescriber to a pharmacy. For non-controlled substances, the prescriber can send the electronic prescription directly from his/her computer to a pharmacy computer or facsimile machine. Controlled substance prescriptions can only be sent and received electronically from a prescriber computer to a pharmacy computer and NOT from a prescriber computer to a pharmacy facsimile machine (See 1 and 2 below). Some of the systems are office-based, some are web-based, and some use a switch (e.g. SureScripts) to route the prescription to the pharmacy. The office-based systems allow the prescriber to send a prescription electronically directly from his/her office to the pharmacy. The web-based systems allow the prescriber to log onto a website, enter a prescription, and the website sends the prescription to the pharmacy. Systems utilizing a switch allow the prescriber to enter a prescription that is transmitted to a switch. The switch identifies the prescriber using specific data elements and then sends the prescription to the pharmacy.

Prior approval by the Board of Pharmacy is required for all electronic prescription transmission systems and pharmacy systems receiving electronic prescriptions used in Ohio. However, pursuant to rules 4729-5-21 and 4729-5-30 of the Ohio Administrative Code (OAC), a system meeting the Drug Enforcement Administration’s (DEA) requirements noted in section 21 C.F.R. 1311 to send and receive electronic prescriptions for both controlled and non-controlled substances shall be considered approved by the Board. The Board’s electronic prescription transmission system approval process includes reviewing that each system has true “positive identification” of the prescriber sending the prescription as defined in OAC 4729-5-01(N), that every system has security and accountability of all confidential information, that the pharmacist receiving the prescription can identify that the system has approvable status with the Board of Pharmacy, and that the pharmacist receiving the prescription can identify that the prescription is legitimate. Please note, that the Board’s approval processes for electronic prescription transmission systems and pharmacy computer systems does not replace the need to meet the requirements of section 21 C.F.R. 1311 to send and receive controlled substance electronic prescriptions.

Some important information you should know about electronic prescription transmission systems:

  1. No controlled substances may be sent to a pharmacy using an electronic prescription transmission system unless the system meets the DEA requirements noted in section 21 C.F.R. 1311.
  2. No controlled substances may be received by a pharmacy using an electronic prescription transmission system unless the system meets the DEA requirements noted in section 21 C.F.R. 1311.
  3. "Dispense as Written” or “DAW” does not have to be handwritten on a prescription sent through an electronic prescription transmission system [see Section 4729.38 of the Ohio Revised Code (ORC)]. It does, however, require a positive action by the prescriber to physically select “Dispense as Written” or “DAW” when creating an electronic prescription. The electronic prescription transmission system cannot automatically default to “Dispense as Written” or “DAW”.
  4. You may, or may not, see a signature on a prescription sent to a pharmacy by a prescriber using an electronic prescription transmission system. Electronic signatures are not recognized as a means of “positive identification” and therefore are not required. If a signature is present the prescription must indicate that the signature was computer generated.
  5. A prescriber may elect to print a prescription from the electronic prescription transmission system in his/her office and give it to the patient to personally present to a pharmacy. The prescription must be issued as any written prescription [see OAC Rules 4729-5-30 and 4729-5-13]. These prescriptions may contain a schedule II controlled substance, there can only be one controlled substance per prescription blank, “Dispense as Written” or “DAW” must be handwritten, and the actual handwritten signature of the prescriber must be on the prescription. Printed and manually signed prescriptions for both non-controlled and most controlled substances can still be legally sent from a prescriber facsimile machine to a pharmacy facsimile machine pursuant to OAC rule 4729-5-30.

The systems that currently have obtained an approvable status with the Board of Pharmacy are (Note 1: The approvable status applies ONLY to the electronic prescription transmission system and NOT to any other related electronic products, such as an electronic medical record; Note 2: the Board’s approval process for electronic prescription transmission systems does NOT replace the need to meet the requirements of section 21 C.F.R. 1311 to send controlled substance electronic prescriptions):

A4 Health Systems
Agility E.H.R. by Net Health
Allmed
Allscripts Deluxe
Allscripts Enterprise
Allscripts eprescribe
Allscripts eRX NOW
Allscripts MyWay
Allscripts Professional
Allscripts Sunrise 5.5 at Robinson Memorial Hospital
Allscripts-HealthMatics EHR
AltaPoint
Alteer
Alton Healthcare’s Virtual Medical NetworkAmazing Charts
Amazing Charts
American Medical Software
Amicore
Aprima
Aria EMR
ASP.MD Medical Office System
Athenahealth
Bariatrix360
BioMedix TRAKnet DPM
Black Creek
BlueFish
Centricity (EMR V9.2.3 & above; Practice Solution V.9.0.3 & above)
CentriHealth
Cerner Community Behavioral Health
Cerner PowerChart
Cerner PowerWorks
Cerner Soarian at Lake Health
Cerner Soarian at MedCentral
CGM webEHR™ v 7.3.0
ChARM EMR
ChartLogic
ClinixMD
Compulink
Connect2Care
CPSI e-scribe
Credible
Crowell Systems - Medformix
CureMD
CyberAccess
Delta Care Rx
DigiChart OB/GYN
DirectAccess
Doctors Partner
DoseSpot
DrFirst RCopia and Gold
e-Clinicalworks
e-MDs
E-Physician
e-Referral
Easy Rx Pad
eHealth Made EASY
Elation Health
EMA by Modernizing Medicine
Emdeon
Emdeon Clinician
Emergent Health Care Solutions
Epic at Akron Children’s
Epic at Christ Hospital
Epic at Cinc. Children’s
Epic at Cleveland Clinic
Epic at Dayton Children’s
Epic at Genesis HealthCare System
Epic at Kettering Health Network
Epic at Madison County Hospital
Epic at Mercy Health
Epic at MetroHealth
Epic at Nationwide Children's Hospital
EPIC at OCHIN
Epic at Ohio Health Ambulatory Practices
Epic at Ohio State
Epic at Parkview Physician Group
Epic at Premier Health Center
EPIC at Premier Health Partners
Epic at St. Elizabeth Healthcare
Epic at Tri-Health
EPIC at University of Cincinnati Health
Epic at UPMC (Pittsburgh)
EyeMD
gCardio
gEHRiMed
GEMMS
GeniusDOC EHR-PM
gGastro
GlaceEMR
GlaceEMR
Greenway Medical
Greenway PrimeSuite
Greenway PrimeSuite
gUro
Harris CareTracker
HCS Clinicals 7.0
Healogic's i-Heal
Health Probe
Healthfusion Medi-Touch
HealthSpot using NewCrop
I-Scribe
ICS Sammy
ifa
IKnowMed
iKnowMed Generation 2
Imagine MD
iMedica
InfoScribeRx
InSync
InteGreat
iPatientCare
Kareo
KeyScribe
King’s Daughters Epic
LSS Data Systems 6.0 at Marietta Memorial Hospital
LSS Data Systems Magic at Blanchard Valley
MacPractice
MaximEyes
McKesson Enterprise Prescription Writer
McKesson Horizon Ambulatory Care
McKesson Paragon eRx Writer
MD Logic
MDlogEMR by Mdops Corporation
MDSuite
MDToolbox
Med USA
Medent
Medflow
MedHost EDIS
Medical Office Online
Medics DocAssistant
MedInformatix
Meditech 6.X at Marietta’s Memorial Health System
Meditech at Berger Hospital
Meditech at Canton Mercy/StatCare
Meditech at Fulton Health System
Meditech at St. Vincent Charity-Cleveland
Meditech at Wilson Hospital
Meditech Magic at Blanchard Valley
Meditech UH Parma Medical Center
Meditech/Dr First at SEORMC
Meditech/Dr First at Southwoods
Meditech/Dr First at Wooster Community Hospital
MedPlus by Quest Diagnostics
MedsTracker at Adena
MedsTracker at Adena Hospital System
MedsTracker at Firelands Hospital
meridianEMR
MicroMD
MinuteClinic
Misys at Family Practice Assoc. of Dayton
Misys at Greater Cincinnati Cardiovascular Consultants
Misys at Northeast Center for Women’s HealthMisys at The Family Medical Group
Mosaiq 2.5.05 and higher
My Practice Community
MyEPS3
NetPracticeEHRweb at Premiere Medical Partners
NetScript
NewCrop
NexTech
NextGen
NextGenED at Avita
NextTech
Office Ally
Office Ally (non-NewCrop)
OfficeEMR 2014
OnCallData
OnCallData at University Hospitals of Cleveland
OncoEMR
Open Dental
Optum PM & Physician EMR
OrderConnect
Patagonia
Patient Now
PCEScript by PCE Systems
PETNET Direct
Pinestar eDose Connect
Pinestar NMIS
PointnClick
Positive Business Solutions Inc./PBSI-EMR
PowerBill
Practice Fusion
Practice Partner
Practiceware
ProComp's C.A.T.T. SBE and SDE
PrognoCIS by Bizmatics
Proxsys
QSI Dental
QuadraMed
QuickDoc by DocuTrac
Relay Health
RNA Holdings/RNA Health
RxCure
RxNT
Sage Health
ScriptRx HER
SequelMed EMR
Sharesource
SigmaCare Retail Rx's
SigmaPoint
SmartCareRx
SOAPware
SRSsoft
StreamlineMD
SuccessEHS
Suite Med
Take Care Health
TDO Software
TeleCommunication Systems, Inc
Teledoc
Thrasys, Inc
Ulrich Medical TCC EHR
University Hospitals of Cleveland Allscripts Sunrise
Vsee Lab
Waiting Room Solutions
Webchart EHR
Wellinx
Wells Pharmacy Network