📌Note: This is currently a beta feature, available to a few CHR beta users to test and provide feedback. It will be available to more users once the beta period is complete.

You must have two-factor authentication enabled in your CHR account; the connection to the e-prescription service is automatically established when you log into the CHR using two-factor authentication. The connection is maintained for 12 hours even if you log out of the CHR.

📌 Note: for PrescribeIT®, you must use SMS or an authenticator app to receive the two-factor authentication code. You cannot use email.

1. Log into the CHR with your username and password. When prompted, enter the authentication code for two-factor authentication and click Continue.

💡 Tip: If you can't receive the 2FA code (for example, if you have misplaced your phone), contact your clinic's CHR administrator. The administrator can temporarily change the two-factor authentication method or turn off 2FA for you. For more information, see Disabling two-factor authentication (2FA) for other users.

2. The connection to the e-prescription service is automatically established. To confirm you are connected, click your avatar. The PrescribeIT® status appears below your name and location.

You can send an e-prescription similarly to how you print or fax prescriptions. Instead of a fax button, there is a Send or Send to Pharmacy button. You must choose a pharmacy that is enabled for PrescribeIT®, where the patient plans to fill the prescription.

1. Create or renew your prescription(s) as you normally do. Choose the medication and fill in the prescription details (see Creating prescriptions or Renewing medications from a patient’s Medications list).

📌 Note: For an e-prescription, a Quantity or Duration is required.

💡 Tip: Hover your cursor over the prescription status icon to see what information you need to add to make the prescription ready to e-prescribe.

2. When you are finished, click Save.

3. Send the e-prescription.

a) If the prescription was started from an encounter, click the Send icon in the prescription window, or Sign & Send from the Prescriptions area of the encounter.

b) If the prescription was started from the Prescriptions area (Start/Open > Prescriptions), you must first sign the prescription. Click Sign, then choose Send to Pharmacy.

4. In the window that appears, search for and select the pharmacy to send the prescription to. Pharmacies that are enabled for PrescribeIT® appear with the eRx icon.

💡 Tip: If the patient has a preferred pharmacy recorded, it is automatically selected for you. Confirm this is the pharmacy the patient intends to go to and change it, if necessary.

5. Click e-Sign & Send. The prescription is sent electronically to the chosen pharmacy.

If the pharmacy cannot receive the e-prescription, it will automatically be faxed instead. When e-prescriptions are sent, they first go to a central switch called Shared Health Exchange. This central switch then sends the e-prescription to the pharmacy. If the central switch receives an error that the e-prescription could not be delivered to the pharmacy, the e-prescription is converted to a fax and sent. This helps ensure that the pharmacy receives the prescription even if there is a technical issue that prevents the prescription being sent electronically.

6. Once sent, the prescription appears with an eRx icon in the list of the patient’s prescriptions (Start/Open > Prescriptions). If you started the prescription from an encounter, the eRx icon appears in the encounter as well, once the encounter is signed.

If the prescription failed to send electronically and was faxed via PrescribeIT® instead, the icon shows both eRx and fax.

The prescription also shows as ePrescribed or eFaxed in the provider Outbox and Patient Outbox. You can see if the item was sent successfully or failed.

In the Patient Outbox, use the Rx via PrescribeIT and Rx via eFax by PrescribeIT filters to see only e-prescriptions.

📌 Note: if the prescription fails to send by both methods, the provider who sent it receives a message in their inbox. For more information, see Troubleshooting PrescribeIT®.