Prescriptions/Medications

Types of Prescriptions/Medications

There are in-office medications, these are medications that are being administered to the patient while in the exam room.

There are in-house prescriptions, these are medications that are being prescribed to the patient to take at home, that they will purchase from the clinic at the end of the visit.

There are external prescriptions, these are medications that are being prescribed to the patient to take at home, that they will send to an external pharmacy.

Ordering In-Office Medications

1. In the care plan, navigate to the Medications section
2. Select “Add a medication”
3. Search for a medication in the search bar or select from the suggestions shown below
4. In the Frequency section, select ‘Office’
5. Complete the rest of the details
6. Press “Done” in the top right corner
7. Click “Save” in the top right corner to finally save the orders to the care plan

Ordering In-Office Medications

In-House Prescription

1. In the care plan, navigate to the Medications section
2. Select “Add a medication”
3. Search for a medication in the search bar or select from the suggestions shown below
4. Complete the details
5. Scroll towards the bottom and toggle “In-House Pharmacy” on
6. Press “Done” in the top right corner
7. Click “Save” in the top right corner to finally save the orders to the care plan

External Prescription

1. In the care plan, navigate to the Medications section
2. Select “Add a medication”
3. Search for a medication in the search bar or select from the suggestions shown below
4. Complete the details
5. Press “Done” in the top right corner
6. Click “Save” in the top right corner to finally save the orders to the care plan

Completing Medication Order

In Office Medications

1. Click the blue check mark
2. Complete the medication details
3. Press “Done” in the top right corner

In-House Prescriptions

1. Click the ‘Fill’ button
2. Select the clinic that will be dispensing the medication
3. Select ‘Mark as filled’

External Prescriptions

1. Click the ‘Fill’ button
2. Select Pickup or Home Delivery
3. Search for the pharmacy
4. Select ‘Send prescriptions’

Guide to Handling Refill Requests

1. Overview of Refill Request Actions

• This video provides an overview of actions to take on refill requests from the automated system.
• Actions include:
  • Approving the request
  • Denying the request
  • Replacing the medication

2. Accessing the Refill Request Task

• A task is created for each refill request.
• Click on the task to view case details.
• Select 'Today's Chart' to proceed.

  3. Reviewing Medication Details

• In 'Today's Chart', locate the order of medications.
• Look for the yellow box indicating 'Needs Action'.
• Click on the pill icon to review request details.

  4. Understanding Request Details

• Review the following details:
  • Pharmacy information
  • Prescriber details
  • Dispensed medication details
  • Prescribed medication details

  Approving a Refill Request

• To approve the refill request:
  • Review the exact details of the request.
  • Indicate the number of dispensings allowed.
  • Click 'Approve' to finalize.

  Denying a Refill Request

• To deny the refill request:
  • Simply press the 'Deny' button.

  Replacing a Medication

• To replace the medication:
  • Select 'Replace'.
  • This will take you to the editing flow.
  • Make necessary edits (e.g., frequency, duration, dosage).

  5. Finalizing Changes

• After making edits, press 'Done'.
• You will have indicated whether to approve, deny, or replace the medication.

  6. Completing the Process

• The medication status will be updated.
• Options available:
  • Fill medication immediately
  • Allow the patient to fill the medication on their own.

See video here (opens in a new tab)

Troubleshooting Prescription Issues

Cannot Find In-House Pharmacy

Submit a ticket to support of the missing location

Cannot Find External Pharmacy

• We cannot add pharmacies to the EHR. All major pharmacies already exist in the EHR. All external pharmacies that are registered within the pharmacy database are available in the EHR
• You will need to move the map around until you find your desired pharmacy. You may need to zoom in and out on the map and move the pinpoint.

Electronic Prescription Failed

1. In the EHR Settings, go to Staff
2. Search the prescribing clinician’s name
3. Once found, select the clinician
4. Scroll down to “Surescripts”
   • If this area is blank, that means the clinician doesn’t have a Surescripts account created
     • The prescribing clinician will need to reach out to their clinician manager and have them submit a SureScripts request on their behalf to the Carbon support team
   • If there is a Surescripts number listed submit a ticket to the Carbon support

If you are the clinician experiencing this issue

1. In the EHR Settings, go to ‘Account’ directly under your name at the bottom of the screen
2. Scroll down to “Surescripts”
   • If this area is blank, that means you don’t have a Surescripts account created
     • You will need to reach out to your clinician manager and have them submit a SureScripts request on their behalf to the Carbon support team.
   • If there is a Surescripts number listed submit a ticket to the Carbon support

NDC Suggestion not matching bottle

Based on the medication, form, strength and packaging, FDB (First Data Bank) knows the possible NDCs for that administered drug which are surfaced to users.
FDB options presented vs what’s on the medication label may not match exactly. Using either option is okay.