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Pharmacy & prescribing

Pharmacy & prescribing

E-prescribing via Surescripts NewRx, drug-allergy + drug-drug interaction (DDI) checking, and a dispatch queue at /admin/pharmacy.

Prescribe

From an encounter or /orders:

  1. Search by drug name → SureScripts compendium with RxNorm mapping.
  2. Sig builder with structured fields (dose / form / route / frequency / duration / quantity) — no free-text errors.
  3. Pollen8 runs allergy check (patient’s recorded AllergyIntolerance list vs. drug class) and DDI check (drug pair severity from the tenant’s interaction DB).
  4. Provider sign-off triggers Surescripts NewRx send (mTLS to the Surescripts gateway).

EPCS gate

Controlled substances (DEA Schedule II–V) are blocked by default. EPCS unlock requires:

  • DEA registration on file for the prescriber.
  • Identity proofing — NIST IAL2.
  • Two-factor authentication enrollment.
  • Surescripts EPCS module activation.

Roughly a 4-8 week accreditation effort, not code work. Once unlocked, controlled prescriptions flow through the same Surescripts pipe with the EPCS signature block attached.

Pharmacy dispatch queue

/admin/pharmacy — outbound prescriptions awaiting Surescripts confirmation, refill requests from pharmacies, and PA-required flags. Sortable by patient, prescriber, status.

Refill workflow

Refill requests come in via Surescripts → land in the /admin/refill-queue worklist. Provider approves / denies / sends back; outcome posts to Surescripts.

For high-volume refill traffic, the AI voice contact center can pre-process: it picks up the call, verifies identity, captures the request, and drops it into the same queue as a structured refill task.