How do I send an eRx (e-Prescription)?

Record a medication and e-prescribe during an encounter

1. To add a new medication to a patient’s office visit encounter and send an e-prescription, click New Encounter or open an existing encounter. Scroll to Plan section and click Record.

Note: You can also add a medication and prescription from the Medications list on the patient Summary, from the medication table within an encounter, or within a lab result.

2. Select the Medications tab to add a medication from your Frequent medication list or the patient’s medication list.

3. Select Record to add a new medication. Type the first few letters of the medication name to search. The most common route, strength, and form will appear at the top of the list. The search results will display both generic and brand choices, based on the active ingredient of the drug you searched for.

If you repeatedly prescribe a specific drug, the medication will be added to your frequent medication list, which you can open on the left.  

4. After selecting the medication, enter the SIG. Click into the Shorthand field to view the most common SIGs for the medication you selected. If you don’t see the SIG you want, free type the SIG in the box below.

You may associate a diagnosis from the patient’s chart and enter a start date. To discontinue the medication at a later date, you may also enter a future stop date. For additional information about discontinuing medications, click here.

If needed, enter a comment for the medication or encounter. Select Medline Plus or Patient education materials to print resources related to the medication. Click Done to simply add the medication to the encounter, or select Order to create a new prescription.

5. Review the patient’s drug formulary and any drug interaction or drug allergy alerts if present. When required, a Prior Authorization notification will also display.

You can add additional medications to the order using the Search for new medication field at the top of the order. For more information, see: How do I prescribe multiple medications in a single order?

6. Click Next to enter the dispense quantity, unit, and number of refills. Although you may send a custom note to the pharmacy using the Note to pharmacy field, this field should not contain redundant or conflicting information that has already been entered as part of the prescription. You may also record an internal Rx comment for your own reference.

Note: If you have previously prescribed the medication for this patient, the SIG, quantity, unit, days supply, and number of refills will automatically be pre-populated. You may also use the fly-out pane to review the patient's recent prescription details.

Selecting a Pharmacy

1. Next, review your prescription summary. Practice Fusion will automatically display an eCoupon notification for eligible medications on the Order Summary. From this screen, you will also select the pharmacy. The default pharmacy will be the last one you sent an e-prescription to for this patient. Open the window on the left by clicking the blue tab to see all pharmacies you’ve previously selected for the patient. 

2. To search for a new pharmacy, click on the selected pharmacy. You can narrow your search with the provided filters, then search for the pharmacy by typing the first few letters of the pharmacy name or the zip code. You can also use the facility address or patient address buttons to easily find pharmacies close to either location, or utilize Additional search options. Once you’ve found the desired pharmacy, click Select.on a pharmacy name to select it for this order.

4. Click Next to review all script details.

5. For users whose state laws mandate the inclusion of the Supervising provider, please select from the drop down. Note: Only providers who are active in the EHR and enabled for e-prescribing will be displayed in the drop down.

6. Click Send eRx to instantly send the e-prescription to the pharmacy.

Alternatively, select the down arrow next to 'Send eRx' to print or simply record the prescription.  

Note: When printing a prescription, the format you select (Standard, New York, Ohio) will be the default the next time you print

Status of an eRx

You can review all e-prescriptions for a patient in their timeline, including the pharmacy details, prescriber and status.

Error Messages

You could encounter an error message when trying to order an Rx. The most common errors can be resolved by adding the missing information in the patient Profile (i.e. zip code and address). The provider will also need to enter a valid NPI. Any admin can do this by clicking Settings in the upper-right corner of the EHR, then selecting Users under Practice Settings. Select the provider from the list, enter their NPI, and click Save.

For additional information, please see:


  1. How do I sign up for eRx (e-Prescribing)?
  2. How do I send an eRx (e-Prescription)?
  3. How do I process eRx (e-Prescribing) refill requests?
  4. How do I prescribe multiple medications in a single order?
  5. How do I locate, select, or change a pharmacy for eRx (e-Prescribing)?
  6. Why am I unable to send an eRx (e-Prescription)?
  7. What do eRx (e-Prescribing) error messages mean?
  8. Activating e-prescribing of controlled substances (EPCS): Step 1 of 2
  9. How do I send e-prescriptions (eRx) and approve refills for controlled substances?
  10. How do I print and format prescriptions?
  11. What is the status of my eRx (e-Prescribing) request?
  12. Prescription Formulary FAQ's
  13. How do I edit my Drug-Drug and Drug-Allergy Interactions Settings?
  14. How do I add my NPI and DEA numbers to printed prescriptions?
  15. Can I be enabled for e-prescribing on two Practice Fusion accounts at the same time?
  16. How do I edit a refill sent by the pharmacy?
  17. Can I e-Prescribe through multiple eRx vendors?
  18. How do I add a pharmacy to the database?
  19. How can I discontinue a medication?
  20. How can you see the status of an eRx (e-Prescription)?
  21. How does I-STOP affect my practice and what is Practice Fusion doing to prepare for EPCS?
  22. How do I sign up for eRx or EPCS if I have a credit freeze?
  23. What does the eRx (e-Prescribing) "Pending" status mean?
  24. How do I disable my e-prescribing with Practice Fusion?
  25. How do I re-activate eRx (e-Prescribing)?
  26. How can I help a provider verify eRx (e-Prescribing) credentials?
  27. How can I disable refill requests?
  28. How do I update my phone or fax number for eRx (e-Prescribing)?
  29. Who can send an e-prescription?
  30. Why am I not receiving eRx (e-Prescribing) refills?
  31. What if I fail e-Prescribing (eRx) verification?
  32. Setting up EPCS e-signing permissions: Step 2 of 2
  33. How do I use eCoupons?
  34. How do I use ePrior Authorization?
  35. How do I print an e-Prescription receipt?
  36. How do I update the VIP Access application for EPCS?
  37. How do I use medication adherence?
  38. Why am I receiving an alert to update my medical license?
  39. How do I find less expensive, more convenient medication alternatives?
  40. What does it mean when a patient medication is no longer available?
  41. Ohio Prescription Instructions
  42. How does the Maine EPCS Opiates Mandate under L.D. 1646 affect my practice?

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