The first part of this page covers e-prescribing through DoseSpot.
The latter sections ("Native Prescription Setup" and "Enter and Print Paper Prescriptions") relate to legacy prescribing features. Depending on your state laws, you may be sanctioned by your dental board for supplying patients with paper prescriptions.
If you're using our e-prescribing Smart Tool, first ensure you're logged into Practice-Web as a prescribing provider. Then, go to the
Family Module
with the patient selected and check that the patient’s information grid is complete and properly typed in (i.e. no extra spaces).
Pay close attention to:
First and Last Name
Date of Birth
Physical Address
Then, go to the
Chart Module
and launch electronic prescribing by clicking the eRx button in the toolbar at the top of the screen.
The main DoseSpot window should launch.
Check Patient Info
From the main DoseSpt window, click on the + sign to the right of the patient’s age to check the patient’s info.
Add Drug Allergies
Add known drug allergies or indicate no known allergies by clicking on Add/Edit Drug Allergies in the main DoseSpot window. The following dialog will open.
Search for the allergy using the Name field and enter a reaction type.
Add a Preferred Pharmacy for the Patient
Add the patient’s preferred Pharmacy by clicking on Add/Edit Pharmacies button from the main DoseSpot window. The following dialog will open.
Enter a Name and Zip Code, then click on Search.
The Pharmacy Results will show.
Hover over the preferred pharmacy until it highlights in orange and click to select.
The pharmacy chosen will appear on the left-hand side.
Click on Close to exit out of this section.
Add/ Create an ePrescription
To start preparing an electronic prescription, click on the Add Prescription button on the main DoseSpot window to search for medication.
Step 1: Type to search for the medication and method of delivery, then select it.
Step 2: Select the desired potency of the medication.
Step 3: Add the prescription details.
Click the Today button to make the eRx/EPCS effective for the current day.
Enter your Patient Directions.
Enter the number to dispense and the dispense unit*.
Enter a name for this favorite medication to reference in the future.
View, Edit, and Delete Pending Medications
The Pending Medications window will generate with a summary of the prepared prescription details just inputted.
To edit or delete the prescription or to change the pharmacy it will be transmitted to, click on the Actions button to open the dropdown menu.
Transmit an ePrescription for a Non-Controlled Substance
Click on Approve and Send in the Pending Medications section to transmit this to the pharmacy indicated, electronically.
When prompted, the Prescriber will need to end his/her 4-digit PIN.
Click Submit to transmit the eRx to the pharmacy noted.
The medications sent will be auto-added to the Patient’s Medications and Chart Progress Notes in Practice-Web.
Transmit an ePrescription for a Controlled Substance
Sending Electronically Prescribed Controlled Substances is different from sending non-controlled eRx in two ways:
Prescribers must review the patient’s history of prescribed controlled substances through the practicing state’s Prescription Drug Monitoring Program (PDMP).
Prescribers enter two methods of identity proofing, also known as Two-Factor Authentication (TFA).
After clicking on Approve and Send, the Controlled Substance – Ready to Sign window will generate with a summary of the Prescriber and Patient’s info and a summary of the prescription.
A link to the Prescription Drug Monitoring Program website for the Prescriber’s state also displays.
Prescribers must log in and review the Patient’s history of controlled substance(s) prescribed.
Once reviewed, enable the Ready to Sign checkbox.
Then, click on Sign & Send.
The Two-Factor-Authentication, or two ways to prove that the Prescriber is the user sending the prescription, prompt will generate.
1st Factor: Prescriber-created PIN (4 digits)
2nd Factor: TFA security code (6 digits) from the DUO Mobile App on Prescriber’s mobile device.
After clicking on the Sign & Send button, the Prescriber will be prompted to enter the following:
Prescriber-created PIN (4 digits)
Two-Factor Authentication security code (6 digits) from the DUO Mobile App on Prescriber’s mobile device.
The Prescriber will click on the Sign & Send button again (final time) to transmit the controlled substance to the pharmacy noted.
View Active Medications
The transmitted prescription will display under the Active Medications portion.
Hover over the Status icon to see any updates on the transmission.
Native Prescription Setup
The Prescription dialog should contain a list of every prescription your practice commonly uses. The items on the list are only used as templates when writing prescriptions for patients, so items may be freely deleted or changed without any worry of changing any patient data. You will also be able to write prescriptions that are not on this list, so the list does not have to include every possible prescription. You can add, edit, or delete prescriptions.
In the upper left of the Practice-Web screen, click on "Lists."
A drop-down menu will open.
Click on "Prescriptions." The following dialog will open.
Add a Prescription to the Prescription List
From the Prescription list dialog/ Rx Setup window, click on the "Add New" button. The following dialog will open.
In the "Drug" field, enter the name of the prescription.
Check the box if it is a controlled substance.
In the "Sig" field, enter the Patient instructions. Example: "Take 1 tab every 4 to 6 hours as needed for pain"
In the "Disp" field, enter the number of tablets to be dispensed.
In the "Refills" field, enter the number times that the patient can refill this prescription, if there is no refill allowed, and then enter 0.
In the "Notes" field, enter any desired comments.
When finished, click on the "OK" button.
Edit or Delete a Prescription That's Already in the Prescriptions List
From the Prescription List, double-click on the prescription to be deleted or edited. The Prescription dialog will open.
Edit each field as desired and click "OK" to save when finished or click the "Delete" button. If deleting, the system will prompt you to confirm your selection before permanently removing the prescription from the list.
Enter and Print Paper Prescriptions
In the patient's
Chart Module
, click on the "New Rx" button. The Select Prescription dialog will open.
From the list, double-click on the desired prescription.
The "Edit Rx" dialog will open.
Enter any desired notes in the "Notes" field.
Click on the "Print" button, this will print the prescription and add the prescription to the patient's Progress Notes.
To add the prescription to the patient's Progress Note and not print, click on the "OK" button.
If the prescription is not on the list, then from within the "Select Prescription" dialog, click on the "Blank" button.
A blank "Edit Rx" dialog will open.
Populate fields as needed.
Select a provider.
Click on the "Print" button to print and add the prescription to the patient's Progress Notes.
Or click on the "OK" button to just enter the prescription to the patient's Progress Notes and skip print.