DoseSpot eRx / Prescription

Use DoseSpot to select patients who will receive electronic prescriptions.

In the Chart Module, click eRx.

Providers and proxy (non provider) clinicians can begin using DoseSpot to send ePrescriptions after DoseSpot Setup is complete.

For details on using DoseSpot through Mobile Web, see Mobile Web eRx.

Overview: There are six main steps to using DoseSpot. First enable DoseSpot for your providers/proxy clinicians.

  1. Select a patient.
  2. Add allergies.
  3. Add current medications.
  4. Add a pharmacy.
  5. Prescribe new medications.
  6. Subscribe to eRx alerts. See Alert Subscription.

At any point, click Walk Me Through at the bottom of the interface to launch a step by step tutorial walkthrough for all processes in DoseSpot.
Also see the DoseSpot User Guide.

Note: Not all functionality noted in the DoseSpot User Guide is supported by Open Dental.

To launch DoseSpot with a different patient, close the DoseSpot interface, select a new patient in Open Dental, then click eRx in the Chart Module.

Note:
  • When proxy (non-provider) users select the eRx button, they will need to select the provider they are creating the prescription for from the list. Providers who are scheduled for today will show. If the provider is not scheduled, they can use the "show all" box to see a full list of providers.
  • Proxy users can only create pending prescriptions. A registered provider must complete the sending process.

Add Allergies

  1. In the Patient Details dashboard, Drug Allergies area, click Add/Edit Drug Allergies. Allergy information already entered for the selected patient shows here.
  2. Check No Known Allergies if the patient has no allergies.
  3. Fill in the information.
    • Allergy: Begin typing the drug name and a list will appear. Select the correct drug from the list.
    • Status: Select Active or Inactive. The default is Active.
    • Reaction Type: Select Allergy or Adverse Reaction.
    • Reaction: Enter the reaction the patient gets from the drug.
    • Onset: The date of the first occurrence of the allergy.
  4. Click Save.

Prescribing a drug the patient is allergic to results in a warning in the Patient Details dashboard.



Add Existing Medications

DoseSpot supports two-way medication syncing. Medications added to DoseSpot automatically list in Open Dental, and medications added in Open Dental automatically list in DoseSpot. Self-reported medications can be edited from both Open Dental and DoseSpot.

By default, all medications added in Open Dental import to DoseSpot as Patient Reported.

  1. In the Patient Details dashboard, click Add Patient Reported.
  2. In the Search field, begin typing the medication name and it will appear. Select the correct medication from the list. If the medication does not appear, manually enter it and click Add.
  3. The medication will appear in Medications to Add.
  4. Click Save.

Patient reported (or self reported) medications will appear in Medications in Open Dental and in the Patient's Active Medications area as a comment icon in DoseSpot.

Add a Preferred Pharmacy

You must add a pharmacy to the patient before medications can be sent electronically. Preferred pharmacies list under Add/Edit Pharmacies in the Patient Details dashboard.


  1. In Patient's Preferred Pharmacies, click Add/Edit Pharmacies.
  2. Use the Search By or Specialty dropdowns to filter the pharmacy list, or enter the pharmacy info in the provided fields. Select EPCS in Specialty for EPCS pharmacies.
  3. Click Search.
  4. Click the preferred pharmacy from the pharmacy list to add it to the patient.
  5. To remove a pharmacy, click Add/Edit Pharmacies and select the 'x' next to Pharmacy Name.

Prescribe and Send New Medications

Prescribing New Medications

  1. In the Patient Details dashboard, click Add Prescription.
  2. In the Search field, begin typing the medication name and it will appear. Select the correct medication from the list.
  3. Click the dosage amount listed under the medication.
  4. Fill out the following fields:
    • Effective Date: This is a required field for controlled substances, and must be within six months of the day the prescription is written.
    • Patient Directions
    • Dispense Amount
    • Number of Refills: Schedule II medications cannot have a refill. Enter zero (0) in that case. Schedule III, IV and V may have five (5) or fewer refills. Non controlled substances may have 99 or fewer refills.
    • Days Supply: Cannot exceed 365 days. Schedule II medications require this field and cannot exceed 90 days.
    • Check No substitutions if needed.
  5. If your state requires it, add ICD/ADA code in the Pharmacy Notes. Click Show Pharmacy Notes below Save Prescription.
  6. Click the star icon to save this medication to favorites. Click Save Prescription.

Sending New Medications

  1. Scroll down to Pending Medications.
  2. Check the box next to the medication to select it.
  3. Enter the provider's PIN.
  4. Click Approve & Send.

Non controlled substances: Prescriptions are sent immediately and the status is indicated with a gray arrow in the Patient's Active Medications. After refreshing the page, the gray arrow will turn into a green checkmark.

Controlled substances: The prescribing provider must Register for EPCS before sending. See DoseSpot Setup.

  1. Confirm the pharmacy and prescription.
  2. Click Ready to Sign.
  3. Enter the provider's PIN. If needed, select the link to your states PDMP website. You will need to provide your username and password.
  4. Open the Duo Mobile app on the provider's mobile device and enter the two-factor authentication (TFA) code.
  5. Click Approve & Send.

The prescription is sent and the status is indicated with a gray arrow in the Patient's Active Medications. After refreshing the page, the grey arrow will turn into a green checkmark.

Favorites

Favorites are prescriptions that you have already set up and use commonly that can quickly be prescribed for a new patient. Favorites can be edited on a individual basis but will default to the information included when the prescription was favorited.

Prescribing a Favorite

  1. In the Patient Details dashboard, click Add Prescription.
  2. Select a drug and dosage amount from the favorites list, or begin typing a drug to narrow down the favorites list.
  3. Verify the sig is correct and click Save Prescription.
  4. Send prescription as normal.

Copying the Favorites List
The DoseSpot Favorite List is user specific. If you would like a list to be copied to another user, send an email to erx@opendental.com with the user's name and names of the users it should be copied to.