To write and transmit an electronic prescription in the Legacy eRx (NewCrop eRX) interface, follow the steps below.
In the Chart Module, click eRx.
- See our Webinar: NewCrop.
- Click Help in any NewCrop eRX tab to open the help guide for the current tab.
- Go to the Admin tab to find additional Support Documentation for NewCrop eRX.
- To electronically prescribe controlled substances the prescriber must go through additional identity proofing and set up two-factor verification. See Legacy eRx EPCS Setup.
To Create and Send a Prescription
- Microsoft Edge will open with the Compose Rx tab selected. If the interface is not visible, check the task bar to ensure that Microsoft Edge is the focus.
- To find a drug:
- In the Drug Search field, enter the drug name and click Drug Search.
All matching drugs will display. If there are more 20 results total, click the dropdown next to a drug name to display all dosing options. If using the comprehensive version and the user has attached an insurance formulary to this patient, formulary status appears in the first column. Click a formulary link to see therapeutic alternatives. See Legacy eRx Drug Formulary Checks.
- Click Favorites to choose from a list of saved prescriptions.
- Click Drug Sets to choose from a list of saved groups of prescriptions.
- Click Compounds to choose from a list of saved compound drugs.
- Click on the drug and dosing combination to select it.
If using NewCrop eRX Comprehensive, the monograph, leaflet, and patient education links show at the right. Click to access.
- Enter the Sig information. Some information may automatically populate. Edit as needed. Frequency must always be selected. If prescribing a Drug Set or Compound, this window will not appear.
- If the Route or Frequency selected is as directed an Additional Sig must be entered.
- The Additional Sig field is limited to 140 characters.
- To associate an ICD code to the prescription, assign the code in the Procedure - Medical Tab of a completed or treatment planned procedure in Open Dental before clicking eRx. Up to two ICD 10 codes can be added to a prescription.
- To save this drug to the Doctor's Favorites List, check the box, Add to Favorites.
- Click Prescribe.
- By default, Location Pharmacies will be listed. Uncheck Show Location Pharmacies to see the patient's preferred pharmacies. Click Search to find a specific pharmacy. Click the pharmacy name to select.
- When the user has selected the pharmacy, click one of the following buttons:
- Transmit: Non-controlled substances will be sent automatically to the selected pharmacy.
If sending a controlled substance proceed to Step 8.
- Record: Adds the prescription to patient's active medications list. Will not be sent electronically.
- Print: Print the prescription. Will not be sent electronically.
- Leave for Staff: Send the prescription back to the pending status.
- The prescriber will enter their 4-digit pin. If this is the first time the prescriber has transmitted a controlled substance, they will be prompted to create a pin instead.
- Enter the one-time passcode. There are three options for receiving the passcode:
- Click Send Push Notification in the NewCrop eRX interface. The prescriber will receive a notification in the Authy App on their mobile device. Click Approve or Deny.
- Click the Hardware Token radio button in the NewCropRX interface. Press the button on the hardware token, and enter the generated code into the Enter Code field.
- Open the Authy App and enter the displayed code.
- Click Sign & Transmit Rx. The prescription will be sent electronically to the selected pharmacy.
The completed prescription will automatically copy to the patient's Medication List and Progress Notes in Open Dental after one of the following:
- The first time the Chart Module is opened after a patient is selected.
- After clicking the eRx button, then closing the eRx window.
- Manually clicking the eRx drop down in the toolbar, then Refresh.
In the NewCrop eRX window, click Admin in the top toolbar.
Click Compounds Maintenance in the List Maintenance area on the left.
To add a Compound Medication:
- Click New Compound.
- Enter a name for the compound (e.g., Magic Mouthwash) in the Label box.
- Click Add Ingredient.
- Type in the name of the drug in the Active Ingredients column and enter the quantity.
- Repeat for each drug in the compound.
- Enter the sig for the compound.
- Select the dispense amount dispense form from the dropdown.
- Select the schedule of the compound using the Schedule dropdown.
- Click Save to save to the Compounds List.
To edit a Compound Medication:
- Click Edit next an existing medication from the Compound Medications List.
- Make any changes to the medication (e.g., add ingredients, default sig, etc.).
- Click Save.
Drug Sets Maintenance
In the NewCrop eRX window, click Admin in the top toolbar.
Click Drug Sets Maintenance in the List Maintenance area on the left.
To Add a Drug Set:
- Click Add Set
- Enter a name for the drug set (e.g., Pre-Surgery)
- Click Add.
- Click Add under the name of the Drug Set to add a drug.
- Use the search box to look up the first drug.
- Click the drug name to add it to the drug set.
- Enter the sig for the drug.
- Click Add to Drug Set.
- Repeat Steps 4-8 for as needed to add any additional drugs to the drug set.
To edit a Drug Set:
- Click the arrow below a drug set to see the existing drugs.
- Use the Add and Remove buttons to edit the drugs in the drug set.
- Add See Steps 4-8 in To Add a Drug Set above for instructions on adding a new drug.
- Remove: Click to delete an existing drug from the drug set. Click Yes, delete when prompted to confirm the deletion.
- To verify if a prescription has gone through or see if it has failed, see Report a Failed or Missing Prescription in Legacy eRx. Offices should periodically check for rejected prescriptions, so no prescriptions slip through the cracks.
- When a medication is marked as discontinued in NewCrop eRX, the medication will also be marked discontinued (Stop Date entered) in Open Dental when the Chart Module is refreshed.
- EHR users should make sure RxNorms are attached to medications.
- To set up automation options in Open Dental when prescriptions are created, see Automation, RxCreate trigger.