New Electronic Prescription of Controlled Substances (EPCS) Workflow

In compliance with migration to the National Council of Prescription Drug Programs (NCPDP) SCRIPT Standard v2017071, WRS has updated the workflow for e-prescribing controlled medications effective July 30, 2021.

The new EPCS workflow is as follows:

1. We have removed the “Send Controlled Prescriptions” button. To send a controlled prescription, users must now select the “Send” icon.
   1. We have added a “Schedule Level” visual cue to let the prescribing provider know what level the medication is for potential abuse. This is ranked I-V, “I” being the highest potential for abuse and “V” the lowest.

   

2. After selecting the “Send” icon, the user will be taken to the “Prescription Details” preview page. It will now display additional information such “Schedule Level” and “Vital Signs” information.
   
3. Selecting the “Approve & Sign” button will take the user to the sign off page where they will enter the token password and security code.
   
4. Selecting the “Sign + Send” button will sign and send the controlled prescription.
   

Other Changes

Cancel Prescription Field Removed

Previously, there was a “Cancel Reason” field towards the bottom of the page. This has since been removed as it is no longer a requirement

NADEAN REQUIREMENT

Narcotic Addiction DEA Number (NADEAN) identification number is now required for clinicians to prescribe controlled medications for opioid dependency treatment. The NADEAN ID is entered in Administration > Resource Management > General.

Please Note: Non-compliance will result in the prescription NOT being sent to the pharmacy.

GHB Prescription Reason: REQUIRED

When prescribing GHB medication, documentation of medical need for prescription is required in the “NOTE TO PHARMACIST” field in the following format: GHB:reason.

Please Note: Non-compliance will result in the prescription NOT being sent to the pharmacy.