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JotPsych Notes
JotPsych Notes

E-prescribing do's and don'ts for prescribers

Sent means transmitted to the pharmacy, not ready for pickup. Confirm the exact branch before you send the prescription, and check its status afterward.

You finish the visit and send the prescription. Your patient asks which store to go to, and when the medication will be ready.

3 do's and 3 don'ts for sending an e-prescription
what gets a prescription to the right pharmacy, once
Do

Confirm the exact pharmacy branch

Check the prescription's status after you send it

Set up controlled prescribing early

DO
Avoid

Sending the same prescription twice

Changing the preferred pharmacy to move a sent prescription

Treating a cancel request as done

AVOID

The six items follow the DEA's rules for controlled prescriptions and the steps for sending a prescription in DoseSpot, the e-prescribing service that opens in a new tab from your patient's chart. Each item guards against a prescription that goes to the wrong store, goes twice, or never arrives.

What to do

Confirm the exact pharmacy branch.

Ask your patient for the street address of the store they'll use, and pick that branch in DoseSpot, not any store in the same chain. Then tell your patient which branch you chose.

Check the prescription's status after you send it.

Before you close DoseSpot, open your patient's prescriptions and check the status and pharmacy of the one you sent. Sent means the prescription was transmitted to that pharmacy. Sent doesn't mean ready. Tell your patient to ask the store when the medication will be ready for pickup.

Set up controlled prescribing before you need it.

Your setup for electronic prescribing of controlled substances (EPCS) starts in Account Settings, under E-Prescriptions. Setup takes identity proofing once. After that, the DEA requires two of three factors to sign each controlled prescription: something you know, are, or have. Medicare counts you compliant when 70% or more of your controlled Part D prescriptions go out electronically.

What to avoid

Don't send the same prescription twice.

Closed the DoseSpot tab, or not sure the last step worked? Don't send the prescription again. Open DoseSpot for the same patient and check the existing prescription first, because sending twice can create a duplicate at the pharmacy.

Don't change the preferred pharmacy to move a sent prescription.

Changing the preferred pharmacy won't cancel or redirect a prescription you already sent. Open that prescription in DoseSpot instead, and send it to a different pharmacy, cancel it, or replace it.

Don't treat a cancel request as done.

Your cancellation or pharmacy change isn't finished when you request it. Read the new status in DoseSpot. Still unclear? Call the pharmacy before you tell your patient where to go.

What to tell your patient after you send a prescription
three lines for the end of the visit
Say this

Your prescription went to [branch] on [street].

The status is sent, and sent doesn't mean ready.

Ask the store when your medication will be ready.

The three lines name the pharmacy branch and the status you checked in DoseSpot. Your patient then knows which store to call, and that sent doesn't mean ready.

In JotPsych, the prescribing bell lists failed sends, prescriptions a proxy prepared for your review, and refill and change requests. Each row opens your DoseSpot workspace in a new tab.

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Sources:
  1. DEA, 21 CFR 1311.105, identity proofing for two-factor credentials, read October 2, 2026.
  2. DEA, 21 CFR 1311.115, the two-factor signing rule, read October 2, 2026.
  3. Centers for Medicare & Medicaid Services, CMS Electronic Prescribing for Controlled Substances (EPCS) Program, page last modified September 29, 2026, read October 2, 2026.