DEA Restrictions and Requirements

NextGen® Enterprise EHR Help

Electronic Prescriptions

You can electronically submit a prescription directly to a selected pharmacy. The ePrescribing feature uses the Surescripts retail and mail-order networks of pharmacies and must be set up through File Maintenance and System Administrator. You should remember the following points before submitting prescriptions electronically: Any medication you submit electronically must have a valid patient's Rx eligibility request, a valid SIG, a numeric quantity value, and a unit type. When resubmitting (including responding to refill requests) a medication previously prescribed without a valid unit type, you must update the unit type to a valid value. You can submit controlled substances electronically only if ePCS is set up. User-defined medications are not supported with Surescripts. You cannot send a medication that is not DEA Schedule 0 without the required setup. If you need supervision, you cannot send a prescription without selecting the appropriate supervising physician. Electronically Subm

NextGen® Enterprise EHR Help

Configure Medication Verification

You can enable or disable medication verification. If you enable medication verification, you are prompted to enter your password when you fax, print, or ePrescribe a medication even if the medication is not a controlled substance. Medication Verification In NextGen® Enterprise EHR, from the Main menu, select Tools > Preferences. The Preferences window opens. Select the Medications tab. Do one of the following: To enable medication verification, select Use Medication Verification. To disable medication verification, clear Use Medication Verification. Parent topic: User Permissions Parent topic: Medications Module

NextGen® Enterprise EHR Help

eRx Refill Requests from the Workflow Module Inbox

A patient Inclusion or Exclusion List may restrict your access to eRX refill requests. If you are a workflow delegate for another user or provider, you may not be able to access the same refill requests as that person. If you do not have access to a patient, the message "Restricted" appears under the Patient Name, Subject, and Description columns. For more information about Inclusion and Exclusion List viewing restrictions, go to NextGen Healthcare Success Community, and download the following documents: System Administrator Guide forNextGen®Enterprise Patient Demographics Guide forNextGen®Enterprise Orders Module User Guide forNextGen®Enterprise EHR The Clinical Tasking tab on the Workflow window displays your outstanding tasks. For an eRx refill request, you can accept, reject, approve, or deny it. You can also try to resolve unmatched eRx refill requests. After you respond to a refill request on the Clinical Tasking list, it is no longer available in the Medications module; if you r

NextGen® Enterprise EHR Help

DEA Restrictions for Refills

The Medications module supports the following Drug Enforcement Administration (DEA) restrictions: DEA controlled medications Schedule 1 and Schedule 2 cannot be refilled. DEA controlled medications Schedule 3, Schedule 4, and Schedule 5 are set to have a maximum of 5 (five) refills with a default refill value set to 0 (zero). If you have selected a higher number of refills than allowed by the DEA Federal Regulations, the DEA Limit Warning window opens. DEA Limit Warning On the DEA Limit Warning window, you can do one or more of the following: To add the medication with the selected number of refills, you can select Yes, with Requested Amnt. To add the medication with the maximum number of refills allowed by the DEA Federal Regulations, you can select Yes, with Max Allowed. To edit the number of refills, you can select No. If you do not want to see the DEA Limit Warning message, you can select Never show DEA Limit Warnings. If you do not want to see the DEA Limit Warning message for the

NextGen® Enterprise EHR Help

DEA Application Requirements

Drug Enforcement Administration (DEA) requires the application to restrict printing, faxing, and electronically prescribing controlled substances. The application applies the following rules for controlled substances: If you printed or faxed a controlled substance prescription, you cannot electronically send that prescription. If you electronically prescribe a controlled substance, you can print or fax that prescription. The printed or faxed report indicates that the printed or faxed copy is not for dispensing. If you electronically prescribe a controlled substance and the transmission fails, you can print or fax that prescription. The printed or faxed report shows a message stating the prescription was originally sent electronically to a pharmacy. The report also shows the following information: The pharmacy’s name The date and time of the eRx message A notification that the eRx message failed Note: The application meets the DEA cryptography requirements. Parent topic: DEA Requirement

NextGen® Enterprise EHR Help

Medications Module

The NextGen® Enterprise EHR Medications module enables you to prescribe, print, fax, and e-prescribe (requires enrollment) patient medications. The Medications module also enables you to educate patients on medications prescribed to them, and check whether the prescribed medication has adverse interactions with other prescribed medications, existing allergies, or known diagnoses. Drug and Medication Data Open Medications Module You can open Medications module from the Quick Button panel. No Active Medications Indicator Enabling NextGen Communication Services Enabling the PDR BRIEF The prescriber can enable the PDR BRIEF in the Preferences window or Modify Practice Information window in File Maintenance to view the drug safety information. eRx Custom Denial Reasons Setting Up Medication Deletion Reasons Patient Savings Programs Tall Man Medications Enabling Create Medication Entry Configure Medication Verification Narcotics Addiction DEA Number Layout of Medications Module Medication Se

DEA Restrictions and Requirements

Recommendations

Electronic Prescriptions

Configure Medication Verification

eRx Refill Requests from the Workflow Module Inbox

DEA Restrictions for Refills

DEA Application Requirements

Medications Module

Electronic Prescriptions

Configure Medication Verification

eRx Refill Requests from the Workflow Module Inbox

DEA Restrictions for Refills

DEA Application Requirements

Medications Module