Prescribe Therapeutic Alternatives for On-Formulary Medications

You can prescribe therapeutic alternatives to selected On-Formulary medications for a patient in the NextGen® Mobile Medications module. Therapeutic alternatives are medications that are chemically different but provide a similar therapeutic effect as the prescribed medication.

1. Open NextGen® Mobile.
2. Open the Patient Chart view for your patient.
3. Select Today's Visit.
   Note: You must select an unlocked encounter or create an encounter.

   In NextGen® Mobile, the Medications module is available for NextGen® Enterprise EHR 6.2021.1 and later versions.

4. Select the open icon or View All next to Medications (Rx).
   In Medications, the patient's active medications appear.

   Note: The Prescribe New Rx option is available for default provider active encounters.
5. Select Prescribe New Rx, and then do one of the following:
   • To select medications from the ambient assist suggestions, select the Suggested tab.
   • To select medications from favorite groups or the main list, on the Favorites or Search tab, search for the prescribed medications.
   On the Suggested tab, you can select the corresponding medication information icon to view the medication and sig evidence. On the Favorites tab, the favorite medication groups you added in NextGen® Enterprise EHR appear. You can also create favorite groups in NextGen® Mobile.
6. Select the filter icon to make the Include Therapeutic Alternatives option available.
7. Select the prescribed medication, and then select the therapeutic alternatives.
   You can select up to nine therapeutic alternatives to the prescribed On-Formulary medications in Prescribe New Rx.
8. Select Yes to verify the current formulary status of the selected medications.
   If the selected medication is On-Formulary, the Formulary Details window displays the medication's dosage and formulary status. You can select the more icon to view the co-pay, coverage, and step therapy details for the medication.
9. Select either the prescribed medication or one of the therapeutic alternatives, and then select Next.
10. In Drug Alert, review and select Acknowledge next to each interaction, or select Scroll to the bottom and then select Acknowledge All & Continue.
    You can select a reason from the existing Drug Utilization Review (DUR) reasons, or you can add a reason as a comment to the interaction or to all interactions. You can cancel the DUR interaction by selecting Back on DUR Alert.
11. In Sig, on the Standard tab, select the necessary patient sig, medication instructions, diagnosis, indications, and prescription details, and then select Next.
    You can select sig text from the FDB (First Databank) default, FDB sig, and custom sig to ensure that patients receive accurate directions for medication use. If necessary, you can turn on Take as Needed (PRN).

    Note: If you do not have eRx permissions, the Rx Details view is not available. If the medication start date is later than the encounter creation date, the medication is saved to the Pending tab.
12. In Rx Details, select Add or Edit next to each section to add the necessary information, and then select Review & Send.
    Note: In Additional Rx Details, if you select the Prescribed Elsewhere checkbox, the Review & Send option is not available.

    If you select Save in Rx Details, the medications are saved to the pending medications list.

    If the selected medication is a controlled substance (CS), the PDMP view opens, and you can review and acknowledge the Prescription Drug Monitoring Program (PDMP) report.
13. In Review, review the medication and other information, and then select Send to eRx.
    For CS medications, after you acknowledge the PDMP interaction, the Send eRx view opens. Here, you can view the summary of prescribed medications and authenticate the prescription with the IdenTrust™ Mobile Authentication Service (MAS) credentials or Symantec VIP token.
    The prescription is submitted to the patient's preferred pharmacy.