Skip to main content

​
Overview

DoseSpot ePrescribing lets prescribers send new prescriptions, manage refills, and complete EPCS (electronic prescribing for controlled substances) workflows without leaving the patient chart. The DoseSpot interface is embedded directly in the Medications tab so prescriptions stay tied to the same chart you use for clinical documentation. Use DoseSpot when you need to:
  • Send a new prescription to a pharmacy
  • Approve or deny pharmacy refill requests
  • Send a Schedule II–V controlled substance with two-factor EPCS signing
  • View a patient’s external prescription history (PDMP / Surescripts medication history)

​
Quick reference

​
Prerequisites

Before you can use the ePrescribing tab:
  • Your organization administrator has enabled DoseSpot in Clinical Settings. See the DoseSpot ePrescribing — Admin Guide.
  • You have the cl.dosespot.view permission (assigned to prescriber roles by default).
  • Your prescriber profile has been enrolled with DoseSpot (cl.dosespot.enroll is required to complete enrollment). New users see a one-time identity-proofing prompt the first time they open the tab.
  • For controlled substances: your DEA registration and two-factor token are active.
If the ePrescribing sub-tab does not appear in a chart, DoseSpot is not enabled for your organization or your account does not have cl.dosespot.view.

​
Open the ePrescribing tab

  1. Navigate to Clinical → Charts and open a patient chart.
  2. Select the Medications tab.
  3. Select the ePrescribing sub-tab.
The DoseSpot interface loads in an embedded panel scoped to the current patient and your clinician profile. You stay inside Encore Health OS — there is no separate login. While the patient record is loading you see a Loading patient information… placeholder. If the placeholder persists, refresh the chart; the panel needs both a patient ID and your clinician ID before it can render.

​
Send a new prescription

  1. In the ePrescribing sub-tab, select New Rx.
  2. Search for the medication by name. The medication picker uses DoseSpot’s drug database, so it includes brand and generic names, strengths, and dose forms.
  3. Set:
    • Sig (directions for use)
    • Quantity and Days supply
    • Refills
    • Pharmacy — search by name, NPI, or ZIP. Mail-order, retail, and specialty pharmacies are all supported.
  4. Review the alerts panel for any drug–drug or drug–allergy warnings.
  5. Select Send.
DoseSpot transmits the prescription through Surescripts. Once acknowledged, the prescription appears in the Prescriptions sub-tab of the same Medications tab with a status of Sent.

​
Sending controlled substances (EPCS)

Schedule II–V medications require EPCS two-factor signing:
  1. Build the prescription as above. The form displays an EPCS badge when a controlled medication is selected.
  2. Select Sign & Send.
  3. Complete the EPCS prompt:
    • Enter your DoseSpot password.
    • Approve the push notification or enter the one-time code from your hardware/soft token.
  4. The prescription is signed, transmitted, and an immutable EPCS audit entry is written.
If two-factor fails or your token has expired, the prescription is held as a draft. Contact your administrator to refresh your EPCS credentials.

​
Manage refill requests

Pharmacy refill requests route to the Pending queue inside the DoseSpot panel.
  1. Open any patient chart → Medications → ePrescribing.
  2. Select Pending. Requests for the active patient appear at the top.
  3. For each request, select:
    • Approve — sends the refill authorization.
    • Approve with changes — adjust quantity, days supply, or sig before approving.
    • Deny — pick a reason (e.g., Patient should contact provider).
Approved refills show as new prescription records in the Prescriptions sub-tab.

​
View external medication history

DoseSpot can return a patient’s medication fill history from Surescripts (pharmacies and PBMs). To view it:
  1. In the ePrescribing sub-tab, select Rx History.
  2. The history list shows medication, prescriber, pharmacy, fill date, and days supply.
Use this view to reconcile what the patient is actually filling against what is documented in their chart.

​
How DoseSpot interacts with the rest of the chart

​
Troubleshooting

​
Permissions