Creating a Prescription (Rx) in RxExpress

Brian Naujoks -

Creating a prescription (Rx) in RxExpress is a simple process. This article will walk you through that process. You can either review the entire article to learn the process, or you can click one of the links below to jump to a specific step.

Creating the Prescription
Overview
Client/Complex
Animal Identification
Pharmacy/Distributor
Drug
Veterinarian
Signing the Prescription

Creating the Prescription

Prescriptions are created from the Workspace. To begin, click the + New Record button in the top-left corner of the screen.

 

Next, select the Prescription option from the Select Workflow menu.

 

By default, RxExpress will name your prescription with the word "Prescription" and the date and time it was created. You can leave this as is, or you can enter a new name. Click the Create Case button when you are happy with the name. 

RxExpress will bring you into the prescription. On the left side, you can see the steps that RxExpress will walk you through to complete the process. 

A brief overview of each step is included in the table below. You can find more detail about each step in the following sections. 

Step Name Description
Overview This is where you start. This provides the unique prescription identifier and allows you to add notes and documents to the prescription. There is also a change history, which tracks who is making changes to the prescription. Veterinarians can also sign the prescription from this step.
Client/Complex This step is where you will enter information about the client and, if needed, information about the premises where the animals are kept. 
Animal Identification This is the step where you will specify the individual animals that will be treated with the prescription.
Pharmacy/Distributor This step is where you will enter the information to identify the pharmacy or distribution location where the medication will be picked up by the client.
Drug This is the step where you will identify the drug being used and the drug levels. This steps allows creation of both on-label and off-label prescriptions.
Veterinarian This is the step where you will identify the veterinarian who will be signing this prescription. Veterinarians can also sign the prescription from this step.

Overview

The Overview step allows you to add notes and documents to the prescription. These are only available to users who have access to the prescription within RxExpress. They are optional, so you can skip these sections if you have no use for them. 

The last section on the page provides a running summary of changes that are made to this prescription, who made those changes, and when they were made. 

 

Users will also see a blue button near the top of the page.

  • For veterinarians, this button will read "Complete and Sign" and will add the veterinarian's electronic signature to the form and move it to the Active column in the Workspace.
  • Other users will see a button called "Submit to Veterinarian for Review", which will move the prescription to the Review column in the Workspace. 

Client/Complex

The Client/Complex step is divided into two sections: the Client/Complex section and the Premises section. 

Client/Complex

This step is where you will identify the client you are writing this prescription for. The name and address information fields are required. The remaining fields are not required, so you can enter the information as needed. 

If you provide an email address for the client, they will receive an email with a PDF copy of the prescription once it has been signed. 

Once you've identified a particular client on this step, you can use Memorize to quickly fill out the client's information on any future prescriptions you write for them.

Premises

The premises section is optional and is provided for prescriptions for animals that are not identified by individual name or identifier. For example, chickens are identified based on the farm they are on and the houses they are in. The Premises section allows you to add the farm information when identifying animals like this.

More information about using premises can be found in a different article: Overview of Managing Premises in RxExpress.

Animal Identification

This step allows you to enter information about the specific animals that are being treated with this prescription. The Name(s)/ID(s) and Species fields are required. All other fields can be filled out as needed.

If you had previously identified premises for animals that are not identified individually, select the appropriate species, and use the Name(s)/ID(s) field to specify what houses (or coops, pens, etc.) the prescription is for. 

 

Once you've identified a particular set of animals on this step, you can use Memorize to quickly fill out the same information on any future prescriptions that would treat the same animals. 

 

Pharmacy/Distributor

This step is where you identify the pharmacy or distribution center where the client will purchase or pick up the medication. The name and address information is required, and you can enter any additional information as required.

 

Once you've identified a particular pharmacy on this step, you can use Memorize to quickly fill out the same information on any future prescriptions that utilize the same pharmacy.

 

Drug

The drug step is where you will choose the drug for the prescription.

To begin, select a drug from the Drug menu by clicking where it says "Select a Drug".

You can scroll through the list to find the drug you are looking for, or you can type the name of the drug in that field, and it will filter the drug list based on the word you entered. 

 

Some drugs will show up more than once in the list. This happens when a drug has multiple indications. Select the appropriate indication if you are writing an on-label prescription, or select any of the indications if you are writing an off-label prescription.

Note: If you are writing a prescription for a drug that does not have any on-label indications for the species you want to treat with that drug, do the following:

  • Select a species that the drug you want has an on-label indication for.
  • Follow the off-label process outlined below, and choose another species

On-Label

When you select a drug and indication from the Drug menu, RxExpress will show you the on-label interface by default. Information from the label, such as cautionary statements and the label indication will be provided. Simply fill out the drug level, instructions, and refills. 

If you'd like to include a copy of the full label to anybody who you've identified by email address on this prescription, select the Append Drug Label to Report option.

 

Finally, you have the option to enter a Script Name. Doing so will name this entry according to the Script Name and add it to your Memorize. This allows you to create a drug level and set of instructions that you can reuse on future prescriptions. 

For example, in the screenshot above, we entered "Training Script" in the Script Name field. On future prescriptions, we can quickly fill out the same information by selecting that from Memorize. 

 

Off-Label

RxExpress also allows you to write off-label prescriptions. To do so, select the Off-Label Prescription option. This will allow you to enter a custom indication and withdrawal time in addition to the drug level, instructions, and refills.

 

You also have the option to choose a different species for this prescription. This is useful with the drug you are prescribing doesn't have an on-label indication for the species you want to treat. To do this, select the Specify Other Species option, and enter the species in the Other Species field. 

 

Finally, you can enter a Script Name to save this custom, off-label information in your Memorize for use in future scripts. For example, in the screenshot above, we entered "Training Script Off Label" as our Script Name. This is what it will look like in our Memorize if we want to select it for future prescriptions. 

 

Veterinarian

On this step, you will enter the information about the veterinarian who will sign this prescription. The last name, address information, and state of license are required, and you can enter any other information as necessary. 

 

Once you've identified a particular veterinarianon this step, you can use Memorize to quickly fill out the same information on any future prescriptions for the same veterinarian.

 

Veterinarians will see the blue "Complete and Sign" button on this step and can click it to sign and activate this prescription.

Signing the Prescription

Once all the information has been entered on the prescription, a veterinarian can sign it. 

The Complete and Sign button can be clicked on either the Overview or Veterinarian step - they both work the same way.

 

Once the veterinarian has signed the prescription, RxExpress will move it to the Active column on the Workspace, and it will automatically send out emails to any party identified on the prescription. 

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