EHR eRx modules
Embedded prescribing inside an EHR or clinical documentation product.
E-Prescribing
E-prescribing software with Surescripts routing and EPCS
We build eRx into clinical apps and EHRs — Surescripts network connectivity, EPCS for controlled substances, and a live drug database with interaction, allergy, and formulary checks at the point of prescribing.
HIPAA-ReadySurescriptsEPCSAudit Logged
Trusted by global innovators
What e-prescribing actually requires
E-prescribing is more than sending a fax replacement. A production eRx module routes prescriptions over the Surescripts network using the NCPDP SCRIPT standard, checks the drug against an interaction and allergy database in real time, and confirms the medication against the patient's formulary and benefit before the clinician signs. Getting any of those wrong pushes work — and risk — back onto the pharmacy and the patient.
Controlled substances raise the bar further. EPCS (Electronic Prescribing for Controlled Substances) requires DEA-compliant identity proofing, two-factor authentication, and a tamper-evident audit trail on every transaction. We build the full loop — drug database, benefit and formulary checks, medication history, and EPCS — so prescribing is safe, compliant, and fast in the exam room.
What it is
The full prescribing loop, not just a send button
E-prescribing routes a prescription electronically from the clinician to the pharmacy over the Surescripts network, with safety and benefit checks built into the moment of ordering. It replaces phone and fax with a structured, auditable, standards-based transaction.
A complete module handles new orders, renewals, changes, cancellations, controlled substances via EPCS, and medication history reconciliation — all written back to the chart with a compliant audit trail.
Prescribing architecture
See how we wire Surescripts connectivity, the drug database, EPCS identity proofing, and EHR write-back across the prescribing workflow.
What we build into e-prescribing
Each capability ties a prescribing step to the network, standard, or database that makes it safe.
Surescripts network routing
Certified connectivity to the Surescripts network using NCPDP SCRIPT for new prescriptions, renewals, change requests, and cancellations — routed to the patient's chosen pharmacy in real time.
EPCS for controlled substances
DEA-compliant Electronic Prescribing for Controlled Substances with identity proofing, two-factor authentication, and a tamper-evident audit trail on every Schedule II–V transaction.
Drug database & interactions
Integration with a licensed drug database (First Databank, Medi-Span, or RxNorm-mapped) for real-time drug-drug, drug-allergy, and duplicate-therapy checking at the point of order.
Formulary & benefit checks
Real-time prescription benefit and formulary lookups so clinicians see coverage, prior-auth flags, and lower-cost alternatives before the prescription is signed.
Medication history
Pull patient medication history from the network to reconcile active meds, surface adherence gaps, and reduce duplicate or conflicting prescriptions.
EHR write-back & audit
Every prescription, change, and cancellation is written back to the chart and logged in an immutable audit trail aligned to HIPAA and DEA recordkeeping requirements.
Where it runs
Prescribing use cases we build for
Telemedicine prescribing
eRx integrated into virtual visits with pharmacy routing and EPCS.
Specialty & behavioral health
Controlled-substance workflows for psychiatry, pain, and addiction medicine.
Urgent care & retail clinics
Fast prescribing with formulary checks for high-throughput settings.
Digital health platforms
Consumer-facing care apps that need compliant prescribing built in.
Medication management
Reconciliation and adherence tools built on network medication history.
Prescribing that clears certification
eRx fails when certification and EPCS are treated as afterthoughts. We plan them from week one and build the safety checks in, not on.
NCPDP SCRIPT
Surescripts network standard
EPCS
DEA-compliant controlled substances
Real-time
Interaction & formulary checking
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
Prescribing standards in our SDLC
NCPDPEPCSRxNormFHIRHIPAA
Our Process
How we ship e-prescribing
Surescripts certification, drug-database integration, and EPCS provisioning run in parallel so the module reaches production prescribing, not a sandbox demo.
1.
Discovery & certification path
We map your prescribing workflows, target pharmacies, and the Surescripts certification and EPCS requirements before building, so nothing stalls at go-live.
Compliance-first design
2.
Drug database & checks
We integrate the drug database and build real-time interaction, allergy, and duplicate-therapy checking into the ordering flow.
Patient-safety core
3.
Surescripts & EPCS
We connect to the Surescripts network via NCPDP SCRIPT and implement DEA-compliant EPCS identity proofing and two-factor signing for controlled substances.
Network certified
4.
Testing & go-live
Certification testing, formulary and benefit validation, and phased rollout with prescription-status dashboards and failed-transaction alerting.
Always audit-ready
Featured case study
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant delivery: on Lera Health we built the privacy-first data layer and secure clinical workflows end to end — the same discipline around identity, PHI handling, and auditability that certified prescribing demands.
Why Partner With Us
15-Minute Scoping CallWhy teams build eRx with us
Prescribing is safety-critical and heavily regulated. We bring the standards fluency and compliance discipline it demands.
Compliance-first by default
EPCS, DEA identity proofing, and HIPAA audit controls designed into the workflow from sprint one — not retrofitted before certification.
Standards & network fluency
NCPDP SCRIPT, Surescripts, and RxNorm are part of our vocabulary, so your team isn't explaining the network to us.
Faster path to certified
We plan Surescripts certification and EPCS provisioning into the schedule as parallel tracks, not last-minute blockers.
Workflow-obsessed UX
Prescribing that fits the exam-room rhythm — fast search, sane defaults, and interaction alerts that inform instead of nag.
Frequently Asked Questions
Cost depends on whether you need standard prescribing only or full EPCS for controlled substances, plus drug-database licensing. Basic eRx routing is a smaller module; adding EPCS identity proofing, formulary checks, and medication history makes it a multi-month effort. We scope in phases and factor third-party licensing (drug database, Surescripts) into the estimate up front.
Adding e-prescribing to your platform?
Tell us your prescribing workflows and whether you need EPCS. We'll return a phased plan covering Surescripts certification, drug-database integration, and EHR write-back.
contact@agnotic.com
Partnerships
contact@agnotic.com