Use DoseSpot to send electronic prescriptions for patients.

In the Chart Module, click eRx.

Providers and proxy (non provider) clinicians can begin using DoseSpot to send e-Prescriptions after DoseSpot Setup is complete.

• See our Webinar: Using DoseSpot
• DoseSpot can also be used with Royal dental Software Mobile.
• Also see the DoseSpot User Guide. Not all functionality noted in the DoseSpot User Guide is supported by Royal dental Software.

Overview: There are six main steps to using DoseSpot. First enable DoseSpot for your providers/proxy clinicians.

1. Select a patient.
2. Add allergies.
3. Add current medications.
4. Add a pharmacy.
5. Prescribe new medications.
6. Subscribe to eRx alerts. See Alert Subscription.

To launch DoseSpot with a different patient, close the DoseSpot interface, select a new patient in Royal dental Software, then click eRx in the Chart Module.

Add Allergies

1. In the Patient Details dashboard, Drug Allergies area, click Add/Edit Drug Allergies. Allergy information already entered for the selected patient shows here.
2. Check No Known Allergies if the patient has no allergies.
   
3. Fill in the information.
   • Allergy: Begin typing the drug name and a list will appear. Select the correct drug from the list.
   • Status: Select Active or Inactive. The default is Active.
   • Reaction Type: Select Allergy or Adverse Reaction.
   • Reaction: Enter the reaction the patient gets from the drug.
   • Onset: The date of the first occurrence of the allergy.
4. Click Save.

Prescribing a drug the patient is allergic to results in a warning in the Patient Details dashboard.

Add Existing Medications

DoseSpot supports two-way medication syncing. Medications added to DoseSpot automatically list in Royal dental Software, and medications added in Royal dental Software automatically list in DoseSpot. Self-reported medications can be edited from both Royal dental Software and DoseSpot.

By default, all medications added in Royal dental Software import to DoseSpot as Patient Reported.

1. In the Patient Details dashboard, click Add Patient Reported.
2. In the Search field, begin typing the medication name and it will appear. Select the correct medication from the list. If the medication does not appear, manually enter it and click Add.
3. The medication will appear in Medications to Add.
4. Click Save.

Patient reported (or self reported) medications will appear in Medications in Royal dental Software and in the Patient's Active Medications area as a comment icon in DoseSpot.

Deleting Medications

Medications deleted in DoseSpot will also be deleted from Royal dental Software.

Medications deleted in Royal dental Software will not be deleted in DoseSpot. Users must also delete the medication from DoseSpot.

Self-reported medications must be deleted from both Royal dental Software and DoseSpot manually.

Add a Preferred Pharmacy

You must add a pharmacy to the patient before medications can be sent electronically. Preferred pharmacies list under Add/Edit Pharmacies in the Patient Details dashboard.

1. 
   In Patient's Preferred Pharmacies, click Add/Edit Pharmacies.
2. Use the Search By or Specialty dropdowns to filter the pharmacy list, or enter the pharmacy info in the provided fields. Select EPCS in Specialty for EPCS pharmacies.
   
   Note: Searching for a pharmacy must be exact. For example "rite aid" would not result in "Rite-Aid". We recommend using city, state, or zip when searching.
3. Click Search.
4. Click the preferred pharmacy from the pharmacy list to add it to the patient.
5. To remove a pharmacy, click Add/Edit Pharmacies and select the 'x' next to Pharmacy Name.

Prescribe and Send New Medications

Prescribing New Medications

1. In the Patient Details dashboard, click Add Prescription.
2. In the Search field, begin typing the medication name and it will appear. Select the correct medication from the list.
3. Click the dosage amount listed under the medication.
4. Fill out the following fields:
   • Effective Date: This is a required field for controlled substances, and must be within six months of the day the prescription is written.
   • Patient Directions
   • Dispense Amount
   • Number of Refills: Schedule II medications cannot have a refill. Enter zero (0) in that case. Schedule III, IV and V may have five (5) or fewer refills. Non controlled substances may have 99 or fewer refills.
   • Days Supply: Cannot exceed 365 days. Schedule II medications require this field and cannot exceed 90 days.
   • Check No substitutions if needed.
5. If your state requires it, add ICD/ADA code in the Pharmacy Notes. Click Show Pharmacy Notes below Save Prescription.
6. Click the star icon to save this medication to favorites. Click Save Prescription.

Sending New Medications

1. Scroll down to Pending Medications.
2. Check the box next to the medication to select it.
3. Enter the provider's PIN.
4. Click Approve & Send.

Non controlled substances: Prescriptions are sent immediately and the status is indicated with a gray arrow in the Patient's Active Medications. Once the pharmacy electronically confirms receipt of the prescription, the grey arrow will turn into a green checkmark.

Controlled substances: The prescribing provider must Register for EPCS before sending. See DoseSpot Setup.

1. Confirm the pharmacy and prescription.
2. Click Ready to Sign.
3. Enter the provider's PIN. If needed, select the link to your states PDMP website. You will need to provide your username and password.
4. Open the Duo Mobile app on the provider's mobile device and enter the two-factor authentication (TFA) code.
5. Click Approve & Send.

The prescription is sent and the status is indicated with a gray arrow in the Patient's Active Medications. Once the pharmacy electronically confirms receipt of the prescription, the grey arrow will turn into a green checkmark.

Favorites

Favorites are prescriptions that you have already set up and use commonly that can quickly be prescribed for a patient. Favorites can be edited on a individual basis, but will default to the information included when the prescription was favorited. Favorites can be created on both a Clinic and User level.

Creating a Clinic Favorites List

1. From the Admin Console website, click Edit under the Details area for the desired clinic.
2. Select the Clinic Favorites tab.
3. Click Add New Favorite and add prescription information. Medication name, name of favorite, strength, patient directions, dispense amount, dispense unit, days supply, pharmacy notes, and substitution allowed information is needed.
4. Click Submit.

Copying Clinic Favorites

1. Select the prescriptions by checking the box to the right of each prescription. The Check All box only applies to medications on that page. You may need to go to additional pages to select additional medications.
2. Select Copy to Clinic(s).
3. Check the box to the right of each clinic that needs the list. You can use the search box to look them up by name or clinic ID.
4. Select either Overwrite Clinic Favorites or Append Clinic Favorites. This will add the clinic favorites for the selected clinic.

Creating a User Favorites List

1. Launch DoseSpot with the user logged into Royal dental Software.
2. Select Add Prescription.
3. Select the drug, drug type and dosage.
4. Fill out all sig information.
5. Click the star button.
6. Click Save.
7. Name the favorite.

Prescribing a Favorite

1. In the Patient Details dashboard, click Add Prescription.
2. Select a drug and dosage amount from the favorites list, or begin typing a drug to narrow down the favorites list.
3. Verify the sig is correct and click Save Prescription.
4. Send prescription as normal.

Lexicomp Access

Providers can access the Lexicomp Database for Dentistry via the DoseSpot interface.

• Providers do not have access to the full version of Lexicomp and will not receive credentials to access the Lexicomp website. Instead, use DoseSpot to access the Lexicomp database."
• To access Lexicomp in dosespot, click the name of a drug in the pending or active status. Once Lexicomp is accessed, providers are able to browse the Lexicomp website