Electronic prescribing
Your prescription goes straight to your pharmacy.
No paper slip to lose, no fax machine, no phone tag. Your clinician writes the prescription, the software checks it against your chart, and it arrives at the pharmacy you chose — usually in under a minute.
What happens
Six steps, most of them invisible to you
- 01
You pick the pharmacy
Any pharmacy in your state, or a mail-order pharmacy. You can change it any time from your portal, and we will tell you if one cannot receive electronic prescriptions.
- 02
Your clinician writes it
They select the medication and strength from our published formulary. The directions are built from structured fields — dose, route, frequency — never typed freehand, because abbreviations in handwritten directions are a well-documented source of dispensing error.
- 03
The software checks it
Before anything is sent: your allergy list, your other active prescriptions, duplicate therapy, drug interactions, pregnancy status, kidney function, and whether the quantity actually matches the days supply. A serious finding stops the prescription cold.
- 04
It is encrypted and recorded
The clinical content is encrypted before it is stored. Every step — written, checked, sent, confirmed — is written to an audit log that cannot be quietly altered.
- 05
It transmits
Over the national e-prescribing network, in the NCPDP SCRIPT format every US pharmacy speaks. Your pharmacy confirms receipt back to us.
- 06
You can watch it
Your portal shows exactly where it is: sent, confirmed by the pharmacy, or filled. If something fails, we see it and resend — you do not have to chase it.
Safety
What we check before anything is sent
- Allergies. Against the drug and its whole class, not just the exact name.
- Interactions. With everything else you are currently prescribed through us.
- Duplicate therapy. Two drugs that do the same job is a common and avoidable error.
- Pregnancy. Several medications we prescribe are absolutely contraindicated.
- Kidney function. Some doses are unsafe below a certain eGFR.
- Quantity against days supply. Catches the transposition error — 30 pens instead of 3 — before a pharmacy ever sees it.
- Refill limits. So that a monitoring interval is never silently skipped.
A high-severity finding cannot be overridden by anyone. A moderate finding requires your clinician to document a reason, which becomes part of your record.
You choose the pharmacy. Always.
We receive no payment, rebate, or commission from any pharmacy, and we own no interest in one. Where you fill your prescription changes nothing about what we are paid — which is exactly why we can tell you to shop around.
Call two pharmacies before you decide
Without insurance, the same medication can differ by hundreds of dollars between pharmacies, and mail order is often cheaper for a 90-day supply. Most clinics will not tell you this.
We prescribe no controlled substances
None, in any schedule — no stimulants, opioids, benzodiazepines, or testosterone. Our prescribing system is built so they cannot appear on the formulary at all.
The legal part
Electronic is not optional in some states
New York requires essentially all prescriptions to be transmitted electronically — not just controlled substances. Several other states have similar mandates. This is infrastructure, not a convenience feature.
Illinois
Electronic prescribing required, with limited statutory exceptions.
Indiana
Electronic prescribing required, with limited statutory exceptions.
New York
New York mandates ELECTRONIC PRESCRIBING for essentially all prescriptions, not only controlled substances. An EPCS-certified e-prescribing vendor is required infrastructure before treating any New York patient.
Refills and renewals
Your prescription carries a set number of refills. When they run out, you request a renewal from your portal and your clinician reviews it against your current chart and your monitoring — your latest labs, your weight trend, your blood pressure.
- Request from the portal in one click, any time.
- It is not automatic. A clinician reads it.
- If your required monitoring is overdue, we will ask you to complete it first. That is a safety rule, not an administrative one.
- Ask early — not on your last dose.
Common questions
How long until my pharmacy has it?
Transmission is usually under a minute. How long they take to fill it is up to them — call ahead, especially for a GLP-1, which many pharmacies do not keep in stock.
Can I use a pharmacy in another state?
Only if it is a mail-order pharmacy licensed to ship into your state. A retail pharmacy has to be in the state where you are located.
What if my pharmacy does not take electronic prescriptions?
A small number still do not. We will tell you when you pick it, and you should choose another — we do not want your prescription sitting in a fax queue.
Can I get a paper prescription instead?
Generally no, and in New York it is not permitted for most prescriptions. Electronic transmission is also safer: no lost slip, no misread handwriting.
What if the prescription does not arrive?
We see the failure before you do and resend it. If a pharmacy has a persistent problem, we will call them or help you switch.
Can you send it somewhere cheaper?
Yes — tell us and we will resend it. We will also cancel the first one so you are not double-filled.