Create a New Prescription (TheraNest)

Once you are inside a patient's chart in TheraNest, you can access ePrescribe with NewCrop to electronically send a prescription directly to that patient's pharmacy. To launch NewCrop from your patient's chart, click Manage Medications in the sidebar, then click the Manage Prescriptions button.

Electronically send a prescription directly to a pharmacy using NewCrop. Electronically transmitted medications display with a    Medication Source Icon on the Medications lists.

NOTE: Clicking the ePrescribe Notifications pill bottle at the top of the screen will only allow you to access ePrescribe notification information. You must launch NewCrop from inside a patient's chart in order to create a new prescription or to complete and transmit pending prescriptions.

 

Write a Prescription

NOTE: All sig information entered in NewCrop will pull into progress notes in TheraNest.

1. Enter the drug name in the Drug Search field from the Compose Rx tab, then click the Drug Search button. Enter the first four to five letters of the drug brand or ingredient name to return the best results.
   
   
   

   NOTE: Filters are available in the Drug Search drop-down. These allow you to include obsolete drugs or to limit the search to ophthalmic drugs.

   
   
2. Search results display. If there are many results, each category of drug will be minimized by default.
   Click on the Drug Name to expand the category and show the specific formulations. 
3. Select the Preferred Formulation to open the Sig Builder.
   
   
   

   NOTE: You can modify your search results or view additional drug information from the Search Results window:

   • • • Click Show Brands to display search results for other brands sharing the same active ingredient.
       • Click Monograph to link to Lexicomp.
       • Click on the Formulary Coverage link in the column on the left to review therapeutic alternatives.
       • Click the Ingredient link to display the search results based on the ingredient name.
         
         
4. Click the drop-down fields to populate the Sig Directions. 
   
   • Click the DAW/DNS checkbox to indicate the brand is medically necessary.
   • Click the PRN checkbox to indicate the medication should be taken as needed. A drop-down list of commonly used reasons will appear below.
   • Click the Timing checkbox to indicate administration timing. A drop-down list of commonly used timing options will appear below.
   • Enter Maximum Daily Dosage and MDD Unit, if applicable. This will display on RxDetails and Receipts, and will be transmitted to the pharmacy.
     
     
     
     

     NOTE: The Quantity and Frequency drop-downs may be customized in the Sig Builder Configuration section on the Admin tab.

5. Enter the Dispense Information. 
   
   • Packaging Options displays the different quantities and packages available.
   • Changes to Days Supply will recalculate the Dispense Quantity.
   • Refills may be limited or restricted if the drug is a Controlled Substance.
   • Additional Scripts allows the Prescriber to quickly make multiple copies of the prescription for future dates. This is frequently used with a follow-up mail order prescription or for scheduled drugs.
   • The Best Practices link opens Electronic Prescribing Best Practices in the NewCrop Knowledge Base.
     
     
     
6. Enter Additional Information as needed. 
   
   • Enter any Additional Sig directions or Pharmacist Messages.
   • Select a Diagnosis from the drop-down list or click the Add Diagnosis link to add a new diagnosis. 
   • Enter an Effective Date and Stop Date.
   • Click the Show in Chart checkbox to display the Pharmacist Message on the Compose Rx and Med Entry pages.
     
     
7. After the Prescription is complete, click the Prescribe button. The Transmit page launches. 
   
   • Click the Add to Favorites checkbox under the Prescribe button to save a frequently used prescription to the Favorites List.
   • To queue a prescription up, but not send it, use the Queue Rx option from the Prescribe button drop-down.
   • To return to the Compose page and discard the prescription, use the Delete option from the Prescribe button drop-down. Leaving without any selection will leave the script in Pending in its current state.
     
     
8. Review drug Interactions and Alerts if applicable. A long list of interactions may be minimized by clicking the expand/collapse toggle. 
   
   
   

   NOTE: Interactions display may be edited by a doctor on the Account/Provider Settings section from the Admin Tab.

9. Review the Prescription Directions. This information will be sent to the pharmacy exactly as it is written here.
   • The Effective Date of the prescription is shown at the left. This may be modified if you wish the prescription to not be filled until a later date.
   • The Detail button links to the full details of the prescription as it will be sent to the pharmacy.
     
     
     
10. Review the selected Pharmacy and click Transmit.
    

    NOTE: The pharmacy can be changed in the pharmacy table displayed below the Transmit button. If the desired pharmacy is not listed, you can select one from the Location Pharmacy list, using the Show Location Pharmacies checkbox, or click the Search button to search the full pharmacy database.

    
    
    
    

    NOTE: To transmit a scheduled drug, the doctor must be registered for Electronic Prescription of Controlled Substances (EPCS).