ePrescribing & Medication Orders in RXNT
Select the correct medication. Complete every instruction. Send it to the correct pharmacy.
This workflow explains how authorized providers should review the patient’s medication profile, create a new prescription, renew or discontinue an existing medication, verify pharmacy information, and submit medication orders electronically through RXNT.
← Return to RXNT CenterWorkflow Purpose
Electronic prescribing in RXNT should result in a complete, accurate, and clinically appropriate medication order that clearly communicates the intended treatment to the receiving pharmacy.
This page focuses on actions completed inside RXNT. Clinical decision-making, medication selection, informed consent, patient education, controlled-substance agreements, monitoring requirements, and refill standards remain in the applicable TNC SOPs and provider protocols.
- Confirm the correct patient and active encounter.
- Review allergies and the current medication list.
- Select the exact medication, strength, and formulation.
- Enter complete directions for use.
- Confirm quantity, refills, and duration.
- Associate the correct diagnosis when required.
- Verify the patient’s preferred pharmacy.
- Review interaction, allergy, and duplicate-therapy alerts.
- Submit the prescription and confirm transmission status.
Critical Standards
Confirm the patient’s full name, date of birth, active encounter, and location before opening the prescribing workflow.
Confirm medication allergies and documented reactions before selecting or renewing a prescription.
Verify medication name, strength, dose form, route, and formulation before continuing.
Verify the correct pharmacy location before transmitting. Do not assume the pharmacy on file remains current.
ePrescribing Overview
Review Chart
Confirm allergies, medications, pharmacy, diagnosis, and relevant clinical information.
Select Medication
Search for and choose the exact medication, strength, formulation, and route.
Complete Directions
Enter dose, frequency, route, quantity, refills, duration, and patient instructions.
Review Safety Alerts
Evaluate allergy, interaction, duplicate-therapy, and clinical warning messages.
Send and Confirm
Transmit to the verified pharmacy and confirm the prescription status.
Prescription Details to Review
Name & Strength
Confirm the exact medication, strength, formulation, and route. Review carefully for look-alike or sound-alike options.
Sig Instructions
Enter clear directions including dose, route, frequency, timing, duration, and special instructions when applicable.
Quantity & Refills
Confirm the quantity matches the intended duration and verify the number of authorized refills before submission.
Pharmacy
Verify the pharmacy name, address, city, and location with the patient before transmitting the medication order.
Diagnosis
Associate the medication with the correct diagnosis or clinical indication when required by the prescribing workflow.
Allergies & Alerts
Review all displayed allergy, interaction, duplicate-therapy, dosing, and other safety messages before proceeding.
Existing Prescription
When renewing, confirm the medication remains active, the dose is unchanged, monitoring requirements are complete, and the correct pharmacy is selected.
Medication Status
Update discontinued medications according to provider direction so the active medication list accurately reflects current therapy.
Important RXNT Alert Rule
Do not automatically override allergy, interaction, duplicate-therapy, dose, or other medication warnings. Review the alert, determine whether provider action is required, and document the clinical decision when appropriate. If the warning cannot be resolved safely, do not transmit the prescription until the concern has been reviewed.
Controlled Medication Reminder
Controlled medication prescriptions require the appropriate provider authorization, identity verification, prescribing credentials, electronic signature process, and supporting documentation. Follow all applicable federal, state, TNC, and RXNT requirements before submission. Staff members must never prescribe, approve, or sign a controlled medication order on behalf of a provider.
Step-by-Step ePrescribing Workflow
Open the Correct Patient and Encounter
Confirm the prescription is being entered in the correct patient chart and visit context.
- Verify the patient’s full name and date of birth.
- Confirm the active encounter and date of service.
- Confirm the prescribing provider and clinic location.
- Review the visit documentation supporting the medication order.
Review Medications, Allergies and Pharmacy
Review the patient’s current profile before entering a new prescription or approving a renewal.
- Verify active medications.
- Identify duplicate or conflicting therapy.
- Confirm medication allergies and reactions.
- Confirm the patient’s current preferred pharmacy.
- Review relevant recent medication changes.
Select the Exact Medication
Search RXNT and choose the specific product intended by the provider.
- Medication name
- Strength
- Tablet, capsule, liquid, cream, inhaler or other formulation
- Route of administration
- Brand or generic selection when clinically relevant
Enter Complete Directions
The prescription instructions must clearly communicate how the patient should use the medication.
- Dose or number of units
- Route
- Frequency
- Timing
- Duration
- As-needed reason, when applicable
- Special instructions
Confirm Quantity and Refills
- Verify the quantity matches the intended dosing and duration.
- Confirm the correct unit of measure.
- Enter only the number of refills authorized by the provider.
- Review whether follow-up or monitoring is required before additional refills.
- Confirm the prescription is not unintentionally duplicated.
Associate the Diagnosis
Attach the appropriate diagnosis or clinical indication when required.
- Select the diagnosis relevant to the medication.
- Do not select an unrelated diagnosis merely to complete the field.
- Confirm the diagnosis is supported by the encounter documentation.
- Escalate diagnosis questions to the prescribing provider.
Review RXNT Safety Alerts
- Allergy warnings
- Drug-to-drug interactions
- Duplicate therapy
- Dose warnings
- Age or condition-related warnings
- Formulary or coverage messages
Do not bypass an alert without reviewing and addressing the concern.
Verify Pharmacy and Submit
- Confirm the pharmacy name and location with the patient.
- Review the complete prescription one final time.
- Apply the appropriate electronic signature or authorization.
- Transmit the prescription.
- Confirm the prescription status before leaving the workflow.
Resolve Failed or Rejected Prescriptions
A prescription is not complete until the transmission status has been reviewed.
- Confirm whether the prescription was sent successfully.
- Review rejection or failure details.
- Correct pharmacy or prescription information when appropriate.
- Do not repeatedly resend without first reviewing the failure reason.
- Document and escalate unresolved transmission problems.
✅ Best Practices
- Reconcile medications before prescribing.
- Use complete, patient-friendly instructions.
- Confirm the pharmacy at every prescribing encounter.
- Review quantity against the dosing instructions.
- Confirm successful transmission before closing the chart.
- Document the clinical reason for significant medication changes.
⚠️ Common Errors
- Selecting the wrong strength or formulation.
- Using incomplete directions such as “take as directed.”
- Sending to an outdated pharmacy.
- Entering a quantity that does not match the intended duration.
- Authorizing incorrect refills.
- Ignoring duplicate-therapy warnings.
- Assuming a prescription transmitted successfully.
⬆️ Escalate Immediately
- A medication allergy conflicts with the prescription.
- A serious interaction or contraindication appears.
- The intended medication or strength cannot be located.
- The pharmacy reports a significant prescription discrepancy.
- A controlled prescription cannot be signed or transmitted.
- The prescription continues to fail after the information is verified.
- The patient reports a severe or unexpected medication reaction.
Documentation Examples
✅ Good Documentation
Medication list and allergies reviewed. Patient confirmed CVS Pharmacy on East Main Street as preferred pharmacy. Lisinopril 20 mg tablet prescribed: take one tablet by mouth once daily. Quantity 30 with two refills. Prescription transmitted successfully. Follow-up scheduled in three months.
❌ Poor Documentation
Refill sent. Patient aware. Meds okay.
Prescription Status Guidance
Submitted
The prescription has been entered for transmission but may not yet have been accepted by the pharmacy network.
Successfully Sent
The prescription was transmitted successfully. Continue to address any later pharmacy clarification or rejection message.
Failed or Rejected
The prescription did not complete successfully. Review the reason, correct the issue, and resubmit only when appropriate.
Pending Provider Action
The prescription requires provider review, authorization, signature, or another required action before transmission.