E-Rx (DoseSpot) FAQs

Healthie offers a E-Rx integration with Dosespot & SureScripts as an add-on to your Healthie plan, which enables clinicians to prescribe medications electronically on behalf of their patients. Here is an overview of E-Rx and Healthie. 

Who can use the E-Rx integration?

Individuals that are legally able to prescribe medications in the United States can use the E-Rx integration with Dosespot. 

You will need to be approved by Dosespot in order to access the E-Rx integration within your account. Please note that only the individual user that has been approved for E-Rx will be able to submit prescriptions; other staff members will not see the E-Rx integration in their logins unless they are specifically designated as Proxy members. 

Can I place orders for controlled substances? 

Here is information on EPCS via Healthie.

Currently, EPCS is only available to members of our Enterprise Plan. If you are a member of an Enterprise account and would like to request EPCS permissions, please email hello@gethealthie.com

Please note, the refilling of a prescription for a controlled substance listed in Schedule II is prohibited.DoseSpot will not be able to support this as a functionality of their integration.

How can I complete the Electronic Prior Authorization (ePA) in the DoseSpot E-Rx application?

Formulary data will typically show if a medication will require an Electronic Prior Authorization (ePA) based on the patient’s insurance. Then, the clinician can initiate the ePA procedure. 

The prescriber would see the ePA option once they have saved a prescription as a pending medication. From the pending medication, they will click the actions dropdown > Start Prior Authorization. 

This is not tied to the patient’s Coverage Details that are displayed at the top of the patient’s page. The Coverage Details are provided from Surescripts (when available) and will populate automatically. 

The following two assets provide additional information on how to complete the Electronic Prior Authorization (ePA) in the DoseSpot E-Rx application. ePA is available for your patients with pre-populated formulary information in DoseSpot.

Review this ePA Quick Start guide and video demo below to learn more about initiating ePA in DoseSpot.

What is the difference between a "Proxy" and "Prescribing" role? 

E-Rx permissions cannot be shared with other staff members, however, "proxy" access can be granted. With prescription "proxy" access, business administrators can assign trusted members of their business with the ability to complete specified prescription-related administrative tasks. These settings are managed by administrators at a business level.

How much does E-Rx cost? 

There is a fee of $40/provider/month.

Controlled Substances / EPCS has an add-on fee of + $20/provider/month, and there is an additional approval process will occur on your behalf.

There is no cost for adding Proxy roles to your account. 

How is patient insurance information collected & handled in the Dosespot platform? 

Patient insurance coverage information is pulled by Dosespot from Surescripts. Surescripts (for both insurance coverage and other information displayed in Surescripts) matches information from their database based on patient demographics (e.g., Name, Gender, DOB). 

Surescripts pulls information from 95% of pharmacies in the US; patients enter information through their pharmacy, and that data is uploaded into the Surescripts database (Insurance information from Healthie does not get entered into Surescripts). 

Insurance information entered by a patient in Healthie cannot be pushed into Dosespot, nor is there a way to manually enter insurance information into Dosespot. 

If you have a patient for which insurance information is not showing up, please contact hello@gethealthie.com with the patient ID number, and Healthie support can reach out to Dosespot on your behalf. 

What is a transmission error? 

A transmission error occurs when the pharmacy does not receive the transmitted prescription. This is typically caused by a temporary loss of network connectivity on the pharmacy end. If a transmission error appears, click on the transmission error link located at the top right of the screen. 

This document includes common additional errors that might occur after a provider submits an e-prescription. 

If you need assistance regarding an e-Rx notification error, please email support at hello@gethealthie.com 

What is the difference between "Refill" and "Reorder"?  

A Refill is initiated by the pharmacy and the number of Refill Requests will be listed in the upper right hand corner of your screen. The Reorder function can be used when a prescriber would like to "Reorder" the same medication for a patient. The prescription will automatically be entered into the "Patient's New Prescriptions (to be approved)" and the prescriber simply needs to click on the check box and then click "Approve & Send" or "Approve & Print".

Notifications for Refills

We currently have provider notifications for refill requests; this occurs when a patient runs out of medication and asks the pharmacy for a refill when there are none left on the original prescription. The pharmacy then sends a refill request (renewal request) to the provider through DoseSpot.

We do have an update with our Spring Release for Prescribing Agents to handle refill requests. They can now handle Refill, RxChange, and Cancel requests through new endpoints which require the onBehalfOfUserId parameter. We don’t have a mechanism for notifications if a patient does not request a refill from the pharmacy.

How can I reorder a medication from within Healthie?

Prescriptions will need to be reordered from the Client's Profile > Add and Manage Prescriptions which will bring you to the E-Prescribing portal.

Below are two options for managing reorders:

1. Issue refills as part of the initial prescription (ie. you can set 3 refills for a monthly prescription, for a 3 month supply)

2. Access the E-Prescribing portal and "Reorder" an active medication

Why is Dosespot asking for my credit card information? 

During setup when clicking on "Add Manage Subscription" all prescribers, regardless of having EPCS access or regular e-prescribing access, will see 3 forms appear which will need to be completed. Information that will be requested from the provider includes a credit card, social security number, and driver's license. 

This is part of Dosespot's identity verification process. This type of identity proofing is a common practice for detecting fraud and establishing the validity of the individual's identity. The prescriber’s credit card is run through Experian to verify that they are who they are and that their information matches up with the information on the credit card/report. The card is not charged nor is it kept on record. This is done for the prescriber’s protection from fraudulent activity. A soft inquiry is placed on the report and does not affect your credit score or your ability to borrow.

Unfortunately, there isn’t a workaround if the clinician does not have a credit history. This is a requirement from Experian who does the 3rd party identity verification step. Healthie and DoseSpot are unable to make adjustments to these criteria. 

Why did I receive an email from Dosespot?

You may receive an email from Dosespot to register and create an account. Please note, there is no action that you need to take, and you do not need to register for an account. You will have direct access to Dosespot from your Healthie provider account.

Is branding available for prescriptions? 

Prescription branding is not available through Surescripts.

What insurance eligibility & formulary information is displayed?

Insurance Benefits Coverage is displayed next to the patient info. Attached is an example of this data from staging. The formulary data will show once the medication is selected. Attached is an example of this data from staging.

Are allergies synced between Healthie & DoseSpot? 

Healthie now enables any logged allergies within Healthie to display in the patient's allergy section within their Healthie account. 

We have added a new question bank Allergies module that has adjusted more advanced fields to support DoseSpot and Healthie allergy syncing. Specifically it switches "Current" to "Status" and adds a medication search field for the allergy name.

The old allergy module will not be visible to be added to new forms, but this change does not affect existing allergy questions already added to existing forms.

Does price estimates per pharmacy show? 

It will show in the formulary based on pharmacy type (retail vs mail order). DoseSpot will be rolling out an update to our formulary tool that uses Real Time Prescription Benefits from Surescripts that will estimate based on the particular pharmacy chosen.

For dosages, does DoseSpot verify age, weight and height?

Not at this time. DoseSpot does have a weight based dosing calculator tool that can be enabled on a per clinic basis. Please email hello@gethealthie.com to request this feature. 

Please note, height and weight are required fields in the client's profile in order to prescribe for any client 18 years old or younger.

Does DoseSpot offer a drug reference or educational materials to patients? 

When the user clicks on the drug name from a pending prescription, it will open a drug monograph page in a new tab that include drug reference information

Is E-Rx Medicare Part D compliant? 

Yes, DoseSpot is Medicare Part D compliant.

Are Compound pharmacies & medications supported? 

Yes, as long as the pharmacy is listed with SureScripts for E-Prescribing, prescriptions can be issued. Compound medications can be created and saved as a favorite.

Step by step instructions for prescribing compounding mediations may be found at the following article:

• Dosespot: Prescribing a Compounding Medication

Please note, prescribing controlled substances will require an additional enrollment process for EPCS:

• Controlled Substances/EPCS

At this time, EPCS is only available to providers at the Enterprise plan only.

If you'd like to verify that a pharmacy is listed with SureScripts, please email hello@gethealthie.com with the name and address of the pharmacy. 

What if I already have a DoseSpot account? 

Healthie integrates directly with DoseSpot. A new clinic will need to be set up via Healthie in order for you to use Healthie's E-Rx, we cannot merge or leverage your existing clinic - or integrate your existing account with Healthie. 

You'll have the following options: 

1. Maintain your separate instance of DoseSpot (ie. if you're using it with a clinic not affiliated with Healthie) and use Healthie's E-Rx. In this case, you'll still need to pay DoseSpot directly, and also pay the E-Rx fee for Healthie. 

2. Discontinue your existing DoseSpot account, and use Healthie's E-Rx integration with DoseSpot moving froward. There is a $40/month fee per prescribing clinician to use E-Rx via Healthie which is added to your Healthie subscription. There is no charge for E-Rx proxy users. 

If you have additional questions, please reach out to our team for more information. 

Can I edit patient coverage details? 

Insurance and coverage information is pulled from SureScripts, which is connected directly to insurance plans/PBMs. It will use the medication information and days supply to pull copay values. This information cannot be edited, as it is sourced from SureScripts. 

Can I use my existing DoseSpot Account with Healthie? 

Healthie integrates with DoseSpot to bring E-Rx permissions to our platform. If you are already using DoseSpot, you will not be able to link your existing clinic. A new clinic will need to be created in the Healthie instance, and you'll need to receive a new clinician ID. However, if you are already set up with EPCS (completed IDP + TFA) in another DoseSpot clinic, we can request that DoseSpot transfer this data to your Healthie E-Rx profile. Please email hello@gethealthie.com with your NPI number and legal name, so that we can make this request on your behalf to DoseSpot. 

Are there requirements for prescribing to minors? 

SureScripts sets for the the requirements for prescribing to minors, which is defined as a someone 18 years old and under (up until their 19th birthday). Learn more.

Why can't I refill an Rx for a controlled substance? 

The refilling of a prescription for a controlled substance listed in Schedule II is prohibited.DoseSpot will not be able to support this as a functionality of their integration.

Can I add a custom option to Prescription notes? 

Drop-down fields within E-Prescribing cannot be customized. However, prescribers can use the free text instructions field for adding notes. 

Can the medication strength can automatically be selected based on some kind of criteria (e.g., the specific client's weight)?

We don't have that functionality right now. We do have a dosage calculator that displays when a medication is selected and before the strength is selected, but there isn't any automation when selecting the strength. It is used as a manual guideline. I would suggest submitting this as a feature request.

Can the patient's notes field be set up to be auto filled based on what drug is prescribed - instead of having to re-enter that text?

This is also something we don't currently have as functionality. Prescribers can use the favorite prescriptions but would need to manually edit values that are dynamic. We would suggest that this also be a feature request

Are we able to use Healthie’s API to retrieve patient prescription history?

Yes.

Can we submit custom medications to compounding pharmacies via the API?

Our API does not support submitting prescriptions, this will need to be done within Healthie using our E-Prescribing portal (iFrame). When creating a prescription order directly within Healthie, you'll be able to create and send compound medications to pharmacies.

Can you retrieve prescription cost information via the API?

Not at this time. This can be done through the E-Prescribing portal within Healthie.

Do you submit prescriptions to pharmacies in all 50 states?

Yes, Healthie integrates with DoseSpot for prescription services which uses Surescripts Pharmacy network. Pharmacies are supported in all 50 states.

If I can't find a medication (or compounding ingredient) in DoseSpot, can I request that DoseSpot add it?

• Generic Name:
• Brand Name:
• Drug Class:
• NDC #:
• URL for the medication:

Note: The approval to add a medication comes from Lexicomp directly, so the timeline for additions is not in the control of either Healthie or DoseSpot.

Is there a workflow for medication shortages?

DoseSpot does not get any data from Surescripts/pharmacies for med quantity or out of stock meds. So there is no workflow to prevent a script from being sent to a pharmacy that is out of stock. However, DoseSpot does support out of stock rxChange requests which would allow the pharmacy to suggest an alternate (if appropriate). rxChange is enabled for our customers, and communications from pharmacies would appear in Notifications. The prescriber can accept or not; or change pharmacy, or cancel the prescription. See page 29 of the DS Prescribing App User Guide for Notifications information, page 22 to Change Prescription Pharmacy. Or this support doc to Cancel a Prescription Order.

How do I access notifications in DoseSpot?

When a prescribing provider has 1 or more notifications waiting, an "e-Rx Notifications" option appears in Healthie's left navigation bar, with an indicator of how many notifications are waiting.

The prescriber can access Notifications using that menu item and can select any notification from this view.