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. 

Getting Started & Access

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.

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

E-Rx Prescribing permissions cannot be shared with support staff, but "Proxy" access can be granted, assigning trusted team members the ability to complete specified prescription-related administrative tasks. These settings are managed by administrators at the organization level.

What if I already have a DoseSpot account? 

Healthie integrates directly with DoseSpot, so 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: 

• Maintain your separate instance of DoseSpot (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. 
• 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. 

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.

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

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 forms appear which 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 their information matches the credit card/report. The card is not charged or kept on record by Experian or Healthie. 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, SSN, or driver's license. The requirements come from Experian, which is DoseSpot's 3rd party identity verification partner. Healthie and DoseSpot are unable to make adjustments to the identity verification criteria. 

Controlled Substances & EPCS

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

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 fax controlled substances through Healthie if I'm not approved for EPCS?

No. If you are not approved for EPCS, you cannot create any prescriptions for controlled substances within Healthie, electronically or otherwise.

Prior Authorization & Insurance

Why am I now receiving an ePA prompt for certain medications in DoseSpot?

To streamline the prior authorization process, a new prompt for Electronic Prior Authorization (ePA) may now appear when prescribing certain medications. This enhancement is designed to make the PA process more efficient for you and your patients. Learn more about ePA here.

Is E-Rx Medicare Part D compliant? 

Yes, DoseSpot is Medicare Part D compliant.

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 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. ePA is available for your patients with pre-populated formulary information in DoseSpot.

The following two assets provide additional information on how to complete the Electronic Prior Authorization (ePA) in the DoseSpot E-Rx application:

Review the ePA Quick Start guide for more assistance

Watch our ePA tutorial video created in partnership with DoseSpot

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. 

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. 

Prescribing & Pharmacy

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)" for the prescriber to click on the checkbox and then select "Approve & Send" or "Approve & Print".

Is branding available for prescriptions? 

Prescription branding is not available through SureScripts.

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

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. 

How can I reorder a medication from within Healthie?

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

Below are two options for managing reorders:

• Issue refills as part of the initial prescription (ie. you can set 3 refills for a monthly prescription, for a 3-month supply)
• Access the E-Prescribing portal > Client's Prescriptions > [...] > Reorder

What insurance eligibility & formulary information is displayed?

Insurance Benefits Coverage is displayed within DoseSpot under Patient Information. 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.

Do price estimates per pharmacy show? 

Price estimates 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.

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.

Learn more here: DoseSpot: Prescribing a Compounding Medication

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.

What if I can't find a pharmacy in DoseSpot?

More than 95% of the nation's pharmacies are enabled for electronic prescribing including all of the major drug store chains (i.e. CVS, Walgreens, Walmart, Target, etc.). On occasion you may search for a pharmacy within DoseSpot and no results are provided. This may be due to a number of reasons, but the most important thing to understand is that if a pharmacy is not within DoseSpot then an electronic prescription cannot be sent to that pharmacy. Please proceed to print the prescription instead.

Alternatively, you can request that your pharmacy be added to SureScripts pharmacy database. Please send an email to hello@gethealthie.com with the name, address, and phone number of the pharmacy you would like to add. Healthie will place a request to add the pharmacy to the database, and it should be available to select in 1-2 business days. 

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 #: (The NDC code for the medication, or the primary ingredient if it's a compounded medication, comes from the FDA.)
• URL for the medication:

Is there a workflow for medication shortages?

DoseSpot does not get any inventory data from SureScripts/pharmacies, 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, allowing 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. Review the DS Prescribing App User Guide for Notifications information or how to Change Prescription Pharmacy. Or this support doc to Cancel a Prescription Order.

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.

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.

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.

Can I send prescriptions while traveling abroad?

Yes. There are no issues with providers prescribing to US pharmacies through DoseSpot while traveling outside of the United States to any country.

Why am I seeing a pharmacy redirect for Zepbound in DoseSpot?

DoseSpot is releasing an update on 1/24/2025 to the ordering flow for just two NDC numbers of a single medication, Zepbound. This is due to shortages leading to a single pharmacy being able to fulfill orders. These two NDCs of Zepbound (2024304 and 2015204) are the least prescribed versions of Zepbound in Healthie currently.

Prescribing either of these two NDCs will trigger a popup msg in the DoseSpot order flow related to changing the default pharmacy to a mail order pharmacy in an effort to fulfill more quickly (due to shortages). The prescriber will be able to skip this suggestion and stick with the default pharmacy on file.

To recap:

This is only for two Zepbound NDCs: 2024304 and 2015204

The only pharmacy that currently is able to dispense these two NDCs is: LillyDirect Self Pay Pharmacy. That is the pharmacy that will appear in the pop-up messaging shown in the below one-pager from DoseSpot. The prescriber can skip the suggested change by clicking "Keep Pharmacy" to prescribe to the default pharmacy on record for that patient.

Notifications & Errors

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 describes common 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 does the "Invalid Information" error message mean?

DoseSpot requires certain client information to be on file in order to e-Prescribe. If you are trying to update some of these required fields, you may seen an error message if the updated fields are blank or not valid. If you are seeing incorrect information for your client, or are unable to make changes to their information, please email hello@gethealthie.com for further support.

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.

How do I get notified for Refills?

We currently have provider notifications for refill requests, when a patient requests a refill and there are none left on the original prescription. The pharmacy will send 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.

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.

How do I access notifications in DoseSpot?

When a prescribing provider has notifications, an e-Rx Notifications tab 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.

API & Technical

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.

Is there API Support for Multiple Clinic Locations in e-Rx Orders?

This functionality allows enterprise organizations using Healthie's API to associate e-prescriptions with a clinic location that is geographically close to the patient. It is particularly useful for organizations with multiple clinic locations that need more control over which pharmacy fulfills a prescription.

Organizations interacting with Healthie exclusively through the API may require that prescriptions be routed through a specific clinic location, especially when proximity to a pharmacy is a key factor.

This feature is available upon request for Enterprise customers only. It was developed as a custom enhancement for a specific partner and is not part of our general platform offering.