EPCS DUO Prescribing in iClinic

1. Introduction 

• Purpose: This guide provides comprehensive, step-by-step instructions for prescribing controlled substances using the new EPCS DUO method in the iClinic system. 

• Key Features: Secure login, prescription management, DUO code integration, and pharmacy selection. 

2. Logging into iClinic 

1. Log In:  

• Sign in to your MDLand iClinic account using your credentials. 

2. Navigate to the Waiting Room:  

• Click on the Clock Icon on the left or the Waiting Room Tab at the top left of the screen. 

3. Select the Patient:  

• Click on the patient’s name to open the Office Visit. 

3. Adding a Prescription 

1. Access the Prescription Section: 

• Under the Current Visit Tab, scroll down to the Prescription Section. 

• Click Edit or select Prescription from the Quick Links Bar on the left. 

2. Add a New Prescription: 

• Click New to open the RX Editor. 

• Type the full or partial name of the medication in the search bar. 

• A list of options will appear—double-click the desired medication to select it. 

3. Complete Prescription Details: 

• SIG (Directions for Use):  

• Choose from the Recommended SIG dropdown or click Edit to customize. 

• Use the fields for Take/Apply, Route, Frequency, and Times to create a custom SIG. 

• Day Supply, Quantity, and Qualifier:  

• Fill in the day supply (auto-calculates quantity). 

• Add additional text if needed. 

4. Save the Prescription: 

• Click Save RX to add the medication to the patient’s chart. 

• A Red or Green Circle with the letter F will appear, indicating the formulary check:  

• Green: Medication accepted. 

• Red: Medication not covered. 

4. Sending a Prescription 

1. Select Medication for Sending: 

• Click Refresh. 

• Place a checkmark next to the medication. 

• Click Send eRx. 

2. Verify Prescription Details: 

• A pop-up box will display:  

• Medication details 

• Patient and provider information 

• Pharmacy information (if available) 

3. Selecting a Pharmacy: 

• If the patient has no pharmacy on file:  

• Scroll down and search using the Pharmacy Search Tool. 

• Enter a combination of Name, ZIP Code, Address, City, or Phone Number. 

• Example: Type "CVS Flushing" to see all CVS pharmacies in Flushing, Queens. 

• Set the selected pharmacy as default by checking Set this Pharmacy as Default. 

5. Prescribing Controlled Substances 

1. Identify Controlled Substance: 

• Controlled substances will show the DEA Schedule at the top in Red. 

2. DUO Code Authentication: 

• Obtain a DUO Code:  

• Open the DUO Mobile App on your smartphone. 

• Tap MDLand and click the Dropdown Arrow. 

• A 6-Digit Code will appear with a refresh button. 

• Tap Refresh to generate a new code if needed. 

• Enter the DUO Code:  

• Type the code into the designated box. 

3. Send the Prescription: 

• Click one of the options:  

• Send 

• Send and Print 

• Send and Close 

• A confirmation message, “Sent Successfully,” will appear. 

6. Managing the Active Medication List 

1. Adding Medication to Active List: 

• Place a checkmark next to the medication. 

• Click Add to Medication List. 

• A confirmation message will appear. 

2. Accessing Active Medications: 

• Click Medical History from the office visit or patient home. 

• Scroll down to Active Medication List (or Medication List). 

3. Prescribing from Active Medication List: 

• Click Edit next to the medication list. 

• Select a medication and click Add to RX. 

• To renew, click Renew (updates the renewal date). 

7. Retrieving Past Medications 

1. Retrieve from SureScripts:  

• Click Retrieve from SureScripts. 

• Ensure the patient has given consent for this action. 

8. Troubleshooting Tips 

• DUO Code Not Working: 

• Ensure you’re using a new code each time. 

• Tap Refresh in the DUO app if the code is outdated. 

• Pharmacy Not Found: 

• Use different combinations of search criteria (e.g., Name + ZIP Code). 

• Prescription Not Sending: 

• Verify all mandatory fields are completed. 

• Ensure DUO code is correctly entered for controlled substances. 

9. Support Guidelines 

• In-App Support: Use the iClinic help feature for immediate assistance. 

• Technical Support: Contact IT support for issues related to DUO, prescriptions, or pharmacy searches. 

• Compliance Officer: Consult for regulatory questions regarding controlled substance prescriptions. 

Thank you for following this guide. Accurate and secure prescribing ensures compliance with healthcare regulations and patient safety.