You can access DrFirst using a web browser or their smart phone app.  Using a web browser, you can go to https://rx-blue.drfirst.com/login.jsp.  To access DrFirst from Epitomax, follow steps 1 through 4 below.  Otherwise, skip to step 5.

1.    Log in to Epitomax.

2.    Find the patient record using Client Search

3.    Click the Medications tab.

4.    Click the  button.

BD21298_ A new browser window is opened.

Logging in and selecting a patient

5.    Enter your DrFirst username and password provided to you by your system administrator.

j0139609The DrFirst username and password may be different than your Epitomax username and password!

 

6.    Click the E-Prescribe tab or the Click Her to Begin E-Prescribing button.

 

7.    Click Select Patient from the menu at the top of the page.

 

8.    Enter the patient last name that you are searching for.

9.    Click the  button.

 

10. Click the patient name link.

 

11. If for some reason you cannot find your patient in DrFirst,

12. Open the record in Epitomax, add a space to the end of the street address, and click . This will retransmit the patient demographic information to DrFirst.

 

j0139609You may edit any of the fields in Epitomax, but you must make a real change (even as simple as adding or deleting a space) and update the record in Epitomax to retransmit the patient data to DrFirst. If you edit the patient name, SSN, DOB, address, or home or work phone numbers, that information will be changed in DrFirst as well.

j0139609The following fields are required by DrFirst and so must be present in Epitomax before the client will be in DrFirst.

·         First Name

·         Last Name

·         Date Of Birth

·         Sex

·         Postal Code

·         Home Phone

 

 

Patient Allergy Information

1.    When a new patient is added, you will be prompted to add allergy information. You may also choose Manage Allergies from the menu at the top of the page.

 

2.    Click  to indicate no known allergies,

3.    Select a common allergy from the drop down and click

Select a Reaction from the drop down and click

j0139609You may also enter free text in the box under the drop down. You may leave the Onset Date fields blank if this information is not known. If a full date is not entered (see above) the current date is used as the onset date in Epitomax.

 

4.    Enter an Allergy and click  

 

5.    Click the  if a matching allergy is not found.

 

6.    Enter the Reaction and Onset Date information. Click

j0139609If you click Modify for an existing allergy, rather than adding a new allergy, the  button will be a  button instead.

7.    Click  when finished adding allergies.

 

 

Set the Patient Default Pharmacy

1.    When a new patient is added, you will be prompted to choose a default Pharmacy. You may also click the  link next to Pharmacy: in the Patient Demographic Information.

 

2.    Enter some search criteria, and click .

3.    Click the  pharmacy name link to select a pharmacy to be the patient’s default pharmacy.

 

 

Prescribing Drugs

1.    Click the  link next to the patient name.

2.    Enter a drug name and click . Choose a dose from the list or choose .

 

3.    If the patient has an Allergy or there is a drug interaction with another medication that the patient is currently taking, a warning will be displayed. Click  or .I clicked .

 

4.    Select a Favorite prescription from the drop down and click  

5.    Verify that the prescription shows in the list of Pending Prescriptions for the patient.

 

6.    You may also Enter a drug name into the Name field and click  if the drug that you wish to prescribe hasn’t been made a favorite prescription yet. Choose a dose from the list or choose

7.   

 

8.    Enter the Sig information and click

 

9.    Review the RX for accuracy and click .

 

10.  If you are participating with the Prescription Savings Program and a coupon exists for the medication, the discount coupon is available to be printed.

11.  Verify that the prescription shows in the list of Pending Prescriptions for the patient.

 

12. To send the prescription to the pharmacy, enter the Signature Password  and click

 

* Sends the prescription electronically to the specified pharmacy.

 

 Sends the prescription electronically to the specified pharmacy and opens a dialog box to print the prescription to an attached printer. The dialog box is the standard Windows print dialog that is specific to the current computer and printer that the user is accessing DrFirst from. You might use this option if you wish to print a copy of the prescription for inclusion in the patient’s medical record.

 

Typically used to print prescriptions for drugs that are not able to be sent electronically. Opens a dialog box to print the prescription to an attached printer. The dialog box is the standard Windows print dialog that is specific to the current computer and printer that the user is accessing DrFirst from.

 

When printing a prescription for Schedule II drugs, a window showing the RX and a print dialog box will open. Choose the printer options you use to print prescriptions and print it. The print dialog box is specific to your computer, printer, or network configuration.

 

 

 Signs the prescription, but does not send it electronically to the specified pharmacy.

 

13. If you attempt to send a drug electronically that the system is unable to legally send, a warning message will be displayed.  (Sign up for EPCS to electronically transmit all of your prescriptions and stop printing prescriptions.  Contact PsyTech Solutions to find out how.)

 

Adding a Favorite Prescription

1.    Click the  link next to the patient name.

 

2.    Enter a drug name into the Name field and click .

 

3.    Choose a dose from the list or choose

4.    Enter the sig information and click

 

5.    Review the RX for accuracy.

6.    Click  and then click  to add this to the list of favorite prescriptions for the logged in user.

7.    You may also click the   link on the far right of Pending Prescriptions list for a patient.

 

8.    Click  to add this to the list of favorite prescriptions for the logged in user.

 

Patient Medication Information

1.    You may also enter medications that the patient is currently on, but that you are not prescribing. These could be prescriptions from the patient’s family practitioner, or OTC medications. Choose Manage Medications from the menu at the top of the page.

2.    Enter the medication name and click .C

3.    Click to select the medication.

4.    Enter the Sig if known and click , or just click  if not known.

j0139609Change the  to –None Selected – unless you want the current user to be set as the provider who prescribed the medication.

 

5.    Verify that the Medication List for the patient is correct.