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E-Prescribing Guide

Decoda integrates with DoseSpot to give providers the ability to electronically prescribe medications directly from the platform. When a provider opens e-prescribing, they’re seamlessly signed into DoseSpot — no separate login required.
All prescribing workflows — searching for medications, selecting pharmacies, managing refills, and Electronic Prescribing for Controlled Substances (EPCS) — happen inside DoseSpot. This guide covers the Decoda side: getting access, setting permissions, and using the integration day-to-day.

Getting Access

To get started with e-prescribing:
  1. Contact Decoda support at support@decodahealth.com
  2. Request e-prescribing module enablement
  3. Decoda will enable the module, set up your locations, and add your providers
Once everything is configured, providers with e-prescribing access will see the E-prescribe button on patient charts and the notification banner in the notifications panel.

Using E-Prescribing

Opening DoseSpot from a Patient Chart

When viewing a patient, click the E-prescribe button. This automatically:
  1. Syncs the patient’s demographics to DoseSpot (name, date of birth, address, phone, and height/weight if recorded)
  2. Generates a secure sign-on link
  3. Opens DoseSpot in a new tab with the patient’s chart already loaded
You’re signed in automatically — no need to enter separate DoseSpot credentials.

Patient Requirements

For the patient sync to succeed, the patient record in Decoda must have:
  • First name and last name
  • Date of birth
  • Phone number
  • Full address (street, city, state, zip code)
If any of these are missing, you’ll see an error when trying to open e-prescribing. Update the patient’s profile and try again.

Notification Banner

Providers with e-prescribing access see a banner in the notifications panel. This banner shows the count of pending items that need attention, such as:
  • Pending prescriptions awaiting action
  • Transmission errors (prescriptions that failed to send to a pharmacy)
  • Refill requests from pharmacies
  • Change requests from pharmacies
Click the banner to open DoseSpot and address those items. When there are no pending items, the banner displays Open e-prescribing as a quick-access link.

Prescription Tracking

When prescriptions are sent through DoseSpot, Decoda automatically creates dose records on the patient’s chart. These records update as the pharmacy processes the prescription:
  • Sent — Prescription transmitted to the pharmacy
  • Filled or Partially Filled — Pharmacy has dispensed the medication
  • Completed — Prescription fully dispensed
  • Cancelled or Discontinued — Prescription no longer active
Doses linked to DoseSpot are marked with a DoseSpot badge in the patient’s medication history, so you can distinguish e-prescribed medications from manually recorded ones.

Troubleshooting

”Clinician not confirmed” Error

This means the provider’s account hasn’t been fully confirmed yet. Contact Decoda support at support@decodahealth.com to get your clinician confirmed. This is a one-time step.

Patient Sync Fails

The patient record is missing required information. Check that the patient has:
  • First and last name
  • Date of birth
  • Phone number
  • Complete address (street, city, state, zip code)
Update the missing fields and try again.

E-prescribe Button Not Showing

Check the following:
  1. Module is enabled — The e-prescribing module must be active for your tenant. Contact Decoda support if you’re unsure.
  2. Provider is set up — The provider must be configured for e-prescribing by Decoda. Contact support if a provider who should have access doesn’t.

Duo Two-Factor Authentication Enrollment Failing

If a provider is unable to enroll in Duo two-factor authentication within DoseSpot, they may have a pre-existing DoseSpot account from a previous clinic or platform. This blocks the enrollment process. Contact Decoda support at support@decodahealth.com so we can merge the accounts and resolve the issue.

Notification Counts Not Updating

Notification counts are pushed from DoseSpot automatically. If counts seem stale:
  1. Refresh the page
  2. Check DoseSpot directly to verify the current count
  3. Contact Decoda support if the issue persists

What Happens Inside DoseSpot

Once DoseSpot opens, the following all happen within DoseSpot’s interface:
  • Searching for and selecting medications
  • Choosing pharmacies
  • EPCS (Electronic Prescribing for Controlled Substances) enrollment
  • Managing refills and renewals
  • Drug interaction warnings
If you run into any issues inside DoseSpot, contact Decoda support and we’ll help resolve it.

Support

For any e-prescribing questions or issues, contact Decoda support at support@decodahealth.com. When reaching out, include:
  • Your tenant name
  • The provider involved
  • Any error messages or screenshots
  • What you were trying to do