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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.

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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 can launch DoseSpot from several places in Decoda (covered below) and will see the e-prescribing banner at the top of the notifications panel.

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Enable controlled substances (EPCS) for a provider

A provider who is enrolled in DoseSpot but not yet set up for controlled substances can be upgraded from Settings > E-prescribing. Find the provider in the roster and click Manage. If they’re confirmed without EPCS, a Controlled substances (EPCS) panel appears with an Enable EPCS button. Click it, enter the provider’s DEA number and two-letter DEA state, and click Enable EPCS. DoseSpot then walks the prescriber through identity proofing, two-factor setup, and a PIN before they can send controlled scripts.

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Where to launch e-prescribing

There are several places in Decoda that open DoseSpot. Which one you use depends on what you’re trying to do.

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From the notifications panel

Open the notifications panel from the top bar. At the top of the panel you’ll see an e-prescribing banner showing the count of pending items (transmission errors, refill requests, change requests). Click the banner to open DoseSpot. When there are no pending items, the banner reads Open e-prescribing and opens the DoseSpot dashboard without a patient loaded — useful for working through your queue or checking a prior prescription.

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From a patient chart (most common)

Open the patient and stay on the Overview tab. Scroll to the Medications section. From here:

1. Click Add Dose at the top right of the medication table.
2. A small menu appears with two options: Add Dose (record a dose manually in Decoda) and E-prescribe (open DoseSpot for this patient).
3. Click E-prescribe.

DoseSpot opens in a new tab with the patient’s chart already loaded. Decoda always sends the patient’s current details (name, date of birth, address, phone, and height/weight when available) when you open e-prescribing, so recent chart edits are included. The same Add Dose → E-prescribe menu appears anywhere doses can be added, including:

• Care plan checklist items in the right-hand sidebar
• Medication questions inside scribe notes
• Weight-loss program dose tables

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Reopening an existing prescription

If a medication was already sent through DoseSpot, you can jump back into it without going through Add Dose:

1. In the Medications section, find the row for the prescription. It will be marked with a DoseSpot badge.
2. Click the three-dot menu on the right.
3. Choose Open in E-prescribing.

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Picking a location

If your tenant has more than one location with DoseSpot configured, Decoda will show a Select Location for E-prescribing dialog the first time you launch from a given action. Decoda pre-selects the best guess (your current location, or the patient’s primary location). Confirm the choice and click E-prescribe. If only one location is configured, the dialog is skipped.

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Pharmacies from intake forms

Clinics with e-prescribing enabled can add a Pharmacy question to an intake form. Patients and staff can search by pharmacy name or ZIP code, then select the matching pharmacy from the results. The selected pharmacy is saved with the submitted form. On the patient Overview tab, the Pharmacies section shows form-reported pharmacies and lets you send a selection to DoseSpot. If pharmacy search is not available or shows a setup message, confirm e-prescribing is enabled for the clinic and that at least one provider is set up for DoseSpot.

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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.

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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.

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Active, Inactive, and Deleted statuses

Next to the DoseSpot badge, a medication row can show a status badge that reflects where the prescription stands at the pharmacy:

• No status badge — the prescription is active (sent, filled, partially filled, or completed). Active medications show only the blue DoseSpot badge.
• Inactive (amber) — the prescription is no longer active. This covers prescriptions the pharmacy reported as discontinued, cancelled, or not filled.
• Deleted (red) — the prescription was deleted in DoseSpot.

Medications are never removed from the chart when they become inactive or deleted — they stay visible in the medication history with the badge, so you always have the full record. The status updates automatically as the pharmacy reports changes; you don’t need to refresh or sync anything.

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Troubleshooting

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”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.

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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.

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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.

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Notification Banner Not Showing

The e-prescribing banner in the notifications panel only appears when the signed-in provider has a DoseSpot user ID linked to their Decoda account. If you don’t see it:

1. Confirm e-prescribing is enabled for your tenant.
2. Confirm the provider has been set up by Decoda support and has completed their DoseSpot clinician confirmation and Duo two-factor enrollment.
3. If the provider can launch DoseSpot from a patient chart but the banner is still missing, contact Decoda support — their account may need to be linked.

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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.

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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

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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.

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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