E-Prescribing: Add Medications & Send a Script

Last updated: May 29, 2026

Watch our 3-minute video on how to add medications and successfully send prescriptions within e-prescribing:

Add Historical Medications

DrFirst has the capability to allow you to add up to 1 year of historical medications to their active medication list. To add historical medications:

  1. Open up E-prescribing in Osmind from the patient's chart.

  2. Scroll down to the "Medications" section.

  3. Click "Show Medication History".

  4. From the drop-down, select the time value of what history you'd like to see. You can select to view up to a year's worth of medication history.

  5. Either select all or single-select the medications you'd like to add to the patient's Active Medication list.

  6. Click "Add to Active Medications".

  7. You will now see these medications added under their Active Medications section. You can now modify/stop these medications, and use them to prescribe refills.

FAQ and Troubleshooting

E-Prescribing does not offer the dosage/medication I need. What do I do?

To request additional medications or dosages to use within DrFirst's e-prescribing, please provide us with the following information which we will in turn provide to DrFirst Support to escalate for consideration to be added into the drug database.

  • Drug Name:

  • Drug Strength:

  • Drug Form:

  • Manufacturer:

  • NDC:

  • Picture of the Drug (if available):

Note that drugs from compounding pharmacies that do not have NDC codes typically are not eligible to be added to DrFirst's database. For these types of medications, you can add them as a free text non-formulary medications if they are not controlled substances. If the compounded medication is a controlled substance, you will need to find the closest drug within the database and write instructions to the pharmacist on the script in order to send the prescription electronically.

The software is telling me that my script can’t be sent electronically and must be faxed instead. Why?

Ensure that you have...

  1. Completed the identity-proofing process and have done the final enablement step on the phone with our team.

  2. Selected the medication and appropriate dosage from what DrFirst offers within the portal.

  3. Complete demographics (including an address) for the patient in DrFirst. Ensure the state is entered as a two-letter state code (e.g., "TX" not "Texas"). If any information is missing or incorrectly formatted, please contact us at getsupport@osmind.org.

  4. Selected a drug that is contained in DrFirst's database if trying to send a controlled substance. Non-formulary custom controlled medications (e.g. compounded formulations of medications like ketamine) cannot be sent electronically. We recommend finding the closest substitute within the database and clarifying in the instructions what the intended medication is.

If you've verified all of these and are still experiencing issues, please reach out to our team.

I've forgotten one of my passwords or the system says my password is wrong and won't send the script.

  • The Signature Password should be your first name in all lowercase + "rx" at the end. For example, Jane Smith would be "janerx"

  • The Signing Passphrase will be the passphrase you set during identity proofing process. If you’ve forgotten this passphrase, you can reset it using the following steps:

    1. https://ui.epcsdrfirst.com/pob/forgotpass

    2. Enter your NPI

    3. Enter the credential ID from your authenticator app (Symantec VIP or ID.me)

    • For Symantec VIP: The credential ID displays just above the security code that is generated

    • For ID.me: Use your unique username for the ID.me app as the credential ID

I am not seeing the correct dosage or compound of a controlled medication that I would like to prescribe electronically. What do I do?

To request electronically via DrFirst for XXX dosages:

  1. Select the nearest available dose of XXXmg.

  2. In the pharmacist's instructions, provide specific details on your desired dosage, such as "utilize XXXmg instead of XXXmg, resulting in a total dosage of XXXmg."

  3. Then, save this as a favorite for future use.

Compound pharmacies are used to seeing requests like this and will be able to fulfill your request.

If the medication is not in DrFirst's database and is not a controlled substance you can create a free text entry and save it for future use as a favorite. Non-controlled medications that are entered as free-text medications can be sent electronically but are not eligible for interaction checking.

A stop date is automatically being applied to prescriptions and medications. How do I turn this off?

  1. Go to Rcopia Settings.

Settings.png

  1. Select Preferences.

Preferences.png

  1. Under Location, select Prescription.

  2. Uncheck Auto-set medication stop date based on prescription days supply and Save on the bottom of the screen to remove the default. Once un-checked in that location, the default will no longer set an automatic medication stop date; instead, the prescriber/clinical staff can select a stop date manually for a prescription, if desired.

Uncheck.png