Write Prescriptions

Medications are listed by both product and active ingredient. Medications listed by active ingredient display a blue dot and meet Active Ingredient Prescribing legislation. Discontinued products are marked with an orange dot.

If you are uncertain of what you want to prescribe, to search by drug class, select Search by drug class.

• If a medication has a component, brand or class for which a patient has a recorded adverse reaction, a reaction is displayed.
• If the patient is pregnant or potentially pregnant and there is a pregnancy interaction with the selected drug, TGA Australian Pregnancy Category warnings are displayed.
• If there is an interaction between this medication and the patient's other active medications, a drug interaction is displayed.
• If you want to replace a medication that already exists on the patient’s current medication list with a new prescription for a drug with the same active ingredients or remove a medication to which the patient has an allergy, set Remove 1 product from current medications.

RPBS is automatically selected for patients with a DVA card recorded.

• The details and options on this panel vary depending on the items you have selected.
• The PBS approved or recommended quantity and repeats are listed in the Qty and Rpts fields. For PBS approved medications, the PBS Max fields show the maximum number of packs and repeats that can be prescribed under the scheme. The multiplier denotes the maximum number of packs available under the scheme, in this case 2 packs of 10 (2x10).

  Modify if necessary, however, remember that the modified medication may not be available on the PBS or may require a new Authority.

• If the item is an Authority medication, an Authority must be obtained and recorded. For more information, see Authority Medications.
• Depending on your jurisdiction, if there are repeats for Schedule 8 and some Schedule 4 drugs, in the Interval (days) field, specify the minimum number of days required before a repeat can be filled by the pharmacy:
  • Schedule 8 and Schedule 4B - NSW
  • Schedule 8 and Schedule 4D - TAS
  • Schedule 8 - ACT, NT, QLD, WA
• If an incorrect item was selected, in the Search field, click Clear to remove the medication, and try again.

• Directions - either type the directions or click in the field and select the dose, frequency and instructions from the list.
• Route - the Route field displays the value provided by MDref. If required, select a new value or delete the default value.
  Note:

  For ePrescribing, a route of administration is required. If MDref does not include a route of administration for a medication, As Directed is added.
• Duration - select Short term for acute conditions, or Long term for chronic conditions.
• Date - indicate the date on which the medication commences (or commenced, for back-dated medications). The default is the current date. This is not the date on which the script was or will be printed.
• Include brand on script - set if the brand name is medically necessary.
• Brand Substitution not permitted - set if brand substitution is not permitted, for example, because other brands may not be bio-equivalent.
• Regulation 49 - for medical practitioners, midwives and nurse practitioners, if hardship conditions apply, set to authorise the original and repeat supplies of PBS medications to be supplied to the patient at one time.
• Elapse Date - the date calculated at which the medication supply ends for this medication. You can also manually enter a date to indicate the completion of treatment. For more information, see Medication Elapsed Date.
• Authorisation number - for ePrescribing controlled substances, enter the number provided by your state or territory that gives you authority to prescribe controlled substances. The name of this field depends on which state or territory the encounter place from which the prescriber is prescribing is based:
  • NSW and NT - Authorisation Number
  • QLD and ACT - Approval Number
  • SA - Permit Number
  • TAS - Authority Number
  • VIC - Warrant Number
  • WA - Community Program for Opioid Pharmacotherapy, CPOP Authority Number
• Dispensing pharmacy - in NSW, enter the name of the pharmacy from which a prescription is to be dispensed. For more information, see Dispensing pharmacy.
• Provide direct to pharmacy - when you ePrescribe any S8 drugs, if the electronic prescription is to be sent directly to the pharmacist, select a reason from the list. For more information, see Provide direct to pharmacy.
  Note:

  This field cannot be used together with Script Owing.
• Script Owing - for ePrescribing, set where you have telephoned a pharmacist and asked them to supply a medication without a prescription. The prescriber should also relay paper evidence of the prescription to the necessary pharmacy. The prescriber must then forward the written prescription and duplicate to the pharmacist within seven days of the date of supply.
  Note:

  The patient is not sent an ePrescription token or any repeat tokens. Options to send or resend an ePrescription token by SMS or email are disabled. This medication is excluded from the ASL.
• Exclude from Active Script List - for ePrescribing, set if a patient wants you to exclude this prescription from their Active Script List.
• Note to pharmacist - for ePrescribing, include prescription notes for the pharmacist, such as details of unusual dosages, staged supply and so on. Any notes you add are included only with electronic prescriptions.

  Additional text for Schedule 8 drugs and restricted prescribers may be included to meet ADHA guidelines, depending on the current logged-in centre’s state.

• Reason for prescribing - select a reason from the list of coded conditions and add any comments for the medications.
• Add as a reason for visit - set to add the reason for prescription to the reason for visit section in the consult.
• Add to conditions - set to add the reason for prescription to conditions.

• Save & new - save the prescription to the Consult actions > Prescriptions section of the Consult panel, and start a new prescription. The prescription is not printed yet.
• Save - save the prescription to the Consult actions > Prescriptions section of the Consult panel. The prescription is not printed yet.
• Save & Print - save the prescription to the Medications section of the Health Summary panel, and print it.
• Save & send - if ePrescribing is enabled, send an electronic token to the patient. For more information, see Send ePrescriptions.
  Note:

  If the patient's IHI No. Status and Record Status are not both Active and Verified, you cannot send the prescription to the eRx service and the Save & send button is inactive.