Signing Your Updates (with Medication Rx Updates)

If your pending updates include medication changes with the Rx option selected, the Sign page includes the following options:

Print Prescriptions to Default printer

Automatically prints a copy (using the "default" Rx Paper format setting from Custom Preferences) when you type your key and click Sign.

If you are printing prescriptions for Medicaid/MassHealth patients, the default printer must have tamper-proof paper or you must set the "Default printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module.

Note: When this option is selected, medication updates are immediately reflected in the LMR. This is the case even for users who typically require approval by a cosigner before their updates are reflected in the LMR. Cosignees who elect to print prescriptions require only acknowledgement for their medication updates (regardless of whether they are set up for Approval or Acknowledgement).
Print Prescriptions to Other printer

Allows you to preview your prescription as well as select a printer before printing when you click Sign. Prescriptions are printed using the "other" Rx Paper format setting from Custom Preferences.

If you are printing prescriptions for Medicaid/MassHealth patients, the printer you select must have tamper-proof paper or you must set the "Other printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module. If your practice uses a Star Micronics thermal printer, the "Other printer uses" option should be set to 4.25 x 5.5.

Note: When this option is selected, medication updates are immediately reflected in the LMR. This is the case even for users who typically require approval by a cosigner before their updates are reflected in the LMR. Cosignees who elect to print prescriptions require only acknowledgement for their medication updates (regardless of whether they are set up for Approval or Acknowledgement).
Send to Pharmacy/Print
After signing, displays a view with pharmacy options on the right, and a prescription preview panel on the left. Select one of the following options:
- To send to pharmacy
  
  Click the Pharmacy check box and Send. The LMR sends prescriptions either by fax or e-Prescribing to the default pharmacy for the indicated pharmacy type (Retail or Mail Order). The method used (fax or e-Prescribing) depends on your setup and the medication.
- To print the prescription
  
  Click the Printer check box. Then, click either Print to Default printer or Print to Other Printer, and Send.
  
  If you click the Default option, the LMR prints the prescription to the default printer using the "default" Rx Paper format setting (from Custom Preferences). If you are printing prescriptions for Medicaid/MassHealth patients, the default printer must have tamper-proof paper or you must set the "Default printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module.
  
  If you click the Other option, the LMR allows you to select the printer, and uses the "other" Rx Paper format setting. If you are printing prescriptions for Medicaid/MassHealth patients, the printer you select must have tamper-proof paper or you must set the "Other printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module. If your practice uses a Star Micronics thermal printer, the "Other printer uses" option should be set to 4.25 x 5.5.
  
  The LMR prints the prescription as displayed at the bottom of the Send Prescription pane (including a control number).
- To send to pharmacy and print
  
  Click the Pharmacy and Printer check boxes. Then, click either Print to Default printer or Print to Other printer, and Send.
  
  The LMR sends prescriptions either by fax or e-Prescribing to the default pharmacy for the indicated pharmacy type (Retail or Mail Order). The method used (fax or e-Prescribing) depends on your setup and the medication.
  
  If you clicked the Default printer option, the LMR prints the prescription to the default printer using the "default" Rx Paper format setting (from Custom Preferences). If you are printing prescriptions for Medicaid/MassHealth patients, the default printer must have tamper-proof paper or you must set the "Default printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module.
  
  If you clicked the Other printer option, the LMR allows you to select the printer, and uses the "other" Rx Paper format setting. If you are printing prescriptions for Medicaid/MassHealth patients, the printer you select must have tamper-proof paper or you must set the "Other printer uses" option to 8.5 x 11/with security text. This option is found in the Rx Paper format setting of the Custom Preferences module. If your practice uses a Star Micronics thermal printer, the "Other printer uses" option should be set to 4.25 x 5.5.
Note: Print options are not available for users who are set up to require cosigner approval. The message "You are not authorized to print a prescription that will be sent to pharmacy" displays at the bottom of the screen.

To sign all updates, select a medication option, then type your key and click Sign.

Depending on your role, you may be prompted to select a cosigner, sign for a provider, or both. See Selecting a Cosigner and Signing and Saving for a Provider for details.

Note:

To remove any updates, click the to the far right of the entry before signing.
If you are set up as a cosigner and have updates to be cosigned, a banner message displays with a link to your Cosigner Queue (with the number of updates to be approved and acknowledged). For details, click here.
The LMR displays a warning message if you attempt to sign for an update to data that is also being updated by another user. Click OK to continue or Cancel to return to the Sign page without signing your updates. (You may choose to repeat your updates at a later time to avoid having your changes overwritten.)

Signing Your Updates (with Medication Rx Updates)

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