Features AddedQuick Rx - Closed Sig Builder Primary Diagnosis has been relabeled as “Associated Diagnosis”. The notice that the Diagnosis will be assigned to every Quick Rx script has been moved to a Tooltip. Corrected a bug preventing the diagnosis to save to a Quick Rx on the Closed Sig Builder. Drug Sets Removed features that do not apply to the reusable drug sets. Secondary Diagnosis, Effective Date, Stop Date, and Office Notes have been removed from the Drug Sets sig builder. Bamboo The error messaging has been improved Allergy Reaction The freeform allergy reaction field has been restricted to 140 characters. RxNORM Drugs Improved support for RxNORM drug imports.

Features Added RxInform RxInform is now available under the Account Settings. This Medication Adherence tool messages patients with reminders and drug information. To use, make sure the patient has Consent for Text messaging ON, and the account has RxInform ON. Common Sigs This feature adds a preset list of “Quick Rx” intended to allow new system users to have access to commonly written prescriptions. This feature may be enabled or disabled on the Account Settings page. Report Bug The validation behavior has been improved. Patient Details Day and Evening phone fields have been relabeled as “Work Phone” and “Home Phone”. Pending Prescriptions Pending prescriptions that have been abandoned are now automatically deleted after 60 days. Defect Fixes Drug Sets Corrected a bug that could prevent Timing and PRN values from saving when creating a new drug set. Quick Rx Corrected a bug that could prevent Timing and PRN values from saving when creating a new drug set. Patient Eligibility Corrected a bug that could remove patient eligibility display. Controlled Substances queue Improved the queue logic for scheduled drugs, preventing prescriptions from remaining queued indefinitely in some scenarios.

Feature EnhancementsPatient Switching Added a safeguard to identify when a newly created prescription was generated from an original prescription for a different patient. Added logging to track instances in which a provider chooses to overwrite patient data based on a mismatch between patient ID and DOB. Defect FixesPharmacy Search Location List Only selection is now remembered between sessions. Closed Sig Builder Corrected a bug preventing saves for Quick Rx and Drug Sets created using the Closed Sig Builder. Corrected the display of the Action on the Closed Sig Builder (e.g. take, instill, etc) Phone Numbers Corrected an error that could occur for a patient with an email address but no phone number. Fax Support Addressed a bug that could prevent faxing to Canadian pharmacies.  

Product EnhancementsPatient Overwrite Prevention A preventative alert will now be displayed in the event the connection would overwrite the patient information. Disabled Interactions Notice The disabled interactions notice has been moved from the Account Settings to the Clinical Options page. This notice displays in the event the EHR manages the interactions settings rather than through the ERX module. Defect FixesSource Icons Corrected a bug that could prevent the display of the Electronically Transmitted icon for pharmacy renewal replace messages. Closed Sig Builder Corrected an issue that could prevent proper save of prescription directions on a Replace for a pharmacy renewal or change request. The Route Change alert is now displayed when the drug route is changed from its default. Drug Sets and Quick Rx Corrected a bug that could send the user back to the Compose page while saving a Quick Rx or Drug Set. Extended Sig Directions Corrected the behavior of the alert displayed when attempting to send a long sig (>140 characters) to a pharmacy that does not support extended sigs. The alert should now allow the user to shorten the directions or switch pharmacies.

eRx ApplicationPatient Phone Numbers Corrected an issue that could prevent alternate contact numbers from being transmitted to the pharmacy. Pharmacy Search Pharmacy type search options (e.g. retail, mail, LTC) are now retained per prescriber.

eRx Application Added FeaturesPrior AuthorizationsWhen the Real Time Benefits service determines that a PA is required for a given medication, this will be surfaced on the Pending Medications view. The provided link will take the user to the ePA tool.Patient DemographicsPatient Added Date is now displayed with the patient details.Defect FixesMonographsCorrected an issue that could prevent the drug monographs from displaying.Pharmacy Change ReplaceCorrected an issue that could prevent the Replace option for Change requests to be completed.

Feature Enhancements  EPCS Registration  Users will now be directed to complete EPCS registration if they login while mid-process.  Users will be notified to have an EPCS administrator Grant them if they have reached the Grant step.  Users will be taken directly to the Finalize page if they have been granted. 

eRx ApplicationPrescription Drug Monitoring Programs The Kentucky PDMP link has been updated to improve access for clinicians in that state. Pharmacy Renewal processing Renewal workflows now provide clearer guidance when no patient is selected, or if the pharmacy renewal message cannot be mapped to a patient.  Customer Maintenance PortalUsage Reports Corrected an issue that can now be exported to Excel successfully.  EPCS Subscription Expiration Dates Upcoming subscription expiration reporting now includes 7, 14, 30, 90, 180, and 365-day filter options.

eRx ApplicationProcess Improvements Ongoing improvements to system reliability and process optimization. Continued investment in QA automation. Invoice Reports Improvements to invoice reporting to provide clearer billing transparency. API Enhancements Continued enhancements to REST APIs to support modern integration standards.  Customer Maintenance PortalManager Login Fixed issues affecting manager login access within the Customer Maintenance Portal (CMP). Renewal Classifications Corrected renewal processing where completed renewals were previously misclassified as unsent.

eRx ApplicationManager The Manager user will now be prompted to select the location before accessing the Admin tab. This will enable access to several pages, such as Location Pharmacies, that were inaccessible without a location selected. Note that the Location may also be changed by choosing Select Practice in the User name dropdown. Pharmacy Lookup In-House Dispensing has been added as a search filter, limiting the search to In-house pharmacies on the electronic network. Real-Time Benefits EHRs may now directly access the RTB page. Real-Time Benefits no longer display when Additional Scripts has been selected, to improve clarity. Immunizations Immune Globulins now take the user to the Vaccine Sig Builder upon selection.

Immunizations Quick Pick  Sped up searching for vaccines and immunizations using the Immunizations list found in the dropdown under Favorites.  Prescription Editing  Corrected an issue where some staff users were unable to edit a prescription without having a prescriber selected.  Closed Sig Builder  Corrected a bug that could impact the days supply calculations for some medications.  Digital Signing Batch API  Corrected a bug that could prevent some prescription information from being returned. This does not affect screen users.   [Back to Top]

eRx Application  Asynchronous Improvements Stripe webhooks now communicate asynchronously to improve performance. DEA Population Corrected an issue that could cause the primary DEA to populate on non-scheduled drug prescriptions rather than the location DEA. Previous Medications Corrected a bug that could prevent the Previous Medications list from displaying for some patients. EPCS Registrations Corrected a potential conflict that could occur when attempting to prescribe scheduled drugs with varying EPCS service providers between the user and the account.  [Back to Top]  Customer Maintenance Portal  Home Page Layout The Customer Maintenance Portal layout has been reorganized and optimized. Pharmacy Lookup The pharmacy search lookup has been updated to use “NCPDP” rather than “NABP”. Maintain Accounts The accounts view may now be sorted by the Features column. Corrected a bug that could prevent the automatic refresh of the view after selecting “Show Inactive” accounts. [Back to Top]

eRx Application Disable Autocomplete  Autocomplete will no longer unintentionally prepopulate fields such as Refills, PIN, or Passcode.  Fax Management Improved fax management to operate more asynchronously to improve performance.  Real-Time Benefits Real-Time Benefits has been optimized for faster response times and a wait limit has been added.  Closed Sig Builder  Dispense calculations have been corrected for mixed form drugs.  Reset PIN  Corrected an issue that could leave the Submit button disabled while attempting to reset the user EPCS PIN.  EPCS Registrations  Corrected an issue that could prevent users from properly registering at Surescripts with the EPCS service level.  [Back to Top]  Customer Maintenance Portal Doctor Lookup  Search results may now be sorted by any field.  The Inactivation date is now surfaced in the search results.  Pharmcom Lookup  Selecting Related Rx allows the user to search for the prescription and pull up other related prescriptions.  MFA Login  Email is no longer an option for MFA. Email is not considered an adequate security level.  Multiple failed access attempts will now disable the login.   [Back to Top]

eRx ApplicationMedication Lists Pending, Active, and Previous Medications views may now be sorted by the ingredient name of the drug. Cash Only/No Eligibility This has been removed, as it was causing frequent confusion, resulting in disabling the eligibility and drug history services. If your practice is truly cash only, please contact your EHR to have the Eligibility checks disabled. Exostar Exostar push notifications are now handled asynchronously, which should lead to improved performance. Report Bug When reporting a bug using the Report Bug feature found under the primary dropdown, the sender is now cc'd on the message. Midlevel Assignment Corrected an issue that could associate an inactive midlevel prescriber to an Rx when no midlevel was selected, and the nurse had previously worked on behalf of the midlevel. Drug History The Confirm button now prevents multiple clicks, which could duplicate medications. [Back to Top]  Customer Maintenance PortalShow Staff A new option has been added to the Account view, allowing the user to view all staff associated with the account. Do Not Auto-Renew Corrected an issue that could prevent the Do Not Auto-Renew for EPCS option from being selectable. [Back to Top]

Oklahoma Nurse Practitioners Nurse Practitioners set up with full prescribing rights will now display “Independent Rx Authority” on each prescription. Territory Controlled Substances EPCS is now available for all US territories. Primary DEA The user’s primary DEA is now validated when signing up for EPCS. California Printed Rx Refills are now properly displayed on California format prescriptions. Leave for Doctor Corrected a bug that could prevent Leave for Doctor from properly assigning the prescriptions to the selected doctor. Stripe Payments Corrected an issue that could prevent the Subscription End Date from updating following a Stripe payment for EPCS. [Back to Top]

eRx ApplicationEPCS Enhancements The Grant/Revoke page now includes a notice explaining common reasons that a prescriber may not be listed, such as an invalid DEAN. EPCS reports now default to two years, compliant with DEA requirements. For deeper investigations, please contact Ensora support. Login Behavior Corrected an issue that could cause the obsolete Picklist value to block connections to eRx. In-House Pharmacies Corrected a bug that could prevent EPCS transmission to in-house pharmacies. [Back to Top]  Customer Maintenance PortalDoctor Lookup Doctor search may be performed with an SPI. Prescriber Display Primary DEAN is now listed on the top-level view for each prescriber. Daily Script Report The drug schedule has been added to the Daily Script Report. [Back to Top]

 eRx ApplicationCompounds Maintenance Corrected a bug that could duplicate the compound drug list via double click. Sig Builder The Best Practices link has been updated. DEA validation ​​​​​​​DEAN is now automatically trimmed to avoid validation errors. Suffix ​​​​​​​PMHNP is now supported as a codified suffix. [Back to Top]  Customer Maintenance PortalPrescriber view ​​​​​​​Removed duplicate row displays for a single location. Inactive prescribers are now shown in italics. Doctor Lookup ​​​​​​​The individual doctor’s EPCS provider is now displayed, rather than the account’s EPCS provider. Bulk Registration ​​​​​​​​​​​​​​A spinner is now displayed while registrations are being processed. [Back to Top]

 Jump to Section:New Features & Improvements eRx Application Customer Maintenance Portal Defect Fixes eRx Application  New Features & ImprovementseRx ApplicationUser Feedback Group The User Feedback Group has filled, and we are not seeking additional users at this time. Thank you for your participation! Staff Review Improved support for staff entering notes on renewal or change requests to better inform prescribers of updates.  Customer Maintenance Portal2FA Login ​​​​​​​The signing device will now be remembered and defaulted upon connection. Pharmacy Lookup ​​​​​​​The layout display has been updated to be consistent with the Prescriber view. Display Results ​​​​​​​Pharmacy search results now default to 25 rows. Provider view display results now default to 25 rows. Active Prescriber Report ​​​​​​​A new report has been added to the account view, allowing generation of a report of all active prescribers within the account.  [Back to Top]  Defect FixeseRx ApplicationChange Requests Corrected a bug that could prevent answering Change requests for compound drugs. Add Pharmacy ​​​​​​​Corrected a bug that could prevent the Add Pharmacy modal from displaying on the Transmit page. Stripe Payment ​​​​​​​Corrected an issue that could cause the eRx subscription end date not to update following a successful payment.  [Back to Top]

Jump to Section:New Features & Improvements Defect Fixes New Features & ImprovementsCompounds Compounds can now be grouped into categories. Organize compounds using the Compound Maintenance page. ID.me 2FA The last signing device is now remembered and set as the default. Allergy Synchronization Improved allergy synchronization with EHRs to prevent potential duplication. Sig Builder Added new dose quantities to better support liquid medications. Customer Maintenance Portal Release Notes and Knowledge Hub links are now available. The Doctor Lookup view has been optimized to display results based on the account. The Pharmcom Lookup has been improved for better readability.  Defect FixesMedication Views Corrected Active and Previous Medications lists scaling. Duplicate Messages Corrected a bug that could create duplicate prescription messages. These extra copies were previously shown as failures. Prescriber Report Corrected time zone handling on the Prescriber Report. The report now honors the time zone selected on the Account Settings page. Add Pharmacy Modal Corrected a bug that could prevent the Add Pharmacy modal from displaying. [Back to Top]

Jump to Section:New Features & Improvements Defect Fixes New Features & Improvements Prescription Drug Monitoring Program The Maryland PDMP link has been updated. Business Associate Agreement The Business Associate Agreement has been updated. Customer Maintenance Portal Subscription Expiration Dates now represent the last date of the License for the user. State is now displayed for the account under Show Details.   Defect FixesPrescriber Report The Prescriber Report should now load more quickly. Corrected a bug that may have included prescriptions outside the selected time range. Change Requests Corrected a bug that may have prevented access to some pharmacy change messages. Corrected a bug that could cause approved messages to show up on the EPCS log, even if the drug was not scheduled.  [Back to Top] 

Jump to Section:New Features & Improvements Defect Fixes  New Features & ImprovementsError Reporting Email  Daily email notifications for failed prescription (Rx) transmissions are now available. To enable notifications, navigate to the Menu bar and click your user name. Select Profile, enter your email address, and check the Email Opt-In box. See Opt-In to Receive Email Notifications for Failed Transmissions for more information.    Defect FixesID.me Registration Corrected an issue where suspended Exostar licenses could conflict with sign-up. Real-Time Benefits Real-Time Benefits are now available for pharmacies listed with phone extensions. Prescriber Connection Improved the error messaging when a doctor connects incorrectly as a midlevel prescriber or vice versa. [Back to Top]

New Features & ImprovementsDrug Sets Maintenance If your EHR supports Clinical Administrators, Drug Sets must now be managed by a user with the Clinical Administrator role. This avoids unintended edits to the Drug Sets list. Error Messaging Improved the error message display on the Failed Rx view and Prescription History view. Reprint Reprint is no longer permitted for scheduled drugs that are identified as being delivered successfully via electronic transmission. Product Updates Release Notes have been renamed Product Updates, and are found on the Admin tab. [Back to Top]   Defect FixesDuplicate Transmissions Corrected an issue that could cause duplicate prescriptions to be transmitted, typically by rapidly clicking the Transmit button. ID.me registration Improved the communication with ID.me which should allow for more consistent successful registration. [Back to Top]

New Features & Improvements Prescription Message ID   Prescription Message ID is now surfaced in the Prescription History. This may be referenced if a prescription is identified as missing at a pharmacy. Electronic Fax Electronic fax is no longer permitted in Minnesota. Faxed prescriptions must be signed by hand. Failed Transmission Notifications Failed Transmission notifications will now be emailed to users who have signed up for notifications under the User Profile.   Defect Fixes DEA Maintenance DEA Maintenance will now support multiple DEANs not associated with a given location. Failed Prescription Transmissions Corrected a bug that could prevent failed prescription transmissions from being deleted from the Failed Rx list. State-Controlled Drugs Corrected a bug that could impact state-controlled drugs.

New Features & ImprovementsError message display The full error message is now displayed on the Failed Rx table and in the Prescription History table. Unmapped Pharmacy messages Patient selection is now required upon selection of any unmapped pharmacy message (e.g. renewals or change requests).   Defect FixesPrescriber Report Corrected a bug that could impact the proper date range display for prescriptions within the report. Transmit page Corrected the display of the Effective Date to always show the full date. Customer Maintenance Portal Addressed a performance issue that could cause timeouts. Users may now be marked inactive without first clearing the FTE%. An incorrect DEAN entry will no longer clear all fields for display.

New Features & ImprovementsOffice Notes Prescriptions now show an Internal Note indicator displayed on the Compose and MedEntry pages if a note is present.  Clicking the note opens it in a modal display. Subscription Payments Subscriptions can now be transferred between credit cards without canceling the original subscription.   Defect FixesClosed Sig Builder An issue was corrected that could occur when editing Active Medications. 2 Factor Authentication Signing Tool ​​​​​​​A defect was resolved the could prevent the 2FA signing tool display for some users. Pharmacy Renewal Requests ​​​​​​​We fixed a defect where digital signatures were not applied to state-controlled substances in approved pharmacy renewal requests. Customer Maintenance Portal ​​​​​​​DEAN for a prescriber now updates dynamically. Sorting behavior by Billing field was corrected.