eRX: Prescribe Tapered, Titrated, & Variable Dose Medications

eRX: Prescribe Tapered, Titrated, & Variable Dose Medications

Tapered or Titrated Medications 

To create a prescription that requires tapering or titrating: 

•  Log in to Rcopia, and go to the patient’s profile. Begin following the prescription workflow. 
• Search for the medication that needs to be tapered/titrated (e.g., prednisone).
• Select the highest dose you will use to begin the taper/titrate (i.e., 20 mg), though you can still change dosing in the next screen.
• Fill out the instructions for the medication on the first line.

When you get to the last drop-down menu, select an option (i.e., then) to add another line of instructions. 

• Continue populating instructions for as many lines as necessary to complete tapering/titration instructions.
• Each time you want to begin a new line select an option from the last drop-down menu (i.e., then). 
• Add a Primary Diagnosis from the drop-down menu on the bottom right corner, in order to add a Secondary Diagnosis (optional). 
• Select Review and acknowledge any required alerts. 
• Review the prescription and either add it to your pending prescriptions, or send it to the pharmacy immediately, per your workflows.

Variable Dosing

To prescribe a medication where your patient will need variable dosing: 

• Login to Rcopia, and go to the patient’s profile. Begin prescribing as you normally would. 
• Search for the medication. 
• Select a dose your patient will use, though you can still change dosing in the next screen. 
• Fill out the instructions for the medication on the first line.

When you get to the Other drop-down menu, you may type in relevant instructions for that line directly (i.e., INR < 1.5). The Other field functions as both a drop-down menu and a free text field. 

When you get to the last drop-down menu, select an option (i.e., then) to add another line of instructions. 

• Continue populating instructions for as many lines as needed to complete variable dosing instructions. Each time you want to begin a new line select an option from the last drop-down menu (i.e., or). 
• For variable dosing, you will likely need to type in the quantity of medication (e.g., tablets) that you are prescribing, as this will not auto populate.
• Add a Primary Diagnosis from the drop-down menu on the bottom right corner, before you can populate a Secondary Diagnosis (optional). 
• Select Review and acknowledge any required alerts. 
• Review the prescription and either add it to your pending prescriptions, or send it to the pharmacy immediately, as you would normally.  

More Questions?

If you have any questions regarding Dr. First , please visit the Welkin Health Knowledge-Base or contact your Integration Specialist for more information.