e-Prescribing in New Hampshire

NEW HAMPSHIRE

As of January 1, 2022, all prescriptions for controlled substances must be done electronically.

If you already have an EHR:
- Check with your EHR vendor to see if you can add e-Rx
- If yes:
  - Confirm it includes EPCS for controlled substances (not all e-prescribing systems include EPCS)
  - Confirm it includes all state-specific requirements
- If no:
  - You will need stand-alone e-prescribing application
If you do not have an EHR (or cannot prescribe through your EHR):
- Choosing an e-Prescribing System (video - 17:00 mins)
- PRMS resources:
  - Survey of PRMS Insureds re: e-Prescribing Vendors
  - E-Prescribing Vendor Contracts: What You Need to Know

Training - Questions to Ask
- What type of training will be provided?
- What type of on-going assistance is available?
- What is the cost of training?
- In practice policies
- In Notice of Privacy Practices – will access entire medication history when e-prescribing
Patient notification - Patients should be notified that you are required to e-prescribe
Tips
- Do not destroy your paper prescription forms – may need for:
  - e-prescribing not available due to temporary technical or electrical failure
  - Out-of-state pharmacy
- Do not rely solely on the medication history in the e-prescribing system
  - They typically only include prescriptions for which patient has used their insurance
  - Continue to check the Prescription Monitoring Program (PMP)
    - It includes prescriptions paid for by cash
    - State law may require that prescribers check it
    - States monitor access to the PMP
- Technology innovations can lead to patient safety issues
  - Data must be entered correctly