Electronic Prescribing for Controlled Substances

Integrating Electronic Prescribing for Controlled Substances (EPCS) within existing technology and workflows offers new dimensions of safety and security for controlled substance prescriptions.

Safer, faster controlled substance prescribing

EPCS provides accountability and security without sacrificing convenience. It's a powerful tool for tackling the nation’s opioid crisis.

Handles every prescription from one place

Physicians shouldn't need to change their entire workflow just because a medication is a controlled substance. EPCS lets them keep prescribing from within their EHR.

Reaches nearly all pharmacies

Virtually all U.S. pharmacies are EPCS enabled, so clinicians can securely transmit prescriptions to nearly any location.

Ready to meet regulatory requirements

An increasing number of states are passing legislation to mandate electronic prescribing of controlled substances. With Surescripts EPCS, you'll be in compliance.

We made It Easy. See the four key steps to get the benefits of EPCS certification.


Data sourced on: December 2022

Getting started: Steps for prescriber software vendors

Step 1

Update e-prescribing software to meet all requirements specified in the DEA’s Interim Final Rule and SCRIPT messaging that supports EPCS

Step 2

Undergo a third-party audit to ensure the software meets all DEA EPCS requirements

Step 3

Achieve Surescripts certification for EPCS

Step 4

Make audit results available to Surescripts along with a completed Surescripts EPCS audit attestation form

If your prescriber software is already certified by Surescripts for core e-prescribing services, contact your Surescripts Account Representative to discuss a plan for EPCS certification. EHR/prescriber software vendors not currently certified by Surescripts for core e-prescribing services must have contracts in place with Surescripts before certification can begin.

Request to be contacted about Surescripts E-Prescribing certification.

Search for prescriber software vendors that have achieved Surescripts certification and completed their third-party audits for e-prescribing of controlled substances.

Getting Started: Steps for pharmacy software vendors

Step 1

Update e-prescribing software to meet all requirements specified in the DEA’s Interim Final Rule and SCRIPT messaging that supports EPCS

Step 2

Undergo a third-party audit to ensure the software meets all DEA EPCS requirements

Step 3

Achieve Surescripts certification for EPCS

Step 4

Make audit results available to Surescripts along with a completed Surescripts EPCS audit attestation form

If your pharmacy software application is already certified by Surescripts for core e-prescribing services, contact your Surescripts Account Representative to discuss a plan for EPCS certification. New software application vendors and pharmacies not currently certified by Surescripts for core e-prescribing services must have contracts in place with Surescripts before certification can begin.

Request to be contacted about Surescripts E-Prescribing certification.

EPCS-certified pharmacies and pharmacy software systems

The following pharmacies and pharmacy software vendors have completed Surescripts certification and third-party audits for e-prescribing of controlled substances:

Abacus
Accredo
AdvanceNet health solutions
Best Computer Systems
CarePoint
Cerner Etreby
Computer-Rx
Cost Effective Computers
Creehan & Company
CVS/caremark mail
CVS/pharmacy
CVS/specialty
DAA Enterprises
Digital Business Solutions
Enclara Pharmacia
Epic - Willow Ambulatory
Express Scripts Home Delivery
FrameworkLTC by SoftWriters
Foundation Systems
Haney's Drug Corner
H E B Pharmacy

Health business systems
Humana Pharmacy
Injured Workers Pharmacy
KeyCentrix
Kroger
Lagniappe Pharmacy Services (Alpha, InteRx, OpusRx, PPC, Rx-1, Synercom, Visual)
Liberty Software
McKesson Pharmacy Systems (Condor, EnterpriseRx, PharmacyRx, Pharmaserv, Zadall)
MDScripts
Micro Merchant Systems
Omnicare
OptumRx
PD-Rx Pharmaceuticals
PDX
Pharmacy Systems, Inc
PharMerica

PioneerRx
Prodigy Data Systems
QS/1 Data Systems
QuiqMeds
Rite Aid
RNA - Helix
ScriptPro USA
SRS Pharmacy
SuiteRx
SuperValu
Thrifty White Pharmacy
Transaction Data Systems
VIP Computer Systems
Walgreens
Walmart

EPCS regulatory resources

DEA: Interim Final Rule: The Electronic Prescriptions for Controlled Substances
Published March, 2010
The rule outlines requirements that are descriptive of the outcomes that the DEA wants to achieve. This is not a technical implementation specification. They have been very prescriptive around security requirements, but leave the actual implementation up to the applications and the auditors to determine how to be compliant, and meet their user needs.

DEA: Electronic Prescriptions for Controlled Substances clarification about audits
Published October, 2011
The DEA published clarification on the Third Party Audits

DEA: Questions and Answers for Providers of Electronic Prescription Applications, Pharmacy Applications, and Intermediaries
The information on this webpage is not intended to convey specific information about every aspect of the rule, nor is it a substitute for the regulations themselves.

DEA: EPCS Interim Final Rule - Questions and Answers for Pharmacies

DEA: EPCS Interim Final Rule - Questions and Answers for Prescribing Practitioners

National Association of Boards of Pharmacy (NABP) - Find your state board of pharmacy

After EPCS software has met regulatory requirements, been audited, certified and set up with two-factor authentication technology, the last step is identity proofing for the prescriber. The DEA allows identity proofing to be done by any federally approved Credential Service Provider (CSP) or certificate authority (CA) that is Level of Assurance 3 or higher. Prescribers must register their authentication credentials before they are enabled to send electronic prescriptions for controlled substances.



New York State EPCS Requirements

EPCS identity proofing & authentication resources

Individual Practitioners Q & A: Getting Started With Identity Proofing

Institutional Practitioners Q & A: Getting Started With Identify Proofing

National Institute of Standards and Technology (NIST) Electronic Authentication Guideline

Tips for providers starting E-Prescribing of Controlled Substances

Guidelines for EPCS: Identity proofing, issuing authentication credentials, and configuring logical access controls

Federal Identity, Credential and Access Management Trust Framework Provider Credential Services.
This is not an exhaustive list. Any provider that is NIST 800-63 LOA 3 is allowed. Providers may be approved by the Federal Bridge Certificate Authority, universities and educational bridges related to these CAs and Trust Frameworks.

Entities Cross-Certified with the Federal Bridge

General EPCS resources

Evaluation of Electronic Prescribing of Controlled Substances Pilot - California HealthCare Foundation

NCPDP annual conference presentation - EPCS: Future opportunities & real life experiences

 

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Related content

May 24, 2022

Electronic Prescribing for Controlled Substances: 20 Years of Persistence and Progress

I practiced pharmacy for the first 16 years of my career. There was no e-prescribing when I started out, not to mention electronic prescribing for controlled substances (EPCS). Paper and telephone were all we had. We’ve come a long way: EPCS wasn’t even legal in all 50 states until 2015, but today, most states require it.  

October 11, 2021

CMS Should Proceed with EPCS Requirement Without Another Delay

In the fall of 2018, Congress passed the SUPPORT for Patients and Communities Act, which requires Medicare Part D program participants to use e-prescribing of controlled substances (EPCS) beginning January 1, 2021.

National Progress Report

Explore our National Progress Report and see how the Surescripts Network Alliance's® efforts to increase patient safety, lower costs and ensure quality care are making an impact.

Learn more