One patient record
Prescriptions, the structured medication list, charting, labs, and billing all live in the same system, so nothing is re-keyed between apps.
E-Prescribing
E-prescribing and EPCS, built into the patient chart
Ona e-prescribing lets clinicians send electronic prescriptions directly from the patient chart through an embedded DoseSpot dispensary, including EPCS for Schedule II–V drugs with two-factor signing that meets DEA rules. Refills, interaction checks, and the medication list all update in one record the moment a prescription goes out.
- DoseSpot, embedded
- EPCS for controlled substances
- Refills in one queue
- Live medication list
E-prescribing (also written electronic prescribing or eprescribing) is the practice of sending a prescription electronically from the clinician straight to the pharmacy, instead of by paper, phone, or fax. In Ona, it runs on an embedded DoseSpot dispensary that sits on every patient record inside the EHR, so prescribing, refills, and the medication history stay in one place. Controlled substances are handled through EPCS in the same flow, with no paper backup.
It's built for US practices that prescribe as part of care — primary care, behavioral health, women's health, functional and integrative medicine, and naturopathic doctors prescribing within their state scope. It fits both solo clinicians and multi-provider groups that need controlled-substance prescribing and on-call refills without bolting on a separate e-prescribing tool.
01 · Why it matters
Faxing scripts in 2026 is a choice.
Paper, phone, and faxed prescriptions waste twenty minutes a day per prescriber — and quietly cost you patients who never make it to the pharmacy.
Every step between “you should start this” and “the patient has the bottle” is a place a script can die. Calling it in, dictating to a fax machine, handing the patient a paper to take downstairs — each handoff loses a little adherence and a little of your morning.
E-prescribing closes the loop. The pharmacy receives the script while the patient is still in the chair; the medication list updates the second you sign; the next refill comes back into the same queue, not a different fax tray. The tiny administrative tax on every prescription drops to zero.
02 · Why Ona
A prescribing flow tuned for the chart it lives in.
Embedded DoseSpot dispensary
The e-prescribing engine trusted by major electronic health record systems, reaching nearly every US retail, mail-order, and specialty pharmacy.
EPCS built in, not bolted on
Controlled-substance prescribing uses the same flow as any other script — EPCS is built in, not a separate portal, with tamper-evident logs recording who prescribed what, when, and from where.
Part of the whole platform
E-prescribing sits alongside charting, labs, billing, and insurance. The e-prescribing add-on is +$45 per prescribing practitioner, with EPCS a further +$25 on top.
Refills in one queue
Pharmacy refill requests land in the same inbox as new scripts. Approve, deny, modify dose, or convert to a new prescription — one click, full response back to the dispenser, medication list synced.
Interactions and allergies, surfaced early
Allergy contraindications and known interactions flag at the point of signing — not after. Severity is shown, source is cited, and final judgement stays with the prescriber.
03 · In the room
How a script moves from chart to bottle.
Open the medications panel
From the visit or the patient record, the medications panel is one tab over from labs and supplements. Existing medications, dose, and last refill date are already in view.Pick the drug and the pharmacy
Search the formulary, set the sig and quantity, choose a pharmacy from the directory or the patient's saved favourite. Ona pre-fills what it knows — strength, common instructions, refills allowed.Sign with two-factor
For legend medications, a single PIN. For controlled substances, DoseSpot's DEA-compliant EPCS two-factor — push or hardware token, whichever you set up.The script lands, the list updates
DoseSpot confirms transmission to the pharmacy in seconds. The medication list ticks over to the new state immediately; the audit log captures who, what, when, and from where.Licensure checks and delegated prep
Ona checks your active licensure against the patient's state at signing and warns you up front. Front-desk staff and nurses can prepare draft prescriptions for a clinician to review and sign, with both roles on the audit trail.
“I used to keep a notepad of refills to call in at the end of clinic. Now the refill queue is empty before my last patient leaves — and I haven't touched the fax machine in months.”
04 · In practice
What this looks like across a real practice.
Solo psychiatrist
Schedule II refills without the controlled-substance ceremony.
EPCS sits inside the regular signing flow. Two-factor adds a few seconds; the rest of the workflow stays identical to a non-controlled refill. The DEA audit story is just the log.
Integrative-medicine clinic
Supplements and prescriptions sit side by side.
The chart already houses the supplement protocol from the Labs & Rx tab. Adding the short course of antibiotics that goes with it doesn't mean a separate system — it's the next button over.
Multi-provider practice
MAs and nurses prep, prescribers sign.
Support staff queue draft prescriptions during intake. The prescriber sees the interaction and allergy flags at signing, two-factors, done. The whole practice gets the time back, not just the doctor.
Telehealth-first endocrinologist
Patients leave the video call with the script already at their pharmacy.
The visit ends, the script is sent, the medication list updates, and the AI note picks up the medication change without anyone re-typing the dose. The whole sequence takes under thirty seconds.
FAQ
Common questions from prescribers.
What is e-prescribing (electronic prescribing) in Ona?
Ona's e-prescribing sends prescriptions electronically from the patient chart to the pharmacy through an embedded DoseSpot dispensary. The structured medication list updates the moment a script goes out, so there is no paper, phone, or fax step.
Does Ona support EPCS for controlled substances?
Yes. Schedule II–V controlled substances move through DoseSpot's EPCS with DEA-compliant two-factor authentication at signing (push or hardware token), and identity proofing is completed once at onboarding.
How does on-call e-prescribing and refills work?
Pharmacy refill requests land in the same queue as new prescriptions, so an on-call clinician can approve, deny, modify the dose, or convert to a new script from any browser. Ona checks active licensure against the patient's state at signing and warns you up front.
Which pharmacies can I send electronic prescriptions to?
The embedded DoseSpot network reaches nearly every US retail, mail-order, and specialty pharmacy. Each prescription routes to the pharmacy the patient chooses at the point of signing, and their preferred dispenser is saved on the chart.
Do you check for drug interactions and allergies?
Yes — the medication list and patient allergies are visible while you prescribe, and the system flags known interactions and allergy contraindications before you sign with severity and a citation. Final clinical judgement, of course, stays with the prescriber.
Can support staff prepare prescriptions for a prescriber?
Yes. Front-desk staff and nurses can prepare draft prescriptions and queue them for a clinician to review and sign, with both roles captured on the audit trail.
What happens if the patient is in a state I'm not licensed in?
Ona checks active licensure against the patient's state at signing and warns you up front. The cross-state telehealth rules still need your clinical and legal judgement — but the baseline check doesn't depend on memory.
Ready when you are
Retire the fax machine.
Walk through the prescribing flow — including EPCS — in a 20-minute demo with one of your real formularies.