Working with prescriptions

The Prescription Labels feature in Cornerstone allows you to: 

• Create, refill, renew, correct, or void prescriptions.  
• Quickly add stored instructions to prescriptions. 
• Print prescriptions on blank or preprinted labels. 
• Generate detailed prescription reports. 
• Enter prescription information into the patient’s medical history and add charges to the Patient Visit List (PVL). 

Create a prescription

Start a prescription from the patient or from entering a prescribed item on the Patient Visit List (PVL) or on an invoice.

Navigate to any of the following:

• Patient Clipboard > right-click patient > Prescribe 
• Patient Visit List > enter prescription item > Label opens or click RX button
• Invoice > enter prescription item > Label opens or click RX button

The Prescription Information – New window opens. The prescription number is generated automatically when the prescription is saved and cannot be changed.

1. If not already populated, enter the item ID or press F2 to search for and select the item.
   • If you subscribe to the Veterinary Pharmacy Reference, an Interaction Warnings window may appear if known interactions exist for the selected drug.
2. Select the dispensing item, if using.
3. Enter the amount being dispensed in the Quantity field. Based on prescription defaults, quantities of 1 need to be confirmed.
   
4. If the selected invoice item requires inventory details to be verified, a red question mark icon appears. To verify details:
   • Click the red question mark icon, and do either of the following:
     • Confirm displayed information is correct.
     • F2 in Loc ID field to select the appropriate inventory details from the list and click OK.
       Note: Manually entering information in fields will create a negative quantity on hand for the entered date/lot number.
   • Click Verified.
   • Click OK. The red question mark icon changes to a green check mark on the Prescription Information dialog box.
     • You will not be allowed to post an invoice if inventory details are not verified.
     • This applies only to items you are tracking quantity on hand on, that have been selected to track lot numbers, expiration dates, and/or multiple locations.
     • Inventory defaults may make information required or warn. If details cannot be verified at time of making the label, it is recommended to verify details on the Patient Visit List where the prescription charge is sent.
5. To add future refills, if needed, do one of the following:
   • Enter number of refills allowed in the Refills field.
   • Select Refill as needed.
6. If the dispensed item is a controlled substance, enter the number of days in the Days Supply field, if applicable.
   • A maximum of 186 days is allowed. The field may be set as required in prescription defaults.
7. Modify Date provided, if needed. Cornerstone displays the current system date by default.
8. Modify the prescription’s Expiration Date, if needed.
   • Date will prepopulate based on either the item’s expiration date, if tracking, or prescription override date, if set in prescription defaults.
   • If neither is set up, the date displays as 00/00/0000.
9. Enter the prescribing doctor staff ID or press F2 to search and select from the Staff List.
10. Enter the staff ID who filled the prescription in the Filled by field.
11. To enter instructions, do one of the following:
    • Enter or change the ID In the Instruction ID field. You can press F2 to search for and select the instruction from the prescription instructions list.
    • Manually enter prescription instruction text. Text from an instruction ID can be edited.
      Note: Red text means the instruction exceeds the allotted space and will not be included on the label. Adjust the text until text color turns black.
      
12. Click Spell Check and address any instruction spelling errors.
13. View or modify the following, if needed:
    • Clear Apply to invoice. Security access is required.
      • This is only recommended if the item has already been billed (invoiced or on the Patient Visit List), but the label needs to be printed or reprinted.
      • Clearing this check box will not send a charge to Patient Visit List or capture the charge when invoicing.
    • Modify the revenue center by entering revenue center ID or press F2 to select from list.
    • Modify the price.
14. Click OK. If using below reorder point warnings, a reorder reminder may display. Click OK.
    Note: Reorder point defaults are set up in Invoice defaults.
15. The prescription is placed in the patient’s medical history and on the Patient Visit List, when Apply to invoice is selected. If the same prescription item already exists on the Patient Visit List, a message displays. Do one of the following:
    • Click Override to replace the existing prescription.
    • Click Add to include both prescriptions on the Patient Visit List.
16. Click OK to print a prescription label or click Cancel to save prescription and charge without printing.
    • The label can be printed as needed. See printing/reprinting prescription labels.
    • If an item is linked with the Prescription label special action, adding the item directly to the Patient Visit List or to an Invoice will prompt for the prescription label window.

Refill a prescription

You can easily refill a patient’s prescription when refills are available. If not available, the menu will not display a selection for Refill. In these cases, you can renew the prescription or create a new one.

Navigate to Patient Clipboard > select patient > RX tab > right-click prescription > Refill.

1. The Prescription Information – Refill window opens for the selected prescription.
2. The original amount prescribed displays in the Quantity field. Modify as needed.
   Note: The entered quantity cannot exceed the amount in the Remaining Qty field. This field displays the remaining quantity available for refilling this prescription out of the total quantity originally prescribed.
3. Complete the remaining prescription information fields as needed. Examples: Verify inventory details, days supply, prescribed by and filled by, modify instructions, etc.
4. Click Spell Check and address any instruction spelling errors.
5. Click OK to save the prescription and place it in the patient’s medical history. If Apply to invoice is deselected, Cornerstone will not bill for the prescription.
6. Click OK to print a prescription label or click Cancel to save prescription and charge without printing.

Renew a prescription

You can create a new prescription based on a previous prescription’s information by renewing it.

Navigate to Patient Clipboard > select patient > RX tab > right-click prescription > Renew.

1. The Prescription Information – Renew window appears for the selected prescription.
2. Enter the available prescription information. Example: quantity, refills, days supply, verify inventory details, etc.
3. Modify the instructions, if needed.
4. Click Spell Check and address any instruction spelling errors.
5. Click OK to save the prescription, place it in the patient’s medical history and place the prescription on the Patient Visit List.
6. Click OK to print a prescription label or click Cancel to save prescription and charge without printing.

Correct a prescription

If the wrong information was entered for a prescription, you can easily correct it. The original prescription is voided in the patient’s history and on the Prescription History report. The corrected prescription displays with a new prescription number and the charge sent to the Patient Visit List.
Note: Refilled prescriptions cannot be corrected, but can be voided.

Navigate to Patient Clipboard > select patient > RX tab > right-click prescription > Correct

1. The Prescription Information – Renew window opens for the selected prescription.
2. Make any necessary corrections to the available prescription information fields.
3. Click Spell Check and address any instruction spelling errors.
4. Clear Apply to invoice, only if you are recreating a label and the medication charge is already accounted for. Security access required.
5. Click OK to save the prescription and place it in the patient’s medical history.
6. Click OK to print a prescription label or click Cancel to save prescription and charge without printing.

Void a prescription

To cancel a prescription, you can void it.

It is only possible to void the most recent action on a prescription. You cannot void a prescription until any refilled prescriptions have been voided.
Example: The original prescription was dispensed with 2 refills. The prescription was refilled one time. The refill would need to be voided first, and then the original prescription can be voided.

Voiding a label also removes the billing item only if it is still on the PVL. Removing the billing item does not void the prescription.

1. Navigate to Patient Clipboard > select patient > RX tab > right-click prescription > Void.
2. Click Yes or No to confirm the void.

Print/reprint prescription labels

Cornerstone automatically prompts you to print a prescription label when you create, refill, renew, or correct a prescription. If you cancel the label printing, or need to reprint a label, you can print the prescription label at any time.

Navigate to Patient Clipboard > select patient > RX tab > right-click prescription > View.

1. The Prescription Information – View dialog box displays.
2. Do one of the following:
   • Click Preview to preview the label first. Click Print or Save.
   • Click the Print
3. In the Cornerstone Print Options window, make any changes as needed:
   • Modify the number of label copies to print.
   • Click Printer… to select a different printer and click OK or Cancel to return to the print options window.
4. Click OK to print the label.

Manage prescriptions

Use the Daily Planner Patient Visit List tab to manage requested prescriptions.

Navigate to Daily Planner > Patient Visit List Tab.

1. Select View for all staff.
2. Sort the list by clicking on any column header, if needed.
   Example: Client name, patient name, etc.
3. Click the first patient row and review the Patient Visit List preview for prescription items. Items prescribed from the Patient Clipboard patient menu or the Prescription Label toolbar window display with .
4. Note the date of the prescription. Double click the row to open the Patient Visit List, as needed. Do any of the following according to your practice’s policies:
   • Use the blue comment line for any notes.
     Example: Indicate the client was contacted to remind them the prescription is ready. Comments display on the Patient Visit List report.
   • Remove, decline or decline to history. The comment line will save to history if Decline to history is selected.
5. Click OK to save the PVL and return to the Daily Planner Patient Visit List tab.
6. Click Invoice and post the invoice.

Additional Information

Related Reports

These Cornerstone reports provide information from the actions outlined in this article. Each report has its own security access under the Reports tab of the Security Setup window.

• Prescription History report
• Prescription Instructions report
• Prescription Refill log

Resources

• Prescription quick reference guide