Stand Alone E-Prescribe Software - Surescripts® Certified e-Prescribing

eprescribe

Certified on the Surescripts® network

Prescribe On The Go

e-Prescribe EPCS Class II-V Meds, Compound, DME & supplies from your mobile device.

Insurance Formulary Check

Verify prescribed medications are covered by Insurance carrier prior to transmitting.

Eligibility

Provides patient eligibility details for prescribed medications.

Please fill out the form below to start the e-Prescribe registration process. For immediate assistance, please call 954-237-3700.

First Name:(*)

Please let us know your name.

Last Name:(*)

Please let us know your name.

e-Mail:(*)

Please let us know your email address.

Business Phone:(*)

Please write a subject for your message.

Fax Number:

Please write a subject for your message.

Mobile Phone:

Please write a subject for your message.

NPI Number(*)

Invalid Input

DEA Number

Invalid Input

State Medical License:

Invalid Input

Practice Name:

Invalid Input

Which EMR/EHR do you currently use?

Invalid Input

How many prescriptions per month do you write: (estimate)

Invalid Input

Physical Practice Location (include address, city, state, zip)(*)

Invalid Input

Do you prescribe from more than one location?

Invalid Input

Website Address

Invalid Input

Preferred Start Date(*)

Invalid Input