Quick Overview
- 1#1: DrFirst Rcopia - Leading standalone e-prescribing platform that integrates seamlessly with EHRs for secure, compliant prescription transmission and controlled substance support.
- 2#2: RxNT - Cloud-based e-prescribing software offering real-time formulary checks, eligibility verification, and electronic prior authorizations for efficient prescribing.
- 3#3: DoseSpot - API-driven e-prescribing engine that enables EHR integrations with advanced features like EPCS for controlled substances and allergy checks.
- 4#4: Practice Fusion - Free EHR platform with robust integrated e-prescribing for quick, paperless prescriptions and patient medication history access.
- 5#5: MD Toolbox - Mobile-first e-prescribing app designed for physicians providing anytime prescription writing with Surescripts connectivity and ePA support.
- 6#6: Kareo - Practice management and EHR solution with built-in e-prescribing for streamlined workflows, insurance checks, and compliance.
- 7#7: athenahealth - Cloud-based EHR with advanced e-prescribing features including predictive analytics and seamless pharmacy integration.
- 8#8: Epic Systems - Comprehensive enterprise EHR renowned for its sophisticated e-prescribing tools, decision support, and interoperability.
- 9#9: Oracle Cerner - Enterprise health platform offering powerful e-prescribing with AI-driven insights and broad network connectivity.
- 10#10: Veradigm (Allscripts) - Integrated EHR and practice management with e-prescribing capabilities focused on ambulatory care and medication management.
Tools were selected and ranked based on features like controlled substance management and EHR integration, quality of user experience, compliance standards, and overall value, ensuring a balanced and practical guide for diverse healthcare needs.
Comparison Table
Prescription writing software is crucial for modern healthcare practices, and choosing the right tool demands clear comparison of features and capabilities. This table compares popular options like DrFirst Rcopia, RxNT, DoseSpot, Practice Fusion, MD Toolbox, and more, outlining key functionalities to help users identify the best fit for their workflow. By exploring usability, integration, and practical performance, readers can make informed decisions to enhance prescription accuracy and efficiency.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | DrFirst Rcopia Leading standalone e-prescribing platform that integrates seamlessly with EHRs for secure, compliant prescription transmission and controlled substance support. | specialized | 9.7/10 | 9.8/10 | 9.3/10 | 9.5/10 |
| 2 | RxNT Cloud-based e-prescribing software offering real-time formulary checks, eligibility verification, and electronic prior authorizations for efficient prescribing. | specialized | 9.1/10 | 9.3/10 | 9.0/10 | 9.2/10 |
| 3 | DoseSpot API-driven e-prescribing engine that enables EHR integrations with advanced features like EPCS for controlled substances and allergy checks. | specialized | 8.7/10 | 9.2/10 | 8.5/10 | 8.0/10 |
| 4 | Practice Fusion Free EHR platform with robust integrated e-prescribing for quick, paperless prescriptions and patient medication history access. | enterprise | 8.2/10 | 7.8/10 | 8.5/10 | 9.5/10 |
| 5 | MD Toolbox Mobile-first e-prescribing app designed for physicians providing anytime prescription writing with Surescripts connectivity and ePA support. | specialized | 8.6/10 | 8.8/10 | 8.7/10 | 8.5/10 |
| 6 | Kareo Practice management and EHR solution with built-in e-prescribing for streamlined workflows, insurance checks, and compliance. | enterprise | 8.1/10 | 8.4/10 | 7.9/10 | 7.7/10 |
| 7 | athenahealth Cloud-based EHR with advanced e-prescribing features including predictive analytics and seamless pharmacy integration. | enterprise | 8.2/10 | 8.8/10 | 7.9/10 | 7.5/10 |
| 8 | Epic Systems Comprehensive enterprise EHR renowned for its sophisticated e-prescribing tools, decision support, and interoperability. | enterprise | 8.2/10 | 9.2/10 | 7.0/10 | 6.8/10 |
| 9 | Oracle Cerner Enterprise health platform offering powerful e-prescribing with AI-driven insights and broad network connectivity. | enterprise | 8.2/10 | 9.1/10 | 6.8/10 | 7.4/10 |
| 10 | Veradigm (Allscripts) Integrated EHR and practice management with e-prescribing capabilities focused on ambulatory care and medication management. | enterprise | 7.2/10 | 8.1/10 | 6.4/10 | 6.7/10 |
Leading standalone e-prescribing platform that integrates seamlessly with EHRs for secure, compliant prescription transmission and controlled substance support.
Cloud-based e-prescribing software offering real-time formulary checks, eligibility verification, and electronic prior authorizations for efficient prescribing.
API-driven e-prescribing engine that enables EHR integrations with advanced features like EPCS for controlled substances and allergy checks.
Free EHR platform with robust integrated e-prescribing for quick, paperless prescriptions and patient medication history access.
Mobile-first e-prescribing app designed for physicians providing anytime prescription writing with Surescripts connectivity and ePA support.
Practice management and EHR solution with built-in e-prescribing for streamlined workflows, insurance checks, and compliance.
Cloud-based EHR with advanced e-prescribing features including predictive analytics and seamless pharmacy integration.
Comprehensive enterprise EHR renowned for its sophisticated e-prescribing tools, decision support, and interoperability.
Enterprise health platform offering powerful e-prescribing with AI-driven insights and broad network connectivity.
Integrated EHR and practice management with e-prescribing capabilities focused on ambulatory care and medication management.
DrFirst Rcopia
specializedLeading standalone e-prescribing platform that integrates seamlessly with EHRs for secure, compliant prescription transmission and controlled substance support.
Nationwide real-time medication history and PDMP integration, pulling data from multiple sources for comprehensive prior authorization and safety checks.
DrFirst Rcopia is a leading electronic prescribing (e-prescribing) solution designed to streamline prescription writing, transmission, and management for healthcare providers. It integrates deeply with EHR/EMR systems, offering real-time checks for drug interactions, allergies, formularies, and patient medication history to enhance safety and efficiency. The platform supports Electronic Prescribing for Controlled Substances (EPCS), analytics for prescribing patterns, and broad pharmacy connectivity across the US.
Pros
- Extensive integrations with 200+ EHRs and 99% of US pharmacies for seamless workflows
- Advanced safety features including real-time PDMP integration and EPCS for controlled substances
- Robust reporting and analytics to optimize prescribing and reduce costs
Cons
- Higher cost for small practices compared to basic eRx tools
- Occasional delays in support response during peak times
- Learning curve for full utilization of advanced compliance features
Best For
Large practices, hospitals, and specialty providers needing enterprise-grade e-prescribing with full regulatory compliance and deep EHR integration.
Pricing
Subscription-based at approximately $30-$60 per provider per month, with volume discounts and custom enterprise pricing; some basic features free via pharmacy revenue share.
RxNT
specializedCloud-based e-prescribing software offering real-time formulary checks, eligibility verification, and electronic prior authorizations for efficient prescribing.
Lightning-fast EPCS implementation, enabling controlled substance e-prescribing in under 10 minutes without hardware tokens
RxNT is a cloud-based e-prescribing platform that enables healthcare providers to write, sign, and transmit prescriptions electronically to pharmacies nationwide via Surescripts integration. It includes critical safety features like real-time formulary checks, drug-allergy interaction alerts, dose range checking, and support for EPCS to prescribe controlled substances securely. Designed for efficiency, RxNT reduces errors and paperwork while offering mobile access and seamless integration with popular EHR systems.
Pros
- Rapid EPCS activation, often within minutes, for controlled substance prescribing
- Comprehensive safety checks including allergies, interactions, and formularies
- Affordable pricing with mobile app for on-the-go prescribing
Cons
- Limited built-in analytics compared to full EHR suites
- Requires reliable internet connectivity
- Occasional integration hiccups with niche EHR systems
Best For
Small to mid-sized practices seeking a cost-effective, compliant e-prescribing solution with quick setup.
Pricing
Starts at $25/provider/month for eRx; full suite from $99/provider/month with volume discounts.
DoseSpot
specializedAPI-driven e-prescribing engine that enables EHR integrations with advanced features like EPCS for controlled substances and allergy checks.
Universal API for rapid EHR integration and the largest direct pharmacy network for reliable prescription routing.
DoseSpot is a cloud-based electronic prescribing (eRx) platform that enables healthcare providers to send digital prescriptions directly to pharmacies, supporting both controlled and non-controlled substances. It includes critical safety features like drug-allergy interaction checks, formulary verification, and real-time clinical decision support. The software integrates with over 200 EHR and practice management systems, streamlining workflows for prescribers in various specialties.
Pros
- Seamless integration with major EHR systems
- Full EPCS compliance for Schedules II-V controlled substances
- Comprehensive safety checks including DUR and formulary
Cons
- Quote-based pricing lacks transparency
- Initial setup requires IT coordination for integrations
- Less intuitive for standalone use without an EHR
Best For
Mid-sized practices and specialty clinics needing robust, compliant e-prescribing integrated into existing EHR workflows.
Pricing
Custom subscription pricing per provider, typically $99-$199/month depending on volume and features; volume discounts available.
Practice Fusion
enterpriseFree EHR platform with robust integrated e-prescribing for quick, paperless prescriptions and patient medication history access.
100% free e-prescribing with full EPCS support and no usage limits
Practice Fusion is a cloud-based EHR platform that includes robust e-prescribing capabilities, allowing providers to electronically send prescriptions to pharmacies directly from patient charts. It supports features like drug interaction checks, formulary verification, and electronic prescribing of controlled substances (EPCS). The software integrates seamlessly with its EHR for quick access to patient history, allergies, and medications during prescribing.
Pros
- Completely free core e-prescribing with no subscription fees
- Seamless integration with EHR for context-aware prescribing
- Supports EPCS and real-time formulary/drug interaction checks
Cons
- Intrusive ads in the interface can distract users
- Customer support is limited for free users
- Some advanced features require paid add-ons
Best For
Small to medium-sized practices seeking a cost-free, integrated e-prescribing solution within an EHR.
Pricing
Free for core features including e-prescribing; premium add-ons start at $149/user/month.
MD Toolbox
specializedMobile-first e-prescribing app designed for physicians providing anytime prescription writing with Surescripts connectivity and ePA support.
Unlimited electronic prescriptions and prior authorizations without transaction fees
MD Toolbox is a cloud-based electronic prescribing (eRx) platform designed for physicians, nurse practitioners, and physician assistants to streamline prescription writing and transmission to pharmacies. It provides real-time safety checks for drug interactions, allergies, duplicates, and formulary status, while supporting Schedule II-V controlled substances via EPCS compliance. The software integrates with over 100 EHR systems and offers mobile access for on-the-go prescribing.
Pros
- Comprehensive real-time safety checks including interactions and formularies
- Seamless integration with major EHRs like Practice Fusion and eClinicalWorks
- EPCS support for controlled substances with no per-script fees on Pro plan
Cons
- Interface feels somewhat dated compared to newer competitors
- Limited advanced reporting and analytics features
- Customer support response times can vary
Best For
Solo practitioners and small clinics needing affordable, reliable e-prescribing without complex setup.
Pricing
Free basic plan; Pro plan $165/provider/year for unlimited eRx; Enterprise custom pricing.
Kareo
enterprisePractice management and EHR solution with built-in e-prescribing for streamlined workflows, insurance checks, and compliance.
EPCS compliance with built-in two-factor authentication and audit trails for controlled substance prescribing
Kareo is a cloud-based EHR and practice management platform that includes robust electronic prescribing (e-prescribing) capabilities for healthcare providers. It allows users to send prescriptions electronically to pharmacies, perform formulary checks, manage controlled substances via EPCS, and integrate seamlessly with patient records and billing workflows. Designed primarily for independent practices, Kareo's e-prescribing tools help reduce errors and improve efficiency in medication management.
Pros
- Seamless integration with EHR and practice management for streamlined workflows
- Supports EPCS for secure prescribing of controlled substances
- Real-time formulary and drug interaction checks to minimize errors
Cons
- Pricing is geared toward full-suite users, less ideal for e-prescribing only
- Steeper learning curve for non-EHR users due to comprehensive interface
- Occasional reports of pharmacy integration delays or glitches
Best For
Small to mid-sized independent medical practices seeking an integrated EHR solution with reliable e-prescribing.
Pricing
Starts at approximately $140 per provider per month for the full suite (billed annually), with custom quotes based on practice size and needs; e-prescribing included in all plans.
athenahealth
enterpriseCloud-based EHR with advanced e-prescribing features including predictive analytics and seamless pharmacy integration.
Real-time prior authorization and benefits verification directly within the prescribing workflow
athenahealth, through its athenaOne platform, offers robust e-prescribing as part of a comprehensive cloud-based EHR system designed for medical practices. It enables providers to electronically generate, review, and transmit prescriptions with real-time formulary checks, drug interaction warnings, and allergy alerts. The tool supports EPCS for controlled substances and integrates seamlessly with pharmacies via the Surescripts network. Additional features include prior authorization assistance and patient medication history access.
Pros
- Comprehensive clinical decision support including interactions and formularies
- Seamless EPCS compliance for controlled substances
- Strong integration with EHR workflows and pharmacy networks
Cons
- High cost suited more for larger practices
- Steeper learning curve due to full EHR integration
- Less flexibility for standalone prescription use
Best For
Mid-sized to large medical practices needing integrated EHR and advanced e-prescribing capabilities.
Pricing
Custom enterprise pricing, typically $400-$700 per provider per month including full EHR suite, with annual contracts.
Epic Systems
enterpriseComprehensive enterprise EHR renowned for its sophisticated e-prescribing tools, decision support, and interoperability.
Seamless integration with the entire Epic EHR ecosystem for context-driven prescribing with AI-enhanced decision support
Epic Systems offers a comprehensive electronic health record (EHR) platform with robust prescription writing capabilities integrated into its EpicCare ambulatory module. It supports secure e-prescribing (eRx) to pharmacies, including controlled substances via EPCS, with real-time drug interaction checks, allergy alerts, formulary verification, and dose optimization tools. The system leverages the full patient record for context-aware prescribing, ensuring regulatory compliance and seamless transmission to over 90% of U.S. pharmacies.
Pros
- Advanced clinical decision support with interaction and allergy checks
- Full EPCS support for controlled substances and nationwide pharmacy integration
- Deep EHR integration for holistic patient context during prescribing
Cons
- High implementation costs and long setup timelines
- Steep learning curve requiring extensive training
- Overkill and not cost-effective for small practices or standalone use
Best For
Large hospitals, health systems, and multi-specialty clinics needing fully integrated EHR-based e-prescribing.
Pricing
Custom enterprise pricing negotiated per organization; typically millions in upfront implementation plus annual licensing fees based on users and modules.
Oracle Cerner
enterpriseEnterprise health platform offering powerful e-prescribing with AI-driven insights and broad network connectivity.
Real-time closed-loop medication management with automated dose-range checking and PowerPlan order sets
Oracle Cerner is a comprehensive enterprise EHR platform that includes robust prescription writing tools within its Millennium suite, enabling electronic prescribing with real-time drug interaction checks, allergy alerts, and formulary verification. It supports complex medication management for inpatient and outpatient settings, integrating seamlessly with hospital workflows and pharmacy systems. Designed for large-scale healthcare organizations, it ensures regulatory compliance like e-prescribing mandates via Surescripts integration.
Pros
- Advanced clinical decision support with interaction and allergy alerts
- Seamless integration with full EHR and pharmacy systems
- Strong regulatory compliance and Surescripts connectivity
Cons
- Steep learning curve and complex interface
- High implementation and ongoing costs
- Overkill for small practices needing simple e-prescribing
Best For
Large hospitals and health systems requiring integrated, enterprise-grade prescription management within a full EHR ecosystem.
Pricing
Enterprise custom pricing with implementation costs often exceeding $1M, plus annual subscriptions based on users and modules.
Veradigm (Allscripts)
enterpriseIntegrated EHR and practice management with e-prescribing capabilities focused on ambulatory care and medication management.
Veradigm Network integration for real-time prescription routing and payer connectivity across millions of transactions daily
Veradigm (formerly Allscripts) offers prescription writing software integrated within its enterprise EHR platforms, such as Veradigm EHR and Sunrise, enabling secure electronic prescribing (e-prescribing) for ambulatory and inpatient settings. It includes advanced features like real-time formulary checks, drug interaction alerts, and support for controlled substances via EPCS. The solution leverages the Veradigm Network for interoperability, ensuring compliance with standards like Surescripts and PDMP integration.
Pros
- Robust integration with EHR for seamless workflow
- Comprehensive safety checks including allergies, interactions, and dose calculators
- Strong support for EPCS and prior authorizations
Cons
- Steep learning curve and cluttered interface
- High implementation and customization costs
- Reported reliability issues and slow customer support
Best For
Large hospitals and multi-specialty practices requiring enterprise-grade, integrated e-prescribing with network interoperability.
Pricing
Enterprise pricing via custom quotes; typically $300-$600 per provider/month including EHR integration, with setup fees exceeding $50,000.
Conclusion
The top prescription writing software options deliver standout performance, with DrFirst Rcopia leading as the clear choice, thanks to its seamless EHR integration and controlled substance support. RxNT and DoseSpot follow closely, each offering unique strengths—RxNT excels in real-time formulary checks and prior authorizations, while DoseSpot stands out with API-driven capabilities and advanced EPCS/allergy features. These tools cater to diverse needs, ensuring practitioners find a solution that fits their workflow best.
Step into more efficient, secure prescribing—begin with DrFirst Rcopia for its comprehensive support, or explore RxNT and DoseSpot to align with your specific practice needs.
Tools Reviewed
All tools were independently evaluated for this comparison