# DrFirst eRx Overview

Welkin Health integrates with DrFirst to provide electronic prescribing (eRx) capabilities directly within the care workflow. This integration enables clinicians to prescribe medications, manage controlled substance prescriptions (EPCS), and view patient medication history without leaving the Welkin platform.

## What is DrFirst?

DrFirst is a healthcare technology company specializing in medication management and electronic prescribing. Their Rcopia platform is embedded within Welkin to give prescribers a compliant, real-time prescribing experience that connects directly to pharmacy networks nationwide.

## Key capabilities

* **Electronic prescribing** – Send prescriptions to any pharmacy in the DrFirst network electronically
* **EPCS (Electronic Prescribing of Controlled Substances)** – Prescribe Schedule II–V controlled substances with DEA-compliant two-factor authentication
* **Medication history** – View a patient's current and past medications pulled from pharmacy and PBM data sources
* **Drug interaction checking** – Real-time alerts for drug-drug and drug-allergy interactions
* **Formulary checking** – View insurance formulary status to help select cost-effective medications

## How it works in Welkin

When eRx is enabled for your organization, a **Prescribe** button or embedded Rcopia panel appears within the patient chart. Clinicians authenticate into the Rcopia session using their DrFirst credentials or IDP-based single sign-on. Prescriptions sent through Rcopia are automatically associated with the patient record in Welkin.

Prescription data is passed back to Welkin and can be surfaced in CDTs, encounter summaries, and audit logs.

## Who needs access

* **Prescribers** (MDs, DOs, NPs, PAs) require a DrFirst prescriber account and completed identity proofing
* **EPCS prescribers** additionally require DEA registration and completion of the EPCS logical access control process
* **Support staff** can have view-only access to medication history without full prescribing rights

## Implementation overview

Setting up eRx involves coordination between your organization and the Welkin implementation team:

1. Complete the [DrFirst Implementation Checklist](/integrations/drfirst-erx/dr-first-implementation-checklist.md)
2. Configure eRx in the [Admin and Designer portals](/integrations/drfirst-erx/erx-setup-and-configuration.md)
3. Obtain [eRx Tokens](/integrations/drfirst-erx/erx-tokens.md) for API authentication
4. Complete [EPCS enrollment](/integrations/drfirst-erx/erx-completing-the-epcs-invitation-and-logistical-access-control.md) for controlled substance prescribers
5. Train prescribers on [Rcopia workflows](/integrations/drfirst-erx/erx-rcopia-prescribe-medications.md)

For questions during implementation, contact your Welkin Customer Success Manager.

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