> For the complete documentation index, see [llms.txt](https://docs.welkinhealth.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.welkinhealth.com/integrations/drfirst-erx/erx-rcopia-prescribe-medications.md).

# Rcopia: Prescribe Medications

This guide covers how to write prescriptions with complex dosing instructions — tapering, titration, and variable dosing — using the DrFirst Rcopia panel within Welkin.

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## Tapered or Titrated Medications

To create a prescription that requires tapering or titrating:

1. Log in to Rcopia and go to the patient's profile
2. Begin the prescription workflow and search for the medication (e.g., prednisone)
3. Select the highest dose you will use to begin the taper/titration (e.g., 20 mg) — you can still adjust dosing on the next screen
4. Fill out the instructions for the medication on the first line
5. When you reach the last drop-down menu, select an option (e.g., **then**) to add another line of instructions
6. Continue populating instructions for as many lines as needed to complete the tapering/titration schedule — each new line starts by selecting an option from the last drop-down menu
7. Add a **Primary Diagnosis** from the drop-down in the bottom right corner (required before adding a Secondary Diagnosis, which is optional)
8. Select **Review** and acknowledge any required alerts
9. Review the prescription and either add it to your pending prescriptions or send it to the pharmacy, per your workflows

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## Variable Dosing

To prescribe a medication where the patient will need variable dosing:

1. Log in to Rcopia and go to the patient's profile
2. Begin prescribing as you normally would and search for the medication
3. Select a dose the patient will use — you can still adjust dosing on the next screen
4. Fill out the instructions for the first line
5. In the **Other** drop-down menu, you may type in relevant condition-based instructions directly (e.g., *INR < 1.5*) — the Other field functions as both a drop-down and a free text field
6. When you reach the last drop-down menu, select an option (e.g., **then** or **or**) to add another line of instructions
7. Continue populating instructions for as many lines as needed; for variable dosing, you will likely need to type in the quantity of medication (e.g., tablets) manually, as it will not auto-populate
8. Add a **Primary Diagnosis** from the drop-down in the bottom right corner (required before adding a Secondary Diagnosis, which is optional)
9. Select **Review** and acknowledge any required alerts
10. Review the prescription and either add it to your pending prescriptions or send it to the pharmacy as you normally would

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More Questions? Contact your Integration Specialist or visit the Welkin Health Knowledge Base.


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