E-Prescribing Workflow

Prescriptions sent to any pharmacy. Without leaving the chart.

Ad Vital's e-prescribing is powered by DoseSpot — the same industry-standard Surescripts-certified infrastructure used across leading aesthetic platforms. Below is the complete step-by-step workflow for both standard and EPCS-eligible controlled substance prescriptions.

Provider initiates the prescription

From inside the patient chart, the prescriber opens 'New Prescription'. The chart's allergies, problem list, and current medications are loaded into context automatically. Ad Vital does not pre-select a medication.

DetailThe prescriber types or searches the medication, selects the strength and form, and builds the sig (dose, route, frequency, duration, quantity, refills, substitution). All fields are entered by the prescriber.

Clinical decision support runs

DoseSpot performs drug-drug, drug-allergy, drug-condition, and dose checks against the patient's chart in real time. Conflicts are surfaced to the prescriber before signing.

DetailThe prescriber may override a soft warning with a clinical reason; hard warnings (e.g., absolute contraindication) require explicit acknowledgement. All overrides are logged.

Patient selects the pharmacy

The patient's preferred pharmacy is selected at the point of care from the full Surescripts pharmacy directory. The patient may name any in-network retail, mail-order, or compounding pharmacy.

DetailAd Vital does not maintain a 'preferred' pharmacy list, does not steer based on commercial relationships, and never overrides the patient's stated choice. The selected pharmacy is recorded on the chart.

Prescriber signs

The prescriber digitally signs the prescription. For non-controlled medications a single primary credential is required.

DetailFor EPCS-eligible controlled substances, a second authentication factor (FIDO security key or TOTP authenticator) is required by 21 CFR Part 1311 before the prescription can be transmitted. The two-factor enforcement cannot be disabled by administrators.

DoseSpot transmits over Surescripts

The signed prescription is transmitted from DoseSpot to the patient-selected pharmacy over the Surescripts network. Transmission status (queued, sent, received, error) is reflected back into the chart in real time.

DetailAd Vital does not modify the contents of a signed prescription. Any change requires a new prescription, signed again by the prescriber.

Pharmacy dispenses

The patient-selected pharmacy receives the prescription and dispenses to the patient under its own pharmacy license. Refill requests come back into the chart and are reviewed and signed by the prescriber.

DetailAd Vital is not part of the dispensing relationship and does not collect, store, or share dispensing-side patient information beyond what the pharmacy returns about the prescription itself.

Choice & Independence

No steering. No promotion. No exceptions.

The prescriber chooses the medication. The patient chooses the pharmacy. Ad Vital does not promote drugs, does not maintain preferred pharmacies, does not receive payment from pharmacies or drug manufacturers, and does not modify a prescription after it is signed.

These commitments are described in our Terms & Conditions and Privacy Policy, and they are enforced by the platform — the user interface offers no field, no toggle, and no administrative override that would allow a prescription to be redirected away from the patient-selected pharmacy.