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EPCS Solutions

Electronic Prescribing for Controlled Substances

H2H DigitalRx is DEA-compliant for EPCS, enabling clinicians to prescribe Schedule II-V controlled substances electronically with two-factor authentication, full audit trails, and identity proofing that meets federal and state requirements.

What Is EPCS?

Electronic prescribing of controlled substances (EPCS) replaces paper prescriptions for Schedule II-V medications. The DEA mandated specific logical access controls - including identity proofing and two-factor authentication (2FA) - that must be met before a practitioner can transmit electronic controlled substance prescriptions.

EPCS in H2H DigitalRx

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DEA-compliant identity proofing
Practitioners complete a one-time remote identity verification (2 of 3 knowledge-based authentication + credential validation).
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Two-factor authentication
Each controlled substance prescription requires a second factor (hardware token, biometric, or TOTP app) at signing.
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Full audit log
Every controlled substance prescription is logged with prescriber ID, timestamp, 2FA method used, and transmission status.
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State mandate support
Supports state-specific EPCS mandates (NY, MN, TX, and others) with configurable enforcement rules.
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Surescripts certified
Transmitted through the Surescripts network to 99%+ of US pharmacies.

Why It Matters

Eliminate forged and altered paper prescriptions
Meet DEA 21 CFR Part 1311 requirements
Satisfy state EPCS mandate deadlines
Reduce prescription fraud and diversion
Streamline controlled substance workflow for prescribers and pharmacies

Where EPCS Is Mandated

Beyond the federal Medicare Part D requirement, most states now mandate e-prescribing for controlled substances directly, with penalties for non-compliance.

Mandated statewide Phased / partial requirement No comprehensive state mandate*

*Federal Medicare Part D EPCS requirements (CMS) still apply nationwide regardless of state law. State mandate status changes frequently โ€” confirm current requirements with your state medical or pharmacy board. Reflects H2H research as of mid-2026 and is for general information only.

Related Features

PDMP Integration
Check controlled substance history as part of the EPCS workflow, with an audit log of every query.
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Electronic Prior Authorization (ePA)
Handle PA for controlled substance medications.
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See EPCS in your own workflow

A live walkthrough is faster than reading about it.

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