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Direct authorization by valid signature is required to verify the authenticity of prescriptions.
Handwritten prescriptions given directly to the patient must be signed manually. EMR-generated prescriptions that are printed and given directly to the patient must be counter-signed with a “wet” signature.
EMR-generated signatures are only acceptable to pharmacists when the prescription is transmitted directly from the EMR to the pharmacy of the patient’s choice, as in the case of a fax. In a closed electronic system where transmission is by secure messaging, the password protocol is considered the prescriber’s direct authorization. The physician must log in and transmit the prescription themselves (i.e. may not delegate) in this case.