Catalog signals
Each compound in the catalog may show:- In stock or Made to order — availability at the compound level
- Expected turnaround — resolved lead time for the compound or selected strength
- Doctor pay $X.XX — when your pharmacy enables doctor pay for that formula, category, and your account
- Prescription request · Schedule — controlled substance that requires a prescription request instead of an e-prescription
Submit a prescription
1
Select a patient
Click Choose patient. Search by name, date of birth, or phone. Search covers patients at this pharmacy — not only people you have prescribed for before. Choose a match or click Add new patient. Review allergies and details before you continue.
2
Add formulas
Use Last prescribed or Favorites, or type in Search formulas from . Each word you type must appear somewhere in the display name, formula name, dosage form, or ingredients. Word order does not matter, and the words do not have to sit next to each other. A single word still matches that text. Open a formula, then set quantity, days, and refills in one row above the ingredients. Each ingredient is full width. Click Add to Order. The add window uses the same layout as Edit details.
3
Review the order
Click Review. Each line lists quantity with its unit, days supply, refills, and directions. Each medication shows Delivery turnaround at every screen size. The value is the turnaround already on that line, such as Next day. A line with no delivery selection says No delivery selected. When two formulas have different times, each keeps its own.
4
Send
Click Send E-Prescription — X.XX for Schedule II–V controlled substances. One alert sits directly above the button, including a missing patient or clinic address.
Quantity, days, and refills
Quantity, days, and refills accept only numbers. Quantity can include a decimal and shows its unit. Days and refills are whole numbers. OttoRx rejects negatives and text. If quantity, strength, days supply, or refills is zero or empty, OttoRx asks you to Go back and fix or Continue anyway. A refill of 1 or another positive number skips that confirmation. Strength fields accept decimals.Directions
Default Pharmacy Instructions come from the formula. Your pharmacy sets amount, method, site or route, and frequency. You do not set those. Add custom instructions is how you write instructions for the line. When that box has text, Default Pharmacy Instructions is hidden and your text is what will be sent. The heading changes to Instructions that will be sent. If you open custom instructions and leave them empty, Add to Order and Edit details warn you. Fill them in, or cancel custom instructions to keep the pharmacy default. OttoRx does not send an empty override. Cancel on that section restores the pharmacy default. OttoRx sends the custom text on the prescription, the PDF, email, and any later renewal. Add note for the pharmacy adds an optional note on that line, separate from the directions.Edit, remove, and recent prescriptions
Edit details opens the formula window. Press Esc or click outside to keep your edits. Only Cancel undoes them. If you cancel by mistake, click Undo on the Edits canceled toast. The trash icon on the line removes that formula from the order. A favorite star sits on each formula in the search list, and again on the confirmation. Recent Rx copies strength, quantity, days supply, refills, the pharmacy note, and custom instructions from a previous line. It does not change amount, method, site or route, or frequency. The Recent prescription applied toast lists what changed, and Undo restores the line.Allergies
Allergy match appears on the order line as soon as you add a medication that conflicts with the patient’s allergies. Review shows Matches patient allergy. OttoRx asks you to confirm that match once, when you send.Prescription requests (controlled substances)
For Schedule II–V compounds, OttoRx sends a prescription request — not a prescription. You must acknowledge that the pharmacy will call you for a lawful Rx before compounding or dispensing. Your pharmacy receives the request in their queue with a clear banner that it is a prescription request, not a fillable e-prescription. Controlled-substance warnings appear once, at send.Renewals
When you click Review & renew from Renewals, the page opens as Review renewal with the patient and line items prefilled from the pharmacy’s request. Adjust details as needed, then send the renewed prescription. Custom instructions replace Default Pharmacy Instructions on that renewal.After submission
Your order is saved immediately and appears in your pharmacy’s queue. OttoRx also:- Assigns a reference number (
RX-YYMMDD-NNNN) - Calculates an estimated ready date based on your pharmacy’s turnaround settings
- Delivers a PDF to your pharmacy via fax and/or SFTP when those channels are configured (delivery runs on the pharmacy side)

