Ancillary Systems
Exchange information about lab results, pharmacy, and other ancillary clinical systems
Pharmacy
These interfaces address how Epic integrates with external pharmacies, how Epic's pharmacy integrates with other systems, and how electronic prescriptions are communicated. Epic provides software for both inpatient and outpatient pharmacies, and the types of integrations and interfaces available vary by setting.
Outgoing interfaces refer to interfaces in which the Epic system sends the message. Incoming interfaces refer to interfaces in which the Epic system receives the message.
Outgoing Real Time Prescription Benefit Inquiry and Response
Supports real-time prescription benefits checking (RTPB) during the prescriber ordering process. This feature lets prescribers see expected out-of-pocket costs, lower-cost medication suggestions, and whether additional approvals from the insurance company are needed before the prescription can be filled. Providers can share this information with patients before sending the order to the pharmacy, saving time and money for patients, and help improve medication adherence.
Payers/vendors who are interested in joining the RTPB network, please please reach out for more information.
Payers/vendors who are interested in joining the RTPB network, please please reach out for more information.
Current integrations include 
- Arrive Health
- Bamboo Health
- CenterX
- CoverMyMeds
- DrFirst
- Humana
- Surescripts
Outgoing Medication History for Populations Request and Response
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Performs queries to get the medication dispense history for registries of patients to assist in tracking patients' medication adherence.
Current integrations include
- Surescripts
Outgoing Fills to Automated Fill System from Willow Ambulatory
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Transmits verified pharmacy fills to automated prescription fill systems.
Current integrations include
- AccuMed
- ARX
- ARxIUM
- Asembia
- Avery Weigh-Tronix
- BD
- CPS
- Dispill
- iA
- inHealth
- Innovation
- Kirby Lester
- McKesson
- Omnicell
- Parata
- Relay Health
- RxSafe
- ScriptPro
- Surescripts
- Therigy
Incoming Fill Status Updates and Load/Unload from Automated Fill System
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Updates the status of the prescription fill in Willow Ambulatory Pharmacy when an automated prescription fill system fills, dispenses, or cancels a prescription.
Current integrations include
- ARxIUM
- Avery Weigh-Tronix
- BD
- CPS
- iA
- inHealth
- Innovation
- Kirby Lester
- McKesson
- Omnicell
- Parata
- RxSafe
- ScriptPro
- Surescripts
Incoming External Outpatient Medication Orders Interface
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Receives outpatient medication orders from outside sources such as other EHR systems. They are not filed directly to the chart, but instead are filed as a medication waiting to be reconciled in the Reconcile Outside Information activity. This interface is generally used for conversion purposes, and is recommended in place of the Incoming Medication Orders to EpicCare Ambulatory interface.
Current integrations include
- Zorgdoc
Outgoing Medication Verification Queue Update Notification from Willow Inpatient Interface
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Informs external systems when an inpatient medication order is added or removed from the pharmacist verification queue.
Current integrations include
- CarepathRx
- CPS
- Surescripts
- Therigy
Incoming External Paid Pharmacy Claims Interface
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Loads external paid pharmacy claims messages into Epic Payer Platform or Tapestry, Epic's managed care application, using flag files in the NCPDP Post-Adjudication format.
Current integrations include
- Humana
- Navitus
- OptumRx (Catamaran)
Incoming Pharmacy Price Sales Catalog to Willow Inventory Interface
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Updates purchase contract records with up-to-date pricing and supplier item ID information.
Current integrations include
- AmerisourceBergen
- Anda
- Auburn Pharmaceutical
- BD
- Cardinal Health WaveMark
- McKesson
- Morris & Dickson
- Swisslog
- TopRx
Incoming Medication Stock Reservation to Willow Inventory
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Reserves medication stock for use at a specific inventory location.
Current integrations include
- CompuGroup Medical
Incoming Drug Supply Chain Event Notification to Willow Inventory
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Enables supply chain partners to capture event information about supply chain events and to share that information with their trading partners securely. Uses the Electronic Product Code Information Service (EPCIS) GS1 standard and complies with the Drug Supply Change Security Act (DSCSA) regulation that requires organizations exchange package-level tracing information.
Current integrations include
- AmerisourceBergen
- Anda
- Cardinal Health WaveMark
- LSPedia
- McKesson
Incoming Drug Supply Receipt to Willow Inventory
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Files drug suppy items on stock that are received and invoiced on a purchase order in central pharamcy management.
Outgoing Pharmacy Purchase Order from Willow Inventory
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Sends medication purchase order requests to a supplier. The interface uses the ANSI X12 850 transaction set or GS1 for the request.
Current integrations include
- Alliance Healthcare
- AmerisourceBergen
- Anda
- Auburn Pharmaceutical
- AutoMed
- Baxter
- BD
- Cardinal Health WaveMark
- CenterX
- CuraScript
- E.Novation
- FFF Enterprises
- Global Healthcare Exchange
- Infor Global Solutions
- McKesson
- Mediq
- Morris & Dickson
- Oracle
- Parata
- Parmed
- River City Pharma
- TopRx
Incoming Pharmacy Purchase Order Invoice to Willow Inventory
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Receives invoices from a supplier for purchase orders placed in Willow Inventory, Epic's medication inventory management system. The interface uses the ANSI X12 810 transaction set for the response.
Current integrations include
- Alliance Healthcare
- AmerisourceBergen
- Anda
- Auburn Pharmaceutical
- AutoMed
- Baxter
- BD
- Cardinal Health WaveMark
- CenterX
- FFF Enterprises
- Global Healthcare Exchange
- Macro Helix
- McKesson
- Morris & Dickson
- Oracle
- Parmed
- TopRx
Outgoing Prescription Prior Authorization Request and Reponse
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Supports message events necessary for a prescribing provider to request an electronic prior authorization for a medication order and receive either approval or denial from a Pharmacy Benefits Manager, and supports messages to cancel requests. These interfaces for electronic prior authorization support a subset of the NCPDP 2013101 standard.
Current integrations include
- CenterX
- CoverMyMeds
- Surescripts
Incoming Medication Orders to EpicCare Ambulatory
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Receives medication order information from an external ambulatory pharmacy system other than Willow Ambulatory. In the past, this interface was used only by an organization that maintained its own ambulatory pharmacy system and interfaced it with EpicCare Ambulatory EHR. In its original implementation mode, this interface encodes and cancels orders, tracks and cancels dispenses, and requests the originator of a refill order. However, since external pharmacy systems have now moved to NCPDP/e-prescribing workflows, this interface is no longer implemented in real time, and is sparingly used for certain types of electronic conversions (see Patient Abstractor for preferred method of converting at home medications). Note that this interface cannot be used to receive medications from an external Hospital Information System and file them for use with Willow Inpatient, nor can it file medication administration information discretely to the electronic MAR.
Current integrations include
- Abbott Diagnostics
- American Well
- McKesson
- NCS
- Optum
- SapphireHealth
- ScriptPro
Outgoing Medication Orders from EpicCare Ambulatory
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Sends ambulatory medication orders that are placed in Order Entry to an external pharmacy system internal to the organization other than Willow Ambulatory Pharmacy. Messages are triggered as a user orders, discontinues, or reorders a medication.
Current integrations include
- Allscripts
- AmerisourceBergen
- CareXM
- CBORD
- ConnectiveRx
- Deep Lens
- Enclara
- Glytec
- inHealth
- IntelliDose
- Kansas Health Information Network
- Manifest Medex
- McCreadie Group
- Medically Home
- Medicom Health
- Medicomp
- Medline
- MuleSoft
- NABIDH
- NCS
- Onepoint Health Services
- Optum
- OptumRx (Catamaran)
- Pascal Metrics
- Philips
- Premier
- Rx Savings Solutions
- SapphireHealth
- Script Care
- ScriptPro
- Therigy
- Velos
Incoming Medication Dispenses and Load/Unload from ADS to Willow Inpatient
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Processes dispense, return, and waste information from medication cabinet systems (automated dispense systems), dispensing workflow engines, and robots. Also processes "load/unload" messages received when a drawer, pocket, or bin is emptied or stocked.
Current integrations include
- Allscripts
- AmerisourceBergen
- ARX
- ARxIUM
- AutoMed
- Baxter
- BD
- Betrace
- California Department of Justice
- Cato Software Solutions GmbH
- CGI
- DXC Technology
- IntelliGuard
- ION Solutions
- Kiro Grifols
- Loccioni
- McKesson
- MEDHOST
- MedKeeper
- Mercell
- National Committee for Quality Assurance
- Omnicell
- Parata
- Parmed
- PhACTs
- Swisslog
- TouchPoint Medical
- TruMed Systems
- WellSky
- Zorgi
Outgoing Verified Medication Orders from Willow Inpatient
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Sends verified pharmacy orders. This interface is typically used with cabinet, robotic, TPN, or carousel dispensing systems. It is sometimes used to transmit medication orders to an external medical record or surgery system. Messages are triggered from Willow Inpatinet Pharmacy when a user verifies, re-verifies, discontinues, or modifies an order, reverses a discharge, changes a patient's location such that the dispense location changes, or loads a medication into a station that did not previously contain that medication. We recommend one interface for cabinets and a separate interface for robotic dispensing systems, since the requirements for message content varies between systems, as the robot is dispensing multiple doses of a given medication for a cart, whereas the cabinet order will be dispensed by a user.
Current integrations include
- Aceso
- Aethon Inc.
- Allscripts
- AmerisourceBergen
- AngelEye Health
- ARX
- ARxIUM
- AutoMed
- Baxter
- BD
- Betrace
- BUDDI.AI
- CAPS Pharmacy
- Cardinal Health WaveMark
- Cato Software Solutions GmbH
- CBORD
- CenterX
- Cerner
- CGI
- Compass Group
- Computrition
- Decisio Health
- DXC Technology
- E-Health
- Enclara
- GE
- GetWellNetwork
- Glytec
- Health Robotics
- Hicuity Health
- ICNet
- IllumiCare
- InfuSystem
- Inland Empire Health Plan
- Intellidot
- Iodine Software
- ION Solutions
- Kiro Grifols
- Kronos
- Loccioni
- Manifest Medex
- Maxor
- McCreadie Group
- McKesson
- MCR Technologies
- MEDECS
- MEDHOST
- Medical Informatics Corp
- Medically Home
- Meditech
- MedKeeper
- Monarch Medical Technologies
- National Committee for Quality Assurance
- NCS
- Nuclear Medicine Information Systems LLC
- NucleusHealth
- Omnicell
- Parata
- Parlando
- Parmed
- PhACTs
- Pharmacy OneSource
- Philips
- Premier
- QuadraMed
- Sinteco Robotics
- Softmedex
- Sound Physicians
- Stanford School of Medicine
- Surescripts
- Swisslog
- Symplr
- Tecsys
- TheraDoc
- Timeless Medical Systems
- TouchPoint Medical
- TruMed Systems
- VigiLanz
- Vituity
- WellSky
- Wolters Kluwer
Outgoing Formulary Information to ADS from Willow Inpatient Interface
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Also known as ADS Console Management. The interface can be used to populate the master medication list of an automated dispense system when a medication is added or removed from the Willow Inpatient Pharmacy formulary.
Current integrations include
- ARxIUM
- AutoMed
- BD
- GetWellNetwork
- Health Robotics
- Omnicell
- RLDatix
- Swisslog
Outgoing Prescription Information from Prescriber to Pharmacies
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Used for e-prescribing when the organization is the prescriber. Uses NCPDP SCRIPT 10.6 or 2017071 to send new prescriptions, renewal responses, cancel requests, and change responses with an external pharmacy. Previously known as Outgong Medication Orders to Retail Pharmacies.
Current integrations include
- Canada Health Infoway
- CipherHealth
- CoverMyMeds
- CPS
- DrFirst
- InstyMeds
- McCreadie Group
- McKesson
- Rx Care Assurance
- ScriptPro
- Surescripts
Incoming Prescription Information from Pharmacies to Prescriber
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Uses NCPDP SCRIPT 10.6 or 2017071 to receive renewal requests, cancel responses, and change requests from external pharmacies.
Current integrations include
- Canada Health Infoway
- CoverMyMeds
- DrFirst
- InstyMeds
- McCreadie Group
- McKesson
- Rx Care Assurance
- ScriptPro
- Surescripts
Outgoing Pharmacy Benefit Eligibility Query - 270/271
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E-Prescribing functionality when Epic is the Prescriber. Initiates pharmacy benefit eligibility queries.
Current integrations include
- Availity
- Cardinal Health WaveMark
- Change Healthcare
- Experian Health
- MetroPlus
- Surescripts
Outgoing Medication Dispense History Query
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E-prescribing functionality when Epic is the prescriber. Uses NCPDP SCRIPT 10.6 or 2017071 to receive medication history information from external sources.
Current integrations include
- Bamboo Health
- California Department of Justice
- Chesapeake Regional Information System for Our Patients
- CyncHealth
- DrFirst
- Illinois Office of Health Information Technology
- LogiCoy
- Nebraska Health Information Initiative
- OneHealthPort
- Rhode Island - Public Health Agencies
- RxCheck
- Surescripts
- Washington - Public Health Agencies
Incoming Prescription Information from Prescribers to Pharmacy
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Uses NCPDP SCRIPT 10.6 or 2017071 to receive new prescriptions, renewal responses, and cancel requests from external providers into Epic's ambulatory pharmacy product.
Current integrations include
- AmerisourceBergen
- CenterX
- Surescripts
Outgoing Prescription Information from Pharmacy to Prescribers
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E-prescribing functionality when Epic is the Pharmacy. Uses NCPDP SCRIPT 10.6 or 2017071 to send renewal requests and cancel responses to external providers from Willow Ambulatory.
Current integrations include
- CenterX
- Surescripts
Outgoing Pharmacy Update from Willow Ambulatory to E-Prescribing System Interface
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Sends messages to an e-prescribing system to change e-prescribing related settings of an ambulatory pharmacy, such as service levels or operating mode.
Current integrations include
- Avery Weigh-Tronix
- Cardinal Health WaveMark
- Surescripts
Outgoing Provider Download to E-Prescribing System Interface
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Queries an external e-prescribing system for current and updated e-prescribing provider data.
Current integrations include
- Cardinal Health WaveMark
- CenterX
- Surescripts
Outgoing Medication Stock Transfer Request and Response
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Initiates a fill in a dispensing system-such as robotic arm or carousel-to assist in sending medications from the pharmacy to a hospital floor. This interface also receives acknowledgments from the dispensing system, which updates stock counts in Willow Inventory Management accordingly. For example, if a user requests five bottles of a certain medicine, but only four exist in stock, the interface updates the stock count being sent to the floor to four. Note that the purpose of messages sent by the interface is to request stock for a hospital floor. For that reason, the messages aren't patient-specific.
Current integrations include
- ARX
- Astraia
- BD
- Omnicell
- Swisslog
Outgoing Organization Download to E-Prescribing System
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Queries an external e-prescribing system for current and updated e-prescribing pharmacy data.
Current integrations include
- Surescripts
Outgoing Provider Update to E-Prescribing System Interface
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Sends messages to an e-prescribing system when changes to e-prescribing related settings are made to provider's record, such as service levels or contact information.
Current integrations include
- Surescripts
Outgoing Formulary Query to e-Prescribing System
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Downloads NCPDP Formulary & Benefit files from an external source to provide formulary information to the provider during order entry.
Current integrations include
- Surescripts
Incoming Purchase Order Acknowledgement to Willow Inventory
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Receives acknowledgements from a supplier for purchase orders placed in Willow Inventory. The interface uses the ANSI X12 855 transaction set for the response.
Current integrations include
- Alliance Healthcare
- AmerisourceBergen
- Anda
- Auburn Pharmaceutical
- BD
- Cardinal Health WaveMark
- CenterX
- Macro Helix
- McKesson
- Morris & Dickson
- Oracle
- Parmed
- Surescripts
- TopRx
Incoming Shipment Notification to Willow Inventory
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Receives information about items sent by a supplier to fill a purchase order from Willow Inventory medication inventory management. This interface uses the ANSI X12 856 transaction set or European GS1.
Current integrations include
- AmerisourceBergen
- Anda
- AutoMed
- Baxter
- BD
- Cardinal Health WaveMark
- CenterX
- CuraScript
- Global Healthcare Exchange
- McKesson
- Morris & Dickson
- Oracle
- Parmed
- TopRx
Incoming Prescriptions from Legacy Pharmacy to Willow Ambulatory
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Receives medication orders from legacy pharmacy systems and files the medications orders to Willow Ambulatory Pharmacy. This interface is used only for conversions.