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Frozen iPrescribe screen?
Learn about recent changes to PDMP funding for LA and MO:
Got a new phone?
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Please provide specific details so that we may provide faster support.
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Select the number of tokens needed
Provide the number of tokens needed
DrFirst has a 90-day limited warranty period on hard tokens. This limited warranty excludes damage or loss.
Environment where error occurred - Production or Non Production
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Date of Occurrence
Time that Occurrence Happened including Am/Pm. In the following format: 10:00 AM ; 1:30 pm.
What is the Logged in user's Full Name
What is the Logged in User Position Code / Role
What is the Facility's Location Name
What is the Facility NPI
What is the Patient's First Name
What is the Patient's Last Name
Please provide Patient's Date of Birth
What is the Patient's Zip Code
What is the Provider's Full Name
What is the Provider's NPI
Please provide the Medication Name
Please provide the Medication NDC (if known)
Please provide the Medication Sig Info (ex: 1 tablet daily)
Are there any Known recent change(s) updates to environment/EMR/application
Please enter the Provider's Full name for the Replacement Token
Please provide the Provider's NPI requesting the Replacement Token