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Prescription Orchestration

Improve E-Prescribing, Reduce Rework

Gadget™ by DrFirst® makes prescribing more efficient with fewer clicks and less rework. It adds an orchestration layer to your e-prescribing workflow, resulting in less friction for your providers and faster therapy starts for their patients.

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WE UNDERSTAND YOUR CHALLENGES

Prescriptions That Bounce Back

Your clients judge your platform on the workflows they touch most, and prescribing sits at the top of that list. But today’s e-prescribing infrastructure is built to help you meet requirements, not exceed them.

  • Competing priorities: Differentiation, engineering capacity, and clinician trust compete for the same attention.
  • Missing intelligence: Some data, like pharmacy dispensing rules and PBM benefit designs, isn’t available to your EHR.
  • Late or wrong data: Formulary data goes stale and benefit details often don’t match what the pharmacy sees.

The result: prescriptions bounce back for rework.

 
RESULTS

Fewer Corrections, Faster Fills

SIMPLER TO PRESCRIBE
~50%
Fewer clicks for newly
searched prescriptions*
LESS REWORK
~45%
Fewer change requests for drugs
that commonly trigger them*
QUICK ANSWER

What is prescription orchestration, and how does it help EHR platforms improve e-prescribing?

Prescription orchestration is an intelligence layer that optimizes prescribing within the EHR workflow, giving providers access to pharmacy and PBM intelligence that they typically could not see. It applies dispensing rules and benefit logic to stop the rework that drives providers crazy. By supporting redundant routing paths, prescription orchestration improves resilience across multiple networks and allows for configuration of custom rules, all behind the EHR’s own brand and experience.

WE HAVE YOUR SOLUTION

One Order. One Fill. No Rework.

Gadget™ by DrFirst® unifies the clinical, operational, and business workflows that run behind every prescription and typically happen outside of your EHR's view.

  • Optimized prescribing, less alert fatigue: Surfaces information to the provider in the e-prescribing workflow only when action is required.
  • Your interface, your control: Customers keep working in your familiar user interface while you control what information they see, when it appears, and how it looks.
  • Faster time to therapy: Prior authorization questions are answered quickly and ready-to-fill scripts go to the right pharmacy, so patients start therapy sooner.

The result: providers can stop playing prescription ping-pong.

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Cut the prescribing rework that’s making your providers crazy.

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MORE VALUE, NEW OPPORTUNITIES

Keep the Customers You Have and Explore New Ways to Grow

New connected workflows offer potential growth you can’t reach today. Innovative functions keep improving the provider experience, pulling in new customers and giving current ones more reason to stay.

Routing through Gadget™ also makes your prescribing infrastructure more resilient. If you run through a single routing path today, you may want to consider the multi-network setup most large EHRs are moving toward.

KEY BENEFITS

Gadget™ helps EHRs cut prescribing rework and expand the value of your platform for providers without bogging down your roadmap.

No more rework

Fewer pharmacy callbacks, faxes, and prior authorization follow-ups mean your providers and their teams have more time to focus on higher-value work.

Access to data not typically available

Payer rules, PBM logic, benefit details, and other information that typically hasn’t been available to your EHR now surfaces in your existing workflow. No new tools for providers to learn, and no new screens to open.

More value, new opportunities

Open the door to new commercial opportunities alongside your existing routing relationship, plus access to innovation across every connected workflow.

Patients get on medication faster

Quick therapy starts and stronger first-fill adherence support the health outcomes your providers are working toward.

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Frost & Sullivan 2026 Enabling Technology Leadership Award

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TIME World’s Top HealthTech Companies of 2026

 
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See What Gadget Can Do for Your EHR

For over 26 years, DrFirst has been first in many innovations that went on to become the industry standard, including EPCS and real-time benefit check. We’re bringing that same pioneering approach to prescription orchestration.

 

RELATED RESOURCES

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Is Prescribing Friction Sinking Your Users’ Experience?

A provider assesses the patient, selects the therapy, and sends the prescription. But that’s just the tip of the Rx iceberg.

Start Reading →

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HIStalk Interviews G. Cameron Deemer

DrFirst was originally founded 25 years ago to eliminate technology friction for the doctor.

Start Reading →

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7 Medication Management Traps Waiting to Ensnare EHR Vendors

If your developers are parsing regulations instead of building features, you might be in a medication management trap.

Start Reading →

Source:

*DrFirst benchmark testing with Gadget vs. standard e-prescribing workflow, 2026.