Integrated workflows ease staff burden and satisfy regulatory mandates.
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.

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.
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.

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

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.
Fewer pharmacy callbacks, faxes, and prior authorization follow-ups mean your providers and their teams have more time to focus on higher-value work.
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.
Open the door to new commercial opportunities alongside your existing routing relationship, plus access to innovation across every connected workflow.
Quick therapy starts and stronger first-fill adherence support the health outcomes your providers are working toward.


TIME World’s Top HealthTech Companies of 2026
RELATED RESOURCES
2 Prior Authorization Processes, 1 Patient: What Blood Cancer Reveals About Your EHR Workflow
Three Weeks of EHR Downtime: How One Health System Kept Prescribing
A Digital Call to Action Picks Up Where the Paper Prescription Left Off

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.
Thank you for your submission! We look forward to showing you how Gadget™ by DrFirst®helps prior authorizations clear faster, ready-to-fill scripts reach the right pharmacy, and providers stop playing prescription ping-pong. A member of our team will reach out soon to find a time that works for you.
RELATED RESOURCES
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.
HIStalk Interviews G. Cameron Deemer
DrFirst was originally founded 25 years ago to eliminate technology friction for the doctor.
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.
*DrFirst benchmark testing with Gadget vs. standard e-prescribing workflow, 2026.

