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Objective 4: Electronic Prescribing (eRx)


More than 50% of permissible prescriptions written by the Eligible Professional (EP) are queried for a drug formulary and transmitted electronically using Certified Electronic Health Record Technology (CEHRT).

  • Exclusion: Any EP that writes fewer than 100 permissible prescriptions during the EHR reporting period.
  • Exclusion: Any EP that does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of the EHR reporting period.

For an EP to successfully attest for Objective 4, they need to ePrescribe more than 50% of all prescribed medications. Additionally, EPs will need to document a patient’s formulary plan under the Demographics/Insurance section.  A medication will be queried against this formulary during the eprescribing process.


An EP must report the thresholds for this measure as generated by the Meaningful Use Functional Measures Report for the designated reporting period.  

Audit Documentation

We recommend that a copy of your Meaningful Use Functional Measures Report is placed in your audit folder and retained for a minimum of 6 years after your attestation.  Your audit folder will provide necessary verification if you are selected for a CMS Incentive Program audit.