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How much does e-prescribing cost?

Surescripts does not charge physicians for access to our network for core e-prescribing services (prescription routing, prescription benefit, and medication history). Costs a physician typically incur will vary depending on which kind of hardware and software (electronic medical record (EMR) systems vs. a stand-alone e-prescribing system) a practice chooses to purchase and implement via a software vendor or other technology provider.

EMR systems offer more comprehensive functionalities, but are more costly, complex and time consuming to implement. According to the Congressional Budget Office, office-based EMR systems cost about $25,000 to $45,000 per prescriber. Estimated annual costs to operate and maintain an EMR system (e.g., software licensing fees, technical support, and updating and replacing used equipment), range from $3,000 to $9,000 per physician per year.

Be sure to ask vendors specific questions about any incremental fees related to e-prescribing functionality as well as training. The figures above do not include the initial costs of the hardware required to support either an e-prescribing or an EMR system, or the costs of temporary decreases in productivity resulting from training or workflow redesign, practice management interfaces, customization, maintenance, upgrades, or data conversion.

Whether you choose a stand-alone e-prescribing application or an EMR system with integrated e-prescribing, cost is only one part of the equation. You should compare the costs - both direct and indirect, start-up and ongoing - with expected benefits such as improved efficiency and productivity, decreased administrative expenses and staff utilization to fully understand the value of e-prescribing to your practice.

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