I have been eprescribing for upwards of 8 years. I successfully send most of my patient's prescriptions to every pharmacy in the state. I also regularly receive refill requests from pharmacies electronically. Inasmuch as my office fills as many as 60 prescriptions a day, the system saves us hours of time per week. It also produces a complete and accurate medication record and an indication when chronic medications have lapsed. Evidently, it is not common knowledge that the largest and highest tech of pharmacies, the pbms or mail order pharmacies like Medco and Expresscripts, have no capability in place to receive or request escripts from my office. I do not understand when solo physicians can be penalized for not having eprescribing, how the largest, best capitalized pharmacies are not required to reciprocate. As it is, scripts must be faxed from my office with a proprietary cover sheet, or called in to a technician who then makes you wait for a pharmacist to restate the script or sent through the USPS by the patient. Is anyone else familiar with this problem?