Major incident

AdvancedMD: eSending Controlled Substances — Prescriptions Stuck in Pending

Affected: ePrescribing

Current status of AdvancedMD: Operational — live AdvancedMD status

Timeline

1. May 1, 2026, 16:04 UTC
   investigating
   We are currently investigating reports that clients are experiencing errors when eSending controlled substances. When attempting to sign and send, you may receive an error stating that one or more prescriptions cannot be sent, and affected prescriptions will show a pending status with Dr. First in the eSend Status Report. Our technical teams are actively engaged and working to resolve the issue. We recommend holding off on eSending controlled substance prescriptions until this issue is resolved to avoid additional prescriptions entering a pending state. Non-controlled substance prescriptions are not affected and can continue to be sent normally. Incident Managers will continue to provide updates here as additional information becomes available
2. May 1, 2026, 16:36 UTC
   resolved
   Some prescriptions may have failed due to an authentication issue. If you see a failed or pending prescription, use the steps below to re authenticate and resend. 1. Open the E send Status screen and Navigate to Reports → E send Status → Prescriptions. 2. Find failed or pending prescriptions. Look for prescriptions in a Pending state (orange icon), or filter by Pending. 3. Open the prescription. The status will update. 4. If it failed, resend EPCS 5. Re authenticate when prompted. Complete the DrFirst authentication when the prompt appears. 6. Expected result In many cases, the prescription failed because the authentication was not received by DrFirst. After resending, the authentication screen should open and the prescription should process successfully.

Updates as published by AdvancedMD (original).