E-prescribe through your EPCS-enabled EHR and include the Bayview formulation code.
Search for Bayview Pharmacy, Warwick, RI (NCPDP 4106882) in your EHR, use the compound or free-text medication option, and include the Bayview formulation code plus the full formulation, exact strength, quantity, day supply, refills, and complete directions/SIG. Sign with your two-factor EPCS credential to transmit.
Why Testosterone Must Be E-Prescribed
Testosterone is classified as a Schedule III controlled substance under the federal Controlled Substances Act. This applies to testosterone in any compounded dosage form (creams, gels, troches, rapid dissolve tablets, and vaginal preparations) and to any combination formulation that contains testosterone, including Bi-Est/Testosterone and Bi-Est/Progesterone/Testosterone compounds. Even when testosterone is the smallest component of a multi-hormone compound, the entire prescription is treated as a Schedule III controlled substance.
Two layers of law require electronic prescribing. Federally, the Centers for Medicare & Medicaid Services (CMS) requires all Schedule II-V controlled substance prescriptions covered under Medicare Part D to be transmitted electronically. At the state level, Rhode Island, Massachusetts, Connecticut, New York, New Hampshire, and Florida mandate electronic prescribing of controlled substances, with limited exceptions. Because of these mandates, Bayview Pharmacy accepts testosterone-containing compound prescriptions by EPCS only.
E-Prescribe (EPCS)
Search for Bayview Pharmacy, Warwick, RI in your EPCS-enabled EHR. Enter the full compound formulation, exact strength, quantity, day supply, refills, and complete directions, then sign with your two-factor credential.
View E-prescribe InstructionsCall for Help
Prescribers or authorized office staff may call Bayview Pharmacy for formulation guidance, strength selection, EPCS troubleshooting, or refill coordination. The prescription itself must still arrive electronically.
Call 401-284-4505No Fax or Phone Orders
Because testosterone is a Schedule III controlled substance and the states Bayview serves mandate electronic prescribing, faxed and phoned-in testosterone prescriptions cannot be accepted or used as a workaround.
Not Set Up for EPCS?EPCS Requirements: One-Time Setup
Before a prescriber can e-prescribe any controlled substance, DEA regulations (21 CFR Part 1311) require a one-time EPCS enrollment. If you already e-prescribe controlled substances, skip to the e-prescribing instructions below. Setup typically takes a few days, driven mostly by identity proofing. If your EHR does not support EPCS, standalone EPCS-certified e-prescribing platforms are available. Call Bayview Pharmacy for suggestions that work well with compound prescriptions.
Five steps to get EPCS-enabled.
EPCS enrollment is required by the DEA before any controlled substance can be e-prescribed. Each step is completed through your EHR vendor, and your office only does this once per prescriber.
All major EHRs support EPCS, but it usually must be activated per prescriber. Ask your vendor to enable the EPCS module.
Verify your identity through your vendor's process (commonly ID.me or Experian). Have government-issued ID ready.
Register two of the following: a password/PIN, a hard token or authenticator app, or a biometric. You will use this credential to sign every controlled substance prescription.
A second individual in the practice (often the administrator) must grant your account EPCS permissions. Solo prescribers should ask their vendor about the approved process.
Your DEA number must be current and transmits with every EPCS prescription. Mid-level prescribers should confirm any required supervising or collaborating prescriber information is configured.
E-prescribing
Prescribers send testosterone compound prescriptions electronically through their EPCS-enabled EHR. Because compounded medications may not appear as a standard drug selection, the prescription should be entered using the compound, custom medication, or free-text prescription option available in the EHR.
In your EHR, search for:
Bayview Pharmacy
Warwick, RINCPDP: 4106882
When e-prescribing a compounded testosterone medication, include the medication group, specific formulation with an exact strength, dosage form and base, quantity, day supply, refills, and complete directions/SIG. Many formulations are compounded across a strength range (for example, testosterone 1-10 mg/Gm topical gel), so the prescribed strength must be stated explicitly.
To speed up e-prescribing, prescribers may include the Bayview Pharmacy formulation code, such as TST1, TST2, BT1, BPT3, ET1, or ST1, along with the full formulation details.
What to Include When E-prescribing Testosterone Compounds
Include the Bayview Pharmacy code when available, such as TST1, TST2, BT1, BPT3, ET1, or ST1.
Testosterone, Bi-Est/Testosterone, Bi-Est/Progesterone/Testosterone, Estriol/Testosterone vaginal, Sildenafil/Testosterone, or custom testosterone compound
List each active ingredient and strength exactly as intended. Ranged formulations must be prescribed at an exact strength.
Topical cream, topical gel, troche, rapid dissolve tablet, or vaginal preparation.
Total grams for creams and gels, or count for troches and tablets.
Required for controlled substances. Make sure it matches the quantity and SIG.
Maximum 5 refills within 6 months of the issue date. PRN refills are not valid for controlled substances.
Include dose per application, application site, and frequency.
Include any patient-specific clarification, lab-guided titration plans, or counseling notes.
Formulation Codes
For available strengths, dosage form comparisons, safety information, and patient counseling details, see the Testosterone formulation page. The codes below also cover the multi-hormone preparations with Bi-Est and progesterone.
Use the Bayview code to speed up EHR entry.
Bayview formulation codes are shorthand identifiers for commonly requested testosterone-containing compounds. The code helps the pharmacy identify the intended formula quickly, but the full formulation details should still be included so the prescription can be verified before compounding.
Testosterone monotherapy
Bi-Est / Testosterone
Bi-Est / Progesterone / Testosterone
Estriol / Testosterone (Vaginal)
Sildenafil / Testosterone
TST: Testosterone Monotherapy +
Testosterone ____% (0.1%-10%) Topical Cream
Testosterone ____ mg/Gm (1-10 mg/Gm) Topical Gel
Testosterone 1 mg Troche
Testosterone 0.5 mg Rapid Dissolve Tablet
Testosterone 0.2% Vaginal Gel
BT: Bi-Est / Testosterone +
Bi-Est [50/50] ____ mg/Gm (0.25-2.5) / Testosterone ____ mg/Gm (0.25-10) Topical Cream
Bi-Est [80/20] ____ mg/Gm (0.25-2.5) / Testosterone ____ mg/Gm (0.25-10) Topical Cream
Bi-Est [50/50] 1 mg/Gm / Testosterone 1 mg/Gm Topical Gel
Bi-Est [80/20] 1.25 mg/Gm / Testosterone 1 mg/Gm Topical Gel
BPT: Bi-Est / Progesterone / Testosterone +
Bi-Est [80/20] ____ mg/Gm (0.25-5) / Testosterone ____ mg/Gm (0.5-10) / Progesterone ____ mg/Gm (10-125) Topical Cream
Bi-Est [50/50] 2 mg/Gm / Progesterone 100 mg/Gm / Testosterone 2 mg/Gm Topical Gel
Bi-Est [80/20] 2.5 mg/Gm / Progesterone 100 mg/Gm / Testosterone 2 mg/Gm Topical Gel
Bi-Est [50/50] 1 mg/Gm / Progesterone 25 mg/Gm / Testosterone 1 mg/Gm / DHEA 10 mg/Gm Topical Gel
Bi-Est [50/50] 1 mg / Progesterone 50 mg / Testosterone 1 mg Troche
Bi-Est [80/20] 2.5 mg / Progesterone 175 mg / Testosterone 2 mg / DHEA 10 mg Troche
ET: Estriol / Testosterone (Vaginal) +
Estriol 0.1% / Testosterone 0.1% Vaginal Gel
Estriol 0.5 mg / Testosterone 0.5 mg Rapid Dissolve Vaginal Tablet
Estriol 0.025% / Testosterone 0.025% Vaginal Preparation
ST: Sildenafil / Testosterone +
Sildenafil 1% / Testosterone 0.1% Topical Gel
Sildenafil 1% / Testosterone 0.1% / Arginine HCl 6% / Theophylline 2.5% Topical/Vaginal Preparation
EHR Ordering Tips
Because each EHR handles compounded controlled substances differently, the exact screen names may vary. In most systems, the office should look for a compound medication, custom medication, miscellaneous medication, or free-text prescription option. In every system, the prescription is signed with the prescriber's two-factor EPCS credential before it transmits.
To help Bayview Pharmacy process the prescription quickly, include the Bayview formulation code along with the full formulation details and an exact strength.
Select your EHR below for practical tips on entering compounded testosterone prescriptions. Screen names vary by practice setup, but the same prescription elements should be included in every system, and every system will prompt for your two-factor EPCS credential at signing.
Epic / Hyperspace +
- Open the patient chart and start a new outpatient medication order.
- Select Bayview Pharmacy, Warwick, RI as the destination pharmacy.
- Search for a compound, custom medication, miscellaneous medication, or free-text medication option available in your Epic build.
- Enter the Bayview formulation code first, followed by the full formulation and exact strength, in the medication name field.
- Complete the SIG, quantity in grams or count, day supply, and refills.
- Because testosterone is a controlled substance, Epic will prompt for your two-factor EPCS credential at signing. Complete the token, authenticator, or biometric prompt to transmit.
BT1 BI-EST/TESTOSTERONE: Estriol/Estradiol [50%/50%] 1 mg/Gm + Testosterone 2 mg/Gm Topical Cream
Apply ____ Gm topically to ____ once daily as directed.
Dispense ____ Gm. Day supply: ____. Bayview formulation code: BT1.
eClinicalWorks +
- Open the patient chart and go to the medication or eRx workflow.
- Select Bayview Pharmacy, Warwick, RI as the pharmacy.
- Look for a compound, custom, miscellaneous, or free-text medication option.
- In the medication field, enter the formulation code and full formulation together with an exact strength.
- Complete directions, quantity, day supply, and refills.
- Sign with your two-factor EPCS credential when prompted to transmit.
TST2 TESTOSTERONE: Testosterone 5 mg/Gm Topical Gel
Quantity: ____ Gm. Day supply: ____. Refills: ____.
Apply ____ Gm topically to ____ once daily as directed.
athenahealth +
- Open the patient chart and start a new prescription.
- Search for Bayview Pharmacy, Warwick, RI.
- Use the custom medication, unlisted medication, or free-text entry option if available.
- Enter the Bayview formulation code and full formulation in the medication name or prescription notes field.
- Include quantity, day supply, refills, and complete SIG.
- Athena will require your EPCS token or authenticator at signing before the prescription transmits.
BPT3 BI-EST/PROG/TESTOSTERONE: Estriol/Estradiol [80/20] 2.5 mg/Gm + Progesterone 100 mg/Gm + Testosterone 2 mg/Gm Topical Gel
Dispense ____ Gm. Day supply: ____. Refills: ____. Follow SIG below.
Apply ____ Gm topically to ____ once daily as directed.
AdvancedMD +
- Open the patient chart and select the e-prescribing workflow.
- Choose Bayview Pharmacy, Warwick, RI as the pharmacy.
- Use compound, custom, miscellaneous, or free-text medication entry if available.
- Enter the Bayview code at the start of the medication name, followed by the full formulation.
- Complete SIG, quantity, day supply, and refills, then sign with your two-factor EPCS credential.
TST3 TESTOSTERONE: Testosterone 1 mg Troche
Dispense ____ troches. Day supply: ____. Refills: ____.
Dissolve ____ troche in the mouth once daily as directed.
Tebra / Kareo +
- Open the patient chart and create a new prescription.
- Select Bayview Pharmacy, Warwick, RI.
- Use custom medication, compound, or free-text entry if available.
- Start the medication entry with the Bayview formulation code and include the full formulation.
- Include quantity, day supply, refills, and SIG, then complete the EPCS two-factor prompt at signing.
ET1 ESTRIOL/TESTOSTERONE: Estriol 0.1% + Testosterone 0.1% Vaginal Gel. Dispense ____ Gm. Day supply: ____. Refills: ____.
Insert/apply ____ Gm vaginally at bedtime ____ times per week as directed.
DrChrono +
- Open the patient chart and go to the Send eRx workflow.
- Select the compound prescription type if available.
- Select Bayview Pharmacy, Warwick, RI.
- Enter the Bayview formulation code and each ingredient/strength.
- Enter SIG, quantity, day supply, and refills, then sign with your EPCS credential to transmit.
BPT5 BI-EST/PROG/TESTOSTERONE: Estriol/Estradiol [50/50] 1 mg + Progesterone 50 mg + Testosterone 1 mg Troche
Estriol/Estradiol [50%/50%] 1 mg
Progesterone 50 mg
Testosterone 1 mg
Dissolve ____ troche in the mouth once daily as directed.
NextGen +
- Open the patient chart and start a new medication prescription.
- Select Bayview Pharmacy, Warwick, RI.
- Look for compound, custom, miscellaneous, or free-text medication entry.
- Enter the formulation code at the start of the medication name with the complete formulation.
- Add quantity, day supply, refills, and SIG, then complete the two-factor EPCS prompt at signing.
TST1 TESTOSTERONE: Testosterone 2% Topical Cream
Dispense ____ Gm. Day supply: ____. Refills: ____.
Apply ____ Gm topically to ____ once daily as directed.
ModMed +
- Open the patient chart and start an e-prescription.
- Choose Bayview Pharmacy, Warwick, RI.
- Use custom, compound, or free-text medication workflow if available.
- Enter the Bayview formulation code and complete testosterone formulation.
- Include directions, quantity, day supply, and refills, then sign with your EPCS credential.
ST1 SILDENAFIL/TESTOSTERONE: Sildenafil 1% + Testosterone 0.1% Topical Gel
Apply ____ Gm topically as directed. Use no more than ____ times per week.
Bayview formulation code: ST1. Dispense ____ Gm. Day supply: ____. Refills: ____.
Practice Fusion +
- Open the patient chart and select the prescription/eRx workflow.
- Choose Bayview Pharmacy, Warwick, RI.
- Use custom medication or free-text medication entry if available.
- Enter the Bayview formulation code and full formulation details.
- Include full SIG, quantity, day supply, and refills, then complete the EPCS two-factor prompt to transmit.
BT4 BI-EST/TESTOSTERONE: Estriol/Estradiol [80/20] 1.25 mg/Gm + Testosterone 1 mg/Gm Topical Gel
Apply ____ Gm topically to ____ once daily as directed.
Dispense ____ Gm. Day supply: ____. Refills: ____.
Veradigm / Allscripts +
- Open the patient chart and create a new prescription.
- Select Bayview Pharmacy, Warwick, RI.
- Look for compound, custom, miscellaneous, or free-text medication entry.
- Enter the Bayview formulation code and complete formulation.
- Include quantity, day supply, refills, and complete directions, then sign with your two-factor EPCS credential.
TST5 TESTOSTERONE: Testosterone 0.2% Vaginal Gel
Bayview formulation code TST5. Dispense ____ Gm. Day supply: ____. Refills: ____.
Insert/apply ____ Gm vaginally at bedtime as directed.
E-prescribe Examples
Use the examples below as formatting guides when entering testosterone compounds in an EHR.
Code: TST1
Medication: TESTOSTERONE: Testosterone ____% Topical Cream
Quantity: ____ Gm
Day supply: ____
Refills: ____
Directions: Apply ____ Gm topically to ____ once daily as directed.
Code: TST2
Medication: TESTOSTERONE: Testosterone ____ mg/Gm Topical Gel
Quantity: ____ Gm
Day supply: ____
Refills: ____
Directions: Apply ____ Gm topically to ____ once daily as directed.
Code: BT1
Medication: BI-EST/TESTOSTERONE: Estriol/Estradiol [50%/50%] ____ mg/Gm + Testosterone ____ mg/Gm Topical Cream
Quantity: ____ Gm
Day supply: ____
Refills: ____
Directions: Apply ____ Gm topically to ____ once daily as directed.
Code: BPT5
Medication: BI-EST/PROG/TESTOSTERONE: Estriol/Estradiol [50%/50%] 1 mg + Progesterone 50 mg + Testosterone 1 mg Troche
Quantity: ____ troches
Day supply: ____
Refills: ____
Directions: Dissolve ____ troche in the mouth once daily as directed.
Code: ET1
Medication: ESTRIOL/TESTOSTERONE: Estriol 0.1% + Testosterone 0.1% Vaginal Gel
Quantity: ____ Gm
Day supply: ____
Refills: ____
Directions: Insert/apply ____ Gm vaginally at bedtime ____ times per week as directed.
Code: Custom, if not listed
Medication: TESTOSTERONE COMPOUND: [Active ingredient] ____ + [Active ingredient] ____ + Testosterone ____
Quantity: ____ Gm or count
Day supply: ____
Refills: ____
Directions: Complete directions including dose per application, site, and frequency.
Custom Formulation Cost Notice
Formulations listed with a Bayview Pharmacy code are commonly requested testosterone compound options. Prescriptions for custom strengths, non-listed formulations, or formulations submitted without a code may require additional review and may have an increased cost.
To help avoid delays or unexpected pricing changes, include the closest applicable formulation code when possible, along with the full formulation, exact strength, quantity, directions, and refill information.
Schedule III Prescription Rules
Because testosterone compounds are Schedule III controlled substances, a few prescription rules apply that do not apply to Bayview's non-controlled compounds.
Rules that apply to every testosterone prescription.
Maximum 5 refills within 6 months of the issue date, whichever comes first. PRN refills are not valid. After that, a new e-prescription is required.
The prescription cannot be filled or refilled more than 6 months after the date written.
Ranged formulations (for example, Testosterone 0.1%-10% cream) must be prescribed at a specific strength.
The quantity, SIG, and day supply need to be internally consistent. Mismatches are the most common cause of clarification calls.
Bayview Pharmacy reports testosterone dispensings to the state prescription drug monitoring program as required by law.
State e-prescribing mandates in the states Bayview serves remove the fax and phone options that federal law would otherwise allow for Schedule III.
Avoid Delays
Before sending the prescription, check for these common missing items.
Complete prescriptions allow Bayview Pharmacy to review, prepare, and coordinate the medication more efficiently. Missing details may require pharmacist clarification before compounding.
Ranged formulation prescribed without an exact strength
Missing day supply, or day supply that does not match quantity and SIG
No quantity in grams for creams/gels, or no count for troches/tablets
Refills written as PRN or more than 5 refills authorized
Formulation code included without full formulation details
Base or dosage form not specified when the same strength exists in cream and gel
Missing patient date of birth or contact information
Custom strength submitted without enough clarification
Prescription printed or faxed instead of transmitted through EPCS
Ordering FAQ
Can a prescriber fax or call in a compounded testosterone prescription? +
No. Testosterone is a Schedule III controlled substance, and the states Bayview Pharmacy serves mandate electronic prescribing of controlled substances. Testosterone-containing prescriptions must be transmitted through an EPCS-enabled EHR. Office staff are welcome to call for formulation guidance, dosing questions, or e-prescribing help.
Does a Bi-Est/Testosterone or Bi-Est/Progesterone/Testosterone compound count as a controlled substance? +
Yes. Any compounded formulation containing testosterone at any strength is treated as a Schedule III controlled substance and must be e-prescribed, even when estriol, estradiol, or progesterone make up most of the formulation.
What if my EHR is not set up for EPCS? +
EPCS activation is a one-time process: confirm your software is EPCS-certified, complete identity proofing, set up a two-factor credential, and have a second individual in the practice enable your EPCS permissions. If your EHR cannot support EPCS, standalone certified e-prescribing platforms are available. Call Bayview Pharmacy at 401-284-4505 for help getting set up.
Do I still need the full formulation if I use a Bayview code? +
Yes. The code helps speed up identification, but the full formulation, exact strength, quantity, day supply, and directions must be included so Bayview Pharmacy can verify the prescription before compounding.
How many refills can I authorize? +
Schedule III prescriptions may be refilled up to 5 times within 6 months of the issue date. PRN refills are not valid for controlled substances. After 5 refills or 6 months, whichever comes first, a new e-prescription is required.
Can I prescribe a custom strength? +
Yes. Custom strengths may be prescribed when clinically appropriate for an individual patient. Custom or non-listed formulations may require additional pharmacist review and may have an increased cost.
What should the office do if the e-prescription fails to transmit? +
Call Bayview Pharmacy at 401-284-4505. The pharmacy team can confirm whether the prescription was received and help troubleshoot pharmacy selection or transmission issues. Do not fax a copy as a workaround; the prescription must arrive electronically.
Questions About E-Prescribing Testosterone?
Prescribers or authorized office staff may call Bayview Pharmacy directly for formulation guidance, strength selection, EPCS setup and troubleshooting, or refill coordination. The prescription itself must be transmitted electronically. Formulation details, strengths, and patient information are on the Testosterone formulation page.
Call 401-284-4505Compounded medications are prepared pursuant to a valid prescription for an individual patient and are not FDA-approved.