How to migrate off PrescribeIT: a step-by-step plan

PrescribeIT shut down on May 29, 2026, so migration is no longer a planning exercise, it is a recovery one. The good news: most pharmacies and clinics can be back to electronic-grade prescription handling within about a week. Here is the plan we use with Canadian teams.

Step 1: Map your current prescription flow

Write down where prescriptions enter and leave today. For a pharmacy, that is your fax lines, intake email addresses, and how each prescription gets into your pharmacy management system. For a clinic, it is how prescribers send to pharmacies from inside your EMR. You cannot pick the right replacement until you know which leg of the journey PrescribeIT was carrying for you.

Step 2: Separate the pharmacy problem from the clinic problem

These are two different gaps.

Pharmacies have an intake problem: incoming prescriptions are now faxes that need to be read and typed into the pharmacy management system (Kroll, Filware, Nexxsys, Propel Rx).
Clinics have a transmission problem: prescribers still write inside their EMR (OSCAR Pro, Accuro QHR, TELUS PS Suite, Microquest, WELL Health), but the electronic path to the pharmacy disappeared.

Solve the one that is yours. If you are both, for example a clinic with an in-house pharmacy, you need both.

Step 3: Choose a replacement path

Your realistic choices are to wait for your vendor to adopt the Infoway open standard, fall back to fax and manual entry, or put an automation or transmission layer in place now. We lay out the trade-offs of each, including the non-AutoRx options, in the alternatives comparison.

For Kroll pharmacies, the fastest route to electronic-grade intake without waiting on a vendor roadmap is AI fax-to-Kroll automation. For clinics, it is a transmission layer that plugs into your existing EMR so prescribers do not change how they work.

Step 4: Plan the onboarding week

A typical pharmacy onboarding completes within one week of the first call. The work is mostly: confirm your fax and email intake, connect the automation to your Kroll workstation, and train the verification queue review. Clinic onboarding depends on EMR configuration, usually 5 to 10 business days.

Step 5: Keep a fax fallback during the gap

Even with automation live, keep your fax lines running. Some prescribers will fax for a while, and a few bidirectional workflows (renewal requests, cancellations) ride on phone, fax, or EMR secure messaging until the open standard rolls out. Plan for a hybrid period rather than a hard switch.

A simple migration checklist

Inventory every inbound and outbound prescription channel
Decide: pharmacy intake, clinic transmission, or both
Pick a replacement path (and read the honest alternatives)
Book onboarding and set a go-live date about a week out
Keep fax and phone fallbacks for bidirectional workflows
Brief staff on the new verification step

Want help mapping your specific setup? Book a 30-minute walkthrough and we will sketch the migration with you, or read the audience guides for pharmacies and clinics.