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We cannot sign a prescription on behalf of the doctor. They have to come physically sign it themselves. We can send an EMR prescription to the pharmacy or call one in on behalf of the MD. (With the exception of controlled substances). I have never been told it is okay to sign V.O. or T.O. on a prescription signature line, nor have I ever seen it done. We can sign doctors name followed by our name, then R+V for inpatient hospital orders, but this is the only setting in which I have seen it.