Italicized meds need to be codified - click on that scrip on the left and right click - pick CODIFY AND THEN associate it with the proper med (can then choose for all patients or just that pt - only takes a minute or so to do all the pt meds once you get used to it).
Newcrop screen allows you to receive electronic refill requests (AC is developing better way to do this). Also currently is the only way you can check formularies on Medicare Part D (required for meaningful use), but this is very poorly done and is not always accurate (I have found some say covered level 8 and they are really not covered). Hopefully formulary checking will also get better.
When you transmit to the pharmacy it sends electronically - if the pharmacy does not have e prescribing set up properly they will receive a fax from surescrips- it also takes a few days after you first start for Surescrips to fully get up and running. I am not sure about the lack of a fax number - go under admin options, e-rx, account administration and then choose your default location - that will let you enter phone, fax numbers, etc.
Hopefully that will fix your issues.