If you erx it and then print it out you will not qualify for ERX as your numbers will not reach the number.
I inform patients in my letter (which I print out in instructions) that the federal government requires physicians to send prescriptions by electronic guidelines or are penalized. When I have informed them of this and print that for them I have pretty good luck getting them to understand. The actual scrip information I have written is on the instructions showing what the scrip is and that I sent it. I have been doing e scrips for 2-3 years and patients do well with it.