@Jim,
Wow, that was painful. You were both talking about two different things. First, most medications in the prescription writer are codified and ready to go. When we first moved to v5 (I believe), each patient had many meds and none were codified. So, they had to be. But, the medications you see in the dropdown window are fine.
Where I think you are getting confused is that that AC remembers your most written medications so when you start to type a medication, you will see two windows. A smaller dropdown window in the middle and another window which takes up the whole space behind the smaller dropdown box. The "favorite list" of medications may be in the forumlary or not. If you wrote one by hand that wasn't the way it is in the formulary, it will not be codified.
If you go to the site below, I have made seven screenshots and a PDF with seven explanations which should show you everything about what I just talked about and codifying meds in the med list.
http://www.box.net/shared/static/od4re5pfyt4xnhi9xzik.zipNow, I may get this wrong, but you had a question about refills and why they don't match. When you prescribe a medication, you may write Amoxicillin 500 mg po bid for 10 days. The pharmacist changes that to Take one tablet by mouth twice daily for ten days. So, even though it is the same med and the same sig, they do not match. When you go to prescription renewals and there are refills there, they will not send, because they do not match. You can either deny and then send from AC, in which case you will have the same problem next time or you can click on the sig and it will open a window and you can select a medication or choose OK. The sigs will now be identical and you can select the number of refills and send it. You will now notice that the medication in that patient's chart has changed to the godawful all caps, but at least it will match next time.
This is my understanding of it. Anyone can correct me.