Abstract: A system for managing prescriptions via a blockchain is provided. The system records in the blockchain a prescription transaction that identifies a prescription that has been written for a patient. The system then records in the blockchain a submission selection transaction with code for controlling selection of a pharmacy to dispense the prescription. For pharmacies that provide a submission for dispensing the prescription, the system records in the blockchain a submission transaction with submission information relating to dispensing of the prescription by the pharmacy. When a pharmacy is selected to dispense the prescription, the system records in the blockchain a selected submission transaction indicating the pharmacy selected to dispense the prescription. When the prescription is dispensed, the system records in the blockchain a dispense transaction indicating that the selected pharmacy has dispensed the prescription.