<< Click to Display Table of Contents >> Navigation:  Electronic Prescriptions Tasks Screen Folder > Refill Requests

Refill Requests may be Matched or Unmatched.

 

If a request is Unmatched and then matched to a prescription to a provider's address that is a PO Box, the matching screen will identify this information. These prescriptions are marked with a note in red text that reads, "Not selectable - Physician address cannot contain PO Box." The Unmatched refill request may still be denied by using the "Reject Match" or "Accept without Med Match" options.

 

 

Select Web Client > Application Drawer > Tasks > Electronic Prescriptions > Matched Refill Request

 

Refill Request

 

 

The action bar has the following options:

 

•Process: When selected, the selected Action will be submitted to SureScripts. The system will attach the most recent visit to the refilled prescription for that facility.

 

•View XML: When selected, the XML file opens for the refill request.

 

•Medication Prescribed: When selected, the medication prescribed detail will display. The action bar will then show the option as Medication Dispensed.

 

•PMP History: When selected, the Prescription Monitoring Program for controlled substances for the patient may be viewed.

 

•Open Chart: Allows access to the patient's chart and medication profile, defaulting to the Prescription Entry application. Selecting this option will open to the patient's most recent visit. This button will be available on Refill Requests for accounts that have purged to Clinical History.

 

 

Refills (Non-Controlled Renewal Requests from the Pharmacy)

 

Only a few prescription details may be edited while addressing refill requests sent from the pharmacy. Once these details are reviewed and edited, the following options are:

 

•Approve: The user selects to approve the refill and is only required to modify the quantity (total number of dispensings approved) field. If the quantity is 0 and the user attempts to send, the system will prompt to enter a quantity. A note to the pharmacy may also be entered if needed.

 

•Deny: This will be the default option for Unmatched Prescriptions. Select a Denial reason from the drop-down menu and Process. The system sends a denial response to SureScripts, who then routes that to the selected Pharmacy. The list of denial reasons is hard-coded and governed by the NCPDP.

 

•Replace: When selecting Replace and Process, the system will take the user to the medication search list. The user is then able to search and select a new medication from MicroMedex. Once on the Medication Edit screen, the user can update the needed fields. Once the user selects Process,  the new Rx is sent and the alert will close.  

▪The medication that was Replaced will now show as Discontinued/Stopped in Prescription Entry, with a Stop Reason of Replaced.

 

 

Refills (Controlled Renewal Requests from the Pharmacy)

 

Only the provider listed in the Refill Request will have the option to Approve the prescription. A nurse or covering physician will only have the option to Deny or Replace, which should enable the Process option on the action bar.

 

•Renew: Selecting Renew and Process will take the user to the Prescription Edit screen where changes can be made before selecting Ready to Sign, which will launch the DrFirst EPCS Gold signing screen.  

▪The medication that was Renewed will now show as Discontinued/Stopped in Prescription Entry, with a Stop Reason of Replaced. The new medication will show as active.

▪Controlled Substance Level 2 medication can only have a total number of 1 dispensing, Levels 3-5 may not exceed 5.

 

•Replace: When selecting Replace and Process, the system will take the user to the medication search list. The user is then able to search and select a new medication. Once on the Medication Edit screen, the user can update the needed fields. Once the user selects Process,  the new Rx is sent and the alert will close.  

▪The medication that was Replaced will now show as Discontinued/Stopped in Prescription Entry, with a Stop Reason of Replaced. The new medication will show as active.

 

•Deny: This will be the default option for Unmatched Prescriptions. When selecting deny reason from the drop-down menu and processing, and the system sends a denial response to SureScripts, who then routes that to the selected Pharmacy. The list of denial reasons is hard coded, governed by the NCPDP.

 

 

Select Web Client > Application Drawer > Tasks > Electronic Prescriptions > Error

 

Error

 

 

Cancel

 

•If the SureScripts response comes back as an Error, the error message will appear on the Tasks screen. Based off of the error type, the Action drop down will have Cancel or Cancel and Resend

•If a prescription is Canceled from the Prescription Profile on the patient chart, then the prescription will not display on the Tasks screen.

•If the pharmacy response is returned as Denied, the message will need to be Acknowledged in order to clear it from the screen.

•When the Denied - Cancel message is received and accessed, the top-half of the screen will remain the same as a refill request (with the matched prescription information displayed).  A Note from Pharmacist field will include all details of the note from the pharmacy and any Denial reasons. An Acknowledge option will be available on the action bar. Selecting this option will clear the Denied - Cancel response from the Escribe queue.  

•If the Cancel request is returned as Approved, the message will be automatically removed from the Tasks screen. The Note will display on the Prescription Detail screen next to the Stop Date and Reason For fields.

 

 

Select Web Client > Application Drawer > Tasks > Electronic Prescriptions > Rx Fill

 

Rx Fill

 

 

Rx Fill

 

Matched Rx Fill alerts will not show in the Electronic Prescriptions folder. Unmatched Rx Fill alerts will prompt the user to Reject Match or Accept Match. There is a Search option to find a different patient other than those listed under Potential Matches which may be used to search by Patient Name, DOB, or Visit #. After Rejecting or Accepting, the alert will clear. The Rx Fill information is available for review in Prescription Entry. The medication will have a icon next to the medication description, which alerts the user that there is Rx Fill information. Once opening the medication, the Fill Status button will be available.

 

 

Change

 

See Change Requests

 

NOTE: If a Refill Request for an oral liquid medication is received by the pharmacy and it does not have a dose unit of "mL" in the Sig Line, only the options for "Deny" or "Replace" may be selected. Above the action drop down menu, the reason why the refill request cannot be accepted will display in red: 'Medication cannot be refilled as units must be in mL. A new prescription will need to be entered."

 

NOTE: A "Clear" option will display in the action drop down for some alerts after 48 hours has passed since receiving the alert.