Respond to Pending Prescriptions and Pharmacy Requests

Pending Prescriptions

Pending prescriptions are generated from within the practice, most likely by a staff user, for a doctor to approve at a later time. For example, a nurse could set up a prescription requested by a patient while the doctor is not in the office. The doctor could later review and approve the prescription.
 

Click Pending on the prescription dashboard.

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Select the checkbox next to a patient name to approve all of their prescriptions at once. Select the checkbox next to the prescription to approve specific prescriptions.

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Click Approve to transmit the selected prescriptions to the pharmacy.

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Click Approve on the confirmation message if the listed prescriptions are correct. 

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Controlled Substances

Approving prescriptions for controlled medications is handled separately from non-controlled medications because they require additional two-factor authentication by the provider. These prescriptions are identified by the red “CS” displayed in the icon area.

Click the blue Rx button to approve a prescription for a controlled medication.

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Review the prescription details and click Send to transmit it to the pharmacy.

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 Login password is the login associated with your user account, which you use to access RXNT. OTP password is the 6-digit code generated by your EPCS token. Click here to learn how to use your token.

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Pharmacy Requests

Pharmacy requests allow your patient’s pharmacist to request prescription changes, renewals, or prior authorizations at the touch of a button—no more time-consuming phone calls!

Responding to change requests directly from RXNT streamlines communication with your patient’s favorite dispensing pharmacies.

 Are you still receiving phone calls and faxes from pharmacies for change requests?

Make sure your pharmacist knows that RXNT is ready to receive requests directly!

Types of requests

Renewal request
The patient has requested a new prescription for their existing medication.
Generic substitution
A brand name medication was prescribed, but the pharmacist or patient would like to use an available generic medication.
Prior authorization required
Electronic prior authorization (ePA) is needed before the medication can be dispensed.
Therapeutic interchange/substitution
An alternative medication is requested by the pharmacist, including a change in the days supply or quantity for the original prescription.
Drug use evaluation (DUE)
The pharmacist requires the provider to review and confirm whether the prescribed medication is appropriate for the patient.
Script clarification
The pharmacist needs clarification on the prescription in order to dispense.
Out of stock
The original prescription is out of stock at the pharmacy.
Prescriber authorization
Prescriber authorization is needed for the pharmacist to dispense the prescription.

 A pharmacy can send a change request for a controlled substance even if you are not enrolled in Electronic Prescribing for Controlled Substances (EPCS). Simply deny these requests, and follow up with a written or phoned prescription order.

Review the request

Click the Pharmacy Requests tab on the provider dashboard to view your requests. The type of request will be indicated on the righthand side.

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Changes from the pharmacy will be displayed, along with the original prescription details. Evaluate the request and approve, change, or deny it. 

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Approve the request

Select the checkbox on the left of the requests you'd like to approve, then click Approve. To approve all requests for one patient, select the checkbox next to their name. Select the checkbox next to each prescription to approve specific requests for that patient.

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If the pharmacy includes multiple alternatives, select More Options to see other proposed medications.

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Select your desired medication, then click Approve.

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 NCPDP 2017071 and Surescripts require that up to nine medication alternatives be displayed for change requests. These alternatives may or may not display in order of formulary preference.

Approve with changes

Click the blue Rx icon, then click Edit Prescription.

 Change requests for prescriber authorization or prior authorization cannot be edited.

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Make all desired changes, then complete the prescription.

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Deny the request

Select the checkbox on the left of the requests you'd like to deny, then click Void. To deny all requests for one patient, select the checkbox next to their name. Select the checkbox next to each prescription to deny specific requests for that patient.

 If you'd like to deny a request, simply void it. Don't cancel the prescription—canceling is only used to stop the pharmacy from filling the original prescription.

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Prior authorization requests

Approving a prior authorization request will automatically initiate electronic prior authorization (ePA) for the pharmacy benefit manager (PBM) or payer. 

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The status of the prior authorization can be found in the ePA Worklist.

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Controlled Substances

Approving prescriptions for controlled medications is handled separately from non-controlled medications because they require additional two-factor authentication by the provider. These prescriptions are identified by the red “CS” displayed in the icon area.

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Review the prescription details and click Send to transmit it to the pharmacy.

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 Login password is the login associated with your user account, which you use to access RXNT. OTP password is the 6-digit code generated by your EPCS token. Click here to learn how to use your token.

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Unmatched patient records

RXNT attempts to match the patient for the request based on the demographics, according to standards outlined by Surescripts. If RXNT is unable to match the refill request to a patient, a new patient record will be created and it will be flagged on the refills tab with a red exclamation point. If the patient record is not a new patient, you can merge the two patients. To learn how to merge patients, click here.

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