e-Prescribe Refills – How to

Index

1. e-Prescribe a New Medication
2. Approve a Renewal Request
3. Deny a Renewal Request
4. Deny a request and Send a New Prescription Request

e-Prescribe a New Medication

1. Enter the new prescription as you normally would in Centricity Electronic Medical Record.
2. If the patient’s pharmacy is set up for e-prescribing, an asterisk displays next to the pharmacy name on the New Medication screen. You can also select an e-prescribing pharmacy by clicking Select and searching for a pharmacy with an asterisk.
3. The Prescribing Method automatically sets to Electronic if you selected an e-prescribing pharmacy.
4. Complete the prescription by clicking Send/Print Rx button.

Pharmacies with Asterisks are set up for e-prescribing. The default method for e-prescribing pharmacies is Electronic. Controlled medications cannot be e-prescribed.

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Responding to an Electronic Refill Request

Approve a Renewal Request

If a medication on the patient’s current medication list exactly matches the requested medication, it appears in the From Med List field. If a match is not found, the Manual match required message appears, and you must select the appropriate medication from the drop-down list.

1. Click the renewal request document on your Centricity EMR desktop.
2. Click Append.
3. Click Click Here to Do a Full Update.
4. Select the eSM encounter type set up by your eSM administrator and click OK. By default, the eSM encounter type is called *eSM Rx Refill.
5. A popup will appear asking you to sign this document. You must click Yes.
6. Select approved.
7. Verify that the From Med List Field displays a match from the patient’s medication list. If there is not an exact match, the Manual match required message appears, and you will need to select the appropriate medication from the drop-down list.
8. If needed, change the number of refills.
9. Verify the instructions from the patient’s chart located on the right side of the form match the instructions from the pharmacy on the left side of the form. The instructions from the pharmacy will be used if the refill request is approved. If you want to change the instructions from the pharmacy, use the Denied New to Follow workflow. You can also type a note to the pharmacist.
10. Click Save Refill to Chart, and then click Close. The approval is documented in the note to the pharmacist and in the patient’s chart.
    
    

    If a medication on the patient’s current medication list exactly matches the requested medication, it appears in the From Med List field. If a match is not found, the Manual match required message appears, and you must select the appropriate medication from the drop-down list.

11. It is very important that you click the Save Refill to Chart button so that the refill information is saved to the patient’s chart. If you do not click this button, a warning is placed in the patient’s chart and the pharmacy will not receive a refill response to the pharmacy-initiated refill request. Instead, the pharmacy will receive a new prescription.
12. Click End Update.
13. Click Sign Document. The approval is sent back to the requesting pharmacy. Signing the document also updates the patient’s chart and medication list. Signing only the clinical list changes will not send the refill response.

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Deny a Renewal Request

1. Click the renewal request document on your Centricity EMR desktop.
2. Click Append.
3. Click Click Here to Do a Full Update.
4. Select the eSM encounter type set up by your eSM administrator and click OK. By default, the eSM encounter type is called *eSM Rx Refill.
5. A popup will appear asking you to sign this document. You must click Yes.
6. Select denied.
7. Select a reason for the denial.
8. If the reason for your denial is not listed, click Other and type a reason for the denial in the Other Denial Reason field.
9. The denial reason you select from the list or typed into the Other Denial Reason field is sent to the pharmacy.
10. Click Close. The reason for the denial is now documented in the note to the pharmacist and in the patient’s chart.
11. Click End Update.
12. Click Sign Document to send the denial back to the pharmacy. Signing the
13. Document also appends the original document and updates the patient’s
14. Chart. Signing only the clinical list changes will not send the refill response.
    
    

    The reason for the denial is sent back to the pharmacy when you sign the document.

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Deny a request and Send a New Prescription Request

You can add or change a medication’s quantity, dosage or instructions by denying the original request and following it with a new prescription

1. Click the renewal request document on your Centricity EMR desktop.
2. Click Append.
3. Click Click Here to Do a Full Update.
4. Select the eSM encounter type set up by your eSM administrator and click OK. By default, the eSM encounter type is called *eSM Rx Refill.
5. A popup will appear asking you to sign this document. You must click Yes.
6. Select denied new to follow to deny the current request.
7. Click Add/Change Medication.
8. Add or change the medication including the quantity and number of refills. Make sure the pharmacy selected for the prescription matches the pharmacy that requested the renewal.
9. Click OK. The new or changed medication now appears on the encounter form.
10. Click Close.
11. Click End Update.
12. Click Sign Document to send the denial and the new prescription back to the pharmacy. Signing the document also appends the original document and updates the patient’s chart and medication list. Signing only the clinical list changes will not send the refill response.

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