Answer a Change Request

The Pharmacy Change Requests list displays prescriptions that a pharmacist has requested substitutions or changes for prior to filling, or that require a prior authorization. Prescribers can Approve, Deny or Replace pharmacy change requests from the Tasks page.

Prescribers can take action on a change request by clicking on the patient name from the Tasks page. If the patient name displays in blue, this indicates that the request is for a mapped prescription. If the patient name displays in orange, this indicates that the request is for an unmapped prescription.

A blue Exclamation Point icon will display next the the patient name if the pharmacy indicates that a prescription is urgent. 

Check out this Prescriber Guide to Rx Change to learn more about responding to change requests.

Click the Select Location and Select Prescriber drop--downs to filter for a specific location or prescriber. Click the Display dropdown to select which drugs appear on the Tasks page.

• Select Display All to display all prescriptions.
• Select Controlled to display only controlled substances.
• Select Noncontrolled to display only noncontrolled substances.
   

To filter for a specific patient, enter the patient name in the Patient Search field, then click the Filter button. Use the Print icon at the top left to print the Tasks page. The page will display with any filters selected.

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Approve Change Request

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
    
2. Review the proposed Replacement Options.

   NOTE: The pharmacy may suggest multiple medication options for the change request.

    

3. Review Interactions at the top of the page.
4. Review Active Medications, Previous Medications and Allergies at the bottom of the page.
5. Click the Detail button to see important medication details about the medication originally prescribed by the provider.
   
    
6. Click the Radio Button to select a Replacement Option from the list.
7. Click the Approve button.
   
   
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Deny Change Request
 

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
    
2. Click the Deny button.
   
    
3. Select a Denial Reason from the list.

   NOTE: If none of the options on the Denial Reason list apply, write the reason for denial in the Notes to Pharmacist field.

    

    

4. Click the Deny button.
   
    

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Replace Change Request
 

If the pharmacist has requested a replacement, but you do not want to prescribe any of the suggested options, you can search for another medication.

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
    
2. Click the Replace button.
   
    
3. Enter the name of the medication in the Drug Search field.
4. Enter the form of the medication in the Form field.
5. Click the Continue button. The sig builder opens.
   
    
6. Enter sig directions and dispense information, then click the Replace button.
   
    
7. Click the Approve button.
   
    

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