A link to Surescripts Drug History is located under the patient's name. Prescribers can use this link to review prescription history information returned from the Pharmacy Benefit Manager (PBM), and add these prescriptions to a patient's active medication list.
Medications imported from Surescripts drug history display with a Medication Source Icon on the Medications lists.
Not all patients will have a match for Surescripts Drug History. This is usually due to a discrepancy between the information sent to be verified and what the PBM holds for the patient. In order for Surescripts to return prescription history information, the following criteria must match: First Name, Last Name, Date of Birth, Gender, State and Zip Code. Surescripts Drug History receives information from both the patient's insurance PBM and the retail pharmacies participating on the Surescripts network.
If the user is not using an NPI, those links won't be accessible as an NPI has to be in the message sent for a match with Benefit and History. The link for PDMP should show for every patient regardless as that is not dependent on the provider's NPI. If the user has an NPI and the link is grayed out, that usually means that there is no match to the patient for Benefit and History. This is usually due to a discrepancy between the information sent to be verified and what the PBM holds for the patient.
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Review and Import Surescripts Drug History
- Click the Surescripts Drug History link under the Patient Name.
- Select the Rx History Date Range on the Surescripts Drug History Consent window.
- Click the Continue button.
- Surescripts Drug History displays in the Reported Medications: Surescripts Drug History table underneath the Active Medications table.
NOTE: Surescripts Drug History automatically deduplicates records when identical fills are reported.
- You have the option to select and add Surescripts Drug history prescriptions to a patient chart individually, or you can select and add all unique prescriptions to a patient chart at the same time.
NOTE: The patient's Active Medications are already on the Reconciled Medications list.
- Add Prescriptions Individually: To add a single prescription from Surescripts Drug History to a patient chart, click the Medication in the Reported Medications table. Once clicked, the medication is highlighted in blue and displays on the Reconciled Medications list. Repeat to add additional medications.
- Add All Unique Prescriptions: To select and add all unique prescriptions to a patient chart at the same time, click the Select All checkbox. All medications are highlighted in blue and display on the Reconciled Medications list.
NOTE: The Show Unique Drugs Only checkbox eliminates listing multiple fills of the same prescription. This is especially useful for patients with a long prescription history. The Select All checkbox is only active after the Show Unique Drugs Only checkbox is selected.
- Add Prescriptions Individually: To add a single prescription from Surescripts Drug History to a patient chart, click the Medication in the Reported Medications table. Once clicked, the medication is highlighted in blue and displays on the Reconciled Medications list. Repeat to add additional medications.
- Click the Confirm button on the Reconciled Medications list to add the selected prescriptions to the patient's Active Medications list.
About Pharmacy Benefits Managers
Surescripts Drug History receives information from both the patient's insurance PBM and the retail pharmacies participating on the Surescripts network. Some entities only update every 6 months or so, some update daily or weekly, it depends on the PBM (Pharmacy Benefits Manager). PBMs may capture and share this information at their own speed; there may be significant delays before the PBM updates the drug record.
There are a few limitations on this information, such as Medicare Part D and Medicaid do not participate in the Surescripts Drug History program and will not report drugs they have paid for. Retail pharmacies are new to the program, and not all retail pharmacies report the prescriptions they have filled to Surescripts Drug History. Additionally, network issues are possible for individual PBMs or pharmacy networks. This can result in incomplete information. Overall, this gives roughly an 80% matching rate with a return of history.