This new version (2017017) is the latest NCDPD version required by ONC and Medicare. In this version, you can now cancel prescriptions, receive pharmacy change requests, get fill status (patient picked up), and send prior authorization numbers as well as allow ability to partial fill. We have also added the option of sending EPCS controlled substances, which is an additional fee. Lastly, you already have the ability to request medication history and reconcile with existing current meds or import them, check patient benefits, search their insurance formulary, and get pricing (if available).

Eprescribe Changes

The process to select and send prescriptions does not change. Here is a list of the changes:

• There is a new field to select if the prescription should be fully or partially filled and defaults to all.
• Effective data can be entered to fill a future prescription.
• A prior authorization code can be entered and sent.
• If a prescription is sent electronically, then printed will show that it has been electronically sent.
• Cancel will allow the prescription to be cancelled and not given to the patient or you can select Discontinue after clicking the Cancel button to stop refills. If a prescription is canceled, the status shows on the left of Cancelation Requested until the pharmacy either approves the cancellation or denies it.
• Refill Change Prescription allows a requested prescription refill to be changed to a new prescription with just a click.
• EPCS allows controlled substances to be sent and managed electronically for an additional fee. Iphone and Android phone mobile apps are used to approve the controlled substances and automatically send the prescriptions. New reports can automatically be sent to providers to validate their controlled substances.

Ophthalmic Solutions

Ophthalmic Solutions will now show an option to check left and/or right eye with both being defaulted. 26 drops is used to calculate 1 mL. All solutions should be sent as mL.  Here is an example:

Refill Change Fill Management

The Refills menu under Manage Eprescribe is now called Refill Change Fill Management. This same screen appears in the Provider Dashboard. Refill Management adds a new option to Cancel or Discontinue Refills.

RXchange

Pharmacies can request a change to a prescription. A message is sent to the provider just like a refill but shows as a request to change the prescription. Please accept or deny the changes within 48 hours of the request. RXChange is sent when the pharmacy identifies a need to make a change to or clarify the original new prescription. There are three use cases:

1. Therapeutic Interchange

2. Generic Substitution

3. Prior Authorization

RXFill

RXFill displays the disposition of a medication after it has been ordered. Here are the following status:

1. Dispensed - in the context of the RxFill transaction, a medication that has been handed, shipped, or delivered to the patient (or the patient’s caregiver/representative) and the pharmacy no longer has it. If the medication is still located in the pharmacy, it has not yet been ‘dispensed’.
2. On Hold – a status denoting an interruption occurring in the pharmacy dispensing procedure prior to dispensing for various reasons that include but are not limited to: prescriptions pending additional information or resolving a conflict with other medications

While this may be perceived as noise to prescribers, the RxFill messages inform the prescriber of the prescription status and potentially indicate prescription shopping by the patient.

3. Return/Returned to Stock – a pharmacy procedure that occurs after a prescription has been processed (filled and billed to the appropriate third party, if applicable)and the patient (or the patient’s caregiver) does not pick up the prescription after a designated period of time, resulting in the medication either being placed back into inventory or destroyed. Note: each pharmacy makes its own determination of how much time should elapse before a prescription is “Returned to Stock”.
4. Transfer – a pharmacy procedure that occurs when a patient requests a prescription be dispensed from a pharmacy other than the one that originally received the prescription. The pharmacy requesting the transfer of a prescription may or may not be within the same organization.
5. Medication History – transactions used to provide details of medications previously provided to a patient. The medication history result includes medications that were dispensed or obtained by a patient within a timeframe. Medication history can include adjudicated and/or cash and carry, prescribed, administered and/or sample medications.