Change Electronic Prescriptions (RxChange)

When a pharmacy requests a change (RxChange) to an electronic prescription, you receive the changed prescription Pharmacy Messages. For instructions on how to change controlled substance prescriptions, refer to Change Electronic Prescriptions (RxChange) of Controlled Substances (EPCS).

Note: You cannot use RxChange if the pharmacy does not support this feature.

You can perform the following actions to a change request:

• Deny 
• Approve
• Change to a new prescription (Change to New Rx)

Pharmacy Role Requirement

You must have Prescriber selected as your Pharmacy Role in Administration: User Maintenance to manage the pharmacy change requests.

Change Request Types

• Therapeutic Interchange: Replacement, with the prescriber's approval, of a prescription medication originally prescribed for a patient with a chemically different medication. Change to New Rx is only available for this type.
• Generic Substitution
• Prior Authorization
• Script Clarifications
• Drug Use Evaluation
• Out of Stock
• Prescriber Authorization

Navigate to Pharmacy Messages

1. Select  on the top toolbar or select Pharmacy Alerts on the bottom toolbar.

Note: A red indicator means that the provider has a pharmacy alert.

2. Select the Pharmacy Messages tab.

Pharmacy changed prescriptions are marked with in the Drug column.

Navigate to the Prescription: Change Request Screen

This screen shows within the Pharmacy Messages page.

1. Select the patient's name. 

2. Scroll below the original prescription to view the pharmacy's request.

Our example shows a Therapeutic Interchange request.

Deny a Change Request

Note: You cannot bulk deny changed prescriptions.

1. Select a Denial Reason (required).
2. Select Deny.

Change Request: Denied and the Denial Reason show above the Prescription: Change Request.

Approve a Change Request

Note: You cannot bulk approve changed prescriptions.

1. To select, and view the details of, the alternative medication, choose Select. The pharmacy can provide up to nine alternative medications.

2. Select Approve.

The approved alternative medication is highlighted in green. Change Request: Approved shows above the Prescription: Change Request. 

Change to a New Prescription (Change to New Rx)

1. Select Change to New Rx.

The screen changes to the Search Medication screen.​

2. Perform the same steps as if you were e-prescribing a new medication.
   • Select New Medication.
   • Search for the medication and then select one of the search results.
   • Enter the sig details.
   • Select Save and ePrescribe.
   • Select the desired pharmacy by selecting its row.
   • Select Transmit.

Or e-prescribe a previously prescribed medication.

• Select the medication's check box.
• Select ePrescribe.

Note about pediatric patients: You must include height and weight for pediatric patients (18 or under). Height and weight are pulled from last vitals entered in the patient's chart.

You successfully transmitted the new prescription. Change Request: Approved with Changes shows above the Prescription: Change Request.

 

See Also: 
Pharmacy Messages