The Changes section within the My Tasks Prescription portal is used to manage electronic prescription change requests sent to your practice by the pharmacy via the SureScripts network. These include prescription change requests for generic substitution, prior authorization, therapeutic interchange/substitution, drug use evaluation, script clarification, out of stock and prescriber authorization.
Pharmacy Change Requests
As a practice, you will be able to determine if you receive change requests from the pharmacy or not. This setting must be configured by a member of our support team. Please contact support to have this setup.
Once enabled, change requests initiated by the pharmacy will flow into the Changes queue. Your team will be able to review, triage, and approve, replace, validate or deny the request. Prescribers can expect the following types of change requests from pharmacies:
- Generic Substitution: used to request a prescriber allow the dispensing of a generic medication when substitution is not allowed by prescriber or regulation. Available responses for generic substitution change requests include approve, replace and deny.
- Prior Authorization: used to request a prescriber review the drug requested and obtain a prior authorization from the payer for the existing prescription. Available responses for prior authorization change requests include approve and deny.
- Therapeutic Interchange/Substitution: used to request a prescriber authorize a therapy change to the original prescription. This includes the workflow where a pharmacy requests a 30-90 day quantity or a formulary change. Available responses for generic substitution change requests include approve, replace and deny. Available responses for therapeutic interchange/substitution change requests include approve, replace and deny.
- Drug Use Evaluation: used to request a prescriber authorize a change to the patient's current medication therapy, such as a dosing regimen change or an alternative medication that will have fewer, or no, adverse effects than the original prescription. Available responses for drug use evaluation change requests include approve, replace and deny.
- Script Clarification: used to request a prescriber clarify the original prescription. Available responses for script clarification change requests include approve, replace and deny.
- Out of Stock: used to request a prescriber authorize a change to the original prescription due to the pharmacy being out of stock of the requested medication. Available responses for out of stock change requests include approve, replace and deny.
- Prescriber Authorization Required: used to request prescriber authorization information, such as confirming DEA number or enrollment with prescription benefit plan. Available responses for generic substitution change requests include validate and deny.
Differences from the prescribed medication and the pharmacy requested medication will display highlighted in yellow as shown below.
The pharmacy's change reason will display at the bottom of the change request when sent.
