You can approve the Rx Change request for different request types from the Workflow module.
- Open NextGen® Enterprise EHR and open the Workflow module.
- Select the Clinical Tasking tab and select an Rx Change request from the task list.
The Rx Change request details and patient information appear.
- Select the appropriate request type and do one of the following:
- If the request type is Prior Authorization, enter the Prior Authorization ID provided by the Pharmacy Benefit Manager (PBM) and if necessary, select a Date.
- If the request type is Generic Substitution, select a generic medication under Suggested Medication.
- If the request type is Drug Use Evaluation, Script Clarification, or Out of Stock, select a generic medication under Suggested Medication.
For the
Drug Use Evaluation request type, you can do one of the following:
- Approve the Rx Change request of the suggested medication. NextGen® Enterprise EHR sends a Cancel Rx request to make the original medication inactive and places the new medication on the patient's chart in Active status.
- Edit the suggested medication and approve the response with changes. NextGen® Enterprise EHR sends a Cancel Rx request to make the original medication inactive and places the new medication on the patient's chart in Active status.
- If the request type is Therapeutic Interchange because of formulary compliance, approve or edit the prescription.
Note: You cannot approve an Rx Change request that was sent only for review of drug interactions. As there is no medication change, you must review and deny the request.
- If the request type is Prescriber Evaluation, select a generic medication from the Suggested Medication list. If you select Approve, NextGen® Enterprise EHR sends a Validated status to the pharmacy.
- If necessary, enter Notes to Pharmacy.
- To accept the request, select Approve.
If you select a different medication and NextGen® Enterprise EHR detects any drug interactions, the Drug Interaction window opens.
- Select a drug interaction and select Acknowledge.
You can enter a reason for the acknowledgement if necessary.
An acknowledgement check mark appears for the drug interaction.
- Select Done.
The
Send RxChange Response window opens.
- Select Send.
Note: After you select the medication in the Medications module, for a Prior Authorization request, the updated Prior Authorization information appears under Additional Prescription Detail.
